ABSTRACT
Background: Rubella infection occurring during early pregnancy results in congenital rubella syndrome (CRS). WHO estimates that worldwide more than 100,000 children are born with CRS each year and most of them are in the developing countries. For assessing population immunity against rubella, sero-surveys are generally recommended among adolescent girls and reproductive age female. In India, sero-surveys conducted by different authors have indicated that about 10-30% of adolescent females are susceptible to rubella infection. Adolescent girls are selected because they are at a critical stage of child bearing age and their immunity against Rubella infection is the particular area of interest. objective of this study was to estimate the sero-prevalence of unvaccinated adolescent girls susceptible to Rubella virus infection attending a tertiary care hospital of Patna and then accordingly counsel for vaccination.Methods: A total 150 adolescent girls in the age group of 10-19 years who had not received MMR vaccine were included in the study. Serum IgG antibody titer for rubella was estimated by the ELISA method.Results: A total 65.33% of the adolescent girls were found to be rubella seropositive and (34.67%) were seronegative. The urban adolescent girls had a higher seropositivity of 85.2% as compared to rural adolescent girls.Conclusions: The study indicates that a substantial number of adolescents (34.67%) are seronegative and hence susceptible to rubella infection.
ABSTRACT
Background: Labour pain has been described as most severe pain experienced by a female. Labour analgesia is widely practiced in developed countries. Many labour analgesic methods have been introduced to make delivery a pleasurable moment in a women’s life.Methods: This prospective study was performed at the Department of Obstetrics and Gynaecology, Indira Gandhi Institute of Medical Sciences, Patna, India after getting permission from institute ethical committee. 100 pregnant females attending the antenatal clinic were interviewed in their mother language. Information was collected on a questionnaire after an informed consent. The aim of the study was to assess the knowledge, desire and acceptability of pregnant women regarding painless labour.Results: The mean age of the women in the study was 24.98years.56% of women in the study were primigravida whereas 44% were multigravida.66% women belonged to urban area while 34% were from rural area. 10% were illiterate, 35% were educated upto secondary education and 55% were having higher education. Only 24% of the women were having knowledge about painless labour however 87% female were having positive attitude towards epidural analgesia. The correlation between the educational status and knowledge about painless labour was not statistically significant (p0.949). The knowledge and attitude of women regarding painless labour was statistically significant with p value of 0.00001.Conclusions: There is lack of knowledge about labour analgesia among women. Obstetrician and anaesthetist should educate women regarding painless labour. Labour analgesia is standard of care in obstetrics and should be provided to all parturient.
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.