Sandesh Ganjoo, Anita Sharma, Varun Kaul, G. Dev, S. Raina, Diptiman Koul
{"title":"Development of a nomogram to evaluate the usefulness of sonographic measurement of placental thickness for the estimation of fetal gestational age","authors":"Sandesh Ganjoo, Anita Sharma, Varun Kaul, G. Dev, S. Raina, Diptiman Koul","doi":"10.4103/2278-960X.140087","DOIUrl":"https://doi.org/10.4103/2278-960X.140087","url":null,"abstract":"Background: An accurate assessment of gestational age (GA) and evaluation of fetal growth is fundamental to prenatal care. Aim: To evaluate placental thickness (PT) as an indicator of GA. Subjects and Methods: A prospective study was carried out on 300 antenatal patients with known last menstrual period (LMP), 100 each in first, second, and third trimester, respectively, with GA more than 10 weeks till term in a study period of one year. Patients with GA more than 20 weeks detected with pregnancy‑induced hypertension (PIH) and/or diabetes mellitus (DM) and/or intrauterine growth retardation (IUGR) and/or hydrops fetalis and/or congenital malformation were excluded from the study. Twin pregnancy of any gestation was excluded from the study. The PT was measured at the level of insertion of the cord and the values thus measured in millimeters was correlated with GA as ascertained vis a vis the LMP. GA and PT were represented as mean and standard deviation. Correlation between them was evaluated using Pearson’s product moment correlation coefficient. Results: The study showed a positive correlation between GA and PT. PT in millimeter accurately matched the GA in weeks from 14 to 21 weeks of gestation after which it was seen to be lesser than GA by 1-4 mm. Conclusions: PT promises to be an accurate parameter for estimating fetal GA in singleton pregnancies. Keywords: Fetal Gestational age, nomogram, placental thickness","PeriodicalId":356195,"journal":{"name":"Journal of Basic and Clinical Reproductive Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122372817","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}
{"title":"Cervical Ectopic Pregnancy presenting as Cervical Fibroid","authors":"D. Pandey, B. N. Tripathi, Sandhya Pandey","doi":"10.4103/2278-960X.118650","DOIUrl":"https://doi.org/10.4103/2278-960X.118650","url":null,"abstract":"Cervical pregnancy is a rare but serious type of ectopic pregnancy in which the implantation site is within the cervical mucosa that lines the endocervical canal. This is a rare cervical ectopic pregnancy wrongly diagnosed as a cervical fibroid by clinicoradiological examination. The actual diagnosis was revealed by histopathological examination.","PeriodicalId":356195,"journal":{"name":"Journal of Basic and Clinical Reproductive Sciences","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128119356","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}
Shalinee Rao, Shivani Rao, Sharda Lall, R. Narasimhan
{"title":"Evaluation of Ovarian Lesions Inducing Endometrial Hyperplasia or Carcinoma in a Tertiary Care Hospital in Southern India","authors":"Shalinee Rao, Shivani Rao, Sharda Lall, R. Narasimhan","doi":"10.4103/2278-960X.118657","DOIUrl":"https://doi.org/10.4103/2278-960X.118657","url":null,"abstract":"Background: Excessive and prolonged estrogenic stimulation results in endometrial hyperplasias or endometrioid adenocarcinomas. One of the major reasons for an excess endogenous estrogen production is estrogen secreting ovarian lesions which could either be neoplastic or non-neoplastic. Aims: This was a study done to evaluate and correlate presence of ovarian lesions in uterus harboring endometrial hyperplasia or endometrial carcinoma. Materials and Methods: This was a retrospective study conducted at a referral hospital in South India over a 16-year period. Histology of ovaries were studied in panhysterectomy cases with a tissue diagnosis of endometrial hyperplasia or endometrial carcinoma. The data was evaluated as only percentage. Results: A total of 118 specimens revealed pathological proliferative lesion of the endometrium with endometrial hyperplasias occurring in 78 (66.1%) and endometrioid adenocarcinoma in the remaining 40 (33.9%) cases. Fifty-two cases showed lesions in ovary/ovaries. Forty-two (35.6%) of them revealed estrogen-secreting lesions in ovaries. The rest showed non-estrogen producing lesions. Follicular cyst was the predominant estrogen elaborating lesions in the ovary with 23 cases (44.2%). In 21.1% of cases, ovaries featured stromal hyperplasia and 7.7% showed granulosa cell tumor. Only one (1.9%) case of thecoma was identified. Two cases showed twin lesions with follicular cyst and stromal hyperplasia. All patients except for one were in post-menopausal age group. Conclusion: Follicular cyst was the predominant lesion associated with endometrial hyperplasia and endometrioid adenocarcinoma of endometrium in post-menopausal age group. In addition, hyperplastic lesions in endometrium can occur in non-hormonal secreting ovarian epithelial tumors possibly due to functioning stromal cells.","PeriodicalId":356195,"journal":{"name":"Journal of Basic and Clinical Reproductive Sciences","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133346273","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}
