Journal of Obstetrics and Gynecology of India最新文献_第10页

Clinical Outcome in Patient Undergoing LSCS via ERAS Pathway versus Traditional Pathway: A Prospective Observational Study. 通过 ERAS 途径与传统途径进行 LSCS 患者的临床结果对比：前瞻性观察研究

IF 0.7

Journal of Obstetrics and Gynecology of India Pub Date : 2023-06-01 Epub Date: 2022-12-08 DOI: 10.1007/s13224-022-01732-w

Bhamini Jakhetiya, Paulomi Chavda Dhakre, Divya Chaudhary, Arun Gupta

{"title":"Clinical Outcome in Patient Undergoing LSCS via ERAS Pathway versus Traditional Pathway: A Prospective Observational Study.","authors":"Bhamini Jakhetiya, Paulomi Chavda Dhakre, Divya Chaudhary, Arun Gupta","doi":"10.1007/s13224-022-01732-w","DOIUrl":"10.1007/s13224-022-01732-w","url":null,"abstract":"Introduction: ERAS is an evidence-based management protocol for perioperative care, to accelerate patient recovery. The field of obstetrics has been a late adapter of ERAS pathway for CS, and the literature is limited from Indian population.Material and methods: This prospective non-randomized comparative clinical study was conducted on 190 pregnant patients, out of which 95 were subjected to ERAS protocol (Group 1) and remaining 95 cases were enrolled in existing traditional protocol (Group 2). The primary objective was to compare quality of recovery based on obstetric-specific QoR 11 questionnaire between patients undergoing ERAC and traditional protocol for elective LSCS. Secondary objective was to compare perioperative bleeding, breast feeding initiation and difficulties, first oral intake, ambulation attempts, decatheterization, surgical site infection and length of hospital stay.Results: At 24 h postoperatively, mean QoR score was significantly higher for patients in the ERAC group (85.5 ± 7.46 vs 57.1 ± 11.33, p value < 0.01). In the ERAC group, 50.5% of the mothers started breastfeeding within first hour. The mean duration to start oral intake postoperatively was significantly lower in ERAC group. In the ERAC group, ambulation and decatheterization were attempted within 6 h postoperatively in 86.3%. The mean length of hospital stay was significantly lower for patients in the ERAC group (68.8 ± 1.9 vs 105.4 ± 25.7 h, p value < 0.001).Conclusion: The use of ERAC protocol at cesarean delivery significantly improves quality of recovery and length of hospital stay.","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"73 3","pages":"214-222"},"PeriodicalIF":0.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10267063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9660001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of Tibolone in Relieving Postmenopausal Symptoms for a Short-Term Period in Indian Women. 替勃龙短期缓解印度妇女绝经后症状的疗效。

IF 0.7

Journal of Obstetrics and Gynecology of India Pub Date : 2023-06-01 Epub Date: 2022-12-11 DOI: 10.1007/s13224-022-01727-7

Renuka Malik, P Meghana Reddy

{"title":"Effectiveness of Tibolone in Relieving Postmenopausal Symptoms for a Short-Term Period in Indian Women.","authors":"Renuka Malik, P Meghana Reddy","doi":"10.1007/s13224-022-01727-7","DOIUrl":"10.1007/s13224-022-01727-7","url":null,"abstract":"Background: Tibolone is an alternative to conventional estrogen and progesterone in relieving post-menopausal symptoms in Indian women.Material and methods: A prospective short-term observational study was done at a tertiary care teaching hospital in New Delhi from November 2019 to September 2021. Fifty-three women, less than 60 years of age, presenting with moderate to severe intensity of menopausal symptoms as assessed by measuring menopausal rating score (MRS > 8) were enrolled and given Tibolone 2.5 mg daily for 3 months. Improvements in symptoms were seen at 1 month and 3 months. Side effects were also noted.Results: Marked improvement was seen as reduction in scores of psychological, somatic and genitourinary symptoms was noted. The psychological symptoms reduced from 8.92 ± 1.959 to 2.905 ± 1.042, the somatic symptoms decreased from 8.33 ± 2.299 to 3.4 ± 1.167, and genitourinary symptoms decreased from 3.64 ± 1.42 to 2.150 ± 0.948 after 3 months of treatment with Tibolone. Only 3 patients (5.6%) experienced vaginal spotting with no major side effects.Conclusions: Tibolone is a highly effective and well accepted drug to reduce moderate to severe menopausal symptoms, especially psychological symptoms including depression.","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"73 3","pages":"242-247"},"PeriodicalIF":0.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9741860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9701270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dermoscopy and Light Microscopy as an Aid to the Diagnosis of the Most Common Genital Parasitoses. 皮肤镜和光学显微镜辅助诊断最常见的生殖器寄生虫。

