Journal of SAFOG最新文献

{"title":"Cervical Cytology Abnormalities and their Clinical Correlates of Women Attending a Tertiary Health Institution in a Tribal Area of Jharkhand, India","authors":"Vineeta Singh, Manish Raj, Priyanka Rai, Shiksha Singh, Vinayagamoorthy Venugopal, Nishi Sharma","doi":"10.5005/jp-journals-10006-2255","DOIUrl":"https://doi.org/10.5005/jp-journals-10006-2255","url":null,"abstract":"Background: The second most common malignant tumor in developing countries including India is cervical cancer. Lack of awareness, asymptomatic nature of the disease, and poor health-seeking results in delayed diagnosis and bad prognosis. The present study aims to estimate cervical cytological abnormalities in women of the largest tribal part of India. Materials and methods: About 280 women from six districts of Santhal Pargana (the largest tribal area of India) were given a Papanicolaou smear test from August to October 2022 in AIIMS Deoghar to find an infection, cervical lesions, and reactive changes. Data on the sociodemographic and reproductive characteristics of the study population was collected through a structured questionnaire. Information, education and communication (IEC) clearance was obtained. The collected data have been analyzed through statistical package for social studies (SPSS). Results: The study results show the presence of abnormal cervical cytology to be 9.3% of the study population. Out of 280 participants, 23 (8.2%) showed normal cytology and 232 (82.9%) were inflammatory. A diagnosis of atypical squamous cells of undetermined significance (ASC-US) was present in 18 (6.4%) cases, atypical glandular cells (AGC) in 3 (1.1%), and 5 (1.8%) patients had a low-grade squamous intraepithelial lesion (LSIL) exhibiting koilocytic atypia. White discharge per vagina and poor hygiene were associated significantly with abnormal cervical cytology. Conclusion: Abnormal cytology was found in 9.3% of the participants and a history of white discharge per vagina and poor hygiene were significantly associated. Regular screening and educating them on clinical features and hygiene helps to prevent cancer of the cervix among them.","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"11 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135928262","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":"Study of Cervical Consistency Index and Cervical Length during Mid-trimester for the Prediction of Spontaneous Preterm Labor in Low-risk Pregnancies","authors":"Sunil Kumar Samal, Setu Rathod, R Sowmiya","doi":"10.5005/jp-journals-10006-2141","DOIUrl":"https://doi.org/10.5005/jp-journals-10006-2141","url":null,"abstract":"","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"178 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135928119","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":"Progesterone Support as a Cause for Early Intrahepatic Cholestasis of Pregnancy: A Case Series","authors":"Madhva Prasad, Kanika Ranjan, T Soumyashree, Pallavi Nair, Madaka Sukanthi Mounika","doi":"10.5005/jp-journals-10006-2322","DOIUrl":"https://doi.org/10.5005/jp-journals-10006-2322","url":null,"abstract":"","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135928243","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":"Uterine Fibroids Association with Pregnancy-induced Hypertension: A Case Report","authors":"Ruchika Garg, Sana Ismail","doi":"10.5005/jp-journals-10006-2264","DOIUrl":"https://doi.org/10.5005/jp-journals-10006-2264","url":null,"abstract":"","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"58 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135929117","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":"A Report of Three Cases of Vulvovaginal Cyst: Difficult Diagnosis to Successful Treatment with Review of Literature","authors":"Jaspreet Kaur, Venus Bansal, Ananta Kanwar","doi":"10.5005/jp-journals-10006-2307","DOIUrl":"https://doi.org/10.5005/jp-journals-10006-2307","url":null,"abstract":"A bstrAct Aim: To identify different causes of vulvovaginal swelling and step-by-step identification and management options. Background: Vulvovaginal cysts may start as asymptomatic cysts but may enlarge to big sizes and varied histopathology, needing immediate as well as long-term medical attention. We have reviewed three cases of vulvovaginal cysts with unusual presentations. Case description: The first case presented was a giant dumbbell-shaped Bartholin cyst presenting as a labial cyst. The second case with a provisional diagnosis of Bartholin’s cyst came out to be aggressive angiomyxoma on immune histopathology. The third case presented with pus in the urine, occasionally painful urination, and a vaginal cyst which turned out to be a urethral diverticulum on cystoscopy. Conclusion: A meticulous clinical history and examination of the patient supported by a few investigations help a gynecologist to formulate a plan of management to deliver the desired results to the patient. Clinical significance: The most important clinical parameter for the vulvovaginal cyst is the site of occurrence. Later differential diagnosis is made, and investigation and treatment (surgical or medical) are planned according to the suggested approaches and ideas mentioned in the paper. Management protocols can be as straightforward as cystectomy or may require a multiprong, multidisciplinary approach and multiple sitting.","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135928412","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":"Wernicke's Encephalopathy: A Rare Complication of Hyperemesis Gravidarum","authors":"Sandhya Pajai, Krutika Vivek Bhalerao","doi":"10.5005/jp-journals-10006-2095","DOIUrl":"https://doi.org/10.5005/jp-journals-10006-2095","url":null,"abstract":"","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"133 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135928420","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":"A Real-world Prospective Study to Evaluate the Geographical Distribution, Isoimmunization Rate, and Utilization of Prophylactic Treatment of Rh-negative Pregnant Women in India (RhYTHM Study)","authors":"Ashwin Rao, Pratik Shah, Supriya Hiraman Pawar, Shilpa Nandakumar Naik, Tumati