Background:Uterine rupture is a rare obstetrical complication associated with disastrous outcome.... more Background:Uterine rupture is a rare obstetrical complication associated with disastrous outcome. Since the rate of caesarean deliveries has increased in the past decades, the risk of scar rupture is also expected to increase. The incidence of uterine rupture is inversely proportional to quality of obstetric care being provided. In the developing world, uterine rupture can have devastating maternal and/or fetal outcomes due to delayed recognition and/or intervention Materials and Methods:This is a retrospective study of patients with uterine rupture from January 2017 to December 2017, admitted in Rajendra Institute of Medical Sciences, Ranchi in the Department of Obstetrics and Gynecology. All the cases of uterine rupture were included and detailed study of their case history, obstetric history, surgical history was done. Details of their referral, duration & augmentation of labor, diagnosis on admission, site of rupture, surgical intervention requiring hysterectomy or repair and fe...
INTRODUCTION: Multiparty has always been associated considered as a factor for poor maternal and ... more INTRODUCTION: Multiparty has always been associated considered as a factor for poor maternal and neonatal outcome. It has often been described as a risk factor for variety of obstetric complications. Grand multipara has been defined as a parity of five or more and has been seen to have strong correlation with increased operative delivery and medical disorders like anemia, diabetes and hypertension. METHOD: A study of 8304 deliveries was conducted over a period of 1 year from September 2013 to august 2014 assessing the labour records of Rajendra Institute of Medical Sciences, Ranchi and studying the demographic pattern of the laboring patients and studying mode of delivery and associated other complications. The study group comprised of parity five and above and the others were included in the control group. RESULT: Over the study period there were 8304 deliveries, 422 were grand multiparas with mean age of 30 yrs. Majority of the patients in the study group were unbooked and of low ...
Introduction: Pregnancy, although being considered a physiological state, carries the risk of ser... more Introduction: Pregnancy, although being considered a physiological state, carries the risk of serious maternal morbidity and at times death. This is due to various complications that may occur during pregnancy, labor or thereafter. Maternal death has serious implications for the family, the society, and the nation. Maternal mortality is universally considered as human development indicator in a country and determines the health status of the people. Method: A retrospective hospital-based study of 65 maternal deaths was conducted over a period of 1-year from January 2014 to December 2014 in respect to maternal age, parity, booking status, residence, referral, socioeconomic class, admission death interval, and cause of death. Result: Over the study period, there were 6277 deliveries, 5761 live births, giving a maternal mortality ratio of 1035 per 100,000 live births. Eclampsia was the leading direct cause and anemia the leading indirect cause. The age group of 20 to 30 years was cruci...
Journal of Evolution of medical and Dental Sciences, 2015
Fibroids are the most common benign tumors of the uterus primarily affecting the reproductive age... more Fibroids are the most common benign tumors of the uterus primarily affecting the reproductive age group presenting with symptoms like menorrhagia, dysmenorrhea, pelvic pain and pressure symptoms and frequently infertility. Hysterectomy and myomectomy have been the surgical options for the management of symptomatic fibroids. Procedures like uterine artery embolization and thermal balloon ablation are expensive procedures and still not available in most centers. Various drug therapies like Gn RH analogues, danazol, etc. have been tried to reduce symptoms. The anti-progestin, mifepristone (RU 486) has been studied since the past few decades for its effect on reduction of symptoms of fibroid uterus. AIMS: The effect of low dose mifepristone given for three months was assessed on symptomatic fibroids over six months. SETTINGS AND DESIGN: This randomized control study here was done on 100 patients who presented with symptomatic fibroid to the department of obstetrics and gynecology at RIM...
the non-exclusive right to publish the Work electronically and in a non-commercial purpose make i... more the non-exclusive right to publish the Work electronically and in a non-commercial purpose make it accessible on the Internet. The Author warrants that he/she is the author to the Work, and warrants that the Work does not contain text, pictures or other material that violates copyright law. The Author shall, when transferring the rights of the Work to a third party (for example a publisher or a company), acknowledge the third party about this agreement. If the Author has signed a copyright agreement with a third party regarding the Work, the Author warrants hereby that he/she has obtained any necessary permission from this third party to let Chalmers University of Technology and University of Gothenburg store the Work electronically and make it accessible on the Internet.
