A5064641032- Maternal and fetal healthcare
- Maternal and Perinatal Health Interventions
- Ectopic Pregnancy Diagnosis and Management
- COVID-19 Impact on Reproduction
- Uterine Myomas and Treatments
- Global Maternal and Child Health
- Animal Nutrition and Physiology
- COVID-19 and healthcare impacts
- Ovarian cancer diagnosis and treatment
- Endometriosis Research and Treatment
- Cardiovascular Issues in Pregnancy
- Assisted Reproductive Technology and Twin Pregnancy
- Reproductive Health and Contraception
- Livestock and Poultry Management
- Gynecological conditions and treatments
- Diversity and Career in Medicine
- Maternal Mental Health During Pregnancy and Postpartum
- Pregnancy-related medical research
- Vaccine Coverage and Hesitancy
- Moringa oleifera research and applications
- Gestational Trophoblastic Disease Studies
- Healthcare Systems and Challenges
- COVID-19 and Mental Health
- Homicide, Infanticide, and Child Abuse
- Leptospirosis research and findings
KK Women's and Children's Hospital
2016-2025
National University of Singapore
2023-2024
Weatherford College
2023
Duke-NUS Medical School
2021-2023
Nanyang Technological University
2023
Sawai ManSingh Medical College and Hospital
2022
Jawaharlal Nehru Cancer Hospital and Research Centre
2010-2021
National Law University, Delhi
2017
Boston Children's Hospital
2014-2015
Aberdeen Maternity Hospital
2006-2012
Natural language processing is a form of artificial intelligence that allows human users to interface with machine without using complex codes. The ability natural systems, such as ChatGPT, successfully engage healthcare systems requiring fluid reasoning, specialist data interpretation, and empathetic communication in an unfamiliar evolving environment poorly studied. This study investigated whether the ChatGPT could complete mock objective structured clinical examination simulating...
Introduction: To assess the level of anxiety and knowledge regarding COVID-19 amongst antenatal women. Materials Methods: This cross-sectional survey was conducted in clinics KK Women’s Children’s Hospital, Singapore, from 31 March to 25 April 2020 pregnant women’s COVID-19, their perceptions its impact upon pregnancy psychological using validated Depression, Anxiety, Stress Scales (DASS-21). Results: Of 324 women who participated study, mean age 31.8 years (range, 20–45). The majority...
Vaccination is critical in controlling the coronavirus disease 2019 (COVID-19) pandemic. However, vaccine perception and acceptance among pregnant lactating women unknown Singapore. We aimed to determine of COVID-19 vaccination these two groups Singapore factors associated with acceptance.
To evaluate the effectiveness of tranexamic acid (TXA) in reducing blood loss during elective caesarean sections women with and without risk factors for postpartum haemorrhage (PPH).A double-blind, randomised placebo-controlled trial.An academic tertiary referral centre Singapore.Multiethnic aged 21 years or older undergoing section.Randomisation to intravenous TXA normal saline (placebo) 10 minutes before skin incision.Calculated estimated (cEBL), derived from volume haematocrit...
Manual vacuum aspiration (MVA) is an alternative to the standard surgical curettage, performed under local anaesthetic in setting of a treatment room. The aim our study was assess efficacy MVA management first trimester early fetal demise and first- mid-trimester incomplete miscarriage. This retrospective 246 patients who were scheduled undergo for One woman excluded analysis because procedure being abandoned prior MVA. Efficacy 94.7% (232/245). Incomplete uterine evacuation seen 5.3%...
The aim of this study was to investigate the efficacy Bakri balloon in management PPH. This a retrospective review 49 patients, who had inserted for PPH KK Hospital between April 2013 and December 2015. main outcome measure achievement haemostasis by tamponade (BBT). Our success rate 81.6%. Out nine failures (18.0%), five (55.6%) subtotal hysterectomies four (44.4%) total hysterectomies. causes these women were unsuspected or foci placenta accreta (55.6%), uterine atony (33.3%) retained...
Abstract Introduction Vaccination is critical in controlling the coronavirus disease 19 (COVID-19) pandemic. However, vaccine perception and acceptance among pregnant lactating women unknown Singapore. We aimed to determine of COVID-19 vaccination these two groups Singapore, factors associated with acceptance. Methods conducted an anonymous, online survey on at a tertiary hospital Singapore from 1 st March 31 May 2021. Information demographics knowledge were collected, assessed for their...
