Journal of Obstetrics and Gynecology of India最新文献_第4页

Safety and Efficacy of Cervical Ripening and Induction of Labor Using Prostaglandin E1 in Primiparas, Multiparas and Grand Multiparas. 在初产妇、多产妇和大龄多产妇中使用前列腺素 E1 进行宫颈成熟和引产的安全性和有效性。

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Journal of Obstetrics and Gynecology of India Pub Date : 2023-12-01 Epub Date: 2023-11-15 DOI: 10.1007/s13224-023-01847-8

Lior Kashani-Ligumsky, Asaf Bilgory, Ran Neiger

{"title":"Safety and Efficacy of Cervical Ripening and Induction of Labor Using Prostaglandin E1 in Primiparas, Multiparas and Grand Multiparas.","authors":"Lior Kashani-Ligumsky, Asaf Bilgory, Ran Neiger","doi":"10.1007/s13224-023-01847-8","DOIUrl":"10.1007/s13224-023-01847-8","url":null,"abstract":"Objective: To compare the efficacy and safety of cervical ripening and induction of labor with prostaglandin E1 among primiparas, multiparas and grand multiparas.Study design: This was a retrospective cohort study.Results: Between January and December 2017, 1713 women underwent cervical ripening and induction of labor with prostaglandin E1: 523 were primiparas, 656 were multiparas, and 534 were grand multiparas. Four hundred and seventy-nine (91.6%) primiparas delivered vaginally as did 640 (97.6%) multiparas and 521 (97.6%) grand multiparas. Forty-four (8.4%) primiparas underwent cesarean delivery compared to 16 (2.4%) multiparas and 13(2.4%) grand multiparas. Induction to delivery interval was significantly longer in primiparas (29.7 ± 22.8 h). There were no cases of uterine rupture, and the rates of postpartum hemorrhage and endometritis were similar among the three groups. Neonatal outcomes including Apgar score < 7 and umbilical artery pH < 7.1 were not significantly different between the groups.Conclusion: Using prostaglandin E1 for cervical ripening and labor induction is efficient and safe in primiparas, multiparas and grand multiparas.","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"73 Suppl 2","pages":"222-226"},"PeriodicalIF":0.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10746616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032877","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

Furcate and Velamentous Cord Insertion: Prenatal Ultrasound. 分叉和Velamentus脐带插入术：产前超声检查。

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Journal of Obstetrics and Gynecology of India Pub Date : 2023-10-01 Epub Date: 2023-06-08 DOI: 10.1007/s13224-023-01760-0

Nupur Shah

引用次数: 0

Novel Hystero-laparoscopic Technique for LNG-IUD Fixation in Women with High Risk of Expulsion and Desiring to Save the Uterus. 新型宫腔镜-腹腔镜技术用于LNG-IUD固定术，适用于驱逐和渴望挽救子宫的高危女性。

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Journal of Obstetrics and Gynecology of India Pub Date : 2023-10-01 Epub Date: 2023-06-19 DOI: 10.1007/s13224-023-01788-2

B Ramesh, M S Madhuri, Kiran R Konda, Prajwala S Aradhya, B Jalajakshi

引用次数: 0

Pregnancy Outcome in Bernard-Soulier Syndrome. Bernard-Soulier综合征的妊娠结局。

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Journal of Obstetrics and Gynecology of India Pub Date : 2023-10-01 Epub Date: 2023-03-17 DOI: 10.1007/s13224-023-01745-z

Vignesh Durai, Sathiyapriya Subburaj, Murali Subbaiah

引用次数: 0

Association of Cerebroplacental Ratio by Colour Doppler with Perinatal Outcome in Near Term and Term Foetuses. 彩色多普勒检测的脑胎盘比率与近期和足月胎儿围产期结局的关系。

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Journal of Obstetrics and Gynecology of India Pub Date : 2023-10-01 Epub Date: 2023-09-21 DOI: 10.1007/s13224-023-01823-2

Vishakha Dhurvey, Purnima R Satoskar

引用次数: 0

Circulatory Maternal Endothelin 1 and Matrix Metalloproteinase-9 Gene Expression in PREECLAMPSIA: A Study in Western Uttar Pradesh, India. 循环母体内皮素1和基质金属蛋白酶-9基因在先兆子痫中的表达：印度北方邦西部的一项研究。

