Obs Gyne Review: Journal of Obstetric and Gynecology 2021-01-05T12:23:41+00:00 Dr D Sharad Gedam 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> Management of Postpartum Haemorrhage: A study on Transfusion of Blood and its components 2021-01-02T11:29:04+00:00 Dr. Swati Dr. Fayaz Khan H Dr. Manju M <p>Introduction: Blood Transfusion is identified as one of the essential components of comprehensive emergency obstetric care which has drastically reduced maternal mortality.</p> <p>Material and Methods: This is a prospective study conducted at NC Medical College and Hospital, in the Department of OBGY. (Tertiary care center) from January 2019 – September 2020. All patients requiring intrapartum transfusion of blood or blood products are enrolled in the study. No exclusion criteria.</p> <p>Results: In the present study, various age groups of patients were enrolled. Maximum transfusion (77.8%) rates are seen in the age group of 21-30 years and the minimum no. of patients were ranges from 31-40 years (8.4%).</p> <p>Conclusion: Postpartum hemorrhage, placental causes, and anemia are the commonest causes of the need for transfusion in obstetric practice.</p> 2020-12-31T00:00:00+00:00 Copyright (c) 2021 Author (s). Published by Siddharth Health Research and Social Welfare Society The ambit of congenital malformations in the Kachchh district- a hospital-based study at a tertiary care center 2021-01-02T14:25:06+00:00 Dr. Dhwani Mehta Dr. Charmi Pawani Dr. Snehal B Kukadiya Dr. Nimish Pandya <p>Background and Aim: Quantifying birth defects in a population is felt as a need as it helps inappropriate allocation of the health budget to tackle and reduce perinatal, neonatal, and infant mortality rates. Hence a study on congenital anomalies was undertaken in the region of Kachchh district.</p> <p>Material and Methods: Present cross-sectional study was performed on 10 patients diagnosed with having congenital malformed fetuses at tertiary care center- G.K. General Hospital, Bhuj, Kachchh district, Gujarat, India over three months – January, February, March 2019.</p> <p>Results: Mean age of the study participants were 22.3 years, most (70%) of the study participants were primigravida. Hydrocephalus was the most common birth defect among study participants. Eighty percentages (80%) of study participants had gross anomalies. Sixty percentages (60%) of participants had the outcome of termination.</p> <p>Conclusion: Congenital anomalies were in babies to mothers between 20-30 years of age. Once an anomaly is detected, various management options are to be discussed with the patients in consultation with a neonatologist, pediatric surgeon, and neurosurgeon when necessary.</p> 2020-12-31T00:00:00+00:00 Copyright (c) 2021 Author (s). Published by Siddharth Health Research and Social Welfare Society Study of Abdominal Shirodkar sling operation for uterocervical prolapse 2021-01-02T14:26:12+00:00 Dr. Uday M, Patel Dr. Manoranjana B. Shah Dr. Jui R. Shah <p>Aim: To study the procedures of abdominal Shirodkar sling itself and its results.</p> <p>Material and Methods: Abdominal Shirodkers sling operation for conservative surgery for uterocervical descent is performed in thirty-three women of civil hospital Ahmedabad. The procedure is difficult and bold but is the perfect anatomical solution to strengthen weak uterosacral ligaments with the help of a mercelene tap.</p> <p>Results: Long term follow up also showed good results. This helps in treating infertility due to prolapse. Moreover, vaginal delivery is possible following this conservative surgery. Cystocele is also corrected by pulling the uterus in its position with a newly created uterosacral ligament with a mercelene tap.</p> <p>Conclusion: Abdominal sling with Dr. Shirodkar’s method is the real corrective solution to weekend uterosacral ligaments. It is the perfect anatomical solution for conservatives' approach to uterocervical descent. Of course, Procedure is difficult and requires boldness.</p> 2020-12-31T00:00:00+00:00 Copyright (c) 2021 Author (s). Published by Siddharth Health Research and Social Welfare Society Use of Low Dos Aspirin in Women with Increased Risk of Preeclampsia 2021-01-05T12:18:55+00:00 Dr. Chetna R Vaghela Dr. Vipul Nanjibhai Sarvaiya <p>Introduction: The role of aspirin in the primary or secondary prevention of preeclampsia has been the subject of numerous studies and great controversy. Our aim reports on LDA usage rates by women with an increased PE risk, as well as on determinants and reasons given for use and non‐use.</p> <p>Material and Method: In this multicenter, double-blind, placebo-controlled trial, the current study randomly assigned 2100 women with singleton pregnancies who were at high risk for preterm preeclampsia to receive aspirin, at a dose of 150 mg per day, or placebo from 11 to 14 weeks of gestation until 36 weeks of gestation. The primary outcome was delivery with preeclampsia before 37 weeks of gestation. The analysis was performed according to the intention-to-treat principle.</p> <p>Results: Preterm preeclampsia occurred in 13 participants (1.6%) in the aspirin group, as compared with 35 (4.3%) in the placebo group (odds ratio in the aspirin group, 0.38; 95% confidence interval, 0.20 to 0.74; P=0.004). Results were materially unchanged in a sensitivity analysis that took into account participants who had withdrawn or were lost to follow-up.</p> <p>Conclusion: This randomized trial showed that among women with singleton pregnancies who were identified using first-trimester screening as being at high risk for preterm preeclampsia, the administration of aspirin at a dose of 150 mg per day from 11 to 14 weeks of gestation until 36 weeks of gestation resulted in a significantly lower incidence of preterm preeclampsia than that with placebo.</p> 2020-12-31T00:00:00+00:00 Copyright (c) 2021 Author (s). Published by Siddharth Health Research and Social Welfare Society Pregnancy outcome among gestational diabetes mellitus patients 2021-01-05T12:23:41+00:00 Dr. Chetna R Vaghela Dr. Vipul Nanjibhai Sarvaiya <p>Background and Aim: Though not all babies have birth defects there is still a high probability of congenital defects if the glucose level is not under control during pregnancy and also increased morbidity in terms of hypoglycemia, hyperbilirubinemia, and respiratory distress syndrome warranting NICU admissions. The objective of this study was to find out the maternal and perinatal outcome in patients with gestational diabetes mellitus.</p> <p>Material and Methods: An observational study was conducted among 400 pregnant women who came for antenatal checkups attending the OPD of the department of obstetrics and gynecology, the tertiary care institute of Gujarat, from June 2012 to November 2013. A detailed history including maternal age, parity, BMI, and clinical examination along with antenatal checkup was done.</p> <p>Results: Out of 400 antenatal women tested for OGTT using 75 grams of glucose, about 12.75% (51) of antenatal women developed GDM. Out of 51 GDM mothers, about 10% ie.,5 antenatal women had pregnancy-induced hypertension and only 2 developed polyhydramnios and preterm delivery in 11.76% of antenatal women with GDM Out of 51 babies, 19.6% of them had respiratory distress syndrome, 7.8% of the babies requiring NICU admissions because of hypoglycemia, hyperbilirubinemia, and hypocalcemia.</p> <p>Conclusion: Gestational diabetes mellitus was once thought to be a mild condition but now it carries significant short-term and long-term implications for the women and their offspring. Screening for diabetes is mandatory in preventing complications as strict glycemic control is necessary for preventing macrosomia and unexplained stillbirths.</p> 2020-12-31T00:00:00+00:00 Copyright (c) 2021 Author (s). Published by Siddharth Health Research and Social Welfare Society