Journal of Obstetrics and Gynecology of India最新文献

{"title":"Bereavement Care After Stillbirth in Uttar Pradesh: A Qualitative Analysis of the Present Situation, Challenges, and Solutions.","authors":"Ayesha Ahmad, Suman Nishad, Uma Gupta, Narendra Kumar Gupta","doi":"10.1007/s13224-025-02221-6","DOIUrl":"10.1007/s13224-025-02221-6","url":null,"abstract":"<p><strong>Background: </strong>Bereavement care plays a crucial role in reducing the stress response in mothers who experience stillbirth. However, in India, the delivery of such care remains unregulated and inconsistent and lacks clear protocols and standards. The significant unmet need for bereavement care leads to dissatisfaction among both grieving mothers and caregivers. This study was conducted to assess existing bereavement care practices following stillbirth, identify the challenges faced by healthcare providers, and suggest possible solutions.</p><p><strong>Methods: </strong>The present study is a qualitative analysis using the medium of in-depth interviews. We used a semi-structured, validated questionnaire and audio-video recording of the interviews. The questions pertained to the existing practices, awareness, challenges faced by healthcare providers and suggestions for improvement at micro- and macrolevel.</p><p><strong>Results: </strong>Using purposive sampling, we conducted 31 in-depth interviews of doctors and nursing staff involved in caring for women with stillbirth. Most of the subjects demonstrated lack of bereavement care awareness, discomfort in caring due to professional inexperience and the absence of training. There is no provision for care and counseling of healthcare providers who themselves undergo psychological trauma and mental stress when caring for such women.</p><p><strong>Conclusion: </strong>Bereavement care after stillbirth is in its primitive stages in most of the care settings in India. Increasing awareness about stillbirth and bereavement care, making guidelines, conducting mandatory training for healthcare providers, and introducing \"Bereavement companionship\" model as a pilot project can provide initial steps toward betterment in care.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"76 3","pages":"258-263"},"PeriodicalIF":0.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347354","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}

{"title":"Van Wyk Grumbach Syndrome: Case of Hemoperitoneum with Multiple Ovarian Cysts in a Girl with Precocious Puberty.","authors":"Robbi Pravallika, Balamba Puranam, Bipin Kumar Sethi, T Pavani Reddy","doi":"10.1007/s13224-025-02190-w","DOIUrl":"10.1007/s13224-025-02190-w","url":null,"abstract":"","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"76 3","pages":"264-266"},"PeriodicalIF":0.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347247","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}

{"title":"Self-Reported Patient's Continuation Rate, Complications, and Content (3c's Study) with Levonorgestrel Intrauterine System (LNG-IUS) for Heavy Menstrual Bleeding.","authors":"Avantika Gupta, Neha Gangane, Bishnupriya Moharana, Minal Dhanvij, Medha Davile, Shuchita Mundle","doi":"10.1007/s13224-025-02152-2","DOIUrl":"10.1007/s13224-025-02152-2","url":null,"abstract":"<p><strong>Background: </strong>Heavy menstrual bleeding (HMB) affects up to one-third of women, who experience HMB at some point in their lifetime, which impacts a woman's quality of life, physically, emotionally, and socially. Aiming that treatment and management options should improve the quality of life, LNG-IUS, a hormonal device, is recommended by NICE as first-line treatment for non-structural causes of HMB, such as endometrial hyperplasia, small fibroids (3cm), or adenomyosis. Patient satisfaction is crucial, as it influences treatment adherence. We conducted our study with the primary objective to evaluate continuation rate, expulsion rate, and satisfaction rate after levonorgestrel-releasing intrauterine system (LNG-IUS) insertion for HMB, aiming to promote LNG-IUS use.</p><p><strong>Method: </strong>This retrospective cohort study included women who had LNG-IUS inserted for heavy menstrual bleeding between June 2021 and September 2022. Based on a 6% discontinuation rate for LNG-IUS, a 95% confidence level, and a 5% alpha error, the required sample size was 85. Accounting for a 15% loss to follow-up, the final sample size was 98.</p><p><strong>Results: </strong>The response was measured in all 92 women who underwent hysterectomy or expelled the device before complete follow-up. 80/92 (91.3%) were satisfied with the treatment and would recommend it to women with similar complaints. At 12-month follow-up, women had a significant increase in their mean haemoglobin values from the baseline value of 9.35 ± 2.25 gm/dL to 10.4 ± 1.4 gm/dL, and this led to improvement in symptoms of anaemia as well.</p><p><strong>Conclusion: </strong>LNG- IUS is highly effective in treating heavy menstrual bleeding without any major side effects; the success rate increases with good case selection. The results from the present study can be used to counsel patients with AUB.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"76 3","pages":"272-275"},"PeriodicalIF":0.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347272","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}