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Journal of Obstetrics and Gynecology of India Pub Date : 2023-10-01 Epub Date: 2022-11-28 DOI: 10.1007/s13224-022-01720-0

Ravoori Saideswar Rao, Preeti Sharma, Mamta Padhy, Ritu Sharma, Rakesh Gupta, Jayashree Bhatacharjee, Manisha Singh

{"title":"Circulatory Maternal Endothelin 1 and Matrix Metalloproteinase-9 Gene Expression in PREECLAMPSIA: A Study in Western Uttar Pradesh, India.","authors":"Ravoori Saideswar Rao, Preeti Sharma, Mamta Padhy, Ritu Sharma, Rakesh Gupta, Jayashree Bhatacharjee, Manisha Singh","doi":"10.1007/s13224-022-01720-0","DOIUrl":"10.1007/s13224-022-01720-0","url":null,"abstract":"Introduction: Preeclampsia (PE) is a multiorgan disease of pregnant women. The main pathophysiology of PE is a trophoblastic invasion into maternal circulation leading to alterations in circulatory levels of matrix metalloproteinases (MMPs), inflammatory markers, and endothelin 1(ET1) levels. Therefore, the present study has explored the role of MMP-9 and ET1 and their association in PE. The advantage of the study is to provide insight into the pathology of PE. These markers may help in the early diagnosis and prognosis of PE.Objective: To investigate MMP-9 gene expression, ET1 level in PE cases and their correlation with blood pressure (BP), gestational age, weight, and height.Methods: The study design was a case-control observational study, which included 70 subjects in each case (PE) and controls (normal pregnant women (NPW)). Whole blood (250 ul) was utilized for RNA extraction (Trizol method) and synthesized cDNA as per manufacturer protocol. MMP-9 gene expression was analyzed by real-time PCR. Serum was utilized for ET1 estimation by sandwich ELISA.Results: The ET1 levels and MMP-9 gene expression were significantly increased in preeclamptic women as compared to controls. There was no significant correlation between MMP-9 gene expression and serum ET1 levels. However, a significant moderate association between systolic BP and diastolic BP with ET1 levels and MMP9 gene expression was seen in both PE and NPW.Conclusion: A significantly increased circulatory concentration of ET1 and MMP-9 gene expression in PE might be used as an early diagnostic as well as a prognostic marker of PE.","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"73 Suppl 1","pages":"97-102"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10616056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429031","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

Mode of Delivery and Postpartum Depression: A Cohort Study. 分娩方式与产后抑郁：一项队列研究。

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Journal of Obstetrics and Gynecology of India Pub Date : 2023-10-01 Epub Date: 2023-08-16 DOI: 10.1007/s13224-023-01810-7

Pratima Agarwal, Papa Dasari, Sonali Sarkar

{"title":"Mode of Delivery and Postpartum Depression: A Cohort Study.","authors":"Pratima Agarwal, Papa Dasari, Sonali Sarkar","doi":"10.1007/s13224-023-01810-7","DOIUrl":"10.1007/s13224-023-01810-7","url":null,"abstract":"Background: There are many established risk factors for postpartum depression (PPD). It is controversial whether the mode of delivery is associated with PPD. This prospective study assessed the prevalence of PPD among women who delivered normally versus cesarean section and the association between sociodemographic factors and clinical factors with PPD.Materials and methods: This prospective cohort study was conducted in the Department of Obstetrics and Gynecology, JIPMER Hospital Puducherry, from July 2019 to June 2020. Women without high risk factors for PPD were included. The sample size was 121 in the normal delivery (ND) group and 121 in the cesarean section (CS) group. PPD screening was conducted within one week of delivery and again after six weeks of delivery using a validated Tamil or English version of the Edinburgh Postnatal Depression Scale (EPDS). A score of EPDS score ≥ 13 was considered positive for PPD. Univariate and multivariable analysis was done to find out the association.Results: The overall prevalence of PPD was 27.27%. The prevalence of PPD was higher in the CS (34.71%) than in the ND group (19.83%). PPD was found 2.1 times (OR-2.1, CI 1.2-3.8) in the CS group within one week and 2.5 times (RR-2.5, CI 1.5-3.9) at six weeks of delivery, respectively. Among the social factors, a history of domestic abuse or violence was found to be significantly associated with PPD by both univariate and multivariable analysis.Conclusion: PPD was twice higher among women in the CS than in the ND group. Domestic abuse or violence was very highly significantly associated with PPD.","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"73 Suppl 1","pages":"88-96"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10616037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429042","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