K. Haryalchi, M. M. Ghanaie, Y. Yaghoubi, F. Milani, R. Faraji
{"title":"An Assessment of Changes in the Magnesium Level During Gynecological Abdominal Surgeries","authors":"K. Haryalchi, M. M. Ghanaie, Y. Yaghoubi, F. Milani, R. Faraji","doi":"10.4103/2278-960X.118654","DOIUrl":"https://doi.org/10.4103/2278-960X.118654","url":null,"abstract":"Background: Magnesium (Mg) is the fourth most common cation in the human body and the second most intracellular cation after potassium. It has a fundamental role in several vital functions. As this essential ion is not measured in routine chemistry panels, little is known about its alterations during intraoperative time. Aim: The present study was designed to determine the negative eff ects of postoperative hypomagnesemia during and after surgeries. Subject and Methods: This study was a descriptive interventional study involving 74 patients. All patients underwent gynecological abdominal surgeries, and anesthesia protocols were standardized to comprise general and spinal anesthesia. All the patients were aged between 25 and 45 years, with ASA class I and II. Their total serum Mg level was measured 1 h before and 2 h after the surgery. The total serum Mg, calcium, and albumin level were measured by photometric methods. Data were analyzed using SPSS version 16.0 (Chicago Illinois, (USA). Inferential statistic was done using Vilksonnon-parametric and Pearson’s correlation test. P<0.05 were considered as significant. Results: The mean serum Mg levels were 1.87 (0.32) mg/dl before and 1.55 (0.34) mg/dl after the surgeries (The normal range: = 1.7-2.5 mg/dl). Results illustrated a significant hypomagnesemia after operations. Conclusion: Clinical impact of hypomagnesemia during surgeries needs to be studied further. Moreover, surgeons should be warned about the severity of probable electrolyte imbalances induced by perioperative events to decrease associated morbidities. Keywords: ASA, cation, gynecologic surgeries, magnesium, magnesium level, photometric method, standardized anesthesia, surgeries","PeriodicalId":356195,"journal":{"name":"Journal of Basic and Clinical Reproductive Sciences","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115158843","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}
{"title":"Histopathological patterns of endometrial lesions in patients with abnormal uterine bleeding in a cosmopolitan population","authors":"G. Forae, J. Aligbe","doi":"10.4103/2278-960X.118649","DOIUrl":"https://doi.org/10.4103/2278-960X.118649","url":null,"abstract":"Background: Endometrial diseases ranked among the most common gynecological disorders that aff ect women globally. These diseases cut across all age groups and contribute signifi cantly to increased maternal morbidity and mortality. Due to the wide range of histopathological patterns, the need for urgent diagnosis and treatment cannot be overemphasized. Aim: The aim of this study is to highlight the frequency and histological types and patterns of the endometrial lesions in patients with abnormal uterine bleeding (AUB) in private practice in Benin-City, Nigeria. Materials and Methods: H and E stained-slides of endometrial biopsies diagnosed at the Ashamas foundation histopathology diagnostic center in Benin-City for 10 years were archived and studied. Request forms were analyzed for clinical bio-data, diagnosis and type of biopsies carried out. Data were entered using Micro-soft Excel package and transferred to statistics software (statistical package for the social sciences Version 17, SPSS Incorperated, Chicago Illinois, USA) for descriptive analysis. Results: In all, 231endometrial lesions were received. Of these, 207/231 (89.6%) cases were seen in reproductive and perimenopausal age groups while 24/231 (10.4%) was encountered in postmenopausal age group. The age range and peak age incidence was 17-86 years and fourth decade respectively. The mean age was 38.8 (6.8) years In all 231 endometrial lesions, product of