Sri Lanka Journal of Obstetrics and Gynaecology最新文献_第10页

Amniotic band syndrome associated with malformation of extremities 与四肢畸形相关的羊膜带综合征

Sri Lanka Journal of Obstetrics and Gynaecology Pub Date : 2021-07-05 DOI: 10.4038/SLJOG.V43I2.7974

R. Fernandopulle, R. Sathanandarajah, W. M. C. L. Gunarathna

引用次数: 0

The Association Between Threatened Miscarriage And Development Of Gestational Hypertension/Pre-Eclampsia 先兆流产与妊娠期高血压/先兆子痫发展的关系

Sri Lanka Journal of Obstetrics and Gynaecology Pub Date : 2021-05-10 DOI: 10.1101/2021.05.07.21256696

S. Gunarathna, A. Nishad, L. Pallemulla, N. Rathnayaka, L. Rasanjana, P. K. Abeysundara

{"title":"The Association Between Threatened Miscarriage And Development Of Gestational Hypertension/Pre-Eclampsia","authors":"S. Gunarathna, A. Nishad, L. Pallemulla, N. Rathnayaka, L. Rasanjana, P. K. Abeysundara","doi":"10.1101/2021.05.07.21256696","DOIUrl":"https://doi.org/10.1101/2021.05.07.21256696","url":null,"abstract":"Introduction: Gestational hypertension (GH)/Pre-eclampsia (PEC) is an important cause of direct maternal deaths in Sri Lanka. GH/PEC and threatened miscarriage (TM) share common pathophysiological mechanisms. This study was conducted to determine the association between TM and development of GH/PEC. Methodology: A case control study was conducted at Castle Street Hospital for Women, Sri Lanka from April 2015 to October 2015. Cases consisted of patients with GH/PEC and compared with age and parity matched controls. A systematic random sampling method was used. Similar number of cases and controls were compared while each group consisted of 245 subjects. Data was obtained from medical records. It is also important to note that mothers aged 20-35 years were included and medical disorders other than GH/PEC was excluded. Results: There were 245 subjects in each group of the study. Among the cases, 56% had GH and the rest had PEC. There were 25 patients with TM in the study population and 64% of them subsequently developed GH or PEC. There is also a significant risk of developing PEC in a patient who had a history of threatened miscarriage (OR 3.31, 95% CI 1.35-8.11). Moreover the patients who had a history of TM tend to develop GH or PEC early, within 20-32 weeks of gestation (OR 11.49, 95% CI 3.88-33.99). As we identified, 62% of patients who had TM developed GH/PEC early (from 20 to 32 weeks) but among the cases who had no history of TM, only 12% developed GH/PEC between 20 to 32 weeks of gestation (O.R. 20.7 (5.66 to 91.96). There is a significant risk of developing severe GH/PEC in the group of patients who had a history of TM (OR 8.59, 95% CI 2.87- 25.66). Eighty one percent (81%) of the cases, who had a history of TM, developed severe and moderate GH/PEC rather than mild. But the majority (63%) of the cases, who had no history of TM, developed mild GH/PEC (O.R. 7.6 (2.00 to 42.55).","PeriodicalId":186118,"journal":{"name":"Sri Lanka Journal of Obstetrics and Gynaecology","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114454325","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: 2

Do pregnant women living in endemic regions of chronic kidney disease of unknown origin (CKDu) show pathological changes in the placenta? 生活在来历不明的慢性肾脏病(CKDu)流行地区的孕妇是否表现出胎盘的病理改变?

