The objectives of the present study were to look into the frequency of oligohydramnios and pregnancy outcome in these cases. Analysis of outcome of prospective cases of pregnancy beyond 28 weeks with oligohydramnios over 2 years and cases admitted over the previous 5 years was done. The incidence of oligohydramnios over 7 years was 4.45%, 4.9% in retrospective and 4% in prospective cases: 38% retrospective and 31.5% of prospective cases were complicated by intrapartum meconium. Abruptio placenta had occurred in 9.8% retrospective and 8.3% prospective cases. Labour was induced in 18.2% of retrospective cases and 13.9% prospective cases. The caesarean section rate (CSR) with spontaneous labour was 42.4% in the retrospective and 50.4% in the prospective cases and with induced labour 38.5% in the retrospective, 29.3% in the prospective cases. Perinatal mortality rate (PMR) in cases of oligohydramnios was 87.7 and 4.15% babies had congenital anomalies. Overall labour induction was needed more often, and abruptio placenta, CSR, PMR and congenital anomalies were high in oligohydramnios. More studies about the causes and effects of oligohydramnios and preventive modalities are needed.
Worldwide, cervical cancer is considered to be the second commonest cancer as far as mortality and incidence is concerned and India contributes to about 20–30% of the global burden. This paper is based on analysis of records of persons suffering from various cancers over 25 years. Cervical cancer constituted 14.4% of all cancers of men and women put together, 28.8% of the cancers in women and 73.3% of all gynaecological cancer. The cases studied were divided into five Blocks: Block A 1983–1987; Block B 1988–1992; Block C 1993–1997; Block D 1998–2002 and Block E 2003–2007. A 2.34 times increase in cancer cases from Block A to Block E was seen; in women, overall cancer increased by 3.21 times; gynaecological cancer by 3.08 times; cervical cancer 2.91 and ovarian cancer 7.1 times. Cervical cancer in outpatients increased from 0.55% among all gynaecological cases in 1983, to 3.5% in 2007. Cervical cancer comprised of 1.05% of the newly registered outpatients and 70.09% of gynaecological cancer cases. Inpatient gynaecological cancer increased from 2.81% in 1983 to 9.81% in 2007. Out of all cervical cancer in women, cervical cancer was 34.7% in Block A (1983–1987) and 28.6 % in Block E (2003–2007). Of the cervical cancer cases, 43.8% belonged to the age group 30–49 years and 37.6% at 50–64 years. Cervical cancer in women with less than three births increased from 13.1% in Block A to 33.1% in Block E. The proportion of illiterate women or those with primary education was seven times more compared with those with secondary education. Our study revealed that cervical cancer still continues to rank first. Also the overall number of cancer cases has been increasing.
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