No abstract

Stripping of membranes is wide used as OPD procedure for preripening and induction of labour. This study was planned to assess whether or not low single dose of vaginal misoprostol ( 25 mcg.) can be added to stripping in OPD and what is going to be the impact on the end result of labour induction. The study was applied in Datta Sugar mill Charitable Hospital, Shirol, Dist. Kolhapur. A total of eighty patients were taken for the study. They were divided in 2 equal teamsGroup A with solely stripping of membranes and Group B Stripping along with 25 mcg Misoprostol. Primary observations were delivery at intervals forty eight hours from the beginning of induction and route of delivery. Secondary observations were interval from induction to onset of labour (latency period), interval from begin of induction to delivery (duration of labour), want for oxytocin augmentation, labour complications, Apgar scores at one and five minutes. Both teams were similar at begin with respect to age, parity and between forty weeks and forty one weeks gestation. There was a considerably shorter induction to onset of labour interval within the B group. The period of labour was considerably shorter in B group. Overall, baby outcomes were similar and comparable within the 2 teams. The study gave following results and conclusionThe patients who received Stripping with vaginal 25mcg.Misoprostol showed 1. A shorter latency period, 2. Less need for oxytocin augmentation, 3. Shorter duration of labour in patients. The two induction strategies were similar with respect to baby outcomes. each were found safe as OPD strategies, though any assessment of the security profile with larger studies are required. More patients felt positive about the intervention in B group than in A group.

Vaginal leiomyomas are uncommon masses located on the anterior wall of vagina and rarely lateral wall and vulval region. Only 250 and 300 cases have been reported worldwide. These are benign smooth muscle lesions, usually single and mostly without symptoms. The cause is unknown. Histologically, they resemble leiomyoma elsewhere. They originate from smooth muscle cells of vagina, local arterial musculature, or bladder or urethra smooth muscles. These are oestrogen dependent lesions like uterine leiomyomas. They rarely become malignant. Pressure symptoms include discharge per vaginum or bleeding, dyspareunia, or retention of urine. Lesion has to be excised in the symptomatic patient. Recurrence is rare.

The expected date of delivery is of paramount importance to pregnant woman, her relatives, and treating doctor. It is useful for arranging help required and to take appropriate obstetric decisions. This study was aimed to find more accurate method to know Expected date of delivery. This was prospective study done on 800 new cases coming to Antenatal Outpatient clinic. A total of 318 cases were included in analysis. Rest of them were excluded for various reasons. In the patients selected Expected date was calculated according to Naegle's rule calculation (L.M.P. date +280days) and by measuring femur length and biparietal diameter of fetal head measured on ultrasound scan and using Hadlock charts already available on ultrasound machines. Actual date when these patients went in labour spontaneously was noted eventually. Accuracy rates for ultrasound scan and menstrual period estimates of date of delivery were calculated as the percentage estimates accurate to within a given number of days. Significance tests and confidence intervals for differences in these paired rates were calculated.The cases where the estimated dates of delivery disagree are termed discrepant. For 33 patients the estimated dates of delivery from the two methods were identical and in 27 of these cases they were exactly correct. The percentages of the 285 discrepant cases in which the scan gave closer prediction of the date of delivery than the last menstrual period.It can be concluded that all persons involved with antenatal care, may be doctors or the patients and relatives should rely the estimated date of delivery derived from ultrasound scan and ignore the one calculated by Naegle's rule once the satisfactory scan has been obtained.The study was undertaken to compare and know the more accurate and reliable method to calculate Expected Date of Delivery for the pregnant women coming to Antenatal Outpatient department. Total 800 women were included in the study initially coming from different parts of the district. Out of the above only 318 women were taken for analysis and the rest were excluded for various reasons.