Online ISSN: 2515-8260

Keywords : GA


MATERNAL AND PERINATAL OUTCOME IN HYPOTHYROIDISM IN PREGNANCY AT TERTIARY CARE CENTER

Dr. Sonali Deshpande, Dr. Shrinivas Gadappa, Dr. Swati Badgire, Dr Anjali Punwatkar .

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 2562-2569

Aim & objective:Maternal and Perinatal Outcome in Hypothyroidism in preganacy at tertiary care center.
Materials & Methods:A prospective observational study conducted in the Department of Obstetrics & Gynaecology a tertiary care hospital in Aurangabad district of Maharashtra from September 2020  to September 2021. All patients who fulfilled the inclusion and exclusion criteria during the study period were included in the study.
Observation & Results: In the present studymajority of pregnant women 63 (38.4%) belonged to the age group of 21-25 years & majority 69(42.1%) of them were nulliparous. The risk factors identified in majority 20 (12.19%) of women was h/o pre-eclampsia and in 12 (7.31%) cases previous preterm delivery was observed as risk factor. Further it revealed that, there was statistically significant association between GA and raised TSH level (p<0.05). Maternal complications such as anaemia, severe pre-eclampsia and abruptio placenta were significantly correlated with high TSH level. It was observed that maternal and fetal outcome were significantly associated with level of TSH at the time of delivery.
Conclusion: The study concluded that timely diagnosis and management of thyroid dysfunction is the key to avoid obstetric complications. Supplementing thyroxin in patients with hypothyroidism can prevent maternal and fetal complication, so routine screening of thyroid dysfunction is recommended in pregnant women.
    

A CLINICAL STUDY OF MANUAL VACUUM ASPIRATION IN WOMEN UNDERGOING FIRST TRIMESTER ABORTIONS.

Dr. Rutuja Pipare, Dr. Shrinivas Gadappa,Dr. Anurag Sonawane,Dr. Rupali A Gaikwad .

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 3074-3082

Background-According to WHO, 42 million pregnancies end annually in induced abortions, 20 million of which are estimated to be unsafe. Globally, unsafe abortion accounts for 13% of maternal deaths, 99% of which occur in the developing world. This is mainly due to unavailability of the services and the underutilisation of the available services.
Materials and methodology-A prospective observational study of 650women , selected by non-probability convenience sampling method and who met the designed set of criteria, was conducted.
Results- In this study maximum number of participants were 238 (36.62%) in the age group of 21-25 years . Most participants 527 (81.07%) of the women were multigravida and 37.85% were having gestational age (GA) between 8.1-10 week. Maximum number of participants45.54% underwent MTP , among which 235 (36.15%) patients were terminated under ground V. Further 84.62% had no complaints of pain post-operatively. Further analysis reveals that there was significant correlation between GA and duration of procedure as p<0.05.In the study, 97.69% women did not have any associated complications. In the present study, Intrauterine contraceptive device (Copper T )was the most accepted method of contraception post MVA in 182 (28%) women , followed by oral pills in 169 (26%) women , tubal ligation in 130 (20%) women , condoms in 62 (9.53%) women , DMPA injection in 57 (8.76%) women and 50 (7.69%) women refused the use of any sort of contraception.
Conclusion-MVA is both safe & effective in first trimester medical termination of pregnancy and early trimester abortion.MVA  is safe, cost-effective and reduces hospital stay as compared to inpatient based management.