ABSTRACT
INTRODUCTION: Puberty menorrhagia is a significant health problem in adolescent age group and severe cases may require admission and blood transfusion. Aim of this study was to evaluate the causes, associated complications and management of puberty menorrhagia. METHODS: Hospital records of all patients of puberty menorrhagia requiring admission were analyzed for etiology, duration since menarche, duration of bleeding, investigation profile and management. RESULTS: There were 18 patients of puberty menorrhagia requiring hospital admission. Etiology was anovulatory bleeding in 11 patients, bleeding disorders in five which included idiopathic thrombocytopenia purpura in three and one each with Von-Willebrand disease and leukemia. Two patients had hypothyroidism as the cause. Fourteen patients presented with severe anaemia and required blood transfusion. All except one responded to oral hormonal therapy. CONCLUSIONS: Puberty menorrhagia can be associated with severe complications and requiring blood transfusion. Although most common cause is anovulation but bleeding disorder, other medical condition and other organic causes must be ruled out in any patient of Puberty menorrhagia.
Subject(s)
Antifibrinolytic Agents/therapeutic use , Contraceptives, Oral/therapeutic use , Menorrhagia/complications , Menorrhagia/drug therapy , Progestins/therapeutic use , Tranexamic Acid/therapeutic use , Adolescent , Anemia/etiology , Anovulation/complications , Child , Female , Humans , Hypothyroidism/complications , Leukemia/complications , Menarche , Menorrhagia/etiology , Puberty , Purpura, Thrombocytopenic, Idiopathic/complications , Retrospective Studies , von Willebrand Diseases/complicationsABSTRACT
In all, 489 women with eclampsia were reviewed, 20 (4%) of whom died, constituting 16% of all maternal mortality. Of all births in the hospital, 33% had stillbirths.
Subject(s)
Eclampsia/mortality , Maternal Mortality , Adult , Age Factors , Cause of Death , Delivery, Obstetric/methods , Female , Hospital Mortality , Humans , India/epidemiology , Pregnancy , Stillbirth/epidemiologyABSTRACT
BACKGROUND: Unsafe abortion is a major cause of mortality among women in India accounting for 12% of all maternal deaths. In developing countries, annually, up to 200,000 women die of complications after illegal abortion. Medical abortion is potentially a simple and a safe method for use in developing countries. We conducted a prospective controlled trial to compare the efficacy of low-lose mifepristone and methotrexate for medical abortion. OBJECTIVE: To find out the efficacy of low-dose mifepristone and methotrexate for inducing abortion. METHOD: In this prospective clinical study, 100 women opted for a medical method of abortion. Out of these, 50 patients were given 50 mg/m2 of methotrexate intramuscularly followed by 800 micro gm of intravaginal misoprostol, and 50 patients were given 200 mg of mifepristone orally followed by 800 micro gm of intravaginal misoprostol. MAIN OUTCOME MEASURES: Complete abortion was the principal outcome measure. Secondary outcome measures were side effects and acceptability data. RESULTS: The rate of expulsion by first week after initiation of treatment was 58% in methotrexate and 98% in mifepristone group (P <0.001). CONCLUSION: Low-dose mifepristone and intravaginal misoprostol is safe, effective, and well tolerated as compared to methotrexate and misoprostol.
Subject(s)
Abortifacient Agents/administration & dosage , Abortion, Induced/methods , Methotrexate/administration & dosage , Mifepristone/administration & dosage , Misoprostol/administration & dosage , Adult , Chi-Square Distribution , Drug Therapy, Combination , Female , Humans , Pregnancy , Prospective Studies , Treatment OutcomeABSTRACT
Cesarean section many a times, has to be done late in labour when the head is deeply wedged in the pelvis. The techniques described in standard text books, usually result in extension of the incision either laterally into the broad ligament or vertically upwards into the upper segment or downwards posterior to the bladder from the centre of the incision line. In this study we have reviewed the Patwardhan's technique for the extraction of baby and fetomaternal outcome was compared with cases where this technique was not used. There was no extension of the incision either laterally into broad ligament or upwards or downwards. Haemorrhage due to extension of incision requiring blood transfusion occurred in 24% of patients in group II as compared to nil in group I.
Subject(s)
Cesarean Section , Head , Labor Presentation , Obstetric Labor Complications/surgery , Adult , Female , Humans , Infant, Newborn , Pregnancy , Pregnancy Outcome , Retrospective StudiesSubject(s)
Anti-Infective Agents/therapeutic use , Myiasis/diagnosis , Myiasis/therapy , Vulvovaginitis/etiology , Vulvovaginitis/therapy , Adolescent , Animals , Combined Modality Therapy , Debridement/methods , Female , Follow-Up Studies , Humans , India , Larva , Pregnancy , Risk Assessment , Treatment Outcome , Vulvovaginitis/diagnosisSubject(s)
Maternal Mortality , Female , Humans , India/epidemiology , Retrospective Studies , Rural PopulationABSTRACT
A prospective study to see the safety and efficacy of transcervical amnioinfusion in labour complicated by meconium-stained amniotic fluid (MSAF) was carried out in a teaching hospital with limited resources. Fifty patients in labour with meconium-stained amniotic fluid and fulfilling the inclusion criteria (vertex presentation, gestational age of 36 weeks or more, no medical or obstetrical complications and normal fetal heart rate at time of inclusion) were taken for the study, 25 patients received amnioinfusion. The control group received only supportive therapy. Labour outcome was compared in the 2 groups. The incidence of Caesarean section was seen to be decreased but neonatal parameters showed no significant difference in the amnioinfusion group.
Subject(s)
Amnion , Fetal Monitoring , Fluid Therapy , Meconium Aspiration Syndrome/prevention & control , Adult , Apgar Score , Cesarean Section , Female , Fetal Distress/prevention & control , Humans , India , Infant, Newborn , Pregnancy , Prospective Studies , Treatment OutcomeABSTRACT
A rare cause of secondary peritonitis due to coital tear is presented. The correct diagnosis can be made by a detailed history and gynaecological examination. Prompt surgical management is mandatory to prevent grave prognosis.
Subject(s)
Coitus , Peritonitis/etiology , Vagina/injuries , Adolescent , Female , Humans , IndiaABSTRACT
Approximately 250 cases of leiomyoma of the vagina have been reported. A case of a 46-year-old female with leiomyoma of the anterior vaginal wall, not associated with uterine leiomyomas is presented. The practical approach to such a vaginal mass entails immediate careful excision.