International journal of reproduction, contraception, obstetrics and gynecology最新文献_第7页

A rare case of advanced abdominal pregnancy with good maternal and fetal outcome 一例罕见的晚期腹腔妊娠，母体和胎儿结局良好

International journal of reproduction, contraception, obstetrics and gynecology Pub Date : 2024-03-28 DOI: 10.18203/2320-1770.ijrcog20240814

Akanksha Agarwal, Ramandeep Bansal, Pooja Sikka, Tanvi Katoch, Nalini Gupta

{"title":"A rare case of advanced abdominal pregnancy with good maternal and fetal outcome","authors":"Akanksha Agarwal, Ramandeep Bansal, Pooja Sikka, Tanvi Katoch, Nalini Gupta","doi":"10.18203/2320-1770.ijrcog20240814","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240814","url":null,"abstract":"Advanced abdominal pregnancy is an uncommon and potentially precarious variant of ectopic pregnancy in which the fetus develops in the abdominal cavity. A 30-year-old multigravida presented at 33+5 weeks of gestation with abdominal pain. Ultrasonography revealed a single live fetus lying in the abdominal cavity, with the uterus seen separately. Previous ultrasonography done at 15 weeks of gestation was suggestive of intrauterine pregnancy. She underwent emergency laparotomy at 33+6 weeks, which confirmed secondary abdominal pregnancy with the placenta deriving its blood supply from the left uterine artery and omental vessels. A peripartum hysterectomy was performed. The postoperative period was uneventful, and both mother and baby were discharged after one week. Despite notable advancements in prenatal care and medical imaging technologies, abdominal pregnancies, even if advanced, may remain undiagnosed, emphasizing the necessity for healthcare professionals to maintain a heightened level of suspicion regarding this condition. If conservative management has to be sought, the case selection should be done carefully due to the high risk to both the mother’s and fetus’s life. There is a pressing need for the standardisation of treatment protocols in order to optimise maternal and fetal outcomes in abdominal pregnancy.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"134 36","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140369688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association of metabolic syndrome with gestational hypertension 代谢综合征与妊娠高血压的关系

International journal of reproduction, contraception, obstetrics and gynecology Pub Date : 2024-03-28 DOI: 10.18203/2320-1770.ijrcog20240780

Nowsheen Khan, Syed Basit, Danish Ahmed

{"title":"Association of metabolic syndrome with gestational hypertension","authors":"Nowsheen Khan, Syed Basit, Danish Ahmed","doi":"10.18203/2320-1770.ijrcog20240780","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240780","url":null,"abstract":"Background: Metabolic syndrome is a group of clinical, metabolic and biochemical abnormalities with negative impact on global health. The aim of the study was to determine the association between metabolic syndrome and pregnancy induced hypertension, and incidence and effects of metabolic syndrome in pregnant patients.\u0000Methods: Prospective observational study, performed in the Department of Obstetrics and Gynecology, Holy Family Hospital, New Delhi. Antenatal women before 20 weeks of gestation were enrolled in the study. Metabolic syndrome was diagnosed by utilizing the pregnancy adaptation of MeS criteria of NCEPATP III laboratory and clinical criteria. Cases were followed throughout pregnancy to observe their progression into hypertensive disorders of pregnancy i.e. gestational hypertension, pre-eclampsia and eclampsia.\u0000Results: Out of 100 cases with metabolic syndrome 37% developed PIH, 21 developed pre-eclampsia and 14 developed gestational hypertension, 2 patients developed eclampsia as compared to controls in which only 10% developed PIH among which only 3% developed pre-eclampsia.\u0000Conclusions: Our study demonstrates a higher rate of complicated pregnancy with higher incidence of PIH in association with metabolic syndrome compared to control group. Each component of metabolic syndrome increases the probability of PIH. The addition of components of metabolic syndrome exacerbates this probability, especially the combination of increased BMI, increased blood sugar levels and increased triglycerides.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"98 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140371166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Incidence of decision to delivery interval delay in emergency LSCS and its impact on fetal and maternal outcome: a prospective observational study 前瞻性观察研究：紧急产科急诊中决定分娩间隔延迟的发生率及其对胎儿和产妇结局的影响

