- Cardiovascular Issues in Pregnancy
- Pregnancy and preeclampsia studies
- Maternal and fetal healthcare
- Maternal and Perinatal Health Interventions
- Cardiac Structural Anomalies and Repair
- Birth, Development, and Health
- Cardiac Arrhythmias and Treatments
- Pregnancy-related medical research
- Neonatal Respiratory Health Research
- Congenital Heart Disease Studies
- Ectopic Pregnancy Diagnosis and Management
- Global Maternal and Child Health
- Preterm Birth and Chorioamnionitis
- Gynecological conditions and treatments
- Pregnancy and Medication Impact
- Neurological Complications and Syndromes
- Reproductive System and Pregnancy
- Uterine Myomas and Treatments
- Urinary and Genital Oncology Studies
- Cardiac Valve Diseases and Treatments
- Systemic Lupus Erythematosus Research
- Genital Health and Disease
- Maternal Mental Health During Pregnancy and Postpartum
- Vascular Malformations and Hemangiomas
- Gestational Trophoblastic Disease Studies
Jawaharlal Institute of Post Graduate Medical Education and Research
2016-2025
London School of Hygiene & Tropical Medicine
2020
Post Graduate Institute of Medical Education and Research
2007-2018
Background and Aims: Various strategies to improve haemodynamics avoid hypotension following spinal anaesthesia for caesarean section are reported. Uterine contractions induced with oxytocin lead autotransfusion that may aid in maintaining blood pressure by increasing preload. This study aimed compare the haemodynamic effects of initiating prophylactic infusion preoperatively versus starting it after foetal delivery among women undergoing elective under anaesthesia. Methods: In this...
Takayasu's syndrome is a chronic inflammatory arteriopathy of unknown origin which primarily affects women reproductive age. We report the course and outcome 37 pregnancies in 15 with Takayasu arteritis during period 1999-2008.A retrospective analysis 9 years was carried out tertiary hospital Northern India. The effect disease on pregnancy, complications pregnancy perinatal were analyzed.Hypertension most common presenting feature (27%). In majority patients, vessels involved subclavian...
Maternal and fetal morbidity of two different methods delivering the baby during cesarean section performed in advanced labor when head is deeply engaged was assessed retrospectively, i.e. as 'cephalic' with or without assistance to push up from vagina (head first method) 'reverse breech extraction' (feet pull method). Records 182 women a single fetus cephalic presentation, who had undergone at cervical dilatation > =7 cm, vertex below zero station, were reviewed. Extension uterine incision...
Abstract Objective: To compare the efficacy of ultrasonographic cervical assessment with Bishop score before induction labour in predicting success nulliparous women. Methods: This is a prospective study conducted 138 women who underwent transvaginal sonography followed by digital using labour. Ultrasonographic parameters evaluated were length, posterior angle and funnelling blinded to managing physicians. Statistical analysis was carried out Mann–Whitney test, χ 2 receiver operating...
To assess the incidence of adverse cardiac events in pregnant women with rheumatic valvular heart disease (RHD) and to derive a clinical risk scoring for predicting it.This is an observational study involving RHD, attending tertiary centre south India. Data regarding obstetric history, medical maternal complications perinatal outcome till discharge were collected. Eight-hundred twenty pregnancies among 681 included analysis. Primary was composite event defined as occurrence one or more such...
Abstract Aim: Ebstein's anomaly is a rare congenital cardiac abnormality, associated with cyanosis and arrhythmia. Patients often reach childbearing age pregnant women pose challenge to the treating physician. We describe course outcome of pregnancy in discuss related management issues. Methods: Analysis pregnancies four was carried out referral institute northern India. Data two were analyzed retrospectively other prospectively followed their during study period. The pregnancy, disease...
A prospective study was done in 311 women undergoing induction of labour for the formulation a new score, which will be more objective than conventional Bishop's score. Pre-induction cervical assessment by transvaginal sonographic parameters followed digital examination. Labour successful 79.09%. score formulated using having independent association and weighting individual components given according to its regression coefficients. with maximum value 13 proposed. The best cut-off point...
Optimum dose, route and duration of use prophylactic magnesium sulphate in women with severe pre-eclampsia is still controversial. We compared the efficacy safety 'low-dose Dhaka' regime 'Loading dose only' for seizure prophylaxis preeclampsia using a randomised controlled trial 402 women. The incidence eclampsia group was 1.49% that only regime' 2.98% (p = .321). In low-dose Dhaka regime, injection site abscess respiratory depression occurred one woman each. Neonatal outcomes such as Apgar...
Objective To study maternal complications and pregnancy outcome in women with pulmonary hypertension, attending a tertiary centre south India. Study design Retrospective observational study. Setting Tertiary Population Pregnant hypertension. Method Data regarding demographics, clinical course, medication received, echocardiographic diagnosis hypertension antenatal care received were collected from the records. Details of labour delivery, postpartum follow up retrieved. We compared based on...
Obstetric management of a woman with permanent pacemaker in situ is well reported the literature; but those who present without pacing are still debatable. The necessity for setting optimal timing or rate temporary artificial pacing, specifically labour, has not been objectively assessed. Temporary most cases literature might be to withstand variations haemodynamic status during delivery and labour. We report case patient complete heart block any had seven pregnancies significant changes...
Key content Tuberculosis (TB) is an important global cause of maternal and neonatal morbidity mortality. With increasing migration, cases tuberculosis in pregnancy or the puerperium are resource‐rich nations with advanced health care systems. Diagnosis may be delayed given overlap some symptoms that pregnancy. Timely diagnosis essential to initiate appropriate treatment prevent Learning objectives To understand relevant UK epidemiology disease, including recent goals set by World Health...
To assess the usefulness of cervical parameters measured by transvaginal sonography, that is, length and posterior angle, in predicting admission to delivery interval women with preterm rupture membranes.This prospective study was conducted a tertiary care centre South India. Women premature membranes at 28-34 weeks, confirmed clinically, not labour presenting within 24 hours hospital were included. We evaluated relationship between latency sonographic (cervical angle), parity, age, Amniotic...