{"title":"Celebrating 75 Years of JOGI at 68th AICOG Delhi: Honouring a Legacy, Embracing the Future.","authors":"Sujata Dalvi","doi":"10.1007/s13224-026-02395-7","DOIUrl":"https://doi.org/10.1007/s13224-026-02395-7","url":null,"abstract":"","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"76 2","pages":"93-96"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13172201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965532","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}

{"title":"Preventing Fetal Sequelae: The Importance of Proactive Diagnosis of Parvovirus B19 in Pregnancy.","authors":"Fatemeh Golshahi, Behrokh Sahebdel, Nafiseh Saedi, Zahra Moradi, Mohammadamin Parsaei","doi":"10.1007/s13224-025-02175-9","DOIUrl":"https://doi.org/10.1007/s13224-025-02175-9","url":null,"abstract":"<p><p>Parvovirus B19 infection during pregnancy can result in vertical transmission in 17-33% of cases, potentially leading to severe complications such as fetal anemia or hydrops fetalis. Although intrauterine transfusion can improve survival in severe cases, delayed diagnosis often results in fetal loss. Due to nonspecific symptoms, missed diagnoses are likely underreported. This editorial strongly advocates for a broader assessment of all mothers presenting with flu-like symptoms, recent exposure to infected individuals, or suspicious ultrasound findings to facilitate earlier detection. Proactive maternal screening is crucial to improving outcomes and reducing fetal mortality associated with parvovirus B19 infection.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"76 2","pages":"181-183"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13172191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965600","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}

{"title":"Three-Port, Assistant-Port-Free Robotic Hysterectomy for a Large Adenomyotic Uterus with Multiple Fibroids: A Feasibility Case Report.","authors":"Gaurav S Desai, Pramila Kukral, Vidhee Panchal, Snehal Deshmukh","doi":"10.1007/s13224-025-02323-1","DOIUrl":"https://doi.org/10.1007/s13224-025-02323-1","url":null,"abstract":"<p><strong>Background: </strong>Large uteri with multiple fibroids or adenomyosis present significant challenges for minimally invasive surgery due to increased vascularity, distorted pelvic anatomy, and limited working space. While robotic platforms enhance precision through improved dexterity and vision, most surgeons still rely on an additional assistant port for suction, traction, and suture introduction. Reduced-port robotic hysterectomy aims to minimise abdominal incisions without compromising safety. Evidence for assistant-port-free approaches in complex pathology remains scarce.</p><p><strong>Aims: </strong>To describe the feasibility, safety, and technical nuances of a three-port, assistant-port-free robotic total hysterectomy with bilateral salpingo-oophorectomy for a large adenomyotic uterus with multiple fibroids using the da Vinci Xi robotic surgical system.</p><p><strong>Materials and methods: </strong>A 58-year-old woman presented with post-menopausal bleeding and imaging revealing diffuse adenomyosis with multiple large fibroids. A three-port robotic approach was performed without an accessory port. A V-type uterine manipulator was used. Key operative strategies included precise port spacing, early bilateral devascularisation, retrograde dissection of obscured vascular pedicles, and colpotomy-based suture introduction for vault closure. Outcomes assessed included operative time, blood loss, complications, and recovery.</p><p><strong>Conclusion: </strong>Assistant-port-free three-port robotic hysterectomy is feasible and safe for large benign uteri in experienced hands. Strategic port positioning, effective uterine manipulation, meticulous vascular control, and innovative colpotomy-assisted vault suturing enable elimination of the assistant port without compromising operative efficiency or safety. This technique may reduce abdominal morbidity and resource utilisation while preserving the ergonomic and precision advantages of robotic surgery. Further studies with larger cohorts are warranted to validate reproducibility and long-term outcomes.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"76 2","pages":"172-175"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13172145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965640","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}

