Background: Since its emergence in 2019, COVID-19 has affected all groups of people across several countries. Updated information about the disease and its application is the key to halt the spread of infection. Although there have been widespread awareness campaigns on COVID-19, the level of awareness among vulnerable groups such as pregnant women needs to be evaluated. Aims: The aim of this study was to assess the level of knowledge, attitude, and practices toward COVID-19 among pregnant women and its association with various demographic variables. Subjects and Methods: This was a cross-sectional descriptive study conducted between July 1, 2020, and September 30, 2020. Assessment was done using a self-designed questionnaire. Participants scoring more than 50% marks in each section were considered to have adequate knowledge, positive attitude, and good practice. Statistical analysis was done using SPSS version 20. Results: The total number of pregnant women included was 244. About 59% of women had adequate knowledge about COVID transmission and protective measures. All women had a positive attitude toward preventive measures taken by the government. About 98% of women agreed that all preventive measures taken by the government were beneficial. Almost all (98%) women had good practice of safety measures such as social distancing, wearing masks, and frequent handwashing. However, no association was observed between demographic variables and level of knowledge, attitude, or practice. Conclusion: The study showed adequate knowledge and good practice by most pregnant women irrespective of their level of education and socioeconomic status. Targeted health education to pregnant women can further ensure safe practices during pregnancy.
Background The ovary is the most common site of occurrence of mature cystic teratomas (dermoid cysts). These are the most common ovarian germ cell tumor in the reproductive age group, accounting for 10–20% of all ovarian neoplasms, with a 1–2% risk of malignancy. A cecal dermoid cyst is a rare entity with only ten cases having been reported so far, eight of which could be retrieved as the rest were reported in different languages. None of these cases were managed laparoscopically. Here we present the first case of cecal dermoid managed laparoscopically. Case presentation A 35-year-old nulliparous Indian Hindu woman presented with complaints of on and off abdominal pain for 10 months. The abdominal examination revealed a well-defined mass of about 10 × 5 cm size, palpable in the right iliac fossa. On sonography, it was suggestive of a right-sided ovarian dermoid cyst. The lesion measured 10 × 7 × 5 cm on a contrast-enhanced computed tomogram (CT) scan. It was well defined and hypodense and located in the right lower abdomen. The ovarian tumor markers were normal. On laparoscopy, the uterus, bilateral tubes, and ovaries were found to be healthy. The cyst was seen arising from the right medial wall of the cecum at the ileocecal junction, which was excised laparoscopically. Histopathological study revealed it to be a mature cystic teratoma. Conclusion Ovarian mature cystic teratoma commonly has an indolent course and can present with palpable abdominal mass, pain, or vomiting due to complications like torsion, hemorrhage, or infection. Alternatively, these cysts can be asymptomatic and incidentally detected. Clinicians should be aware of the variety of presentations of dermoid cysts of the bowel as well as mesentery. The exact location of the teratoma eluded us till the laparoscopy despite adequate imaging including a contrast-enhanced CT scan having been performed preoperatively. We are reporting this as it is a rare entity, and this knowledge will help gynecologists and surgeons make an appropriate surgical decision.
BACKGROUND Birth defects are responsible for increased perinatal mortality and long-term morbidities. To reduce its incidence, which is the need of the hour we should know more about them and possible risk factors, which can be prevented. The aim of the study is to study the overall frequency of birth defects in a tertiary hospital and search for association with certain risk factors. MATERIALS AND METHODS All newborns/stillborns with birth defects during one year were enrolled for the study. Similar number of newborns without birth defect during this period was taken as control. Relevant information was documented in both the groups and analysed. RESULTS Out of 11,008 births, congenital anomaly was found in 130 cases. The prevalence of birth defects was 1.18 percent. Association of occurrence of birth defects with increased paternal age, consanguinity, fever and drug intake in first trimester was found. 57.6% of the newborns with birth defects were stillborn, born at an earlier gestational age (33.6 week v/s. 37.5 weeks). Commonest system to be affected was CNS (49.2%). CONCLUSION Screening for aneuploidy and birth defects should be universal. Routine folic acid supplementation and pregnancy termination of malformed babies will reduce the incidences.
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