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Background: Uterine leiomyomas simply called as myomas, fibroids, fibroma, are benign neoplasm derived from smooth muscle cell rests of vessel wall or uterine musculature. Fibroids are rarely observed before puberty, most prevalent during reproductive age group and regress after menopause. They are oestrogen-dependent tumours, and there is evidence that leiomyomas overexpress certain estrogen and progesterone receptors when compared to normal surrounding myometrium.Methods: The present study was a prospective observational study conducted in Government Lalla Ded Hospital GMC Srinagar over a period of 18 months from May 2021 to November 2022.Results: Out of 100 patients, only 66 were delivered in our hospital while this study was being conducted. 38% patients had LSCS, 23% had normal vaginal delivery and 5% patients had vaginal delivery followed by curette. Pain was the most common antenatal complication found in 28% of patients, followed by 12% patients with malpresentation, 11% had abortion, 7% had APH and 5% patients had IUD. There was no preterm delivery or PPROM in our study.Conclusions: The present study demonstrated that the incidence of fibroids was highest in between age group of 25-34 years. The commonest type of fibroid was intramural anterior wall upper segment, followed by intramural posterior wall upper segment. Guarded pregnancy outcome was seen in multiple large fibroids in pregnancy. Cesarean section rate was on higher side especially in multiple fibroids and occupying the lower segment. Decision for cesarean myomectomy should be reserved for selected cases only where the fibroid comes in the incision site or large pedunculated fibroid. Routine cesarean myomectomy should be discouraged. To improve the neonatal outcome in pregnancies with multiple fibroids, cesarean should be done by the staff trained in delivering babies in difficult scenarios.
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Background: Blood cultures form a critical part of evaluation of patients with suspected sepsis. The present study was undertaken to study the risk factors, duration of incubation for obtaining positive cultures, and the clinical impact of the culture report. Methods: A total of 224 samples from 110 critically sick pediatric patients presenting with suspected bacteraemia were processed aerobically. Results: Cultures were positive in 25.45% of the Patients. Most of the positive cultures were obtained after 24 hours of incubation of the broth and no isolates were obtained beyond day 4 of incubation. Therapy was modified in 52.73% of the patients after receipt of culture report. Conclusions: Incubation beyond four days (unless with specific indication like enteric fever) may be unnecessary for issuing a negative culture report. Repeated isolation of doubtful pathogens confirms true bacteraemia. Early culture report increases therapeutic compliance.
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We selected the pediatric urinary tract infection related research and review articles in English language using keywords or phrases such as Infant; children; culture; Escherichia coli; fever, UTI. Aims: The purpose of this review is to provide summary of the latest research in particular to the practical aspects of management of UTI in children. Background: Urinary tract infection (UTI) is an important medical entity commonly diagnosed during early childhood. Prevalence and incidence of UTI varies with age and gender. UTI can be missed just on history and clinical examination. Screening of UTI in high risk children is important and should be well balanced against cost and risk of missing UTI. Despite latest evidence from research there are still controversies in managing UTI in children. Conclusion: Despite major advances in management of UTI in neonates and children, uniform guidelines for the imaging and management of recurrent UTI are lacking, prompting a multinational large research project to fill in the knowledge gap.