ABSTRACT
Introduction: Cervical cancer death occurs relatively at younger age in India than developed country. Most of the cervical cancer cases are diagnosed advanced stage, leading to poor outcome. Since early detection predicts better prognosis, but in India, women do not undergo routine cervical screening, it is still major problem. Aim: This study was conducted to assess the knowledge of cervical cancer, awareness regarding cervical cancer screening and to assess attitude toward cervical cancer. Methods: A questionnaire-based non-random, cross-sectional study was conducted among 200 women attending the OPDs age 21–60 years. Results: Majority of the study population (88%) had poor knowledge regarding cervical cancer and its screening. Only 15% had undergone screening and (3%) 6 of 200 women know about HPV vaccine.
ABSTRACT
An unusual case of bowel gangrene involving jejunum upto the middescending colon leading to septicaemic shock, presented as a case of placental abruption with IUD with shock. Case Report : The 25 year old primigravida patient with 34 weeks of gestation was referred from peripheral obstetrician to SVNGMC, in a state of shock with clinical features suggestive of concealed type of placental abruption with IUD. In view of placental abruption with shock, emergency caesarean section was performed. Per Operative Findings: Foul smelling peritoneal fluid, IUD. Baby with placental separation with RP clot and gangrenous bowel from jejunum to middescending colon. As such long segment of bowel was involved; surgeon decided resection and end to end anastomosis was not possible. Propable diagnosis like superior mesenteric artery thrombosis/ Embolism was made. pt was put on low dose inj. Heparin and later managed in Surgical I.C.U. & succumbed on day 3 postop. Conclusion: Hypercoagulable state normally found in pregnant women which is believed to result in superior mesenteric vessel thrombosis and then intestinal ischaemia. It is extremely important not to miss any complaint like pain in abdomen and other G.I. complaints that may have any surgical or medical pathology associated with pregnancy.