Fetus papyraceous is a mummified compressed fetus occurring in association with a viable twin. Incidence of this rare condition is 1 in 12,500 cases of twins. We report a case of fetus papyraceous which caused obstruction to spontaneous expulsion of placenta. Antenatal diagnosis by ultrasound examination is not always possible. Careful exploration of placenta after delivery is recommended. Diagnosis of this condition helps in evaluation of risk to surviving fetus as well as registration and documentation of this rare condition.
Background. To determine the proportion of postpartum depression in women attending a Tertiary Hospital and to determine and study the risk factors associated with postpartum depression. Methods. The present study was a Hospital based Cross-sectional study in which 561 women were assessed on the 3 rd postnatal day and at 6 weeks postpartum for depression and Results. Total number of 600 postnatal women participated in the study. 39 women were lost to follow up at 6 weeks. Final sample size for analysis 561. Out of the total 561 postnatal women, 135 of them had a score of > 13 on the EPDS on the 3 rd postpartum day, indicating 24.1% of the postnatal women with "Postpartum Blues". The proportion of postpartum depression was 7.7%. Conclusions. The present study found factors like Age of the woman, low level of education, low socio-economic status, age at marriage, primiparity, obstetric complications, previous miscarriage, preference for a male child, neonatal complications, psychiatric disorder, living in joint families, marital conwere the risk factors for Postpartum depression. There was no association between postpartum depression and factors like or unplanned, infertility treatment, mode of delivery (vaginal or caesarean, medical comorbidities and adverse life event during pregnancy).
SOMMARIOContesto. Determinare la percentuale di depressione postpartum nelle donne che frequentano un ospedale terziario e studiare i fattori di rischio associati alla depressione postpartum. Metodi. Il presente studio era uno studio trasversale basato sull'ospedale in cui 561 donne sono state valutate per la deterzo giorno dopo il parto ed a 6 settimane. Risultati. 600 donne hanno partecipato allo studio a seguito del parto. 39 donne sono state perse al follow-up a 6 settimane.
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