Online ISSN: 2515-8260

Keywords : obstetrics


Study Of Maternal And Perinatal Outcomes Among Referred Obstetric Cases To A Tertiary Care Centre

Dr. Aarti G Suryawanshi; Dr. Ramdas G Narwade; Dr. Jayshree Mulik

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 8, Pages 145-151

Background: India accounts for a fifth of annual global maternal deaths. The referral system is an essential component of any health systems which is particularly important in pregnancy and childbirth for providing access to essential obstetric care. The 3-tier health care delivery system was conceived in such a manner that the patients in need of a higher level of expertise and care could be referred accordingly from primary to secondary directly to tertiary level centre. Hence the present study was aimed to study the maternal and perinatal outcomes among referred obstetric cases.
Methods: A cross sectional study was carried out in department of Obstetrics and Gynaecology at tertiary care centre during the study period from Jan 2019 to Jan 2020. Study was conducted on all referred obstetric cases to the hospital. Thus such 1067 cases were studied. Detailed history of the patients who had been referred from different centres was taken, taking note of the referring centre and reason for referral. All collected data were filled in a predefined proforma. All data was collected and compiled in Microsoft excel. Appropriate test was applied for analysis under SPSS software version 21 and P value <0.05 was taken as significant.

Estimation of gestational age of fetus with the help of fetal fibular length: By real time ultrasonography

Dr. Manisha Kumari

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 6, Pages 2045-2049

Introduction: The ultrasound is a sound wave beyond the audible range of frequency. Clinical application of ultrasound in obstetrics was introduced and popularized by Donald & Glasgow in 1958, the advantage being that the ultrasound is a noninvasive technique causing minimum discomfort to the patient and practically no side effect on the fetus.
Materials and Methods: In present study an analysis will also be made of the variation in the gestational period, associated with the fibular length and socioeconomic, physical and medical factors recorded from obstetric and gynecological records. The patients included in this study were of 13 weeks to 40 weeks of fetal gestational age as diagnosed during the antenatal examination by gynecologist. The present study was conducted in the Department of Anatomy, in coordination with the Department of Radiodiagnosis, LLRM Medical College, Meerut, in pregnant women a during 2ndand 3rd trimester. Ultrasonographic measurement of fibular length was done in Radio diagnosis Department of LLRM Medical College, Meerut.
Results: At the 14 weeks of the gestation the mean calculated fibula length was 15.7mm and at 20 weeks was 29.33 mm. The mean fetal fibular length of 51.92 mm was recorded at the age of 30 weeks of gestation whereas the same was 74.51mm at 40 weeks of gestation.
Conclusions: Dating of fetus by fetal fibular length is more accurate than the other fetal parameters and it was found more predictive than other fetal parameters.

CAESAREAN SCAR ECTOPIC PREGNANCY- A CASE SERIES

Piyush Vohra, Geetika Gupta Syal, Rita Mittal, Binakshi Nevatia, Shivika Mittal

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 1836-1841

Caesarean Scar Pregnancy (CSP) is a rare condition, yet its incidence is increasing owing to a rise in caesarean deliveries. It is associated with complications like uterine rupture, maternal hemorrhage, hemodynamic instability and ultimately increased maternal morbidity and mortality. Here we present a case series of 3 patients with CSP. Prompt diagnosis and intervention are imperative in preventing morbidity and improving outcome.