Aim: To assess the association of vitamin D status in preeclamptic and normal healthy pregnant women. Materials and Methods: Prospective case control study included 50 women with preeclampsia and 50 normotensive pregnant women. Serum vitamin D estimation was done. Correlation between vitamin D deficiency and preeclampsia was analysed statistically. Results: Prevalence of vitamin D deficiency was comparable in both groups. Mean vitamin D level (19.7±2.79 ng/ml) was statistically low in preeclampsia group while in that of control was 24.3±1.89 ng/ml. Severity of vitamin D deficiency correlated with the severity of preeclampsia. Age, parity and BMI were similar in both the groups. No statistically significant difference seen regarding mode of delivery in both the groups. Conclusion: Vitamin D deficiency is significantly associated with preeclampsia. Further studies are needed to document the role of vitamin D supplementation in prevention of preeclampsia.
Background: Implication of fibroid uterus on infertility is still debateable. Co-existence of infertility and fibroid uterus has been observed many times in clinical practice. This study is conducted to ascertain the frequency of primary infertility in women suffering from fibroid.Methods: A prospective observational study was conducted at Altnagelvin hospital, Northern Ireland from July 2019 to December 2019. Total 100 patients were participated in the study. All data were collected and analysed using SPPS ver 20 software.Results: During the study period, a total of one hundred women presented with fibroid uterus were observed. All the cases were within the reproductive age group ranging from 20-43 years of age. 40% for cases were between 20-27 years, 49% cases were between 28-35 years and 11% belonged to 36-43 years of age. Considering the symptoms, infertility was 14%. According to the number of fibroids, in 22% of cases, there were multiple fibroids. The single uterine fibroid was seen in 78% of cases.Conclusions: Fibroid is relatively common in patients of reproductive age and was associated with infertility in 14% of cases.
A prospective observational study was designed to assess the high risk of obesity in antenatal patients. The study took place over a period of 6 months (July 2019- Dec 2019) in a tertiary care hospital , GMC Jammu. Patients were subjected to early (before 14 weeks) and later (24-28 weeks) screening of GDM randomly according to the first antenatal visit done at the hospital. Multivariable logistic regression was used to examine the correlations of GDM and its outcomes. All data were analyzed and t score and p value were calculated. P<0.05 was considered statistically significant.As per the results obtained the adverse effects of macrosomia, primary caesarean section, shoulder dystocia, polyhydramnios and neonatal hypoglycemia were higher in routine group although the difference were not statistically significant.
Background: A woman presenting with an adnexal mass is a common clinical problem. Correctly characterizing ovarian tumors is critical as it helps in recognizing benign ovarian masses, conservative management may be adopted, leading to reduced morbidity. In 2008, IOTA group proposed simple ultrasound rules for the diagnosis of ovarian cancer by demonstration of certain sonographic findings, indicative of benignity (B features) and some of which are suggestive of malignancy (M features). Aim: The aim of this study was to establish the diagnostic utility of IOTA ultrasound rules, to estimate and compare the sensitivity and specificity of given rules with histological diagnosis and establish their use as a tool in early diagnosis of ovarian malignancy in our tertiary care centre. Methods: This was a prospective cross-sectional study conducted in SMGS hospital, Jammu, J&K from Jan 2019 to 2020. Women with at least one adnexal mass were recruited into the study. In the case of bilateral adnexal masses, the mass with the most complex ultrasound morphology was included in the analysis. Assessment of sonographic morphology of the masses together with color Doppler study was performed to characterize the masses. Sonological and histopathological correlation was established appropriate statistics methods. Result: In a total of 79 patients with USG using iota rules: 49 were benign, 24 were malignant whereas 5 were inconclusive. On final HPE report of the 49 masses predicted to be benign by the simple rules, 47 were benign according to histopathology. Of the 24 masses predicted to be malignant by the simple rules, 21 were malignant according to histology. Conclusion: IOTA simple rules provide excellent discrimination between benign and malignant adnexal masses.
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