ABSTRACT
Background: The proportion of caesarean sections at the population level is a measure of the level of access to and use of this intervention. Over the last few years, governments and clinicians have expressed concern about the rise in the numbers of caesarean section births and the potential negative consequences for maternal and infant health. There is a lack of a reliable and internationally accepted classi?cation system to produce standardized data, enabling comparisons across populations and providing a tool to investigate drivers of the upward trend in caesarean section. Among the existing systems used to classify caesarean sections, the 10-group classi?cation (also known as the 'Robson classi?cation') has become widely used in many countries in recent years,thereby allowing a comparison of caesarean section rates with fewer confounding factors. In the present study, all cases delivered by cesarean section Methods: during the period of six months were recorded and classi?ed according to Robson's 10 group classi?cation system. Results: Overall, CS rate calculated for our hospital in this speci?ed period was 36.6%, There was a trend of increased percentage of cesarean section in group 5 and 8 respectively in present study. Even though the overall CS rate in the study is not Conclusions: high as compared to other Indian or International studies, it is important that efforts to reduce the overall CS rate should focus on reducing the primary CS rate. More analytical studies based on Robson's 10-group classi?cation are needed locally, to evaluate the indications of CS within each group.
ABSTRACT
Background: Bacterial vaginosis (BV) is one of the most common lower genital tract conditions, occurring in 35% of women attending sexually transmitted infection (STI) clinics, 15% to 20% of pregnant women, and 5% to 15% of women attending gynaecology clinic. It has been associated with serious pregnancy complications, including premature rupture of the membranes, preterm delivery and postpartum endometritis. The diagnosis of BV is usually based on clinical criteria including homogeneous vaginal discharge, an elevated vaginal pH, the presence of clue cells, and an amine odour. Objective of this study was to study the prevalence of asymptomatic and symptomatic BV in pregnant women attending antenatal clinic in a tertiary care rural teaching hospital.Methods: Sample size of 301 patients over 6 months study duration in an observational cross sectioned prospective type of study. An unfixed vaginal smear was collected from pregnant women and sent to microbiology for staining and fixing and diagnosis was established.Results: The age range in pregnant women enrolled was 18 to 42 with mean age 26.10 years. As per the Nugent score criteria, 68 (23%) women tested positive for BV (Nugent score 7-10) and 77 (25%) had an intermediate score (Nugent score 4-6). While in 156 (52%) pregnant women’s Nugent score was in between 0-3 indicating no BV but 10% cases amongst these were showing presence of fungal elements mainly budding yeast cells with or without hyphae. In only 53% of cases of BV characteristic clue cells were present. In this study 69% cases of BV were observed in multigravida while 31% were present in primigravida.Conclusions: Screening of asymptomatic pregnant women’s by taking vaginal swab and evaluating gram smear using Nugent score system will play vital role early diagnosis of reproductive tract infections.