International journal of reproduction, contraception, obstetrics and gynecology Pub Date : 2024-03-28 DOI: 10.18203/2320-1770.ijrcog20240803

Priya T. Singh, Karishma Salana, Meetali Nehate

{"title":"Incidence of decision to delivery interval delay in emergency LSCS and its impact on fetal and maternal outcome: a prospective observational study","authors":"Priya T. Singh, Karishma Salana, Meetali Nehate","doi":"10.18203/2320-1770.ijrcog20240803","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240803","url":null,"abstract":"Background: Caesarean delivery is a complex multidisciplinary procedure. Decision to delivery interval is supposed to play a significant role in maternal and neonatal outcomes. The present study was undertaken to determine the incidence of DDI delay among pregnant women undergoing Emergency LSCS in tertiary care centres.\u0000Methods: This study was conducted on 400 subjects who underwent emergency LSCS in category I and category II during a period from November 2020 to August 2021.\u0000Results: The maximum patients were from the age group of 25-29 years (43%), primigravida (59.1%), gestational age between 37-40 weeks (78%). 29% have undergone category-1 LCSC and 71.2% have undergone category-2 LSCS. Out of 116 patients underwent category-1 LSCS, 11 (9.5%) patient delay was present whereas in category-2 LSCS out of 284,12 (4.2%) patient delay was present. Among Category-I LSCS the most common indication was Fetal distress and among Category-II LSCS the major indication was non reassuring CTG. Maximum babies have APGAR scores between 7-10 at 1 (N=369) and 5 min (N=398). The mean cord PH was 7.31, ranged from 6.9-7.47. 98 babies required NICU admission and most of them admitted for respiratory distress. 11 patients required blood transfusion. There was no significant association found between various parameters and DDI delay, (p>0.05).\u0000Conclusions: In the present study, the interval between the decision to delivery interval has no significant impact on feto-maternal outcome in Category-I LSCS. Among Category-II LSCS there was a delay in 12 cases, among them 7 babies required NICU admission, the complications among neonates were significantly more when DDI was >75 minutes.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"36 47","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140372274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Case of ovarian torsion-detorsion-ovarian and round ligament plication to save the ovary 卵巢扭转-剥离-卵巢和圆韧带成形术挽救卵巢病例

International journal of reproduction, contraception, obstetrics and gynecology Pub Date : 2024-03-28 DOI: 10.18203/2320-1770.ijrcog20240816

Mahendra Gangadharaiah, Sunil Chikkatharahalli Vykuntegowda, Vijayalaxmi, Tejashwini A. Neelavani

引用次数: 0

Prevalence of postpartum depression and associated risk factors in tertiary health care centre 三级医疗保健中心产后抑郁症的患病率及相关风险因素

International journal of reproduction, contraception, obstetrics and gynecology Pub Date : 2024-03-28 DOI: 10.18203/2320-1770.ijrcog20240802

Kiruba Nandini M., Shanta Bhaskaran

{"title":"Prevalence of postpartum depression and associated risk factors in tertiary health care centre","authors":"Kiruba Nandini M., Shanta Bhaskaran","doi":"10.18203/2320-1770.ijrcog20240802","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240802","url":null,"abstract":"Background: Postpartum depression (PPD) is defined as a depressive episode occurring during pregnancy or until 4-weeks post-childbirth. It is essential to diagnose postpartum depression since it can disrupt normal maternal and infant bonding and have a negative impact on both the short and long-term development of children. To determine the prevalence of postpartum depression and the associated risk factors in women delivering in a tertiary health care centre.\u0000Methods: A prospective observational study was conducted in a tertiary health care centre from January 2021 to June 2022 for a period of 18 months. Pregnant women were assessed using the Edinburgh postnatal depression scale (EPDS) at 2-3 days postpartum and at 6 weeks postpartum. The cut-off score for detecting major depression is a score greater than or equal to 13.\u0000Results: The study included 204 women, of which postpartum depression was present in 28 women. The prevalence of postpartum depression in this study group is 13.7%. Unplanned pregnancy, neonatal intensive care unit (NICU) admission of newborns, preterm delivery, lack of support from family, complications during pregnancy or birth, and delayed breastfeeding were significantly associated with postpartum depression.\u0000Conclusions: Psychological and emotional well-being should also be given priority in addition to the physical well-being of women. All women who are at high risk should be screened so that PPD can be detected earlier, and support should be extended in the form of counselling and treatment.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"7 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140373156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Foeto-maternal outcome in pregnancy with and without heart disease: a comparative cross-sectional study in a tertiary care hospital 有心脏病和无心脏病孕妇的胎儿-产妇结局：在一家三级医院进行的横断面比较研究

