ABSTRACT
Aim of The Study: A totally implantable venous access port (TIVAP) has become an essential prerequisite for many chemotherapy protocols. It is serving its purpose very well, but its use is not without complications. We are presenting our experience with these devices (TIVAPs). Subjects and Methods: We retrospectively reviewed the totally implantable venous access ports in 81 patients at our hospital between January 2009 and March 2011 for long-term problems which include postoperative and follow-up problems, excluding the immediate complications which occur at the time of insertion. Results: Catheter malfunction was the most common complication (9.87%, 0.40/1000 device-days of use/observation). Catheter-related bloodstream infections were present in 5 (6.17%) patients (0.25/1000 device-days of use/observation). The mean life of the catheter was 246 days. Only 11.1% ports required removal during the treatment period. Overall, patients either completed treatment (82.8%) or died (6.1%) while receiving treatment. Conclusion: TIVAPs provide safe and reliable vascular access for patients on chemotherapy but require utmost care by a dedicated team of trained medical professionals and paramedics experienced with the use of such ports, in order to minimize the complications and their continued use while administering treatment.
Subject(s)
Adult , Aged , Catheter-Related Infections/pathology , Catheter-Related Infections/therapy , Catheterization, Central Venous/adverse effects , Catheters, Indwelling/adverse effects , Drug Therapy/adverse effects , Female , Humans , Male , Middle Aged , Neoplasms/drug therapySubject(s)
Eclampsia/mortality , Female , Humans , India/epidemiology , Labor, Induced , Maternal Mortality , Pregnancy , Risk FactorsABSTRACT
In a study on jaundice during pregnancy it was observed that the incidence of jaundice in pregnancy was 1 in 429. Majority of the cases were primigravida, 70% of cases were between 20 and 30 years of age, 60% of the patients were unbooked, 25% of cases were with severe degree of jaundice in respect to serum bilirubin level and 70% cases were with anaemia. There were preponderance of cases in 3rd trimester. Majority of the cases (60%) had jaundice-delivery interval of above 4 weeks. Among the causes virus hepatitis was commonest one (80%). Maternal mortality was recorded as 1 in 20 cases and perinatal mortality was 7 in 17 births (41%).
Subject(s)
Adult , Bilirubin/blood , Female , Hepatitis, Viral, Human/complications , Humans , Incidence , India , Infant, Newborn , Jaundice/etiology , Maternal Mortality , Pregnancy , Pregnancy Complications/etiology , Pregnancy Complications, Infectious , Pregnancy OutcomeABSTRACT
During the period of study of 3 years (1985-1987), 4698 (18.68%) cases of labour in teenage mothers were recorded out of a total of 25,142 deliveries in the obstetric unit. Preponderance of primigravida (76.6%) and cases from rural areas (51.3%) were recorded. Antenatal care was nil or inadequate in 48.6% cases. Eclampsia and pre-eclampsia affected teenage mothers (10.6%) were much more frequent than mothers of 20 years of age and above (5.2%). Incidence of 30% low birth weight baby, 20.1% prematurity and 16.4% perinatal mortality were recorded.