{"title":"Carcinoma Hypopharynx in Pregnancy: A Multidisciplinary Team Triumph.","authors":"Stary Thomas, M Kusuma, Maimoona Ahmed, S Tarakeswari, V Hemamalini, Sunil T Pandya","doi":"10.1007/s13224-025-02153-1","DOIUrl":"https://doi.org/10.1007/s13224-025-02153-1","url":null,"abstract":"<p><p>Cancer complicates approximately 0.1% of all pregnancies. The incidence of cancer in pregnancy has increased, as many women are planning pregnancies at an older age. Cancers of breast, melanoma, hematologic, cervix/uterus and thyroid are the more common invasive cancers diagnosed in pregnancy. Head and neck cancers during pregnancy are uncommon. Also the symptoms are non-specific and commonly mimic the usual pregnancy symptoms such as hyperemesis and so tend to be missed. The management of head and neck cancers during pregnancy necessitates a deeper understanding of the effects of pregnancy on cancer and vice versa, and the effect of diagnostic and treatment modalities on pregnancy. A multidisciplinary approach is needed to enable parents and clinicians to make the best clinical decision. We present one such case of this rare carcinoma in pregnancy which presented with hyperemesis. A detailed workup revealed carcinoma hypopharynx which was successfully managed with a multidisciplinary team effort. Through this case, we want to emphasize the need to have a high index of suspicion for atypical symptoms in pregnancy and a low threshold for further investigations. Early diagnosis and appropriate management will result in positive maternal and fetal outcomes.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"76 2","pages":"161-164"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13172206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965450","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}

{"title":"Estimation of C-Reactive Protein At 11-13 Weeks as a Screening Test For Diagnosis of Gestational Diabetes Mellitus.","authors":"A Ankitha, Vijaya Manohar Revankar","doi":"10.1007/s13224-025-02209-2","DOIUrl":"https://doi.org/10.1007/s13224-025-02209-2","url":null,"abstract":"<p><strong>Background: </strong>To determine the relation between acute phase reactant like CRP inthe first trimester as a screening test for gestational diabetes mellitus.</p><p><strong>Methods: </strong>A prospective observational study was conducted between December 2020 to August 2022, which included healthy pregnant women who visited Lady Goschen hospital and Kasturba Medical college Attavar, Mangalore for their antenatal. Check-ups and counselling After obtaining informed consent, a detailed history and a physical examination was done to rule out all possible causes of the elevated CRP levels levels were measured by HS ELISA,and they were screened for gestational diabetes mellitus at 24-28 weeks. Association was tested between CRP positive patients and patients diagnosed with Gestational Diabetes Mellitus.</p><p><strong>Results: </strong>Out of 196 patients included in the study,55(27.3%) patients were diagnosed with GDM.Out of 55 patients,14 was found to be CRP positive. <i>P</i> value was. Found to be 0.000 which was statistically significant.</p><p><strong>Conclusion: </strong>In this study association was found between inflammation in first trimester which was detected by rise in the CRP and subsequent risk of development of GDM. It could be a useful test for prediction of GDM. Specificity was found to be higher but sensitivity was found to be low, hence it may not be an ideal screening test.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"76 2","pages":"154-160"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13172231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965499","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}