In the treatment of postpartum haemorrhage from uterine atony, compression sutures, such as B-Lynch suture and its modifications have a role with advantage preservation uterus for fertility. There is however, risk that apposition anterior posterior walls will impede drainage lochia, resulting in undesirable complications. We undertook five-year retrospective study all women who underwent sutures at KK Women's Children's Hospital, between 2008 2012. total, 23 had during period, which,...
Key content Miscarriage is a common event in women of reproductive age, with an incidence 10–20%. Traditionally, surgical evacuation the uterus was gold standard for management miscarriage. Medical miscarriage using suitable prostaglandin analogue safe and effective alternative high efficacy patient acceptability. can be routinely offered as option, thereby increasing women's choice. Learning objectives To understand indications, adverse effects medical treatment. learn about various...
Pituitary apoplexy is a rare condition involving pituitary necrosis following either haemorrhage or infarction. Similarly, reversible cerebral vasoconstrictive syndrome cerebrovascular disorder characterised by diffuse, multifocal narrowing of arteries. Both may present with an acute, intense headache and associated neurological deficits. In postpartum women, these conditions should be considered in the differential diagnosis post-dural puncture regional anaesthesia, as serious morbidity...
Background Multidisciplinary simulation training in the management of acute obstetric emergencies has potential to reduce both maternal and perinatal morbidity. It is a valuable tool that can be adapted for targeted audiences different specialities at all experience levels from medical students senior consultants. Methods In this study, pre- post-course questionnaires learners with varying clinical Obstetrics Gynaecology (O&G), Anaesthesia, Neonatology, Emergency Medicine, midwifery, nursing...
Background: Antenatal care plays a pivotal role in prevention, detection and treatment of pregnancy-related complications improving maternal perinatal outcomes. However, few studies focus on higher income countries no local have been done. This study aims to investigate these outcomes unbooked pregnancies locally. Methods: We conducted retrospective single-centre cohort pregnant women presenting between January 2015 December 2019. compared indicators the group receiving routine antenatal...
The aim of this randomised, double‐blind, placebo‐controlled trial was to evaluate the effectiveness intraperitoneal instillation bupivacaine following laparoscopy and dye test. Women received either 15 ml 0.9% saline ( n = 42) or 0.5% 43), which instilled intraperitoneally. Pain nausea scores were recorded on a visual analogue scale (VAS). perception no different in group compared with control median values VAS at 2 hours (18, 19; P 0.8), 6 (21, 22; 0.5), 12 (19, 25; 24 (27, 27; 0.9) 48 13;...
Objective To determine the risk factors for occult endometrial atypia and malignancy in patients diagnosed with non-atypical hyperplasia (NEH) on biopsy. Methods All new cases of NEH between April 2015 March 2016 at KK Women's Children's Hospital, who underwent hysterectomy as first-line treatment, were included study. Patients a history or excluded from Patient demographics (e.g., age, parity, body mass index [BMI]), medical history, clinical presentation obtained analysis. Results In...
Intrahepatic cholestasis of pregnancy (ICP) generally presents in the third trimester with pruritus without a rash, characterised by elevated bile acids, or transaminitis and hyperbilirubinaemia. Risk factors include family history cholestasis, South Asian ethnicity, multifetal gestation, vitro fertilisation (IVF) hepatitis biliary disorders. IVF involves use high dose gonadotropin stimulation human chorionic trigger. High doses progesterone supplementation are additionally given after...
A 55-year-old woman in a perimenopausal state presented with severe suprapubic pain and fever. Physical examination revealed tender pelvic mass measuring 24 weeks size. Ultrasound of the pelvis CT scan abdomen showed 12 cm arising from posterior wall uterus irregular margin inferiorly, raising suspicion ruptured mass. The patient was treated conservatively discharged hospital regular simple analgaesia. She had an elective total hysterectomy bilateral salpingo-oophrectomy frozen section...
An 18-year-old woman, gravida 3, para 2, presented at 24 weeks of gestation with preterm premature rupture membranes. She was started on nifedipine for tocolysis and to facilitate administration steroids. Two a half hours later, the patient developed tachycardia hypotension. Sepsis from chorioamnionitis, acute cardiac event pulmonary embolism were considered as differential diagnoses. Laboratory radiological investigations, however, ruled out these possible causes haemodynamic instability....