Résumé
Background: Congenital uterine anomalies are not only uncommon, many are asymptomatic. A uterine malformation is a type of female genital malformation resulting from an abnormal development of the mullerian ducts during embryogenesis. The prevalence of uterine malformation is estimated to be 6.7% in general population.Methods: This study has included 2423 women who attended family planning OPD in KGMU for purpose of laparoscopic tubal ligation along with general and systemic examination. During the laproscopic ligation procedure the observed uterine anomalies were noted and compared to the data available in the existing medical literature.Results: Out of 2423 females included in this study during 2011-2016, 104 (4.29%) females were diagnosed with uterine anomalies. The Commonest uterine anomaly was arcuate uterus which was seen in 77 patients. (3.1%). Uni-cornuate uterus was seen in 19 patients (0.8%) and bi-cornuate uterus was seen in 9 patients (0.3%). 3 out of these were uni-cornuate uterus with rudimentary horn.Conclusions: Though the congenital uterine malformations are frequent findings in infertile patients but few malformations like uni-cornuate uterus, arcuate uterus and bicornuate uterus are although rare but seen in fertile females, showing their lesser impact on pregnancy and its outcome.
Résumé
Background: Eating patterns differ vastly among young adult females due to their body image concern and this consequently affects their BMI status. In most cases the subjects choose to skip meals, change their eating pattern, switch on to exercise so as to lose weight to gain appreciable body image. But it is also seen that in the way to have perfect body image, these subjects tend to have unhealthy food habits that affect their BMI, i.e., either they become underweight or overweight, and it results in malnourishment. The present paper reviews association of eating patterns and body image perception among young adult females and the effect of this association on their BMI. Methodology: In depth literature review was carried out using available search engines such as PubMed, Cochrane Library, Science Direct etc, for published original articles, government reports with specific reference to young adult females were collected. Results: A total of 10 original articles and 3 systematic review articles were included regarding this paper. All the 10 original articles had study subjects belonging to urban background and majority included medical students. A high prevalence of malnourishment was seen among subjects and majority of them were dissatisfied with their body image. Conclusion: This review article focused on the young adult female groups which may be useful for future studies because the body image perception and changing eating patterns are the major issues in the young adult females. Through this review article, various aspects have been revealed that would lead to significant step towards the improvement in the eating patterns of young adult females.
Résumé
Introduction: Mifepristone and misoprostol are the two drugs which are given at 36-48 h interval for medical abortion. This study was designed to study the efficacy of early administration of misoprostol (24 h after mifepristone) for medical termination of pregnancy less than 9 weeks and to compare this with standard protocol of mifepristone misoprostol combination at 48 h interval. Materials and Methods: Subjects for this single center prospective randomized case-control study were enrolled from the family planning outdoor patient department at our hospital with gestational age of less than 9 weeks. All subjects initially received 200 mg of oral mifepristone and then were randomly assigned to receive per vaginal 400 μg misoprostol at 24 h (study group) and 48 h (control group). They were then followed up after 14 days with transvaginal sonography to confirm completion of expulsion. Treatment was considered failed if surgical evacuation was needed for any indication. Primary outcome measure was success rate of the two treatment regimens. Results: Totally, 200 subjects were randomly allocated to each treatment arm (100 each). Complete expulsion was seen in 94% (94/100) in study group and 95% (95/100) in control group according to intention to treat analysis (P value ns). According to per protocol analysis success rate in study group was 93.6% and 94.3% in control group (P value ns). High failure rate after 7 weeks period of gestation in both the study and control group was found (26.3% and 30.0%; P value ns). Adverse effects were mostly similar in both the groups. Conclusion: Efficacy of mifepristone misoprostol combination at 24 h interval was similar to that at 48 h interval for medical abortion of pregnancy less than 9 weeks without compromising the safety (CTRI No. 2010/091/001422).