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...

The referral system plays a crucial role in antenatal care and childbearing by providing access to emergency obstetric care. Excess from primary bypassing secondary levels of leads overcrowding high risk normal mothers tertiary centers. Hence, this study aims assess the gaps patients with care.In hospital-based descriptive study, all referred Obstetric facility admitted postnatal wards during period were included. They interviewed using pretested questionnaire. Data entry was performed...

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...

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...

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...

Nabothian cysts are benign mucous retention of the cervix, most commonly seen in women reproductive age. However, large may have a variable presentation and can even mimic malignancy, causing diagnostic dilemmas, especially during pregnancy. The case highlights deep obstructive nature cyst, which malignancy must be differentiated from invasive cervical lesion.

A 30-year-old woman, para 2, who underwent an uneventful repeat elective lower segment caesarean section with sterilisation presented on the 23rd postnatal day to our Obstetric Emergency department profuse bleeding per vaginum. She had a similar bout of 19th and was treated elsewhere blood transfusion uterotonics. On ultrasonography, she diagnosed have few retained adherent placental bits in part uterus small left broad ligament haematoma hence injected single dose methotrexate....

A deeply impacted foetal head in a second stage caesarean section is associated with an increased risk of maternal and neonatal complications. For the present study, we compared outcomes during use 'Push method' 'Patwardhan's for delivery second-stage section. This was retrospective observational study involving 298 women who underwent at or below level their ischial spines conducted tertiary teaching hospital South India. The rates uterine incision extension other complications were similar...

Objective To compare the incidence of maternal near miss using World Health Organization (WHO) near-miss tool and six other criteria sets, including designed for low-resource settings or specifically India.Methods In a cohort study we used WHO severity indicators to identify women with potentially life-threatening conditions during pregnancy childbirth admitted referral hospital in Puducherry, India, from May 2018 April 2021.We analysed sociodemographic, clinical laboratory data each woman...

To compare the need for mechanical cervical dilatation following vaginal misoprostol or synthetic osmotic dilator (Dilapan-S) usage preparation before operative hysteroscopy.Fifty-five premenopausal women scheduled hysteroscopic procedures with a 26 Fr resectoscope were included in this randomized, controlled clinical trial. After randomization, either 400 μg of intracervical was inserted 12 h hysteroscopy. The additional insertion compared between two groups. Initial diameter dilatation,...

Klippel-Trenaunay syndrome is characterised by vascular abnormality which increases the risk of thromboembolism and haemorrhage. Physiological changes in pregnancy pose an increased to these complications. Being uncommon disorder, there limited literature about management women with syndrome. We report detail two three pregnancies a woman who had repeated episodes haematochezia leading anaemia, managed Argon laser Photo-Coagulation also reviewed complications pregnant

Transvaginal ultrasonography (TVS) is a non-invasive procedure and can be used as screening tool among women with abnormal uterine bleeding (AUB). Power Doppler useful in depicting the vascular architecture better than conventional Doppler. Hence, this study was conducted to evaluate whether addition of power grey scale TVS replace invasive hysteroscopy for prediction endometrial pathology perimenopausal AUB.One hundred (>45 yr) AUB underwent evaluation TVS, hysteroscopy-guided biopsy after...

Pain or discomfort during the hysteroscopy remains a challenge even after introduction of small calibre instruments and vaginoscopic techniques. Tramadol, centrally acting analgesic, is one among medications used to reduce pain; however, experience with its use in technique limited. This was randomised double-blind placebo-controlled trial conducted study effectiveness oral Tramadol as an analgesic 100 women undergoing diagnostic hysteroscopy. Median pain score assessed by Visual Analogue...

A 23-year-old second para was admitted for severe anaemia with abdominal distension in the immediate puerperal period following a preterm delivery. She suffered from acute pain 3 days back (at 32 weeks of gestation) and evaluated emergency medical department appendicitis/cholecystitis. Abdominal ultrasound found to be normal she received antacids her abdomen. Clinical examination day after delivery revealed distension, guarding rigidity. Ultrasonography uterus free fluid abdomen which on...

Context: Intrauterine fetal death (IUFD) causes emotional distress and could result in intrauterine infection. In view of these complications, medical induction is recommended, if it safe. Aim: The aim this study was to compare the efficacy safety a combination mifepristone misoprostol with oral alone for labor IUFD. Settings Design: This randomized placebo-controlled trial conducted at tertiary care teaching hospital southern India. Patients Methods: We recruited 72 women IUFD singleton...

Background: Availability of free/low-cost treatment in higher government facilities increases maternity self-referrals circumventing the referral system. We aimed to find sociodemographic and health-care service delivery pattern among pregnant women referred for institutional a tertiary care center south India assess factors associated with self-referral from perspective women. Materials Methods: conducted cross-sectional analytical study attending antenatal clinic admitted obstetric...