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In this retrospective study, we describe the anesthetic management and its implications in parturients with chronic kidney disease (CKD; n = 9), who underwent elective caesarean delivery. Nine parturients with CKD of various etiologies, who underwent elective Caesarean delivery, were included in this study. Spinal anest-hesia was administered in all parturients with normal coagulation profile through a 25-gauze spinal needle (Quincke) with 0.5% (H) bupivacaine in L2-3 space and T6 level was achieved. Hemodynamics and side effects such as nausea, vomiting, headache, and backache were record. The mean age was 28.22 ± 4.43 years. The mean levels of serum creatinine and serum potassium were 2.78 ± 1.29 mg/dl and 4.11 ± 0.46 meq/l, respectively. Mean baseline values of systolic blood pressure, diastolic blood pressure, and pulse rate were higher which decreased after spinal anesthesia. However, the incidence of hypotension, which required mephentermine treatment, was 11.1%. One patient had symptoms of nausea and vomiting/dizziness at the time of hypotension, which disappeared after treatment with 5 mg of intravenous mephentermine. Baseline value of PR remained high throughout the operation. Parturients with CKD with normal coagulation profile remained hemodynamically stable under spinal anesthesia with minimal side effects. However, a large number of studies are required to determine the safety of spinal anesthesia in this setting.

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Objective To detect the prevalence of sexual dysfunction and also to investigate possible risk factors that may cause sexual dysfunction in the Indian women. Materials and methods The prospective study consisted of 500 women between ages 18 and 66 years from different sociocultural areas. The women were divided into five groups according to their ages <24 years (n = 129), 24 to 30 years (n = 182), 31 to 37 years (n = 125), 38 to 42 years (n = 22), >42 years (n = 42). Female sexual function was assessed with a detailed 19-item FSFI questionnaire to evaluate five domains of sexual dysfunction, i.e. desire, arousal, lubrication, orgasm and pain. Demographic characteristics and medical risk factors were evaluated and findings were compared between the women with and without sexual dysfunction. Results Based on total sexual function score, 278 (55.6%) of total 500 patients had sexual dysfunction. The commonest dysfunction was orgasmic (91.7%) followed by lubrication (89.2%). Out of 278 patients, 53 patients (19%) were in the age of more than 38 years in the FSD group. Female sexual dysfunction was more prevalent in illiterate women, 7.19% patients were illiterate in the FSD group as compared to 3.15% patients in the women with no FSD (p = 0.04). It shows that prevalence of female sexual dysfunction was significantly higher in the older age group and in illiterate patients. Conclusion The prevalence of female sexual dysfunction rises with age, lower education level, chronic disease and menopausal status. How to cite this article Aggarwal RS, Mishra VV, Panchal NA, Patel NH, Deshchougule VV, Jasani AF, Sexual Dysfunction in Women: An Overview of Risk Factors and Prevalence in Indian Women. J South Asian Feder Obst Gynae 2012;4(3):134-136.