ABSTRACT
Background: Abnormal uterine bleeding (AUB) is a very common, challenging gynaecological problem in all age group women. Neoplastic lesions are responsible for very less number of cases but they should be diagnosed early. Endometrial biopsy is necessary for histopathological diagnosis of endometrial lesions and to rule out any malignancy. In present study, we evaluated histopathological pattern of endometrium and different clinical parameters in AUB patients.Methods: A retrospective observational study done in Obstetrics and Gynecology department of SSMC Rewa, Madhya Pradesh in 2 year from 1st October 2017 to 30th September 2019. AUB patients who fulfilled inclusion criteria were included in study. All data were collected from department records in predesigned proforma and statistically analyzed by statistical package for the Social sciences (SPSS) version 20.Results: Total 366 AUB patients were included in study; most frequent clinical presentation was HMB (56%). Mostly patient’s age ranged from 24-84 years, belonged to 41-50 years age group (44%), multiparous (78%), and premenopausal (53%). On histopathological evaluation of endometrium most commonly nonneoplastic lesions (75%) were seen, out of which proliferative phase endometrium was most frequent. Neoplastic lesions were seen in 25% cases. Out of which benign lesions were noted in 7%, premalignant in 17.3% and malignant in 1% (all in >45 year patients).Conclusions: Endometrial biopsy should be done in all AUB patients >45 years and in selected premenopausal in order to get early diagnosis, to rule out malignancy and to help in management. Endometrial biopsy should be considered as first diagnostic modality.
ABSTRACT
Background: Anemia is major public health problem. It is especially prevalent in women of reproductive age, particularly during pregnancy. It affects both developed and developing countries. According to the National Family Health Survey, anemia is prevalent in approximately 53.1% of non-pregnant and 50.1% of pregnant women. Objective of this study was to study the prevalence of anemia in pregnant women of Vindhya region and also various degree of anemia and factors associated.Methods: All pregnant women attending the outdoor and indoor of the obstetrics and gynecology department of, GMH. Rewa, taken for calculation of prevalence of anaemia and among them 510 pregnant women were selected who were satisfying inclusion and exclusion criteria for studying association factors. Study period was 1 year. Haemoglobin estimation done by sahlis haemoglobinometer.Results: Prevalence of anaemia figures 81%, Out of them, 38.05% mild, 33.26% moderate and 7.80% of women were severely anemic. Maximum number of women were housewives 71.1%. Anaemia was found more commonly among those who are either taking iron prophylaxis irregularly or not taking. High prevalence was noted among those pregnant women who had <4 antenatal visits i.e., 54.51%.Conclusions: Considering the high prevalence of anaemia in Vindhya region, extensive efforts should be made not only to correct anaemia, but to prevent anaemia. Various programmes for anaemia control should be executed more resourcefully to overcome it. Strong reinforcement of government scheme should be done at Anganwadi, CH, PHC to ensure prevention as well as early detection of anaemia.
ABSTRACT
Background: Surgical site infections are the most common and easily preventable infections complicating surgeries. CDC recommends certain bundle interventions for the prevention of SSIs. Hence the present study was undertaken to see the effectiveness and feasibility of the bundle interventions in the elective caesarean sections and caesarean hysterectomies.Methods: A total of 600 patients were taken. Bundled interventions were applied in 278 caesarean sections and 26 caesarean hysterectomies. Routine care was implemented in 262 caesarean sections and 34 caesarean hysterectomies. Rate of SSI, risk factors associated and treatment outcomes were studied.Results: 8 out of 304 cases of the bundled intervention group developed SSI, giving a rate of 2.6%. 52 cases out of 296 in the routine care group developed SSI, the SSI rate being 17.5%. Anemia and diabetes were the most common risk factors.Conclusions: Adherence to bundled interventions can significantly and easily reduce the incidence of SSI.