Sri Lanka Journal of Obstetrics and Gynaecology Pub Date : 2021-04-08 DOI: 10.4038/SLJOG.V43I1.7977

S. Karunananda, R. Waduge

{"title":"Do pregnant women living in endemic regions of chronic kidney disease of unknown origin (CKDu) show pathological changes in the placenta?","authors":"S. Karunananda, R. Waduge","doi":"10.4038/SLJOG.V43I1.7977","DOIUrl":"https://doi.org/10.4038/SLJOG.V43I1.7977","url":null,"abstract":"There had not been much research to find possible involvement of other organs other than the kidney in CKDu. The effects on pregnancy due to renal impairment in general is known2,3 but what other damage could be inflicted by the unknown aetiology of CKDu on feto placental unit remains unknown.This injury could precede overt renal impairment. One such vulnerable organ is the placenta as both kidneys and placenta share similar function as filtration barriers. It is logical to assume if an agent could affect the interstitium of the kidney, similar adverse effects could be imposed on the interstitium of haemochorionic human placenta. This study was designed with the objective of analysing possible effects on human placental structure of patients who have been exposed to the probable aetiological factor responsible for CKDu. Obviously, anything affecting placenta would adversely affect fetus, its growth and organ development. If the agent passed through to the fetus, there could be similar direct damage to fetal kidneys too. 240 placental samples of women who had lived at least 10 years in a highly endemic area were compared with a similar number from those who were not so exposed. All samples were processed at the department of pathology and reported on by the second author. There was statistically insufficient evidence to conclude that population proportions of two categories were significantly different. The differences between categories and abnormalities were statistically insignificant. Since there was no noticeable Light Microscopic changes observed attributable to an unknown pathological agent, it was concluded that during a 9-months period of exposure of the placenta, no significant changes occurred even in the most endemic areas. This data was useful as women attending antenatal clinics could be reassured that no ill effect of the agent is known and it would be unnecessary to abandon home during pregnancy for safety of the fetus.","PeriodicalId":186118,"journal":{"name":"Sri Lanka Journal of Obstetrics and Gynaecology","volume":"249 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115644207","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: 1

Evaluation of web-based distance education of medicine for undergraduates in Sri Lanka 斯里兰卡本科医学网络远程教育评价

Sri Lanka Journal of Obstetrics and Gynaecology Pub Date : 2021-04-08 DOI: 10.4038/SLJOG.V43I1.7946

D. Silva, P. Randombage, W. Gankanda, N. Abeysekara, V. Edirisinghe, M. Chandrathilake

{"title":"Evaluation of web-based distance education of medicine for undergraduates in Sri Lanka","authors":"D. Silva, P. Randombage, W. Gankanda, N. Abeysekara, V. Edirisinghe, M. Chandrathilake","doi":"10.4038/SLJOG.V43I1.7946","DOIUrl":"https://doi.org/10.4038/SLJOG.V43I1.7946","url":null,"abstract":"Introduction Purpose: To evaluate distance education via the web facilitates teaching through problem-based learning and incorporating scientific evidence in the context of practical application to medical undergraduates. Methods: Web-based distance teaching program based on the Zoom video conferencing software was developed and introduced into a selected group of medical students. Current knowledge about handling web-based resources, evaluation of learning activities, and self-evaluation of their involvement and participation of medical students were evaluated. Results: The provision of lectures and relevant notes through the internet was emphasized during this study. A satisfactory response was observed regarding obtaining factual knowledge. This method was considered relatively ineffective with relevance to the application of knowledge, development of clinical skills, and improvement of professional attitudes. Students believed that it helped to improve the ability of critical thinking, refine reasoning skills, and enhance the capacity of mediating subject matter. Students had a general idea regarding using this method as a supplementary education strategy. The majority of the participants demonstrated considerable satisfaction towards this method, and most of them were prepared to recommend this method for another person. The students had disclosed that lectures showed significantly higher skills while teaching through this method, especially they believed that this distant learning method provided an additional benefit for face to face clinical teaching procedures. Conclusion: When generally considered, a satisfactory response was received regarding the learning outcomes of using this method, and the quality of participation of students was extremely positive.","PeriodicalId":186118,"journal":{"name":"Sri Lanka Journal of Obstetrics and Gynaecology","volume":"153 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121255493","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: 2

