Obs Gyne Review: Journal of Obstetric and Gynecology 2022-06-15T12:13:10+00:00 Mr Daulat Ram Open Journal Systems <div id="journalDescription-8" class="journalDescription"> <p><em><strong>ISSN: <a href="" target="_blank" rel="noopener">2455-5444 (Online)</a>, <a href="" target="_blank" rel="noopener">2581-4389 (Print)</a></strong></em></p> <p><em><strong>RNI: MPENG/2017/74037</strong></em></p> </div> Prospective study of utility of Placental Laterality and Uterine Artery Doppler abnormalities as a Predictor for Development of Preeclampsia 2022-06-15T12:04:49+00:00 Shruti Nair Anjali Pati Manisha Laddad <p>Introduction: According to WHO’s systemic review on maternal mortality worldwide, thehypertensive disease remains a leading cause of direct maternal mortality. Hypertension,hemorrhage and infections form the deadly triad for morbidity and mortality during pregnancy andchildbirth. Effective prediction of preeclampsia remains a mainstay in the field of modern obstetrics;location of placental implantation can therefore be used as a predictor for the prevention ofpreeclampsia.</p> <p>Objectives: The current study was conducted to find out whether placental lateralityand uterine artery doppler findings can be used as a predictor for the development of preeclampsia.</p> <p>Methods: A prospective study was carried out in the department of obstetrics and gynaecology atKrishna institute of medical sciences karad for 18 months. ANC patients meeting the inclusioncriteria were examined at 18-24 weeks of gestation, concerning the location of the placenta.</p> <p>Results: In the present study it was seen that of the total cases with lateral placenta, 23 patientsdeveloped Doppler changes and those when followed up were seen to develop the hypertensivedisorder. While 44 patients had normal Doppler parameters, of which only 19 patients developed ahypertensive disorder during pregnancy. It was therefore observed that there was a significantassociation between Doppler changes and severity of preeclampsia.</p> <p>Conclusions: Essentialpreventive measures and monitoring the patients with the lateral placenta can be useful in reducingthe complications associated with hypertensive disorders and thereby reducing maternal andperinatal morbidity and mortality.</p> 2022-06-07T00:00:00+00:00 Copyright (c) 2022 Author (s). Published by Siddharth Health Research and Social Welfare Society Experience on placenta accreta spectrum disorders and multidisciplinary way of approach in its management: a retrospective study over 2 years in a tertiary care centre 2022-06-15T12:09:16+00:00 Greeshma Pentela Manisha M Laddad Nitin S Kshirsagar <p>Introduction: Placenta accreta spectrum (PAS) refers to the pathologic adherence of the placentaat the defective endometrial myometrial interface leading to defective decidualization causing life-threatening haemorrhage when attempted to separate at the time of delivery thus requiringattention for a multidisciplinary approach in its management.</p> <p>Aims and objectives: To study therisk factors, antenatal diagnosis, and different management approaches, associated with placentaaccreta and also to compare the maternal and fetal outcomes by different management strategies.</p> <p>Methods: A retrospective analysis was done for two years from October 2019 to October 2021 withclinically diagnosed cases of PAS. We examined antenatal risk factors favouring diagnosis,peripartum morbidity and different management approaches such as vaginal delivery and curettage,by planned or emergency hysterectomy.</p> <p>Results: 18 cases were studied showing a proportion of1.48 per 1000 live births. The median age for diagnosis was made around 33 weeks of gestationusing ultrasonography evidence in 77% of cases. Placenta accreta was seen in 66%, placenta incretain 27% and percreta in 5%. the median amount of blood loss was around 2500 ml, 83% of casesrequired blood transfusions, 44% required ICU admission and 27% of newborns required NICUadmission</p> <p>Conclusion: PAS should be managed with a well-coordinated team in good settings toreduce maternal morbidity and mortality preferably at the tertiary care level</p> 2022-06-07T00:00:00+00:00 Copyright (c) 2022 Author (s). Published by Siddharth Health Research and Social Welfare Society Immediate Postpartum Intrauterine Device Insertion and its outcome: a Prospective Study in a Tertiary Care Centre 2022-06-15T12:13:10+00:00 Greeshma Pentela Manisha M Laddad N S Kshirsagar <p>Background: In developing countries, the maternal mortality and morbidity associated with closelyrelated pregnancies and abortions can be prevented by intervening immediately after delivery byproviding women with insertion of IUCD. This study was intended to evaluate PPIUCD as a methodof contraception immediately following the delivery. Aims and Objectives: To evaluate theacceptability of PPIUCD, various factors affecting its influence, and to study the follow-upcomplications.</p> <p>Materials and Methods: This study was conducted in the labour room at KIMS,Karad from January 2020 to May 2021. Women around 18-40 years, of 34-40weeks, were included.Pregnancies complicated with PROM&gt;18 hours, obstructed labour, fever, anaemia, and PPH wereexcluded. After proper counselling, women were inserted with IUCD after 10min-48 hrs of delivery ofplacenta in vaginal or caesarean section and followed up at discharge and 6weeks.</p> <p>Results: Out of8128 deliveries, 3534(43.6%) women had fulfilled medical eligibility criteria, out of which 140(40%)women had accepted the service among the counselled women of 350(9.90%). During follow up,75.7% had no complaints at discharge and 84.2% at 6weeks. Few had excessive bleeding, pain inthe lower abdomen, and no visible thread complaints. The overall expulsion rate at 6 weeks in thisstudy was around 2.1% and the continuation rate was 97.8%.</p> <p>Conclusion: There is a need forproper counselling for PPIUCD and conduct workshops from the early weeks of pregnancy to coverthe unmet needs of contraception.</p> 2022-06-07T00:00:00+00:00 Copyright (c) 2022 Author (s). Published by Siddharth Health Research and Social Welfare Society