Introduction: Obstructed labor continues to plague thousands of women each year, accounting for a... more Introduction: Obstructed labor continues to plague thousands of women each year, accounting for about 8% of all maternal deaths in developing countries like India. It is the leading cause of hospitalization, comprising up to 39% of all obstetric patients in developing countries. Obstructed labor is the single most important cause of maternal death and is one of the three leading causes of perinatal mortality with the case fatality rate of 87%100%. Materials and Methods: This Retrospective study of obstructed labour was conducted from January 2019 to December 2020 in the Department of obstetrics and Gynaecology of Hazaribagh Medical College, Hazaribagh, Jharkhand. All patients admitted with obstructed labour were included in the study. Detailed history regarding age, socioeconomic status, parity, previous obstetric history, past history, antenatal care, duration of labour, details of referral and management were recorded. During admission, the general condition of mother was assessed...
Vault rupture after hysterectomy is a rather rare complication. It can occur after fall specially... more Vault rupture after hysterectomy is a rather rare complication. It can occur after fall specially if there is any penetrating injury. It has also been reported after acts which increase intra-abdominal pressure such as sneezing, coughing, straining during defecation or lifting heavy weight. Most cases of vault rupture have been reported after sexual intercourse. Risk factors include increased age, vaginal surgeries, exposure to radiation. Recent studies have shown increasing incidence of vault rupture after laparoscopic hysterectomy than other methods of hysterectomy. It needs immediate management specially when associated with profuse hemorrhage or prolapsed intestines. Here we are reporting a case of vault rupture occurring after fall on buttocks.
Journal of Evolution of medical and Dental Sciences, 2014
Benign dermoid cyst makes up 10 to 15 percent of all ovarian tumors and tends to occur at a relat... more Benign dermoid cyst makes up 10 to 15 percent of all ovarian tumors and tends to occur at a relatively early age. Dermoid cysts are bilateral in 12 percent of cases. Cystic teratomas and mucinous cystadenoma may often coexist in the same ova. A dermoid cyst rarely grows beyond the size of amelon. The lining epithelium is stratified squamous and the cyst contains sebaceous material within, they also contain ectodermal elements like sebaceous glands, hair follicles and sometimes teeth. There is no specific tumor marker in clinical practice for dermoid tumor. CA 125 elevation in seen with epithelial ovarian tumor. CA 19-9 is elevated in mucinous ovarian malignancy and in Gastrointestinalcancers. CEA levels higher than 5mg/L are seen elevated in mucinous cancers. Rupture of dermoid cyst is usually spontaneous but may occur from trauma or during labor, coitus or pelvic examination. Rupture is more likely if the wall of the cyst is already damaged by previous ischaemic degeneration, if th...
International Journal of Medical and Biomedical Studies, 2020
Background: Maternal anaemia has been defined by the low level of haemoglobin in the blood while ... more Background: Maternal anaemia has been defined by the low level of haemoglobin in the blood while pregnancy period. Gestational anaemia has been defined as one of the most prominent health problems faced by pregnant women worldwide. Anaemia in pregnant women might be relative or absolute. Aim: To identify the various factors associated with anaemia among the pregnant women in Jharkhand Methods: A prospective study was carried out on 10,000 pregnant women between September 2019 and February 2020 in Jharkhand. Those women were taken into consideration who had haemoglobin less than 11 mg/dl. The non-pregnant women were excluded from the list. Multivariate analysis in terms of Binary logistic regression was done to check the associations of selected socio-economic and demographic covariates on the prevalence of anaemia in Jharkhand. Results: Majority of the women belonged to 26-30 years of the age group, which accounted for 38% of all the study population. The majority of the patients w...
Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India
Isolated cases of postoperative flare-up of tuberculosis (TB) have been described earlier. We wan... more Isolated cases of postoperative flare-up of tuberculosis (TB) have been described earlier. We want to report a postoperative flare-up of TB following McIndoe's vaginoplasty in a patient with Meyer Rokitansky Kuster Hauser (MRKH) syndrome. A 21-year-old nulliparous female presented with primary amenorrhoea and inability to have sexual intercourse.
Rape and abuse of women are common occurrences, which, many a times go unspoken due to social sti... more Rape and abuse of women are common occurrences, which, many a times go unspoken due to social stigma or fear of retribution. Rape is a crime not against a single human being but against the entire humanity. For granting justice to the rape survivor it becomes necessary that such matters are properly presented before the Courts of Law. Healthcare workers play an important role in this regard because they are the first person who examine the rape victims. They prepare a documented record of medical condition of rape victim and do relevant sample collection. Aim: The objective of this study is to analyse demographic and event characteristics of rape victims who presented to the Emergency Department in tertiary care, Delhi after sexual assault. Materials and Methods: Data was retrospectively collected from the medico legal register of the department of obstetrics and gynecology between June 2010 to December 2013. Result: We noted a marked increase in the number of cases. Mean age of victims was 17 and most belonged to the lower socioeconomic strata of the society. Use of sedatives and physical trauma was not common. Victims often knew the perpetrator of the event. Most (58%) of them reported within one day of the incident. Major degrees of perineal tears were seen in young victims. Conclusion: By understanding the demography of the sexual assault victims, we need to train our doctors for proper evidence collection not just in a government set up but also in private clinics, to help rape victims get justice and proper medical treatment.
Journal of Evolution of medical and Dental Sciences, 2014
Sirenomelia, alternatively known as mermaid syndrome is a very rare congenital anomaly in which t... more Sirenomelia, alternatively known as mermaid syndrome is a very rare congenital anomaly in which the legs are fused together, giving the appearance of a mermaid's tail. Till date less than 60 cases had been reported. We came across a twin pregnancy in which a normal female baby and another mermaid baby was delivered. The rarity and uniqueness of the syndrome prompted us to report the case.
Background:Uterine rupture is a rare obstetrical complication associated with disastrous outcome.... more Background:Uterine rupture is a rare obstetrical complication associated with disastrous outcome. Since the rate of caesarean deliveries has increased in the past decades, the risk of scar rupture is also expected to increase. The incidence of uterine rupture is inversely proportional to quality of obstetric care being provided. In the developing world, uterine rupture can have devastating maternal and/or fetal outcomes due to delayed recognition and/or intervention Materials and Methods:This is a retrospective study of patients with uterine rupture from January 2017 to December 2017, admitted in Rajendra Institute of Medical Sciences, Ranchi in the Department of Obstetrics and Gynecology. All the cases of uterine rupture were included and detailed study of their case history, obstetric history, surgical history was done. Details of their referral, duration & augmentation of labor, diagnosis on admission, site of rupture, surgical intervention requiring hysterectomy or repair and fe...
INTRODUCTION: Multiparty has always been associated considered as a factor for poor maternal and ... more INTRODUCTION: Multiparty has always been associated considered as a factor for poor maternal and neonatal outcome. It has often been described as a risk factor for variety of obstetric complications. Grand multipara has been defined as a parity of five or more and has been seen to have strong correlation with increased operative delivery and medical disorders like anemia, diabetes and hypertension. METHOD: A study of 8304 deliveries was conducted over a period of 1 year from September 2013 to august 2014 assessing the labour records of Rajendra Institute of Medical Sciences, Ranchi and studying the demographic pattern of the laboring patients and studying mode of delivery and associated other complications. The study group comprised of parity five and above and the others were included in the control group. RESULT: Over the study period there were 8304 deliveries, 422 were grand multiparas with mean age of 30 yrs. Majority of the patients in the study group were unbooked and of low ...
