Clinico-microbiological profile of women with vaginal discharge

Introduction: The purpose of the study was to find out the clinic microbiological profile of women presenting with vaginal symptoms and outcome of the treatment based on the syndromic approach. Aim: To find out the clinic microbilogical profile of women presenting with vaginal symptoms. This study is to highlight the fact that laboratory diagnosis of vaginal discharge can be done as office procedure which avoids delay in initiating treatment. Materials and methods: 104 cases presenting with vaginal discharge attending the gynaecological OPD at the department of obstetrics and gynaecology, Government General Hospital, Kurnool. October 2006 - October 2007 were included in the study. Results: The leading types of reproductive tract infections in our study were bacterial vaginosis and candidiasis. Trichomonas was noted in 4 cases and Mixed infections was seen in 8 cases. Most of the bacterial vaginosis in our study were from the rural populations. Conclusion: We concluded that standardised diagnostic procedures should be followed in each and every gynaecological practice where in the unnecessary delay in routine conventional testing procedure is bypassed.

A comparative study of ethacridine lactate with vaginal misoprostol versus vaginal misoprostol alone for mid trimester abortion

Introduction: Mid-trimester termination of pregnancy is one of the most controversial areas of gynaecological practice. It has moral, emotional, social and technical issues. There is continuous need for termination of pregnancy in second trimester, more recently due to increase in the use of antenatal diagnostic procedures. The objective of the present study is to compare acceptability, safety, efficacy, complications and induction-abortion interval of ethacridine lactate with vaginal misoprostol versus vaginal misoprostol alone for mid trimester abortion Materials and methods: This was a comparative study s200 women of 13-20 weeks pregnancy were randomized in two groups. Out of these 100 patients were selected at random for intravaginal misoprostol 400 μg stat followed by 200 μg misoprostol P/V 4th hourly and 100 cases for extra amniotic ethacridine lactate instillation with tablet misoprostol 400 μg Stat followed by tablet misoprostol 200 μg 4th hourly. The relative efficacy, induction- abortion interval, complications of each was studied. Results: The patients studied belong to all categories of marital status, married, and unmarried, widowed. The age ranged from 15-34 years. The gestational age from 14-20 weeks most of them were primi para. Mean induction abortion interval with misoprostol is 15.2 hours while that of emcredil with misoprostol is 16.44 hours. Success rate with misoprostol is 94% while that of emcredil with misoprostol is 95%. Incomplete abortion with misoprostol 2% while that of emcredil with misoprostol 1%. No major complications are noted in both the methods. Yashvardhini Siddareddy, Himabindu Sangabathula. A comparative study of ethacridine lactate with vaginal misoprostol versus vaginal misoprostol alone for mid trimester abortion. IAIM, 2017; 4(6): 38-44. Page 39 Conclusion: Misoprostol is safer, more effective and acceptable than ethacridine for mid trimester termination of pregnancy