IF 0.7

Journal of Obstetrics and Gynecology of India Pub Date : 2023-06-01 Epub Date: 2022-11-22 DOI: 10.1007/s13224-022-01725-9

C Fidanzi, A Janowska

引用次数: 0

Thrombosed Arteriovenous Malformation of Umbilical Cord. 脐带血栓性动静脉畸形。

IF 0.7

Journal of Obstetrics and Gynecology of India Pub Date : 2023-06-01 Epub Date: 2022-05-25 DOI: 10.1007/s13224-022-01635-w

Gianluca Raffaello Damiani, Francesca Arezzo, Antonella Vimercati, Gregorio Del Boca, Anna Biffi, Maria Gaetani, Ettore Cicinelli

引用次数: 0

National Medical Council: Important Information for the Clinician. 国家医学委员会：临床医生的重要信息。

IF 0.7

Journal of Obstetrics and Gynecology of India Pub Date : 2023-06-01 Epub Date: 2023-06-09 DOI: 10.1007/s13224-023-01771-x

Geetha Balsarkar

引用次数: 0

Comparison of HPV 16/18 Genotyping and p16/Ki67 Dual Staining for Detection of High-Grade Cervical Lesion in Patients with Low-Grade Cervical Smears. HPV16/18基因分型和p16/Ki67双染色检测低级别宫颈涂片患者高级别宫颈病变的比较。

IF 0.7

Journal of Obstetrics and Gynecology of India Pub Date : 2023-06-01 Epub Date: 2023-01-09 DOI: 10.1007/s13224-022-01731-x

Saloni Chadha, Gauri Gandhi, Suresh T Hedau, Ruchika Gupta

{"title":"Comparison of HPV 16/18 Genotyping and p16/Ki67 Dual Staining for Detection of High-Grade Cervical Lesion in Patients with Low-Grade Cervical Smears.","authors":"Saloni Chadha, Gauri Gandhi, Suresh T Hedau, Ruchika Gupta","doi":"10.1007/s13224-022-01731-x","DOIUrl":"10.1007/s13224-022-01731-x","url":null,"abstract":"Objective: To triage low-grade cervical smears (ASCUS/LSIL) by HPV 16/18 genotyping and dual staining with p16/Ki67 and to compare the sensitivity and specificity of these two triage methods for detection of high-grade cervical intraepithelial neoplasia (HGCIN).Methods: In this prospective cross-sectional study, we evaluated a total of 89 women with low-grade smears (54 ASCUS, 35 LSIL) recruited from a tertiary care hospital. All patients underwent colposcopy guided cervical biopsy. Histopathology was used as gold standard. All samples were subjected to HPV 16/18 genotyping (excluding 9) using DNA PCR and p16/Ki67 dual staining (excluding 4) using Roche® kit. We then compared the two triage methods to detect high-grade cervical lesions.Results: Overall, in all low-grade smears sensitivity, specificity and accuracy of HPV 16/18 genotyping, was found to be 66.7%, 77.1% and 76.2% respectively (p = 0.03). In low-grade smears sensitivity, specificity and accuracy of dual staining, was found to be 66.7%, 84.8% and 83.5% respectively (p = 0.01).Conclusions: Overall, in all low-grade smears the sensitivity of the two tests was comparable. However, dual staining had a higher specificity and accuracy than HPV 16/18 genotyping. It was concluded that both are effective triage methods but dual staining had a better performance than HPV 16/18 genotyping.","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"73 3","pages":"248-253"},"PeriodicalIF":0.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10267056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9647613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association of Serum Ferritin Level in Early Second Trimester of Pregnancy with Development of Gestational Diabetes Mellitus: A Prospective Observational Study. 妊娠早期中期血清铁蛋白水平与妊娠期糖尿病发展的相关性：一项前瞻性观察研究。