Management of Isolated Umbilical Endometriosis in a Resource Limited Country: Two Cases and Review of the Literature. 在资源有限的国家治疗孤立性脐带子宫内膜异位症：两例并文献复习。

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Journal of Obstetrics and Gynecology of India Pub Date : 2023-10-01 Epub Date: 2023-05-04 DOI: 10.1007/s13224-023-01742-2

Dehi Boston Mian, Vedi Loue, Alexis Yao, N'guessan Koffi, Boni Serge

引用次数: 0

Performance of HDP-Gestosis Score and Ophthalmic Artery Doppler in Prediction of Pre-eclampsia. HDP手势评分和眼动脉多普勒在先兆子痫预测中的作用。

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Journal of Obstetrics and Gynecology of India Pub Date : 2023-10-01 Epub Date: 2023-07-21 DOI: 10.1007/s13224-023-01799-z

Pooja Shah, Nandita Maitra, Palak Vaishnav, Jinal Dhruv, Twinkle Sara Shyam, Priyam Pandya

{"title":"Performance of HDP-Gestosis Score and Ophthalmic Artery Doppler in Prediction of Pre-eclampsia.","authors":"Pooja Shah, Nandita Maitra, Palak Vaishnav, Jinal Dhruv, Twinkle Sara Shyam, Priyam Pandya","doi":"10.1007/s13224-023-01799-z","DOIUrl":"10.1007/s13224-023-01799-z","url":null,"abstract":"Purpose of study: To study the predictive accuracy of maternal characteristics, mean arterial pressure, uterine artery doppler and maternal ophthalmic artery doppler in second trimester for subsequent development of pre-eclampsia.Methods: A prospective cohort study of 440 women at 19-24 weeks' gestation. It included recording of maternal demographic characteristics and calculation of HDP Gestosis Score, measurement of MAP and ultrasound evaluation for fetal anatomy, Uterine artery doppler and maternal ophthalmic artery doppler. The mean Peak Systolic Velocity ratio was obtained by taking two sets of reading from both eyes. The statistical analysis was done using independent t-test for quantitative variables and chi-square test, Fisher's exact test for qualitative variables and Area Under Curve was obtained at 10% False Positive Rate.Results: Among 440 pregnant women, 43(10.8%) developed Hypertensive Disorder of Pregnancy (8 early onset PE, 16 late onset PE and 19 GHTN) and 42 were lost to follow up, with an incidence rate of 10.8%. Combination of Gestosis Score + OAD PSV Ratio had highest AUC of 0.73. Whereas combination of Gestosis Score + MAP + UtAPI + OAD-PSV Ratio had highest sensitivity of 97.67%. The OAD PSV ratio improved detection rate of Gestosis Score (from 90 to 100%) for prediction of development of PE, especially Preterm PE at 10% FPR.Conclusion: Maternal Ophthalmic artery doppler study significantly improved prediction of development of PE at 19-24 weeks' gestation, both independently as well as in combination with HDP-Gestosis Score, MAP and uterine artery doppler.","PeriodicalId":51563,"journal":{"name":"Journal of Obstetrics and Gynecology of India","volume":"73 Suppl 1","pages":"43-50"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10616013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429044","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

Retrospective Analysis of Hyperemesis Gravidarum and Its Psychological Impact during Hospital Admission. 妊娠呕吐的回顾性分析及其住院期间的心理影响。

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Journal of Obstetrics and Gynecology of India Pub Date : 2023-10-01 Epub Date: 2023-06-30 DOI: 10.1007/s13224-023-01787-3

Rania Gamal Anwar El-Skaan, Rehab Mohamed Abdelrahman, Ahmed Mohamed Abdelhamed Hassan

引用次数: 0