ABSTRACT
Objectives: The purpose of the short study was to know the type of sterilization and disinfection procedures followed by general practicing Prosthodontists, faculty, and postgraduate students in the state of Madhya Pradesh. Material and Methods: The questionnaire was prepared in google forms and was circulated in social media to students pursuing their MDS, Faculty, and Prosthodontists who are into private practice. The questionnaire mainly included questions that were related to sterilization and disinfection for Prosthodontic procedures which was done to check the sterilization and disinfection procedures followed in clinics and college. The questionnaire was circulated using Google forms and the filled forms were obtained. Statistical analysis was done with Statistical product and service solution (SPSS) version 21 software. Results:The participants were divided into groups of 3,Group 1-consists of MDS students,Group 2-consists of clinical practitioners, and Group 3-consists of academicians.A total of 500 participants took part which includes 242 MDS students, 97 academicians, and 162Prosthodontists who are doing private practice. Conclusion: A higher percentage of responses were from post-graduate students and MDS professionals which stated that most of them use proper sterilizationa and disinfection. This study shows that there is a strong need to implement periodic educational interventions and training programs on infection control practices for COVID-19 across dental care professionals.This study was done to find out what are the sterilization and disinfection protocols followed by Prosthodontists in their clinics and instititutions.
ABSTRACT
Aim: The aim of the article was to emphasize the need for a fetal medicine unit at tertiary care hospitals. Background: The incidence of Rh-negative in India is 5–10%. The issue of Rh incompatibility arises when the mother is Rh-negative and the fetus is Rh-positive. Rh alloimmunization can lead to fetal anemia, hydrops fetalis, and even intrauterine death. It leads to perinatal loss of 1–2.5%. Fetal anemia is a serious complication in pregnancy and is associated with perinatal morbidity and mortality. Intrauterine transfusion (IUT) is a good treatment option for fetal anemia due to Rh incompatibility. Intravascular transfusion offers the best chance of survival to fetuses severely affected with Rh isoimmunization, overall survival exceeding 80%. In the cases with detectable antibodies, prenatal monitoring of maternal antibody titers and fetal middle cerebral arterial-peak systolic velocity (MCA-PSV) Doppler ultrasound assessment helps to plan fetal blood sampling and IUT procedures. Thus, the establishment of fetal medicine unit at tertiary care centers in India is need of the hour. Case description: We report a case of 32-year-old G4P3L1END1IUD1 with Rh-negative sensitized pregnancy with fetal anemia, managed successfully with IUT. Clinical significance: Early diagnosis of fetal anemia by serial MCA-PSV measurements and referral to fetal medicine unit are important for improving the outcome in Rh-negative sensitized pregnancies. Conclusion: Establishment of fetal medicine unit at tertiary care centers is the need of the hour to improve the fetal outcome in high-risk pregnancies like Rh-negative pregnancy.