ABSTRACT
A 22 year old primigravida with full term pregnancy with morbid obesity and short stature presented to us with complaints of labour pains six hours prior to admission. Her dating, anomaly and term growth scan showed a single live intrauterine foetus with foetal heart rate, amniotic fluid and growth parameters corresponding to the gestational age with no significant anomalies and normal adnexa.Following a thorough examination and pelvic assessment, diagnosis of cephalopelvic disproportion was made and the patient was posted for emergency caesarean section. A healthy male baby of weight 3.5 Kg extracted and the placenta and membrane were expelled in toto. Uterus was closed in double layer. On examination of adnexal structures, a right sided ovarian mass of around 10 x 8 x 6 cms of size, solid in consistency and proliferative in appearance was found. Suspecting it to be a malignancy and due to the unavailability of frozen section facility, a right sided oophorectomy was performed, and the specimen was sent for histopathological reporting which revealed a diagnosis of pregnancy luteoma of ovary
ABSTRACT
Background: Prolonged pregnancy is one that exceeds 42 0/7weeks. Management of prolonged pregnancy is very challenging in modern obstetrics.Methods: It is prospective observational study in department of Obstetrics and Gynecology, Shri B.M Patil medical college and Research center, deemed to be University, Vijayapur, North karnataka. Study period was from January 2018 to January 2019.Results: Total of 186 pregnant women were included in the study. Results in terms of age, gravidity, gestational age, time of induction, mode of delivery, neonatal outcome and maternal complications.Conclusion: Pregnancies beyond 40 weeks require early detection, effective fetal monitoring and proper planning of labour. In pregnancies beyond 40 weeks, decision of induction should be taken cautiously as early induction leads to failure of induction and increased rates of lower (uterine) segment Caesarean section (LSCS), while delayed induction leads to increased fetal complications.
ABSTRACT
Background: The incidence of Caesarean Section (CS)is increasing day by day among urban and ruralpopulation globally. Hence, a need of the study wasrequired to find out the incidence of CS amongpopulation in a backward district of Karnataka. Aimand Objectives: To evaluate the rising trends in CS ratein both primigravida and multigravida. Material andMethods: This cross-sectional study was carried outamong 513 patients (92.7% rural and 7.3% urban)admitted in labour ward at a tertiary referral centre,Vijayapura, Karnataka. The indications were analysedby standard procedures and the decision for CS wereunder taken by qualified professionals accordingly.Results: Total incidence of CS in the present study was200(38.98%) out of 513 patients admitted. Out of 200patients who underwent CS, were found to beprimigravida 83 (41.5%) and were multigravida 117(58.5%). The most common indication of CS in thisstudy was found to be the Foetal Distress (FD) (35.5%)followed by Cephalo-pelvic Disproportion (CPD)(21%) and others (43.5%). Study also shows 90% ofrural patients (n=180) and 10% of urban patients (n=20)had underwent CS (n=200). Interestingly it was noticedthat age group of 21-30 years had maximum number ofCS (74%). Conclusion: The results indicate the highincidence of CS among rural population of Vijayapura,Karnataka of which the common indication was FD,dystocia and failure to progress of labour. The increasedincidence of CS is in primigravida and primary CS inmultigravida in the perspective of various societal andmedico-legal issues.