No abstract

Introduction: Functional abdominal pain (FAP) is one of the most common childhood complaints, an intermittent (recurrent abdominal pain or RAP) or continuous in nature, which cannot be explained by any visible or detectable abnormality, after a thorough physical examination and appropriate laboratory testing. It has negative effects on the child's physical and psychological state and interfere their daily activities. The present study aimed to find out the chronicity and treatment response of functional abdominal pain in relation to size and site of location of in primary mesenteric lymphadenitis. Methodology: A prospective study was done on 156 patients, aged 5 to15 years, in the department of paediatric of GVPMC, Visakhapatnam, AP, a tertiary care hospital, from September 2017 to March 2019. Patient's demographic profile, clinical features, physical examination and systemic examination were recorded. All the relevant investigations were done in all the patients. For the purpose of the study, all cases were categorised into four group, according to their site of pain. The presence of enlarged mesenteric lymph nodes, their location, size (transverse and anteroposterior dimensions) and other significant findings were recorded. Mesenteric lymphadenopathy was labeled significant using a short axis diameter of >5 mm in short axis diameter. Final diagnosis was established, and patients were followed in OPD. Result: Majority of children presented with abdominal pain, under 5 to 10 years age were female 38(51.35%) and 52 (63.41%) were male under 11 to 15 years. Most common abdominal site of Mesenteric lymph node enlargement was Periumbilical site followed by Right Iliac Fossa. According to the site of pain, Majority of the cases were under group I, 54 (34.61%) and group III, 42 (26.92%). In four groups, all relieved cases had lymph node of size 5mm to 8 mm, except group III 16 (10.25%) cases and all persistent cases, lymph node size more than 8mm, except group II 20 (12.82%). Conclusion: Good approach can be obtained to these cases early and follow up regularly to, modify their painful early school life and assure the parents about the benign nature of the disease.

BACKGROUND IUGR may be due to condition in the foetal environment (e.g. chronic deficiency in oxygen or nutrition or both) or problem intrinsic to the foetus. So, we can prevent only further asphyxia by giving a good environment in already compromised foetus; that can be possible only by early assessing the foetus using the Biophysical profile score or Doppler velocity ratio of the umbilical artery or middle cerebral artery. So, this study will be helpful for those physicians where other investigations as Doppler velocimetry is not available and make plan to progress the pregnancy or deliver the baby.The aim of this study is to know the incidence of perinatal asphyxia as compared to other neonatal complications in preterm at or above 34 weeks Intrauterine Growth Restricted (IUGR) neonates in relation to abnormal BPP in mother.

BACKGROUNDGestational Symptomless Bacteriuria (GSB) or Gestational Asymptomatic Bacteriuria (GASB) is one of the commonly encountered renal infections during pregnancy. The incidence of GSB varies between 2% -13% of all pregnant women. It is a hidden, undiagnosed, unexpected bad obstetric factor which may have serious, preventable adverse effects if untreated with many debatable controversial issues. Hence, the study was undertaken.The objectives of the study were to find the incidence of GSB, maternal and foetal outcomes and different causative organisms in GSB.

The purpose of this study was to study and compare the perinatal outcome and mode of delivery in women with oligohydramnios, normal AFI and polyhydramnios group at term gestation having no complication. Methods: This was a prospective study of 600 singleton pregnancies with gestational age between 37 to 42 weeks without any complicating factor. The AFI was determined in all cases using four quadrant technique. The cases were divided in 3 groups based on their AFI; AFI ≤5 (Oligohydramnios), AFI>5-24, AFI ≥25 (Polyhydramnios) .Maternal outcome in form of mode of delivery, abnormal fetal heart rate and cesarean section for fetal distress were studied and perinatal outcome in the form of meconium stained liquor, apgar score at 1 and 5 minute, birth weight, NICU admissions were studied. Results: The groups had no statistical difference in age, parity, gestational age. There was no statistical difference in regards to MSL,NICU admissions, less apgar score at 1 and 5 minute, birth weight <2.5kg, non reassuring fetal heart rate, indications for cesarean sections. But the group with oligohydramnios had more number of cesarean sections which was statistically significant. Conclusion: Oligohydramnios with AFI less than or equal to 5 is associated with statistically significant high cesarean delivery rate.