Background: Intra uterine foetal death is an emotional distress for mother, her family and for the obstetrician also. Proper planning, seeking antenatal services reduces this. Objectives of current study were to determine incidence rate of intrauterine foetal death and to evaluate the maternal and foetal factors responsible for intrauterine foetal death. Methods: This retrospective observational study was conducted in a tertiary care hospital from November 2022 to April 2022. The data was collected from previous records of 60 IUFD cases with 1576 births. Age, parity, gestational age, aetiology was studied. Results: The most common maternal cause of IUFD was pre-eclampsia and eclampsia (18.33%) followed by anaemia (11.67%). The most common foetal cause was IUGR (6.67%), and the most common placental cause was placental previa (8.33%). Conclusions: In this study, incidence of IUFD was 38.1/1000 live births. To prevent IUFDs, all the antenatal cases have to be booked for better care of antenatal period and management of any complications.
Background: Counselling and rapid referral to a specialised facility might be improved with the use of a scoring system that could diagnose ovarian cancer. The relative simplicity of the Risk of Malignancy Index (RMI) scoring technique and the ease with which it may be applied make it a strong candidate to use as a primary diagnostic tool for individuals with pelvic masses. Methods: Prospective observations study conducted on women diagnosed with ovarian mass by clinical examination and confirmed by ultrasonography, undergoing surgery at RL Jalappa Hospital, Kolar from January 2021 to December 2022. Histopathological report was considered as Primary outcome parameter. Age group, Parity, Menstrual history, Risk Malignancy Index, etc., were considered as explanatory parameters. Results: A total of 40 subjects are included among which 22.50% are aged ≤40 years and 77.50% are aged >40 years. Using a cut off of 25, majority (88.2%) of those with malignancy had RMI≥25 and in benign histopathology report 56.5% had ≥25 RMI. Histopathology report, there was a statistically significant (p<0.05) difference in RMI values. The RMI had a sensitivity of 88.24% in predicting malignancy with specificity 43.48%, positive predictive value 53.57%, negative predictive value 83.33% with a total diagnostic accuracy of 62.50%. Conclusions: Results from RMI and histopathology correlate positively. The results of this research show that RMI is a reliable and practicable method for assessing patients with pelvic masses at the commencement of therapy and identifying those who are good candidates for centralised surgical treatment.
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