International journal of reproduction, contraception, obstetrics and gynecology Pub Date : 2024-03-28 DOI: 10.18203/2320-1770.ijrcog20240800

Miti Ratan, Ngashepam Shuradhaja Singh, Chirom Pritamkumar Singh, S. Dolma, Nikita Gautam, Anmol A. Vaishnav, Saurabh Soni

{"title":"Foeto-maternal outcome in pregnancy with and without heart disease: a comparative cross-sectional study in a tertiary care hospital","authors":"Miti Ratan, Ngashepam Shuradhaja Singh, Chirom Pritamkumar Singh, S. Dolma, Nikita Gautam, Anmol A. Vaishnav, Saurabh Soni","doi":"10.18203/2320-1770.ijrcog20240800","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240800","url":null,"abstract":"Background: Pregnant women with underlying heart disease are at increased risk for adverse maternal, obstetric, and neonatal outcomes. One can successfully treat the majority of these incidents if detected early by accurate individual risk assessment and careful follow-up. The aim and objectives of this study were to compare the foeto-maternal outcome in pregnancy with and without heart diseases with period of gestation >32 weeks.\u0000Methods: This study was carried out in a tertiary care teaching hospital of Imphal, the capital city of Manipur, using a standard-questionnaires among patients admitted. Data was analysed using SPSS 21.0 with statistical significance set at p<0.05.\u0000Results: Study was conducted on 112 pregnant women. The prevalence of heart disease was higher (71.4%) among the primiparous women. Highest occurrence of heart disease (66.1%) was seen in the housewife group. There was increased incidence of pre-term deliveries among pregnant women with heart disease (26.8%). Caesarean section (62.5%) and maternal complications (42.9%) were found to be higher among the pregnant women with heart disease. The incidence of NICU admission of babies was higher among mothers with heart disease (17.9%) compare to 5.4% in mothers without heart disease.\u0000Conclusions: Early detection by accurate individual risk assessment and careful follow-up are key to improving outcomes.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"53 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140373174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The compression of myometrium and occlusion of uterine artery by COMOC-MG technique for the management of postpartum haemorrhage: clinical perspective from ten cases 用COMOC-MG技术压迫子宫肌层和闭塞子宫动脉治疗产后出血：从十个病例的临床角度看问题

International journal of reproduction, contraception, obstetrics and gynecology Pub Date : 2024-03-28 DOI: 10.18203/2320-1770.ijrcog20240806