Sivjyothi, Ashwin Kakkar","doi":"10.5005/jp-journals-10006-2304","DOIUrl":"https://doi.org/10.5005/jp-journals-10006-2304","url":null,"abstract":"Aim and background: There is a lack of comprehensive and recent data on rhesus (Rh)-negative pregnancies in India. The aim of this study is to examine the demographics, isoimmunization status, usage of prophylactic treatment, and complications associated with Rh-negative pregnancies in India. Materials and methods: This is an interim analysis of an ongoing real-world observational study targeting the recruitment of 20,000 Rh-negative pregnant women throughout India. This article presents data from 1,421 participants who were followed prospectively for 3 months. Participants’ demographics, obstetrics history, usage of prophylactic treatment, and pregnancy-related complications were recorded. Data were analyzed using descriptive statistics for all the outcome variables. Results: The maximum number of participants belonged to the West region (47.4%). The mean gestational age of the participants was 37.7 weeks. There was an equal representation of primigravida and multigravida participants in the study population. The available indirect Coombs test data showed that most of the participants (116 of 125) were negative for circulating antiglobulin in the current pregnancy. However, isoimmunization during the current pregnancy occurred in 9 participants (9 of 125; 7.2%). Overall, 25.7% of the participants received anti-D prophylaxis during their current pregnancy. Conclusion: This real-world evidence study demonstrates that most Rh-negative women carrying Rh-positive fetus are at risk of becoming sensitized to the Rh antigen. Despite the availability of prophylactic treatment, there are women who are getting sensitized. Hence, there is a need to create awareness among the Indian population about the Rh-disease-associated risks and available preventive measures to reduce the mortality rates. Clinical significance: Anti-D prophylaxis is the most effective method to prevent sensitization in Rh-negative pregnant women. Anti-Rh (O) D immunoglobulin is a must administered drug both in antenatal and postnatal phases of pregnancy to prevent Rh-negative pregnant women from getting sensitized. Thus, further reducing the burden of Rh-sensitization in India and having healthy motherhood.","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"12 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135929103","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":"Association between Mean Platelet Volume and Gestational Diabetes Mellitus: A Case Control Study","authors":"Suhani Chandra, Shraddha Shetty","doi":"10.5005/jp-journals-10006-2289","DOIUrl":"https://doi.org/10.5005/jp-journals-10006-2289","url":null,"abstract":"","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135928935","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":"Vaginal Bacteriological Pattern in Women with and without Preterm Prelabor Rupture of Membranes: A Comparative Study","authors":"Seetesh Ghose, Manasa Sravya, Valentina Yogamoorthi","doi":"10.5005/jp-journals-10006-2167","DOIUrl":"https://doi.org/10.5005/jp-journals-10006-2167","url":null,"abstract":"Aim: This study was carried out to determine the vaginal bacteriological pattern along with their antibiotic susceptibility pattern in pregnant women with preterm prelabor rupture of membranes (PPROM) and to compare with those without PPROM. The association of PPROM with neonatal and maternal complications was also studied. Materials and methods: This is an observational comparative study conducted in the year 2020 at a tertiary care teaching hospital located in Puducherry, India. The study included singleton pregnancies between 28 0/7 and 36 6/7 weeks of gestation with PPROM along with gestational age matched women without PPROM. A high vaginal swab was taken for all the candidates and sent for aerobic and anaerobic cultures. Organisms isolated along with their antibiotic susceptibility were noted and compared between the two groups. The software used was Statistical Package for the Social Sciences (SPSS) software, version 17.0 (IBM, Armonk, NY, USA). Results: This study demonstrated an overall incidence of PPROM of 2.8%. A positive culture rate of 35.2 and 9.3% was found among pregnant women with and without PPROM, which was found to be statistically significant. The commonest organism isolated was Escherichia coli (52.6%) which was 100% sensitive to imipenem and meropenem and 90% to cefoperazone–sulbactam and was found to be resistant to ampicillin in 90% of the cases. Neonatal complications such as respiratory distress and sepsis were found to be significantly higher in the PPROM group than in the comparison group. Conclusion: There is no change in the vaginal microbiota in the last two decades, but the sensitivity pattern of antibiotics has changed considerably from the commonly used antibiotics to higher-generation antibiotics. This indicates indiscriminate use of antibiotics which has resulted in antibiotic resistance. This could be the probable reason for the increase in neonatal and maternal morbidity in PPROM. Clinical significance: The vaginal microbiological flora and the antibiotic susceptibility pattern of the population in this area was studied and a significant change was noted over the past years which will help in formulating newer and better treatment protocols in the future which would help in reducing neonatal and maternal morbidities.","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"11 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135928256","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":"Ventriculomegaly and its Association with CNS Anomalies: Can Ventriculomegaly in CNS Anomaly be Compared with Axis Deviation in Cardiac Anomaly? A Retrospective Study","authors":"Purvi Devang Desai, Kairavi Kalpan Desai, Shimolee Bharat Patel, Binodini Mahendra Chauhan","doi":"10.5005/jp-journals-10006-2276","DOIUrl":"https://doi.org/10.5005/jp-journals-10006-2276","url":null,"abstract":"","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"11 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135928260","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}