conception was the most common fi nding observed (n=64/231; 27.7%) in reproductive and pre-menopausal women. While the most frequently encountered lesion in postmenopausal women was complex endometrial hyperplasia (n=6/231; 2.6%). Conclusion: Histopathological patterns of endometrial biopsy and curettage of women presenting with AUB is variable. Product of conception was the most commonly encountered among reproductive women. Nevertheless, endometrial hyperplasia was most frequent in perimenopausal age group. Keywords: Cancer, endometrium, histopathology, lesions, private practice","PeriodicalId":356195,"journal":{"name":"Journal of Basic and Clinical Reproductive Sciences","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125001471","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}
S. Hazra, Santu Maiti, A. Chaudhuri, D. Banerjee, Sarmistha Guha, Amitava Das
{"title":"Cervical Cancer in Women with Unhealthy Cervix in a Rural Population of a Developing Country","authors":"S. Hazra, Santu Maiti, A. Chaudhuri, D. Banerjee, Sarmistha Guha, Amitava Das","doi":"10.4103/2278-960X.118648","DOIUrl":"https://doi.org/10.4103/2278-960X.118648","url":null,"abstract":"Background: Cervical cancer, the most common malignancy among Indian women, is the second most common and fi fth most fatal cancer in women world-wide. Aim: The study is aimed to determine the risk factors, incidence of cervical malignancy in women with grossly unhealthy cervix in a rural population and to get an overview of eff ectiveness of the existing screening programs. Subjects and Methods: This cross-sectional prospective pilot study was carried in a tertiary care hospital in a span of 6 months. A total of 300 females with grossly unhealthy cervix with suspicions of malignancy, who had never undergone cervical cytology or any other cervical neoplasia screening procedure, were included. Unaided visual inspection with Cusco’s speculum was performed followed by digital examination. Clinical staging was carried out in patients according to International Federation of Gynecology and Obstetrics (FIGO’S) Classifi cation. Cervical punch biopsy was taken under colposcopic guidance and histopathological examinations were done. Data were analyzed using SPSS, version 15.0 (Chicago Illinois, USA) and presented as simple percentages. Results: Among 300 females, 63.4% (190/300) were aged between 40 and 59 years. Nearly, 70.7% were illiterate and 52.6% had monthly family income between Rs. 2,000 and 5,000. Majority was married and 72.7% had parity between 1 and 3 and 58.7% had early marriages. Unaided visual examination of the women showed 62.7% of them had visible growth and 48.7% of them had bleeding erosions. Visible growths along with bleeding erosions were present in 11.3% cases. Histopathological examination of cervical biopsy specimens revealed mild, moderate and severe dysplasia in 14, 22 and 36 cases, respectively. A total of 212 patients had invasive squamous cell carcinoma. Only 16 patients had normal histopathology fi ndings. Nearly, 56.61% had Stage II disease; among them 27 had Stage IIa and 33 had Stage IIb disease, 26 patients had Stage I disease. Stage IIIa and IIIb have been found in 50 and 12 cases respectively. Four cases had cancer extending to urinary bladder and rectum (Stage IVa). Conclusions: Cervical carcinoma not only has a biomedical spectrum, but also has a wide cultural and socio-economic background. Extensive screening campaigns needs to be implemented with immediate eff ect to early diagnose cases to decrease the social burden of the disease. Keywords: Africa, cervical cancer, screening procedures","PeriodicalId":356195,"journal":{"name":"Journal of Basic and Clinical Reproductive Sciences","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131691233","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}
Muktikesh Dash, S. Sahu, I. Mohanty, M. V. Narasimham, J. Turuk, R. Sahu
{"title":"Prevalence, Risk Factors and Antimicrobial Resistance of Asymptomatic Bacteriuria Among Antenatal Women","authors":"Muktikesh Dash, S. Sahu, I. Mohanty, M. V. Narasimham, J. Turuk, R. Sahu","doi":"10.4103/2278-960X.118647","DOIUrl":"https://doi.org/10.4103/2278-960X.118647","url":null,"abstract":"Background: Asymptomatic bacteriuria (ABU) in antenatal women is microbiological diagnosis and if untreated have 20-30 fold increased risk of developing pyelonephritis during pregnancy. Aim: The prospective study was conducted to determine the prevalence, risk factors and antibiotic resistance related to ABU in antenatal women. Subjects and Methods: A total of 287 asymptomatic pregnant