A rare presentation of acute fatty liver disease in pregnancy in the background of T-cell non-Hodgkin lymphoma 以t细胞非霍奇金淋巴瘤为背景的妊娠期急性脂肪肝的罕见表现

Sri Lanka Journal of Obstetrics and Gynaecology Pub Date : 2021-04-08 DOI: 10.4038/SLJOG.V43I1.7967

K. Kodithuwakku, N. Gunatilake, H. R. Manikgamaarachchi

引用次数: 0

Acute pancreatitis in pregnancy – Nip in the bud 妊娠期急性胰腺炎——防患于未然

Sri Lanka Journal of Obstetrics and Gynaecology Pub Date : 2021-04-08 DOI: 10.4038/SLJOG.V43I1.7993

S. Padumadasa, R. Siriwardana

引用次数: 0

Vaginal cuff closure at total laparoscopic hysterectomy (TLH): Laparoscopic suturing versus vaginal closure 全腹腔镜子宫切除术(TLH)阴道袖带闭合:腹腔镜缝合与阴道闭合

Sri Lanka Journal of Obstetrics and Gynaecology Pub Date : 2021-04-08 DOI: 10.4038/SLJOG.V43I1.7978

S. Karunananda

{"title":"Vaginal cuff closure at total laparoscopic hysterectomy (TLH): Laparoscopic suturing versus vaginal closure","authors":"S. Karunananda","doi":"10.4038/SLJOG.V43I1.7978","DOIUrl":"https://doi.org/10.4038/SLJOG.V43I1.7978","url":null,"abstract":"Total laparoscopic hysterectomy (TLH), is fast replacing the conventional open procedure where and when feasible with greater public awareness and demand. Lesser disastrous major complications and affordability will help towards this trend in making it more popular. Any measures to improve and simplify and speed up this procedure demanding a higher level of skill, should be welcome. A total number of 62 TLH procedures, performed at the Teaching Hospital Peradeniya were followed up for a minimum of 4 months and analysed to see the speed and complications related to the method of vaginal cuff closure.Twenty six (42%) TLH procedures were done entirely trans abdominally with the laparoscope (A), and the rest 36 (58)% had the cuff closed manually, through vaginal approach (V). Complications directly attributable to surgery on the closure of the vaginal cuff itself were much higher with the abdominal technique-6 (23%) instances; but only 3 (8.3%) in the vaginal approach. The average vaginal closure time was over 3 times faster vaginally (19 vs 5.5min) with a lesser complication rate,making it the personal preference of the author as the research progressed explaining the higher proportion of vaginal closures.","PeriodicalId":186118,"journal":{"name":"Sri Lanka Journal of Obstetrics and Gynaecology","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122428838","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

Feasibility of maintaining a portfolio for a professorial appointment in obstetrics and gynaecology in a low resource setting 在低资源环境下维持妇产科专业人员任命的可行性

Sri Lanka Journal of Obstetrics and Gynaecology Pub Date : 2021-04-08 DOI: 10.4038/SLJOG.V43I1.7966