Introduction: Pregnancy, although being considered a physiological state, carries the risk of ser... more Introduction: Pregnancy, although being considered a physiological state, carries the risk of serious maternal morbidity and at times death. This is due to various complications that may occur during pregnancy, labor or thereafter. Maternal death has serious implications for the family, the society, and the nation. Maternal mortality is universally considered as human development indicator in a country and determines the health status of the people. Method: A retrospective hospital-based study of 65 maternal deaths was conducted over a period of 1-year from January 2014 to December 2014 in respect to maternal age, parity, booking status, residence, referral, socioeconomic class, admission death interval, and cause of death. Result: Over the study period, there were 6277 deliveries, 5761 live births, giving a maternal mortality ratio of 1035 per 100,000 live births. Eclampsia was the leading direct cause and anemia the leading indirect cause. The age group of 20 to 30 years was cruci...
Journal of Evolution of medical and Dental Sciences, 2015
Fibroids are the most common benign tumors of the uterus primarily affecting the reproductive age... more Fibroids are the most common benign tumors of the uterus primarily affecting the reproductive age group presenting with symptoms like menorrhagia, dysmenorrhea, pelvic pain and pressure symptoms and frequently infertility. Hysterectomy and myomectomy have been the surgical options for the management of symptomatic fibroids. Procedures like uterine artery embolization and thermal balloon ablation are expensive procedures and still not available in most centers. Various drug therapies like Gn RH analogues, danazol, etc. have been tried to reduce symptoms. The anti-progestin, mifepristone (RU 486) has been studied since the past few decades for its effect on reduction of symptoms of fibroid uterus. AIMS: The effect of low dose mifepristone given for three months was assessed on symptomatic fibroids over six months. SETTINGS AND DESIGN: This randomized control study here was done on 100 patients who presented with symptomatic fibroid to the department of obstetrics and gynecology at RIM...
the non-exclusive right to publish the Work electronically and in a non-commercial purpose make i... more the non-exclusive right to publish the Work electronically and in a non-commercial purpose make it accessible on the Internet. The Author warrants that he/she is the author to the Work, and warrants that the Work does not contain text, pictures or other material that violates copyright law. The Author shall, when transferring the rights of the Work to a third party (for example a publisher or a company), acknowledge the third party about this agreement. If the Author has signed a copyright agreement with a third party regarding the Work, the Author warrants hereby that he/she has obtained any necessary permission from this third party to let Chalmers University of Technology and University of Gothenburg store the Work electronically and make it accessible on the Internet.
Introduction: Obstructed labor continues to plague thousands of women each year, accounting for a... more Introduction: Obstructed labor continues to plague thousands of women each year, accounting for about 8% of all maternal deaths in developing countries like India. It is the leading cause of hospitalization, comprising up to 39% of all obstetric patients in developing countries. Obstructed labor is the single most important cause of maternal death and is one of the three leading causes of perinatal mortality with the case fatality rate of 87%100%. Materials and Methods: This Retrospective study of obstructed labour was conducted from January 2019 to December 2020 in the Department of obstetrics and Gynaecology of Hazaribagh Medical College, Hazaribagh, Jharkhand. All patients admitted with obstructed labour were included in the study. Detailed history regarding age, socioeconomic status, parity, previous obstetric history, past history, antenatal care, duration of labour, details of referral and management were recorded. During admission, the general condition of mother was assessed...
Vault rupture after hysterectomy is a rather rare complication. It can occur after fall specially... more Vault rupture after hysterectomy is a rather rare complication. It can occur after fall specially if there is any penetrating injury. It has also been reported after acts which increase intra-abdominal pressure such as sneezing, coughing, straining during defecation or lifting heavy weight. Most cases of vault rupture have been reported after sexual intercourse. Risk factors include increased age, vaginal surgeries, exposure to radiation. Recent studies have shown increasing incidence of vault rupture after laparoscopic hysterectomy than other methods of hysterectomy. It needs immediate management specially when associated with profuse hemorrhage or prolapsed intestines. Here we are reporting a case of vault rupture occurring after fall on buttocks.
