ABSTRACT
Every woman who became pregnant has to undergo the process of delivery. In normal process of delivery the baby is delivered per vagina, an episiotomy is performed by health care provider or midwife. Episiotomy is a surgically planned incision on the perineum and the posterior vaginal wall during the second stage of labour to enlarge the vaginal introits so as to facilitate easy and safe delivery of the fetus. Episiotomy may be advice in the situations such as inelastic perineum, fetal distress, and complicated birth, prolonged second stage of labor, instrumental vaginal delivery and previous perineal surgeries .There are four types of episiotomy: midline, mediolateral, lateral and J shaped. Care of episiotomy involves perineal care, sitz bath, infrared heat, perineal exercises, antiseptic ointments, cold and hot packs The REEDA scale is used for assessing the perineal healing. Complications of episiotomy include perineal discomfort, perineal pain, difficulty with breast feeding and walking, perineal bleeding, infection, wound dehiscence and dyspareunia
ABSTRACT
Introduction: Noise induced hearing loss is one of the most common public health problems occurring due to use of headsets. The usage of earphone/ headphone has been increasingly used in the recent times due to online learning. To determine the usage practices of headphone/earphone and associatedObjective: effects among college students of Tamil Nadu. A cross-sectional study was conducted amongMethod: college students in Tamil Nadu from January to February 2022. Snowball sampling technique was used, and 640 students respondedto a pre-tested semi-structured questionnaire circulated through online platform. Results: Out of 640 students, 57.1% were female students, 71.5% students used earphones for less than 5 hours, 32.5% students cleaned earphone daily, 46.6% didn’t share their earphone, whereas 83.1% of students experienced at least one symptom or sign on using earphone. Due to online learning,Conclusion: earphone usage and its effects was increased among students in our study, so awareness about rational use of earphones is much needed among the younger generations
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Background: Menopause is a physiological event, a unique stage of a female reproductive system and transition in life that occurs in all women who reach midlife. The clinical consequence of menopause is due to estrogen deficiency. Some of menopausal symptoms experienced by these women can be severe enough to affect their normal lifestyle. Unfortunately, majority of these women are not aware of the changes brought about by menopause. Objective of the study was to assess the prevalence of different menopausal symptoms and their severity according to menopause rating scale and their impact on quality of life.Methods: A cross sectional study was conducted by the department of obstetrics and gynaecology, Yenopaya Medical College, Mangalore between June 2020 to August 2020. A total of 210 women who are between the age of 40 and 65 years who had their last menstrual period of at least 1 year ago and were included in the study.Results: In the study majority of subjects were in the age group 46 to 50 years (42.9%). In the study there was significant association between general health and hot flushes, heart discomfort, depressive mood, irritability, physical and mental exhaustion, bladder problems and joint and muscular pain. There was no significant association between general health and sleep problem, anxiety, sexual problems and dryness of vagina.Conclusion: The menopausal rating scale can be used an effective tool while examining the patients for menopausal symptoms. Regular screening of such women can make a huge difference, and their quality of life can be improved.
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Background: Patient who had history of spontaneous abortion in her previous pregnancy is associated with adverse outcome in her present pregnancy.Methods: A total 63 pregnant women attending OPD and admitted in department of obstetrics and gynecology, Yenepoya Medical College, from April 2017 to September 2017, considered and outcome were studied.Results: Out of 63 patient’s majority (57.1%) of patients belong to the age group 21-29 year. Anemia was found to be very severe in 4.3%, severe in 10% and moderate in 30% patients. Maximum patients (45.7%) were with history of previous one abortion followed by previous two abortions (38.6%). The final outcomes were term livebirth 47 (74.3%), abortion 9 (14.3%), preterm delivery 5 (8.6%), and stillbirth 2 (2.8%) caesarean section (23.3%) for various indications. 19.23% had term PROM, 9.09% had PPROM, 5.76% had term IUGR, 3.84% term IUD, preterm IUD accounts for 9.09% and still birth accounted for about 1.92% which was term, pre-eclampsia accounted for 4.76%, malpresentation for 7.93%, total 3 cases of antepartum hemorrhage out of which placenta previa accounts for about 3.1% and abruption for 1.58%, manual removal of placenta 4.7% and low birth weight 7.6%.Conclusions: Previous history of spontaneous abortion is associated with adverse pregnancy outcome. There is increased risk of abortion, preterm delivery, need for caesarean sections and fetal loss which can be reduced by booking and giving antenatal care.
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Vishwachi is one among the Vataja Nanatmaja Vyadhi. It affects the neck and upper extremities with signs and symptoms like Ruk, Stambha, Toda, Karmakshaya and Chestapaharana of Bahu as explained by different Acharyas. Dalhana opines that the condition resembles Gridhrasi which affects the lower limb, and is of two types, Vataja and Vatakaphaja. The clinical presentation of Vishwachi is similar to that of Cervical Spondylosis which is a degenerative condition of the cervical spine. Being an Urdhwajatrugatavikara, Nasya karma has been mentioned as the prime line of treatment. Dhatukshaya can be considered as main factor leading to a condition like Vishwachi. Hence in order to find an effective solution in this condition, Snehana Nasya with Shuddhabala Taila has been taken for the study. Objective: To evaluate the effect of Snehana Nasya in Vishwachi. Methods: It is an open label single arm clinical trial with pre-test and post-test design. A special proforma was prepared considering history taking, physical examination and assessment needed for the condition. The study was carried out in 30 patients of Vishwachi. Nasya karma was done by instilling 16 Bindu of Shuddhabala Taila for 7 days. Data was collected on the 1st day before treatment and 7th day after treatment. Results: The reduction in severity of symptoms was statistically analysed by Wilcoxon sign rank test. Significant improvement was found in all the patients. Conclusion: Analysis of overall effect of the treatment showed significant results. Hence Nasya karma with Shuddhabala Taila was found to be effective in Vishwachi.
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Background: Self‑antigens such as heat shock protein 60 (HSP 60) have recently been implicated in the periodontal disease pathogenesis. There is scant evidence regarding HSP 60 levels in circulation and saliva following periodontal disease and its possible relation to systemic inflammation. Aim of the Study: The aim was to evaluate the circulatory and salivary levels of HSP 60 in periodontal health and disease and to correlate it with high sensitivity C‑reactive protein (hs‑CRP). Materials and Methods: Forty‑five peripheral blood samples were collected from two groups of patients (periodontally healthy ‑ Group A [22 patients] and periodontal disease ‑ Group B [23 patients]). Serum, cell lysates, and saliva samples were used to detect HSP 60 levels in both groups by enzyme linked immunosorbent assay technique. Measurement of hs‑CRP was performed using an immunoturbidimetric assay. Statistical analysis was done using the student t‑test and Pearson’s correlation. Results: Circulatory HSP 60 was significantly increased in periodontal disease compared to health (P ‑ 0.038). There was a significant correlation between the totals circulating HSP 60 and hs‑CRP (P ‑ 0.052), but there was no significant correlation between the salivary HSP 60 and hs‑CRP levels in periodontal disease. Conclusion: Circulating HSP 60 levels may play a role in the systemic inflammatory state produced by periodontal disease. Salivary HSP 60 may not be used as a surrogate to determine systemic inflammation.