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...

Thyroid autoimmunity can have an adverse impact on the outcome of pregnancy. Although effects antithyroid antibodies been well studied in hypothyroid women, their euthyroid women are not evaluated.The study was conducted to assess overall prevalence anti-Thyroid Peroxidase (anti-TPO) pregnant and effect anti-TPO positivity pregnancy women.One thousand Indian first trimester were screened for know prevalence. Of this, who positive presence antibody selected obstetric history recorded. These...

To validate the verbal autopsy tool for stillbirths of World Health Organization (WHO) by using hospital diagnosis underlying cause stillbirth (the gold standard) and to compare fraction attributed various specific causes through assessment versus autopsy.In a in Chandigarh, we prospectively studied all occurring from 15 April 2006 31 March 2008 whose was diagnosed within 2 days. All mothers had be at least 24 weeks pregnant live 100 km hospital. For autopsy, field workers visited 4 6 after...

Objective: To determine the iron status at birth in preterm small for gestational age (SGA) comparison with appropriate gestation (AGA) and term-AGA infants. Methods: Mother–infant pairs of < 37 weeks, both SGA, preterm-AGA as control were enrolled. Maternal, cord blood infant samples 4 weeks obtained various indices – serum ferritin, proportion infants "low" ferritin correlation among maternal neonatal hemoglobin,serum total iron-binding capacity. Results: There 50 mother–infant each group....

Peripartum hysterectomy is associated with significant maternal morbidity and mortality. We reviewed all peripartum hysterectomies at our institute over a 1-year period. The aim of this study was to determine the incidence, surgery anesthesia-related issues compare outcomes emergency electively planned hysterectomies.This retrospective analysis records women who underwent or elective in tertiary care hospital. included teaching hospital referral North India span 1 year (April 1, 2014, March...

Abstract The aim of our study was to compare the placental elasticity values between normal pregnancies and preeclamptic evaluate utility shear-wave elastography placenta as a predictor for preeclampsia in high-risk pregnancy. A prospective performed with 90 singleton having any 7 risk factors developing (primigravida, history preeclampsia, family pregestational diabetes, chronic hypertension, advanced maternal age [≥40 years], body mass index ≥26 kg/m 2 ) were enrolled study. Shear-wave all...

Antiphospholipid Syndrome (APS) is a systemic autoimmune thrombophilic condition characterized by obstetric manifestations, including pregnancy loss, preeclampsia and fetal growth restriction. Early diagnosis management are key to improve maternal neonatal outcomes.

Abstract Pheochromocytoma associated with pregnancy is rare potentially lethal consequences. Antepartum diagnosis improves the maternal and perinatal outcome. The issue of mode delivery unresolved. Its definitive treatment surgical resection preceded by medical management. Surgical may be done during caesarean section as reported in present case.

Multidrug-resistant tuberculosis (MDR-TB) is identified from the time of introduction antituberculosis treatment and a known worldwide public health crisis affecting women reproductive age group. Management issues raised by pregnant with MDR are challenging due to limited clinical experience available use second line drugs. We hereby report two cases MDR-TB during pregnancy: one patient was on drugs, while another evaluated diagnosed have in last trimester. At 6 months follow-up both mothers...

We studied the role of pelvic artery embolization in management obstetric hemorrhage by retrospective analysis 50 cases a tertiary care referral hospital where this procedure was used. Uterine and or internal iliac performed for postpartum (39 cases; 78%), post abortal bleeding (6 12%) gestational trophoblastic disease (4 8%). In one case could not be due to arterial spasm (2%). Prophylactic carried out placenta accreta. The mean age women 27 years 54% were primiparas. six done after...

Objective. To determine body iron stores at birth in term small-for-gestational age (SGA) infants as compared to appropriate-for-gestational (AGA) infants.

Individuals with a systemic right ventricle develop cardiac complications earlier in life. Limited data exists regarding the effect of maternal on events during pregnancy. We sought to assess and pregnancy outcomes.The study was designed as retrospective cohort pregnant women congenital heart disease.The set university, academic tertiary care referral center.Study subjects were identified by International Statistical Classification Diseases Related Health Problems-9 codes. Women mitral valve...

In Brief BACKGROUND: Ovarian cancer diagnosed in pregnancy is rare. There limited evidence to guide the choice of optimal chemotherapeutic management for treatment disease during pregnancy. CASE: A 36-year-old primigravid woman was with stage IIB grade III serous adenocarcinoma at 12 weeks gestation. After extensive counseling, she opted intraperitoneal chemotherapy. She received four cycles course pregnancy, and complicated by thrombocytopenia mild preeclampsia. Delivery occurred cesarean...

Prostaglandins and intracervical catheters are similarly effective for cervical ripening an induction of labour (IOL). Studies comparing the combined use with either method alone have administered repetitive doses prostaglandins vaginally, which may increase risk tachysystole chorioamnionitis. These disadvantages be offset by co-administering a single dose prostaglandin. Women (n = 110) planned IOL, ≥37 weeks gestation Bishop Score ≤6 were randomised into two groups: Foley catheter or...

Objective: Incidence of feed intolerance (FI) and necrotizing enterocolitis (NEC) in preterm neonates with Doppler evidence absent end diastolic flow (AEDF) velocities the fetal umbilical artery when enteral volumes were started by 6–72 h advanced either slowly or rapidly.Methods: Stable inborn neonates, 30–36 weeks gestation, weighing ≥1000 g antenatal AEDF included this pilot study. Infants (stratified <1250 ≥1250 birth weight categories) allocated under randomized controlled trial, to...

Induction of labor (IOL), using intravenous oxytocin, is the artificial initiation before its spontaneous onset for purpose delivery fetoplacental unit. Although there are various studies looking at dosages only a few have addressed issue discontinuation oxytocin in active stage labor. Thus, our study was conducted to evaluate need continuation versus during

To investigate the potential association of angiotensin-converting enzyme (ACE) gene polymorphism and serum ACE activity with pregnancy-induced hypertension (PIH).The genotype was identified measured in 50 primigravidae PIH normotensive primigravidae. These subjects were followed up to delivery perinatal outcome noted.ACE DD found 60% but only 30% (P = 0.004). The odds ratio for developing 3.5. incidence D allele significantly higher hypertensive (0.74) than (0.56, P 0.011). 2.24. However,...

Preeclampsia, a pregnancy-specific syndrome characterized by hypertension and proteinuria, has familial tendency is an important cause of maternal neonatal mortality. Abnormal endothelin-1 synthesis and/or release can explain abnormalities seen in preeclampsia. We prospectively evaluated whether levels are increased preeclampsia, to verify if placenta the source, any association between EDN1 G5665T single-nucleotide polymorphism circulating preeclampsia manifestation.A total 120 with 118...