M. Jayawardane, R. Pathiraja, K. Silva, R. Fernandopulle, A. Fernando, V. U. D. Chandradeva

{"title":"Feasibility of maintaining a portfolio for a professorial appointment in obstetrics and gynaecology in a low resource setting","authors":"M. Jayawardane, R. Pathiraja, K. Silva, R. Fernandopulle, A. Fernando, V. U. D. Chandradeva","doi":"10.4038/SLJOG.V43I1.7966","DOIUrl":"https://doi.org/10.4038/SLJOG.V43I1.7966","url":null,"abstract":"Objective: The main objective of this study is to assess the feasibility in replacing the portfolio in a low resource setting and its acceptance amongst the students and staff. Synopsis: The objective for the study with regards to using portfolios: is it feasible for the 2 month professorial appointment in a low resource setting and its acceptance amongst the students and staff. Methods: The study was conducted on 259 final year medical students for a period of two years from 2016 to 2018, using the student portfolio maintained by them during their professorial gynaecology and obstetrics appointment which is of 8 weeks duration, and the feedbacks provided by students and staff. Results: Around 2 mini clinical evaluation exercise (CEX) were completed for gynaecology and obstetrics and 1 OSAT each was completed of the five different technical skills by all students. All of them completed the objective structured assessment of technical skills (OSATS) in episiotomy suturing, urine catherization and cannulation, 96% of the students were assessed on their skills for artificial rupture of membrane (ARM) and in setting up as an intravenous drip. Students managed to obtain feedback from patients, peers and nursing officers.100% positive feedback was given by the patients, 97% from peers and 92% from the nursing officers. 80% of all the logs in the portfolio were completed by the students. On an average 2 reflective writings were completed per student. 97% of the students found it as a useful tool and 97% stated that it can be easily completed. Conclusion: Introduction of a portfolio for the obstetrics and gynaecology professorial appointment for medical students is possible, with good student satisfaction despite higher number of student: staff ratios.","PeriodicalId":186118,"journal":{"name":"Sri Lanka Journal of Obstetrics and Gynaecology","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114690550","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

Prediction of Gestational diabetes: Role of neutrophil to lymphocyte ratio at booking visit 妊娠期糖尿病的预测:预约就诊时中性粒细胞与淋巴细胞比例的作用

Sri Lanka Journal of Obstetrics and Gynaecology Pub Date : 2021-04-08 DOI: 10.4038/SLJOG.V43I1.7949

S. M. Fahim, W. Silva, W. Abeykoon

{"title":"Prediction of Gestational diabetes: Role of neutrophil to lymphocyte ratio at booking visit","authors":"S. M. Fahim, W. Silva, W. Abeykoon","doi":"10.4038/SLJOG.V43I1.7949","DOIUrl":"https://doi.org/10.4038/SLJOG.V43I1.7949","url":null,"abstract":"Introduction: Gestational Diabetes Mellitus (GDM) affect up to approximately 10% of all pregnancies. Various markers of inflammation have been shown to predict the future diabetes risk and Neutrophil Lymphocyte Ratio (NLR) level is significantly correlated with metabolic syndrome criteria. However, very few studies investigated any possible association between NLR and development of GDM. Objectives • To compare the NLR among GDM group and control group. • To identify an optimal cut-off value of NLR in predicting GDM. Methods: A longitudinal observational study in all pregnant women who are in their first trimester at antenatal clinic, Teaching Hospital, Kandy for six months was carried out with a Full Blood Count at the first trimester and Oral Glucose Tolerance Test (OGTT) at the 24-28 weeks of gestation. Sample size was 361 and non-probability convenient sampling technique was applied. Results: Mean NLR value was 3.16 (SD=1.84) and the difference between GDM and non GDM mothers was not significant. Left upper most value for NLR of the ROC curve is 1.32 and when it is used as the cut off value the sensitivity is 99.6% and the specificity is 21.2%. Conclusions and recommendations: NLR positively correlates with the OGTT values done at 24-28 weeks of gestation, which can be used as a predictor at early booking visit. There is no significant difference between the mean value of participants with or without GDM. Prediction of GDM by NLR should be further studied in a well-targeted study population with wide methodology.","PeriodicalId":186118,"journal":{"name":"Sri Lanka Journal of Obstetrics and Gynaecology","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114906647","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 peri-tubal and ovarian adhesions following laparoscopic ovarian drilling (LOD) observed opportunistically at subsequent caesarean sections 腹腔镜卵巢钻孔(LOD)术后输卵管周围和卵巢粘连的发生率在随后的剖宫产手术中观察

Sri Lanka Journal of Obstetrics and Gynaecology Pub Date : 2021-04-08 DOI: 10.4038/SLJOG.V43I1.7976

S. Karunananda

引用次数: 0