No abstract

Background: Previous studies indicate that new-borns delivered by elective caesarean section are more prone to respiratory morbidity after birth. Objective: To find out whether the mode of delivery is associated with the neonatal respiratory outcomes. Methods: In this observational study, following three groups of pregnant women (30 in each group) were included a) normal vaginal delivery b) elective LSCS and c) emergency LSCS. Respiratory morbidity (Tachypnoea, chest retraction, grunting, and nasal flaring) and APGAR scores were compared between three groups. Results: Respiratory morbidity was higher in elective and emergency LSCS groups compared to normal vaginal delivery group. However, the differences were not statistically significant. APGAR scores at 1 and 5 minutes were similar in three groups. NICU admissions were higher in elective caesarean groups as compared to the other two groups. Conclusion: Higher incidence of respiratory distress syndrome was noted in babies born to mothers who have undergone elective caesarean section.

No abstract

Introduction: Present study was undertaken to study the incidence of Uterovaginal prolapse. Also studied its relation with age, parity, etiological and predisposing factors. Also the factors like clinical-presentation (i.e. patient's presenting symptoms) duration of disease, degree and components of Uterovaginal prolapse, associated pelvic findings and different modes of treatment studied and post operative follow-up also studied. Methods: This prospective study "clinical study of Uterovaginal prolapse "was undertaken between February 2017 to May 2018 at D.Y Patil Medical College Pimpri Pune. Total 200 cases of UV prolapse who attended the OPD or admitted in wards of D.Y Patil Medical College were studied. Patients complaining of something coming out of vagina were included in this study.Results: Maximum incidence of prolapse was between the age of 31 to 50 years which is 53%, in para three and above i.e. 76.50%, cases belonging to lower social economic condition i.e. 85%, and in previous home deliveries i.e.57.14% Conclusion: Prolapse can affect any age group but most commonly seen in women with high parity. Majority of cases have obstetric causes like delivery conducted by untrained person at home. Vaginal hysterectomy with pelvic floor repair is the choice of operation performed. Other commonly performed operations are fothergill's repair, Shirodkar's sling operation. Pessary has a limited application in management of prolapse.

Background:The partograph serves as an early warning system and it has shown to be effective in preventing prolonged labour in reducing operative interventions and improving the maternal and neonatal outcome. Aim:The current study was conducted to evaluate maternal and neonatal outcomes in primigravidas crossing the alert line and action line on the partogram. Methods: A total of 200 inpatients admitted in obstetric wards satisfying the inclusion criteria were included after obtaining informed consent explaining them the details of the study in their native language. Patients were monitored for progress of labour, requirement for augmentation, any complications and were managed appropriately as per requirement. Results: It was noted that 24% of the mothers (48) were between 18 to 21 years. 19.50% of mothers were found to have PIH, 1% of mothers had IHCP, chorioamnionitis, HCV positive and also oligohydramnios, 4% were seen with IUGR and 0.5% were found to have GDM. Induced labour was common in patients crossing the alert line and post crossing action line. There was a significantly higher incidence of LSCS in mothers crossing alert line with P<0.001. Meconium aspiration syndrone was noted in 4, 2 neonates born to mothers crossing the alert line and crossing the action line respectively. Most of the newborns had normal birth weight that is around 80.43% and 78.95% to mothers crossing the alert line and action line respectively. Significantly higher number of neonates needed NICU admission in mothers crossing alert line and action line. Conclusion:It is prudent to monitor the labour on a partograph and avoid any delays for any intervention leading to a better maternal and neonatal outcome.