Journal of Evolution of medical and Dental Sciences, 2014
Benign dermoid cyst makes up 10 to 15 percent of all ovarian tumors and tends to occur at a relat... more Benign dermoid cyst makes up 10 to 15 percent of all ovarian tumors and tends to occur at a relatively early age. Dermoid cysts are bilateral in 12 percent of cases. Cystic teratomas and mucinous cystadenoma may often coexist in the same ova. A dermoid cyst rarely grows beyond the size of amelon. The lining epithelium is stratified squamous and the cyst contains sebaceous material within, they also contain ectodermal elements like sebaceous glands, hair follicles and sometimes teeth. There is no specific tumor marker in clinical practice for dermoid tumor. CA 125 elevation in seen with epithelial ovarian tumor. CA 19-9 is elevated in mucinous ovarian malignancy and in Gastrointestinalcancers. CEA levels higher than 5mg/L are seen elevated in mucinous cancers. Rupture of dermoid cyst is usually spontaneous but may occur from trauma or during labor, coitus or pelvic examination. Rupture is more likely if the wall of the cyst is already damaged by previous ischaemic degeneration, if th...
International Journal of Medical and Biomedical Studies, 2020
Background: Maternal anaemia has been defined by the low level of haemoglobin in the blood while ... more Background: Maternal anaemia has been defined by the low level of haemoglobin in the blood while pregnancy period. Gestational anaemia has been defined as one of the most prominent health problems faced by pregnant women worldwide. Anaemia in pregnant women might be relative or absolute. Aim: To identify the various factors associated with anaemia among the pregnant women in Jharkhand Methods: A prospective study was carried out on 10,000 pregnant women between September 2019 and February 2020 in Jharkhand. Those women were taken into consideration who had haemoglobin less than 11 mg/dl. The non-pregnant women were excluded from the list. Multivariate analysis in terms of Binary logistic regression was done to check the associations of selected socio-economic and demographic covariates on the prevalence of anaemia in Jharkhand. Results: Majority of the women belonged to 26-30 years of the age group, which accounted for 38% of all the study population. The majority of the patients w...
Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India
Isolated cases of postoperative flare-up of tuberculosis (TB) have been described earlier. We wan... more Isolated cases of postoperative flare-up of tuberculosis (TB) have been described earlier. We want to report a postoperative flare-up of TB following McIndoe's vaginoplasty in a patient with Meyer Rokitansky Kuster Hauser (MRKH) syndrome. A 21-year-old nulliparous female presented with primary amenorrhoea and inability to have sexual intercourse.
Rape and abuse of women are common occurrences, which, many a times go unspoken due to social sti... more Rape and abuse of women are common occurrences, which, many a times go unspoken due to social stigma or fear of retribution. Rape is a crime not against a single human being but against the entire humanity. For granting justice to the rape survivor it becomes necessary that such matters are properly presented before the Courts of Law. Healthcare workers play an important role in this regard because they are the first person who examine the rape victims. They prepare a documented record of medical condition of rape victim and do relevant sample collection. Aim: The objective of this study is to analyse demographic and event characteristics of rape victims who presented to the Emergency Department in tertiary care, Delhi after sexual assault. Materials and Methods: Data was retrospectively collected from the medico legal register of the department of obstetrics and gynecology between June 2010 to December 2013. Result: We noted a marked increase in the number of cases. Mean age of victims was 17 and most belonged to the lower socioeconomic strata of the society. Use of sedatives and physical trauma was not common. Victims often knew the perpetrator of the event. Most (58%) of them reported within one day of the incident. Major degrees of perineal tears were seen in young victims. Conclusion: By understanding the demography of the sexual assault victims, we need to train our doctors for proper evidence collection not just in a government set up but also in private clinics, to help rape victims get justice and proper medical treatment.
Journal of Evolution of medical and Dental Sciences, 2014
Sirenomelia, alternatively known as mermaid syndrome is a very rare congenital anomaly in which t... more Sirenomelia, alternatively known as mermaid syndrome is a very rare congenital anomaly in which the legs are fused together, giving the appearance of a mermaid's tail. Till date less than 60 cases had been reported. We came across a twin pregnancy in which a normal female baby and another mermaid baby was delivered. The rarity and uniqueness of the syndrome prompted us to report the case.
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