IF 0.7

Journal of Obstetrics and Gynecology of India Pub Date : 2023-06-01 Epub Date: 2023-01-31 DOI: 10.1007/s13224-022-01736-6

Ruchi Pandey, Urmila Singh, Vandana Solanki, Seema Mehrotra

{"title":"Association of Serum Ferritin Level in Early Second Trimester of Pregnancy with Development of Gestational Diabetes Mellitus: A Prospective Observational Study.","authors":"Ruchi Pandey, Urmila Singh, Vandana Solanki, Seema Mehrotra","doi":"10.1007/s13224-022-01736-6","DOIUrl":"10.1007/s13224-022-01736-6","url":null,"abstract":"Background: Gestational diabetes mellitus (GDM) is associated with various maternal and perinatal morbidities. Serum ferritin is a major storage protein of iron and also acts as acute phase reactant which is increased in inflammatory conditions. GDM is a state of insulin resistance and associated with inflammation. The aim of this study was to find the correlation between serum ferritin and development of GDM.Objectives: To determine the serum ferritin concentration in nonanemic pregnant women and its correlation with subsequent development of GDM.Methodology: In this prospective observational study, 302 nonanemic pregnant women with singleton gestation between 14 and 20 weeks, attending antenatal OPD, were enrolled. Serum ferritin was measured at the time of enrolment, and they were followed till 24-28 weeks of gestation and subjected to blood glucose test by DIPSI method. A total of 92 women had blood glucose level ≥ 140 mg/dl and were labeled as GDM, and 210 pregnant women with blood glucose level < 140 mg/dl were labeled as non-GDM.Result: Mean serum ferritin level of women with GDM (56.44 ± 19.19 ng/ml) was found to be higher as compared to non-GDM (27.62 ± 12.11 ng/ml), and this difference was found to be statistically significant (p < 0.001). The cutoff value of serum ferritin > 37.55 ng/ml was found to be 85.9% sensitive and 81.9% specific.Conclusion: We can infer that serum ferritin is associated with development of GDM. Based on the findings of the current study, serum ferritin level can be used a predictive marker for the development of GDM.","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"73 3","pages":"235-241"},"PeriodicalIF":0.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10267043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9653953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reproductive Concerns Among Women with Disability: A Host of Opportunities for Reproductive Health Care Professionals. 残疾妇女的生殖问题：生殖保健专业人员的许多机会。

IF 0.7

Journal of Obstetrics and Gynecology of India Pub Date : 2023-06-01 Epub Date: 2023-05-25 DOI: 10.1007/s13224-023-01761-z

Madhva Prasad

引用次数: 0

Cervical Amoebiasis Mimicking Cancer Cervix. 宫颈阿米巴病模仿宫颈癌。

IF 0.7

Journal of Obstetrics and Gynecology of India Pub Date : 2023-06-01 Epub Date: 2022-12-08 DOI: 10.1007/s13224-022-01675-2

Sarada Mamilla, Vijaykumar Agarwal, Shreeya Indulkar, Tejaswi Vuta

引用次数: 0

Correction to: Postpartum Collapse Subsequent to Catatonia in a Female with COVID-19 Infection: A Rare Entity Visited. 更正：一名感染新冠肺炎的女性在患卡塔尼亚后产后塌陷：一个罕见的实体就诊。

IF 0.7

Journal of Obstetrics and Gynecology of India Pub Date : 2023-04-29 DOI: 10.1007/s13224-023-01756-w

Bharti Joshi, Swapnajeet Sahoo, G R V Prasad, Vanita Suri, Varun Mahajan, Sandeep Grover, Rinnie Brar, Seema Chopra

引用次数: 0