A prospective study of maternal factors and perinatal outcome of preterm birth

Background: Preterm birth (PTB) is a leading cause of perinatal morbidity and mortality, henceforth being a major concern for the obstetricians and paediatricians as well being a major health care issue. Preventing and treating the associated risk factors could play a major role in curbing the perinatal morbidity and mortality.Methods: A total 100 women with preterm labour or an indicated preterm termination of pregnancy were enrolled in the study. They were evaluated by history taking, clinical examination, and ultrasonography. Corticosteroids were given to all the patients. Maternal risk factors, obstetric outcome and perinatal outcome till discharge were studied.Results: Of the 100 women studied, mean age of the cases was 27 years, 60% of the cases belonged to lower socio-economic class, 74% of the cases were under 55 kgs weight group and 77% of cases were anaemic. 34% cases were below 34 weeks of gestation, 58% were multigravida, and 2% grand multipara with 35% labour being induced labour because of presence of various risk factors such as preterm premature rupture of membranes (PPROM), pre-eclampsia, eclampsia and chorioamnionitis. 6% cases had multiple pregnancies and 8% had history of preterm delivery in previous pregnancy. Out of 107 babies, 73% neonates required neonatal intensive care unit (NICU) admission and there was 12.14% neonatal mortality rate.Conclusions: Anaemia, malnutrition, infection, high order pregnancy are the preventable causes of preterm birth which can be prevented, screened and treated by specialised antenatal programs.

Assessment of health-related activities of non-governmental organizations in Rajasthan, India.

Public–private partnerships are being encouraged as a part of the comprehensive development framework. We assessed the work profiles of registered non-governmental organizations (NGO) working on health-related activities in Udaipur district, Rajasthan, India by conducting a 16-item pretested questionnaire study. The questions related to various facets of their activities, their scope and process of evaluation. Of the 66 NGOs selected, most (28 [42%]) were working among the general population and had a partnership with a public entity (43 [65.1%]). The running capital of most NGOs (27 [41%]) was `100 000–2 000 000. Only 25 (38%) had a monitoring system to evaluate their progress. There are immense opportunities for NGOs in the health sector in Udaipur. The need of the hour is to encourage various public and private institutions to work together to achieve excellence in healthcare and service delivery. Natl Med J India 2016;29:163–5

Reasons and pattern of tooth mortality as perceived by dental professionals in Udaipur City, Rajasthan, India / Percepção das razões e do padrão de mortalidade de dentes por profissionais de odontologia da cidade de Udaipur, Rajasthan, Índia

The aim of the present study was to assess the reasons for tooth mortality as perceived by the dentists for the patients attending the dental clinics and hospitals in Udaipur city. Material and methods: A closed-ended questionnaire survey was conducted among 211 dental practitioners of Udaipur city. The reasons for extraction of permanent and deciduous teeth among patients who had attended during the study period were categorized and the dentists were requested to record the age and sex of the patient, the tooth extracted, and the reason for the extraction. Results: A total of 785 permanent teeth were extracted. There was a significant difference observed between the number of extractions in males (53.1%) and females (46.9%) (P<0.029). Extractions were most common in the 55-64 years of age group (32.7%). Dental caries (206, 26.2%) and periodontitis (188, 23.9%) were the most frequent reasons for tooth extraction. Conclusion: The results of the present study revealed caries as the dominant reason given by dentists for tooth extraction in all the age groups of the subjects studied...

O objetivo do presente estudo foi avaliar a percepção das razões de mortalidade dentária pelos dentistas em relação aos pacientes que frequentam as clínicas odontológicas e hospitais na cidade de Udaipur. Materiais e métodos: Uma pesquisa com questionário fechado foi realizada com 211 dentistas da cidade de Udaipur. As razões para a extração de dentes permanentes e decíduos entre os pacientes que receberam atendimento no período do estudo foram categorizadas e os dentistas foram solicitados a registrar a idade e o sexo do paciente, o dente extraído e a razão para a extração. Resultados: Um total de 785 dentes permanentes foi extraído. Houve diferença significativa observada entre o número de extrações no sexo masculino (53,1%) e feminino (46,9%) (P < 0,029). Extrações foram mais comuns no grupo de idade de 55 a 64 anos (32,7%). Cárie dentária (206, 26,2%) e periodontite (188, 23,9%) foram os motivos mais frequentes para extração de dentes. Conclusão: Os resultados do presente estudo revelaram a cárie como a razão dominante dada por dentistas para extração de dentes em todas as faixas etárias dos sujeitos estudados...

Sternal osteomylitis due to arrow-head injury: A rare case report.

Sternal osteomyelitis secondary to penetrating trauma is an uncommon entity and only few cases have been reported. We report a case of sternal osteomyelitis in a patient with sickle-cell anaemia with a unique past history of arrow-head injury who presented with signs and symptoms of sternal infection. Imaging studies suggested osteomyelitis and the patient underwent sternal debridement, with a successful outcome.