ABSTRACT
Background: Pregnancy is associated with several risks toboth mother and fetus. Meconium staining of amniotic fluid isone of the important risk factors associated with neonatalmortality. Thus the aim of this study was to assess theeffectiveness of amnioinfusion in treatment of thick meconiumstained amniotic fluid and compare the results with controlgroup.Materials and Methods: It was a prospective case controlstudy conducted from October 2015 to September 2017, in thedepartment of Obstetrics and Gynaecology, at Indira GandhiInstitute of Medical Sciences (IGIMS), Patna. We included 100cases of thick meconium complicated deliveries. The patientswere categorized as study group who received amnioinfusionand control group who received standard treatment. Eachgroup contained 50 patients.Results: We found that the need for caesarean section waslow in study group. The Apgar score also effectively improvedin the study group compared to the control group at 1 minute, 5minute and 10 minutes interval. Amnioinfusion reduced theincidence of meconium below the vocal cord and meconiumaspiration syndrome. There was also reduction in admission ofinfants to NICU in those cases who received amnioinfusioncompared to control groups.Conclusion: We concluded that transcervical amnioinfusion issimple and effective method that aids in improvement ofperinatal outcomes of those cases complicated with thickmeconium.
ABSTRACT
Background: Ectopic pregnancy is one in which fertilized ovum become implanted in site other than normal uterine cavity. Ectopic pregnancy commonly occurs in the fallopian tube. Ectopic pregnancy is the leading cause of maternal death in early pregnancy. The diagnosis of ectopic pregnancy is complicated by wide spectrum of clinical presentations, from asymptomatic cases to acute abdomen, and hemodynamic shock. There is considerable regional variation in its incidence. Materials and methods: Retrospective analysis of all cases of ectopic pregnancy admitted in IGIMS, Patna was done from January 2014 to December 2016. Results: The incidence of ectopic pregnancy in present study was 2.1%. Majority of patients were multigravida (94.1%) and in the age group of 25-35 years (70.4%). PID was the strongest risk factor found in 35.29%. Other risk factors were tube ligation (23%), LSCS (11.76%), history of abortion/MTP (17.64%). Commonest clinical presentation was pain abdomen (88.23%) followed by amenorrhoea (70.58). bleeding per vagina and adnexal mass was clinical presentation in 64.7% of patients. The site of ectopic was fallopian fallopian tube in all the patients and all patients were managed surgically. Anemia, blood transfusion and wound dehisence was the commonest morbidity seen. No mortality was reported in the present study. Conclusion: The incidence of ectopic pregnancy is on rise. It is a common life threating emergency in first trimester of pregnancy that leads to serious maternal morbidity and also can cause mortality. A high index of suspicion is required for its early diagnosis, so that proper management can be done and the complications can be avoided.