women who attended the antenatal clinic at a tertiary care hospital, Odisha, India from July 2012 to December 2012 were enrolled. Two consecutively voided urine specimens were collected by clean-catch midstream urine technique for culture. The urine samples were processed and microbial isolates were identifi ed by conventional methods. Antimicrobial susceptibility testing was performed on all bacterial isolates by Kirby Bauer’s disc diff usion method. Data were analyzed using GraphPad Quick Calcs Statistical Software Inc., USA. Inferential statistics was done by Chi-square (2) test and a P < 0.05 was considered signifi cant. Results: The prevalence of ABU in antenatal women was 11.5% (33/287). Lower socio-economic status and low level of education were signifi cant risk factors related to ABU (P=0.02). Parity, maternal and gestational age was not signifi cantly associated with ABU. Escherichia coli (54.5%, 18/33) were the most prevalent isolate followed by Enterococcus faecalis (15.2%, 5/33). Nitrofurantoin was the most eff ective antibiotic, showed resistance rate of 3% (1/33) for both Gram-negative and Gram-positive bacteria. Conclusion: Routine screening using urine culture method should be performed for ABU in early pregnancy. Specifi c guidelines should be issued and followed for testing antimicrobial susceptibility with safe drugs in antenatal women. Empirical treatment with nitrofurantoin can be recommended, which is a safe drug and active for both Gram-negative and Gram-positive bacteria. Keywords: Antenatal women, antibiotic resistance, asymptomatic bacteriuria, prevalence, risk factors","PeriodicalId":356195,"journal":{"name":"Journal of Basic and Clinical Reproductive Sciences","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130335929","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}
S. Bhattacherjee, K. Ray, R. Biswas, M. Chakraborty
{"title":"Menstruation: Experiences of adolescent slum dwelling girls of Siliguri City, West Bengal, India","authors":"S. Bhattacherjee, K. Ray, R. Biswas, M. Chakraborty","doi":"10.4103/2278-960X.118646","DOIUrl":"https://doi.org/10.4103/2278-960X.118646","url":null,"abstract":"Background: Adolescence is defi ned as the teenage period of life, involving major biological changes and psycho-social development. In adolescence, the girls fi rst experience menstruation and good hygiene is essential during this period. Menstrual hygiene is an issue that is insuffi ciently acknowledged and has not received adequate attention in the reproductive health in developing countries. Aim: To elicit the knowledge, attitude and practice of menstrual hygiene in adolescent slum dwelling girls of Siliguri city. Subjects and Methods: A cross sectional, community based study was conducted in slums of Siliguri city of West Bengal and cluster sampling was used to select 798 post menarcheal adolescent girls residing in the slums. Data on knowledge, attitude and practices regarding menstruation were collected with the help of a pre-tested and semi-structured schedule. Simple descriptive statistics were used to analyse the data using SPSS 16 software (Chicago IL, USA). Descriptive statistics were applied to calculate proportion, mean and standard deviation and Chi square test was used to test the association between categorical variables and a P<0.05 was considered significant. Results: The knowledge of the respondents was assessed and it was found that only 23.4% (187 out of 798) knew about menstruation before menarche, whereas 653 out of 798 girls remarked sanitary napkins as the ideal absorbent. Regarding attitude towards menstruation, 55% of girls attributed menstruation as a debilitating event and 37.6% of them agreed that their periods resulted in no negative eff ect. When enquired about the menstrual practices 71.3% used sanitary napkins as absorbent material. Majority of the study participants had fair knowledge and practice about menstruation. Conclusion: The results of the present study highlights the fact that more eff orts should be made to create awareness about hygienic practices during menstrual period, especially in underserved areas like slums. Keywords: Adolescents, attitude, knowledge, menstrual hygiene, practice, slums","PeriodicalId":356195,"journal":{"name":"Journal of Basic and Clinical Reproductive Sciences","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115534295","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}
S. Bhattacherjee, S. Datta, J. Saha, M. Chakraborty
