A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Singh, Shakun
- Cervical Length and Risk of Hemorrhage in Pregnancies with Placenta Previa
Authors
1 Department of Obstetrics and Gynecology, L.L.R.M. Medical College, Meerut, IN
2 Department of Obstetrics and Gynecology, L.L.R.M. Medical College, Meerut, UP, IN
3 Department of Obstetrics and Gynecology, L.L.R.M. Medical College, Meerut, UP, IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 3 (2013), Pagination: 81-85Abstract
Aim: To find out the relationship between ultrasonographic cervical length and risk of antepartum hemorrhage, preterm delivery and emergency caesarean section in pregnancies with placenta previa.
Material and Methods: We performed transvaginal cervical-length measurements on all singleton gestations with placenta previa admitted in our hospital at or beyond 24 weeks of gestation over a span of one year. A complete follow-up of pregnancy was obtained in all cases till delivery and a retrospective chart review was then performed for these cases to investigate the relationship between cervical length and maternal and neonatal outcome.
Results: Overall 70 patients comprised the study, in whom placenta previa persisted till delivery. Cervical length measurement was 30 mm in 43 (61.4%) cases. Cervical length ranged from 20 to 50 mm with a mean of 35.6±0.90 mm. Majority of subjects (51.9%) in whom measurements were done between 28-32 weeks had cervical length 30 mm. The association between gestational age and cervical length was statistically significant.
Conclusion: In pregnancies with placenta previa, a third-trimester transvaginal sonographic cervical length of 30 mm or less is associated with increased risk for hemorrhage, emergency caesarean section and preterm birth.
Keywords
Placenta Previa, Antepartum Hemorrhage, Transvaginal Sonography, Cervical Length
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- Comparison of Sub Mucosal Diathermy and Partial Resection of Inferior Turbinate in the Treatment of Symptomatic Nasal Valve Blockage
Authors
1 Department of ENT, Saraswathi Institute of Medical Sciences Hapur Ghaziabad, IN
2 Deptt. of Gyn. & Obst., LLRM Medical College, Meerut, IN
3 Deptt. of Community Medicine, SIMS, Hapur, Ghaziabad, IN
Source
Indian Journal of Public Health Research & Development, Vol 3, No 2 (2012), Pagination: 80-82Abstract
Objectives
To evaluate the efficacy of sub mucosal diathermy (SMD) and partial resection of inferior turbinate (PRIT) in the treatment of symptomatic enlarged inferior turbinate.
Study Design
Prospective
Methods
Sixty patients of age group 18 -56 yrs. with symptomatic enlarged inferior turbinate had given choices for SMD and PRIT. All the patients had history of failed medical treatment.
Results
Each thirty patients underwent SMD (group I), PRIT (group II), eight patients of group1, have anterior nasal packing after surgery for bleeding. Four patients complained of excessive rhinorrhoea for first 2 weeks while 4 patients of Group 1 complained of nasal blockage for 1 week even after intervention. In group 2, 8 patients have reanterior nasal packing after pack removal. Both groups followed up for 6 months. 13 patients were lost in follow up, so excluded from the study. Following 6 months of follow up, 8 patient of group I had recurrence with nasal blockage and in gr. II none had recurrence.
Conclusion
PRIT is better than SMD in long course; nevertheless it should be reserved for failed SMD, not as a primary option. Ink described the nasal valve in 1903. The nasal valve is formed medially by the septum and laterally by the caudal edge of the upper lateral cartilage and it accounts for approximately 50% of total upper airway resistance. The anterior tip of the inferior turbinate is found in the nasal valve region, and hypertrophy of this structure can cause exponential increase in airway resistance.
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