Jitendra Prajapati, Abhishek Oza, Mahesh Gupta, Ketan Kulkarni

{"title":"The compression of myometrium and occlusion of uterine artery by COMOC-MG technique for the management of postpartum haemorrhage: clinical perspective from ten cases","authors":"Jitendra Prajapati, Abhishek Oza, Mahesh Gupta, Ketan Kulkarni","doi":"10.18203/2320-1770.ijrcog20240806","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240806","url":null,"abstract":"Compression of myometrium and occlusion of uterine artery by Dr. Mahesh Gupta (COMOC-MG) technique is an improved B-lynch stitch technique used to control postpartum hemorrhage (PPH). Objective was to study clinical perspective of the COMOC-MG technique on the effect of PPH in Indian women. Data of 10 patients with PPH who were managed by using the COMOC-MG technique in a tertiary care center in Gujarat from April 2022 to December 2022 were retrieved. Baseline characteristics, medical problems and history of women were recorded. Decision to perform COMOC-MG stitch was taken based on the indications such as PPH, per vaginal bleeding and degree of uterine contractility. Out of 10 women, four women had medical problems such as pregnancy-induced hypertension, dysfunctional uterine bleeding and using psychiatric medicines; two women had uterine surgery/ Laparotomy; four women were diagnosed with ailments such as pregnancy induced hypertension (PIH) and hypertension during the third trimester of pregnancy. Indications such as twins during a previous pregnancy, deflexed head, previous lower segment caesarean section (LSCS) with intrauterine growth restriction (IUGR), breech, prim parity, severe oligohydramnios, placental insufficiency and second baby were considered to carry out the CS delivery. Women were managed by COMOC-MG stitch followed by Misoprostol tablets; Carbetocin, Oxytocin, Methylergometrine and Carboprost injections to control PPH. Mean time between uterine closure to COMOC-MG was 10 min. COMOC-MG stitch resulted in good outcomes in seven patients except one patient had atonic PPH. Out of ten patients, one patient required a hysterectomy and three patients required blood transfusion. COMOC-MG stitch is an easy, simple method to control PPH.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"124 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140369960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pregnancy outcome in women with bacterial vaginosis 细菌性阴道病妇女的妊娠结局

International journal of reproduction, contraception, obstetrics and gynecology Pub Date : 2024-03-28 DOI: 10.18203/2320-1770.ijrcog20240788

Snehangshu Das, Namoijam Basanti, Ajitkumar Singh, Neiketouzo Kulnu

{"title":"Pregnancy outcome in women with bacterial vaginosis","authors":"Snehangshu Das, Namoijam Basanti, Ajitkumar Singh, Neiketouzo Kulnu","doi":"10.18203/2320-1770.ijrcog20240788","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240788","url":null,"abstract":"Background: Bacterial vaginosis is a condition characterized by alteration in the vaginal flora. It is a common occurrence during pregnancy and is one of the established risk factors for preterm delivery, premature rupture of membranes and chorioamnionitis. The objective of the study was to study the prevalence and effects of bacterial vaginosis during pregnancy.\u0000Methods: : The study was a hospital based prospective study conducted in the department of obstetrics and gynaecology, RIMS, Imphal from January to December, 2021. 250 women between 20-28 weeks of gestation underwent examination and testing for bacterial vaginosis and were followed up till delivery. Pregnancy outcomes like pre-term labour, premature rupture of membrane; fetal outcomes like birth-weight, APGAR score, NICU admission, or any other complications were noted.\u0000Results: Out of the 250 singleton pregnancies, 48 women (19.2%) were found to have bacterial vaginosis. Pregnancies associated with bacterial vaginosis had more chances of premature rupture of membranes, low birth weight babies. But, there was no significant association of the same to preterm labor and to the rate of NICU admission of the newborns.\u0000Conclusions: Vaginal infection during pregnancy should also be entertained seriously and treated well since bacterial vaginosis may directly or indirectly be related to preterm delivery and low birth weight babies.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"45 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140371585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Utility in the obstetric high dependency unit and intensive care unit in tertiary medical center in Ethiopia: a comparative cross-sectional study 埃塞俄比亚三级医疗中心产科重症监护室和重症监护室的效用：一项横断面比较研究

International journal of reproduction, contraception, obstetrics and gynecology Pub Date : 2024-03-28 DOI: 10.18203/2320-1770.ijrcog20240769

Assefa A. Jegora, Ephrem H. Ahmed, Menbeu S. Mohamed, A. Laytin, Ayida T. Negussie

