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Patole, Kiran
- Study of Placental Insufficiencies in IUGR Babies in Term Pregnancies
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Authors
Affiliations
1 Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik, IN
1 Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik, IN
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MVP Journal of Medical Sciences, Vol 1, No 2 (2014), Pagination: 80-83Abstract
Introduction: In intrauterine growth restricted babies, at term, the placenta might hold the key to the etiology. This present study is aimed at comparison of data of gross and pathological study of placentae from normal weight (control) and IUGR groups and attempted to establish a relationship between placenta pathology and intrauterine growth retardation in term pregnancy.
Aims and Objectives: 1. To study placental factors associated with IUGR. 2. To study prevalence of placental factors in details. Material and Methods: A study of 100 patients, with more 37 and less 42 weeks of gestation wasconducted for 2yrs in a tertiary care hospital. A thorough general examination&Systemic examination which included per abdominal examination including uterine height, abdominal girth, symphysio fundal height, estimated fetal weight, abdominal grips, fetal heart auscultation, and per vaginal examination. Routine and specific investigations will be sent for clinical correlation. Placenta obtained after delivery was send for macroscopic and microscopic examination to pathologist. The reports obtained will be used to study placental causes in IUGR and placenta in detail.
Result: Average placental weight of term pregnancy is 400 gms and placental coefficient is 0.18. decidual surface area is 254 cm2 and its thickness is 2.72cm. Retroplacental haemorrhage is closely associated with PIH. Microscopic infarction is found with high frequency (p<0.005). Placenta of IUGR fetus, gross pathological changes like severe infarction with or without retroplacental haematoma can obviously be noted but they are not found to be statistically significant. Placental coefficient is increased in cases of anemia. Syncytial knot formation in excess and thickening of basement membrane is well correlated.
Keywords
Placental Insufficiency, IUGRFull Text
- Umbilical Coiling Index and Perinatal Outcome
Abstract Views :275 |
PDF Views:82
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MVP Journal of Medical Sciences, Vol 3, No 2 (2016), Pagination: 118-121Abstract
Objective(s): To study the association of umbilical coiling index and perinatal outcome. Method(s): One hundred and eighty five umbilical cords were examined. A coil is defined as a complete 360 degree spiral course of umbilical vessels around the Wharton's jelly. UCI was calculated by dividing the total number of coils by the umbilical cord length in centimeters. The outcomes measured were in terms of IUGR, fetal heart rate abnormalities during labor, meconium stained amniotic fluid, number of assisted deliveries was required, NICU admission, FSB, birth weight, ponderal index, various maternal medical illnesses. Hypocoiling was considered with UCI less than the 10th percentile and hypercoiling was considered UCI greater than the 90th percentile. Statistical analysis was done by Chi-square test, Fischer's exact test and the t-test where ever applicable. Results: The mean UCI in our study was found to be 0.19 + 0.08. 82.7% of the cords were normocoiled whereas 8.6% cords were hypocoiled as well as hypercoiled each. UCI below 0.09 was hypocoiling and above 0.26 was hypercoiling. In this study we found that PIH, IUGR, intrapartum FHR abnormalities, MSAF, increased instrumental deliveries, low APGAR scores, NICU admission, low birth weight and ponderal index were significantly associated with hypocoiling (P<0.05). IUGR and NICU admission were significantly associated with hypercoiling too (P<0.05). Conclusion: Our study thus shows that abnormal umbilical coiling index is associated with adverse perinatal outcome.Keywords
Umbilical Coiling Index (UCI), Perinatal OutcomeFull Text
References
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- Study of Surgical Site Infections Following Gynaecological Surgeries in a Tertiary Care Hospital
Abstract Views :200 |
PDF Views:85
Authors
Affiliations
1 Department of Obstetrics & Gynaecology, Dr. Vasantrao Pawar Medical College Hospital & Research Centre, Nashik - 422003, Maharashtra, IN
1 Department of Obstetrics & Gynaecology, Dr. Vasantrao Pawar Medical College Hospital & Research Centre, Nashik - 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 4, No 2 (2017), Pagination: 186-192Abstract
Background: It was a prospective longitudinal study designed to study the incidence, risk factors and outcome of gynaecological surgeries in a tertiary care hospital.
Methods: We included all the gynaecological surgeries performed in our unit. All the cases operated outside the hospital, cases with history of surgery in past 30 days, diagnosed cases of HIV and hepatitis B were excluded. We compared the cases with SSI with the age adjusted control group of non infected patients.
Results: We found that the incidence of SSI was 10.35%. Amongst the various factors studied, we found that BMI, history of diabetes, per vaginal discharge, longer preoperative hospital stay, severe anaemia, ASA grade III, open abdominal approach, vertical incisions, class II surgeries were associated with SSI. Staphylococcus aureus is the commonest microbe isolated from surgical wounds. SSI cases have significantly longer hospital stay.
Conclusion: SSI was significantly associated with BMI, diabetes, per vaginal discharge, pre-operative hospitalization, severe anaemia, ASA grade III, open abdominal route of surgery, class II surgery, vertical incisions were associated with surgical site infection.
Keywords
Surgical Site Infection, SSI, Gynaecological Surgery, Deep Infections.Full Text
References
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- Factors Affecting Breastfeeding in Early Postnatal Period in Tertiary Care Centre
Abstract Views :315 |
PDF Views:81
Authors
Affiliations
1 Professor, Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik-422003, Maharashtra, IN
2 Former PG Resident, Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
1 Professor, Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik-422003, Maharashtra, IN
2 Former PG Resident, Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 7, No 2 (2020), Pagination: 201-208Abstract
Background: Breastfeeding is a learnt skill. Most mothers if encouraged and counseled can successfully breastfeed. Aims and Objectives: To aim of the study is to identify the factors related to difficulty in breastfeeding to mothers and baby in early postpartum period. Materials and Methods: This observational study was carried out between August 2017 to December 2019, on 292 mothers-baby pairs were randomly selected. Data was collected through questionnaire and qualitative data was presented as frequency and percentage and analyzed by chi-square test. Quantitative data was presented as mean and SD and compared to t-test. Results: The mean age of women in the present study was 21 to 25 years. The majority of women were illiterate (87%), living in joint family (54%), belonged to lower socioeconomic status (34%), were multipara (55%) and were housewives (86%). The main factors indicating difficulties to initiate breastfeeding were inappropriate positioning (45%), delayed milk production (33%), and breast disorders (32%). The main neonatal factors associated with breastfeeding problems were problem with latching/sucking and positioning (33%). Conclusion: A thorough health education campaign aimed at educating lactating mothers on need to practice EBF should address the identified factors.Keywords
Breastfeeding, Postnatal, Neonatal Factors, LatchingFull Text
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