{"title":"Clinicoradiological and Histopathological Correlation of Placenta Accreta Spectrum (PAS).","authors":"Swati Agrawal, Vineeta Gupta, Arti Sharma, Anjali Choudhary, Brijesh Thakur, Manali Thakker","doi":"10.1007/s13224-025-02200-x","DOIUrl":"https://doi.org/10.1007/s13224-025-02200-x","url":null,"abstract":"<p><strong>Background: </strong>Placenta accreta spectrum (PAS) is a major cause of pregnancy-related mortality and morbidity in developed countries. To diagnose placenta accreta, high diagnostic consideration and good radiological examination is crucial. Intraoperative finding and histopathological examination confirm the diagnosis made clinically. So we have conducted the present study aiming to do correlation of clinical and radiological findings and histological examination of peripartum hysterectomy specimen of PAS patients.</p><p><strong>Methodology: </strong>It is ambispective observational study, done at our institute from January 2021 to December 2024, after ethical clearance. All patients of suspected PAS who were managed surgically with hysterectomy are included. Data collected and correlated with clinical and radiological and histopathological reports.</p><p><strong>Results: </strong>Data were collected and analysed for 43 women. All 43 women have h/o scarred uterus with placenta previa, intraoperatively positive finding was found in more than 80% of women (large vessels at lower segment-86%, bulge at lower segment-72%, bladder invasion-12%, broad ligament invasion-5%). Ultrasonography (USG) diagnosed or suspected PAS in 79%, in 21% women, PAS was ruled out by USG (false negative). Magnetic resonance imaging (MRI) report was s/o PAS in 100% women (True Positive). All 43 women were diagnosed with adhered placenta histopathologically, in 34 women Placenta accreta (79%), 5 Placenta increta (12%), and 4 women Placenta percreta (9%) was detected.</p><p><strong>Conclusion: </strong>Any pregnant women with history of scarred uterus or previous caesarean section (LSCS) and placenta previa should be evaluated for PAS by USG and MRI and should be managed in tertiary centre. Also the degree of invasion can vary and may be missed in imaging. So intraoperative finding and histopathological examination are critical for final diagnosis.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"76 2","pages":"132-137"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13172064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965448","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}

{"title":"Topical tranexamic acid on episiotomy site for reducing postpartum hemorrhage: a double-blinded controlled trial.","authors":"Maliheh Fakehi, Monirossadat Pestehe, Saeedeh Shirdel, Parisa Rafieirad, Sheyda Sheli, Farnaz Ghaffari, Ramin Khanmohammad, Marjan Ghaemi, Maryam Mazloomi","doi":"10.1007/s13224-025-02168-8","DOIUrl":"https://doi.org/10.1007/s13224-025-02168-8","url":null,"abstract":"<p><strong>Objective: </strong>Episiotomy is a common obstetric procedure that can facilitate vaginal delivery. Despite its widespread use, it can cause complications such as an increase in postpartum hemorrhage, wound infection, and dehiscence. While tranexamic acid (TXA) has been shown to reduce surgical site bleeding and postpartum hemorrhage, the effect of topical TXA application on decreasing episiotomy bleeding remains unexplored. This study aims to evaluate the efficacy of topical TXA in reducing postpartum bleeding.</p><p><strong>Method: </strong>This double-blinded, controlled trial was conducted among 100 nulliparous pregnant women undergoing vaginal delivery. Participants were randomly divided into an intervention group, which received 1 g of TXA in 20 cc of normal saline topically on the episiotomy site, or a control group, which received 20 cc of normal saline as a placebo. Outcomes were measured based on changes in heart rate, systolic blood pressure, diastolic blood pressure, hemoglobin and hematocrit levels, postpartum hemorrhage, and wound healing complications, with the aim of comparing the amount of postpartum bleeding.</p><p><strong>Result: </strong>There were no statistically significant differences between topical TXA and placebo recipients regarding maternal and pregnancy variables, including age, body mass index, gestational age, newborn weight, use of vacuum assistance, augmentation of labor, medical conditions, postpartum bleeding, changes in heart rate, blood pressure, hemoglobin and hematocrit levels, episiotomy site infection, and wound dehiscence.</p><p><strong>Conclusion: </strong>The topical application of TXA on the episiotomy site did not significantly reduce postpartum bleeding. Further studies with larger sample sizes and higher doses may provide more conclusive results.</p>","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"76 2","pages":"147-153"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13172241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965605","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}