Background: Syphilis is a sexually transmitted disease (STD) caused by the bacterium treponema pallidum, but little is known about its mechanism of action. In pregnancy it leads to adverse outcomes among more than half of the women with active disease, including early fetal loss, stillbirth, prematurity, low birth weight, neonatal and infant death.Methods: It is an observational study in the department of obstetrics and gynecology Mahatma Gandhi Memorial Medical College Maharaja Yashwant Rao Hospital, Indore between January 2014 to December 2015 total 20870. In Include written informed consent, All the patients attending STI/RTI clinic with clinical diagnosis of STD. In Exclusion criteria include patients not give informed consent. Case definition: All VDRL + TPHA positive patients.Results: Out of 20870 females on which VDRL was performed 77 (0.036%) were found to be positive. The seroprevalence at study hospital thus came out to be 0.036%. These were further confirmed by TPHA and 73 (94.8%) out of 77 samples were positive. A total agreement was seen between TPHA and VDRL with a titer of 1 in 8 and above. Among total 20870 screened females, 77% (16101) were ANC patients of which 26 cases out of 77 that is 33.76% females were syphilis positive.Conclusions: Low prevalence of syphilis in pregnant women and adult general population is very encouraging. participation of people and public health approach to promote awareness of syphilis among physicians and populations at risk in India are very urgently needed to avoid the adverse consequences which could result from undiagnosed or improper treatment.
Background & Method: The present study was carried out in outdoor and indoor patients with an aim to "To evaluate the effectiveness of dienogest in controlling bleeding abnormalities in endometriosis" was conducted in the Department of Obstetrics and Gynaecology, Sri Aurobindo Medical College & P.G. Institute, Indore M.P. Women with endometriosis and presence of at least one of the symptoms were included in the study. Study was done according to the regulations of the Institutional Ethics Committee. Detailed history was taken, general and gynaecological examinations were done. According to patient's symptoms VAS and PLAB Scoring was done Either USG, MRI or if needed Laparoscopy was done. Result: The distribution of patients based on Symptoms of Endometriosis. An equal percentage of patients i.e. 40% had CPP (Chronic Pelvic Pain)+ Dysmenorrhea and CPP + Dysmenorrhea+ Heavy Menses followed by 10% who were having CPP + Dyspareunia + Dysmenorrhea, 8% had CPP+ infertility while, the lowest percentage 2% had CPP+ infertility+ Heavy Bleeding. The distribution of patients based on their PT Satisfaction Score. The highest percentage of patients i.e. 50% were Very Satisfied followed by 30% who were Satisfied while, the lowest percentage 14% were Not Satisfied. Conclusion:Endometriosis is a disease that requires a drawn out administration. Dienogest is by all accounts compelling for the treatment of agony and draining irregularities, related with endometriosis. Taking everything into account our information shows that dienogest could further develop wellbeing related personal satisfaction of lady and diminishes in the view of endometriosis related torment and substantial dying. In our examination 30% ladies have Adenomyosis as an accompanying disease and 24 % ladies were has previous history of Adenomyosis.
Background and Method: This study, observational non-randomized clinical study to evaluate the Effect of early screening for GDM on maternal and fetal outcome. The study was conducted in the Department of Obstetrics and Gynecology at a Multi-specialty Tertiary Care Centre Sri Aurobindo Medical College & P.G. Institute, Indore M.P. Pregnant women attending the ante natal clinic at a tertiary care hospital before 16 weeks, and follow up at 24 weeks to 28 weeks and 32 weeks to 34 weeks of pregnancy. Registration details of all the patients including their OPD number, name, age, sex were noted. Consent of each patient was taken. Result: It was observed that women with positive family history of diabetes were significantly associated with increased risk of GDM as out of 19 patients (18.8%) with positive family history of diabetes 9 were GDM. Family history plays an important role for predicting occurrence of GDM significantly (p-value < 0.05, Chi square -12.4953). The rate of detection of GDM by the 75g GCT during 16 -18 weeks gestation was 23 and at 24 -28 weeks was 19. The decrease in detection of blood glucose level by DIPSI test reflects those cases which were managed by lifestyle modification alone. At 32 -34 weeks, the case detection rate was 17 which was still comparatively less than the 23 detected at 16 -18 weeks and also included two new cases of abnormal GCT which were earlier observed to be normal. It is also to be noted, that there were 2 cases in which the GCT was not performed at 32 -34 weeks as these two were already on insulin therapy for glucose control. Conclusion: Diabetes mellitus is one of the most common endocrine disorder found during pregnancy. It is associated with various maternal and fetal complications if untreated. Compared to selective screening, universal screening for GDM detects more cases and improves maternal and neonatal prognosis if done early. Hence, universal screening for GDM is essential, as it is generally accepted that women of Asian origin and especially ethnic Indians are at a higher risk of developing GDM and subsequent type 2 diabetes.
Background: Patients admitted in Gynecological ward in Department of Obstetrics and Gynecology in diagnosed with uterine fibroid and ovarian mass were selected for the study. The Criteria for diagnosis either by clinical features, USG findings and hysterectomy or confirmed by histopathological examination. Result: There are 104 cases of abdominal mass of which 55 cases are of ovarian mass and 46 are of fibroid and 3 are other masses. Conclusion: Management of these giant intraabdominal cysts has traditionally required a full midline laparatomy. Minimally invasive surgical technique has been applied to the management of these giant cysts. Ultrasound is effective in detecting the abdominal mass, size and type of abdominal mass, so that early diagnosis can be done and treatment can be given as soon as possible. Keywords: Surgical, Abdominal Mass & Gynaecological.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.