{"title":"Maternal Health Care Services Utilization in Tea Gardens of Darjeeling, India","authors":"S. Bhattacherjee, S. Datta, J. Saha, M. Chakraborty","doi":"10.4103/2278-960X.118645","DOIUrl":"https://doi.org/10.4103/2278-960X.118645","url":null,"abstract":"Background: Since independence, the Government of India has made great efforts to curb maternal mortality and morbidity by introducing various womenâoriented developmental programs. Despite this, India is still struggling with a high maternal mortality and morbidity, which is compounded by low utilization of maternal health care services. Aim: The study is aimed to find out the status of maternal health care services utilization and associated factors among recently delivered women in a block of Darjeeling district of West Bengal Subjects and Methods: A crossâsectional study was carried out among 953 recently delivered women residing in tea gardens of Darjeeling district of West Bengal. Utilization of maternal health care services including antenatal care during pregnancy, provision of safe delivery and postnatal care after delivery was assessed among them. The data were analyzed using SPSS version 16 (IL, Chicago, USA). Logistic regression analysis was done. P values less than 0.05 were considered as significant. Results: The utilization of full antenatal care was 48.6% (463/953), institutional delivery 73.5% (700/953) and adequate postnatal visit was 72.6% (692/953) among the study population. The important factors associated with low utilization of services were belonging to Islam, Scheduled tribe, lower socioâeconomic status, and lower literacy level of both the husband and wife. The major barrier towards utilization of these services was ignorance followed by distance to the health care center. Conclusion: The present study revealed low utilization of pregnancyârelated health care utilization among the study population; especially in case of antenatal care. The study can provide new insight for policy makers to devote resources for achieving the best possible quality of maternal and child health services.","PeriodicalId":356195,"journal":{"name":"Journal of Basic and Clinical Reproductive Sciences","volume":"6 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120996325","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}
{"title":"Cesarean Myomectomy Outcome in a Nigerian District Hospital","authors":"E. Alfred, G. Joy, Ocheche Uduak, U. Chidozie","doi":"10.4103/2278-960X.118655","DOIUrl":"https://doi.org/10.4103/2278-960X.118655","url":null,"abstract":"Background: Myomectomy is best planned and carried out when the uterus is not gravid, as this will increase the chance of a normal pregnancy with no complication attributable to the fibroid during pregnancy. However, in the developing parts of the globe, especially in Africa where uterine fibroid is most common. Although myomectomy during pregnancy is discouraged, there are situations when it becomes inevitable. Aim: The aim of the study was to analyze the outcome of 42 consecutive Cesarean myomectomy done under the supervision of a Sabbatical obstetrician and gynaecologist at a district hospital in Nigeria. Subjects and Methods: This was a prospective, descriptive study of all patients who underwent Cesarean Myomectomy between November 2011 and October 2012 in a Obio Cottage Hospital, Port Harcourt, Nigeria. Myomectomy done at the time of Cesarean section (CS). The main outcome measures were number, location, and size of the fibroids removed, intraoperative blood loss, intra and postâoperative complications, need for blood transfusion, and length of hospital stay. Data was entered into SPSS Vs 16 software and analysed. T-test was used to compare means and fishers exact test was carry out associations on non parametric data. Level of significance was set at P<0.05. Results: Four Hundred and Fourty Six womens were delivered by Cesarean section and 42 of these had Cesarean myomectomy. Between 1 and 23 uterine fibroids were removed from each patient. The biggest fibroid was 18 cm in diameter and it weighed 3.8 kg. The mean blood loss was 695.7 mls. (250-1600 mls). There were no significant intraâoperative complication and the mean length of hospitalization was 4.17 days (2.48). Three patients had one unit of blood transfusion while the fourth had seven. One patient had postoperative wound infection two weeks after discharge from the hospital. Conclusion: This series has added to the growing evidence of the safety of myomectomy during Cesarean section.","PeriodicalId":356195,"journal":{"name":"Journal of Basic and Clinical Reproductive Sciences","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116766104","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}