{"title":"Utility in the obstetric high dependency unit and intensive care unit in tertiary medical center in Ethiopia: a comparative cross-sectional study","authors":"Assefa A. Jegora, Ephrem H. Ahmed, Menbeu S. Mohamed, A. Laytin, Ayida T. Negussie","doi":"10.18203/2320-1770.ijrcog20240769","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240769","url":null,"abstract":"\u0000Background: Globally, an estimated 10.7 million women have died due to obstetric complications in the last two decades, and two-thirds of these deaths occurred in sub-Saharan Africa. This study aims to assess the utility of the obstetric high dependency unit and intensive care unit and maternal outcome in a tertiary medical center in Ethiopia.\u0000Methods: A comparative cross-sectional study was conducted on critically ill obstetric clients admitted to St. Paul's Hospital Millennium medical college obstetric HDU from October 2020 to September 2022 and before the establishment of the obstetric HDU (who were admitted to the medical ICU). Binary and multivariate logistic regression was conducted to identify factors associated with maternal mortality before the establishment of the maternal HDU.\u0000Results: The minimum duration in both units was one day. The maximum duration was 14 days for HDU and 26 days for ICU. Following the establishment of the maternity HDU, the ICU admission rate decreased to 1.2 per 1000 deliveries. Obstetric patients diagnosed with DIC and HELLP syndrome upon admission to the ICU had a 4.9 times higher risk of mortality compared to their counterparts. Obstetric women admitted to the ICU and treated with inotropic agents or vasopressors had a 33.8 times higher risk of mortality compared to their counterparts.\u0000Conclusions: Obstetric admissions to the ICU significantly decreased following the establishment of the maternity HDU. Obstetric patients diagnosed with DIC and HELLP syndrome are more likely to develop unfavorably outcome.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"31 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140372864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of early versus late postpartum DIPSI test in gestational diabetes mellitus women for follow up 对妊娠期糖尿病妇女进行产后早期和晚期 DIPSI 检测的效果随访

International journal of reproduction, contraception, obstetrics and gynecology Pub Date : 2024-03-28 DOI: 10.18203/2320-1770.ijrcog20240792

Geethalakshmi A., Saraswathi S., Kalaivani K., Anjalakshi C., Rajesh Jain, Seshiah V.

{"title":"Efficacy of early versus late postpartum DIPSI test in gestational diabetes mellitus women for follow up","authors":"Geethalakshmi A., Saraswathi S., Kalaivani K., Anjalakshi C., Rajesh Jain, Seshiah V.","doi":"10.18203/2320-1770.ijrcog20240792","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240792","url":null,"abstract":"Background: The present study aimed to evaluate if postpartum gestational diabetes mellitus (GDM) screening can be performed during immediate post-delivery 72 hrs instead of six weeks postpartum for follow-up.\u0000Methods: Total 150 GDM patients were included. The sample size was calculated as 150 with Nimaster2.0 software. GDM patients are enrolled after meeting the exclusion criteria for the study. The GDM diagnosis was made by DIPSI test and treated as per guidelines. After delivery, the Dipsi test was done on PND-3 (PP1). Furthermore, all were kept on LSM irrespective of the glycaemic level DIPSI test was repeated in all Patients after 45 days (PP2).\u0000Results: All 150 patients had a DIPSI test on 3rd day post-partum (PP1) and repeat test at 45 days (PP2)., Of these, 60 patients (40%) showed negative DIPSI test on P1 and all remained in Group 1, with 63 patients having negative DIPSI test on PP2. 50 patients (33.3%) had blood glucose between 140-199 mg (Group 2) on PP1 and increased to 53 patients in PP2 in 45 days. 40 patients had diabetic (26.6%) value (Group 3) in PP1, and out of them 34 (22.6%) remained in group 3 in PP2 after 45 days post-partum.\u0000Conclusions: This pilot study shows that nearly 60% of the GDM patient have either IGT or diabetic value following delivery on 3rd day of PP1 and almost similar results in PP2. Hence, we can do the postpartum screening on the postpartum 3rd day and need not wait for 6 wks when more than 50% is lost for follow-up. This study shows among GDM 60% of them have underlying beta cell dysfunction.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"29 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140372997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0