ABSTRACT
Background: To study indications, intraoperative and postoperative complications and fetomaternal outcome in cesarean sections done at full dilatation.Methods: This is a prospective cross-sectional study which was conducted in the department of obstetrics and gynecology, RNT medical college, Udaipur from November 2018 to April 2019. 100 cases of caesarean sections at full dilatation which were performed during this period were analyzed for indications and maternal and fetal morbidity.Results: Among these 100 cesarean sections, majority of cases were in the age group of 21-30 years (46%), booked and Primigravida(81%).Most common indications were cephalo-pelvic disproportion (27%) and fetal distress (21%). Most commonly baby was delivered either by vertex (44%) or by Patwardhan (31%). Intraoperative complications were higher in terms of hematuria in 41%, Atonic PPH in 35%, uterine incision extension in 28% of cases. In one case bladder injury was noticed. Increased incidence of post-operative febrile illness and wound infection were noted. 44% baby’s required nursery admission, most commonly due to birth asphyxia (16%) and RDS (11%).Conclusions: Cesarean section in the 2nd stage of labor is associated with significantly increased maternal morbidity, Neonatal morbidity and mortality. So proper monitoring during labor and involvement of skilled obstetrician in decision making and delivery is crucial to minimize fetomaternal complications.
ABSTRACT
Background: Maternal weight gain is one of the most important independent predictors of infant birth weight. It is stated that under nutrition during pregnancy and low birth weight increase the risk for diabetes and cardiovascular disease in adulthood. Normal weight gain of pregnancy 11kg weight gain should be according to pre-pregnancy BMI. Patients with BMI > 25 should gain weight of 7kg patient with normal BMI should gain 11kg weights.Methods: This is a hospital based prospective study and was conducted in the Department of Obstetrics and Gynaecology, RNT Medical college Udaipur from November 2018 to March 2019 to find association between maternal weight gain and birth weight. Exclusion criteria included congenital malformations, multiple pregnancy, polyhydraminos, preeclampsia, diabetes, cardiovascular, kidney disease, RH negative pregnancy. Results were calculated by percentage.Results: excessive weight gain during pregnancy increases baby weight. Out of total 100 cases, 88 (88%) cases are Hindus and 12 (12%) cases are Muslims. Out of total 100 cases 72 cases (72%) belong to urban, 28 (28%) belong to Rural area. Out of 100 patients 32 patients gain weight less than 11kg among which 16 newborn have weight less than 2.5kg, 68 patients have weight gain more than 11kg and 67 have baby weight more than 2.5kg.Conclusions: Excessive maternal weight gain during pregnancy increases birth weight. In view of the apparent association between high birth weight and adult adiposity, an advantageous time to initiate obesity prevention efforts may be during pregnancy.
ABSTRACT
Background: Abnormal uterine bleeding (AUB) is a common clinical presentation in gynecology. Alteration in thyroid hormones level has been associated with menstrual disturbances. This study is aimed to know the prevalence of thyroid disorders amongst AUB patients and also the different patterns of menstrual abnormalities associated with thyroid disorders.Methods: 100 Patient of clinically diagnosed AUB were taken from gynecology OPD at RNT Medical College Udaipur from October 2019 to March 2019. All the patients from 19 to 45 age groups presenting with menstrual disturbances were tested for thyroid function by measuring ST3, ST4, and S.TSH. Statistical analysis done by percentage formula.Results: Out of 100 women of AUB, majority were in the age group of 31-40 years (38%). 44% presented with menorrhagia. 65% were euthyroid, 17% had subclinical hypothyroidism, 15% had overt hypothyroidism and 3% were diagnosed as hyperthyroid. Subclinical hypothyroidism, overt hypothyroidism and hyperthyroidism were detected mostly in the age group of 31-40 years. The commonest bleeding abnormalities in hypothyroid patient were oligomenorrhoea while most of the hyperthyroid cases were having menorrhagia.Conclusions: The study concludes that biochemical evaluation of thyroid function is an easy, reliable method and should be made mandatory in all cases of AUB.