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Journal of Obstetrics and Gynaecology of India

Vinod Priyadarshi, Deepak Gupta, Dilip Kumar Pal
INTRODUCTION: Lower genitourinary tract trauma in females caused by cow horn injury (goring) is rarely reported and discussed. MATERIALS AND METHODS: All (12) women who were managed over the past 5 years for genitourinary tract trauma inflicted by cow horn injury were retrospectively analyzed. RESULTS: Variable patterns of lower genitourinary trauma were observed due to cow horn injury. CONCLUSION: Treatment should be individualized and offered after thorough evaluation under anesthesia...
October 2016: Journal of Obstetrics and Gynaecology of India
Priyanka Punit Kedia, Gayatri Ravikumar, Suravi Mohanty, Julian Crasta, Elizabeth Vallikad
BACKGROUND: Pseudomyxoma peritonei (PMP) is a rare and poorly understood clinicopathological entity characterized by gelatinous ascites with neoplastic or non-neoplastic mucinous implants in the peritoneum. Although its origin was debated, current evidence in literature favours the appendix as the origin of the disease, over the ovaries. The changing terminologies in the classification of this entity pose diagnostic and management challenges. CASE REPORTS: Herein, we report three cases of PMP in postmenopausal women, their clinical presentation, pathological staging based on the peritoneal tumor deposits and the treatment administered...
October 2016: Journal of Obstetrics and Gynaecology of India
Priti Agrawal, Rishi Agrawal, Joytirmay Chandrakar
INTRODUCTION: The ability to offer less invasive surgery for leiomyomas to women often requires the removal of large tissue specimens through small incisions, which is facilitated by morcellation. Electromechanical morcellation may lead to dissemination of occult uterine malignancy throughout the intraperitoneal cavity and may worsen the prognosis. OBJECTIVES: To assess the safety of morcellation for removing uterine specimen during laparoscopic and vaginal hysterectomies for leiomyoma and to find incidence of leiomyosarcoma (LMS) in morcellated specimens...
October 2016: Journal of Obstetrics and Gynaecology of India
Saxena Pikee, Singh Shivani, Bhattacharjee Jayshree
BACKGROUND: Polycystic ovarian syndrome (PCOS) is a common endocrinopathy associated with wide heterogeneity and serious clinical implications. Prevalence and characteristics of different phenotypes are not well defined. Therefore, this study was planned to determine the prevalence of four phenotypes of PCOS and to evaluate their endocrine and metabolic parameters including insulin resistance and metabolic syndrome with respect to controls. METHODS: This observational, case-control study was conducted in the gynecology outpatient department of a tertiary care center where 161 PCOS and 50 non-PCOS women were recruited and investigated...
October 2016: Journal of Obstetrics and Gynaecology of India
Shakuntla Kumar, Dipti Nabh, Rupam Arora, Praveen Garg
OBJECTIVE: The study was designed to determine the impact of structured counseling by trained contraceptive counselors in a real-life clinical setting on the adoption of modern contraceptive methods in comparison with past contraceptive experience. METHODS: Current study was a retrospective, non-interventional design, from the data collected in the time period of March to September 2013 across four clinics with predominant obstetric and gynecological practice. Three hundred and fifty-one women consulting for contraception were counseled by trained counselors using standardized counseling tools...
October 2016: Journal of Obstetrics and Gynaecology of India
Surakshith L Gowda, Ambarisha Bhandiwad, N K Anupama
BACKGROUND: Litigation in medical practice is becoming a global problem. So it is necessary to know what constitutes negligence and what is required to prove it and how far it is preventable. OBJECTIVES: To analyze the prevalence and reasons for litigations in Obstetrics and Gynaecology for medical negligence and deficiency in service. To analyze on what grounds negligence was proved and to know whether it was preventable. MATERIALS AND METHODS: It is a retrospective analysis of the judgments obtained from all the District Consumer Courts of South India and was specifically analyzed for reasons in filing the case, nature of settlement, and factors considered in deciding negligence especially in the field of obstetrics and gynecology...
October 2016: Journal of Obstetrics and Gynaecology of India
Veena Meena, Charu Lata Bansal
INTRODUCTION: Vaginal discharge is a commonest complaint among women in reproductive age group. Infective vaginal discharge can be broadly categorized into vaginitis or mucopurulent cervicitis. Vaginitis is predominantly caused by bacterial vaginosis, vaginal candidiasis, vaginal trichomoniasis, etc. Mucopurulent cervicitis is due to chlamydia or gonococcal infection. The targeted management is based on identification of causative organism and targeting the therapy against it, while syndromic management is based on high risk factors's presence...
October 2016: Journal of Obstetrics and Gynaecology of India
Elsayed A Elnaggar, Youssef Abo Elwan, Safaa A Ibrahim, Mena M Abdalla
AIM OF THE PRESENT STUDY: To assess the changes in hormonal profile (serum FSH, LH, prolactin and total testosterone) following laparoscopic ovarian drilling (LOD) in patients with polycystic ovarian syndrome. MATERIALS AND METHODS: Fifty patients with PCOS have been included in this study. Serum prolactin, total testosterone, follicular-stimulating hormone (FSH) and luteinizing hormone (LH) levels have been used as biochemical markers, before and after procedures...
October 2016: Journal of Obstetrics and Gynaecology of India
Vineet V Mishra, Ritu Agarwal, Urmila Sharma, Rohina Aggarwal, Sumesh Choudhary, Pradeep Bandwal
PURPOSE OF THE STUDY: To study the role of endometrial and subendometrial blood flow measured by 3D power Doppler as predictors of pregnancy in frozen embryo transfer (FET) cycles. METHODS: A hospital-based prospective study of two hundred and twenty-one (221) women undergoing FET cycles with a triple-line endometrium ≥7 mm on day 14 endometrial and subendometrial blood flow was assessed using 3D power Doppler, and various indices endometrial volume, subendometrial volume and their vascularisation index (VI), flow index (FI) and vascularisation flow index (VFI) were obtained and compared between the pregnant and the non-pregnant group...
October 2016: Journal of Obstetrics and Gynaecology of India
Gulam Bahadur, Ofran Almossawi, Afeeza IIlahibuccus, Ansam Al-Habib, Stanley Okolo
INTRODUCTION: Understanding and improving IUI pregnancy rates has enormous global appeal and application. This pilot study goes one step further by utilising consecutive ejaculates from men with oligozoospermia and comparing with normozoospermic male group. MATERIALS AND METHODS: A retrospective analysis was performed on 117 IUI-stimulated treatment cycles in a small fertility clinic in North Middlesex University Hospitals Trust, UK, within a NHS setting. Risks of OHSS and multiple births are carefully controlled...
October 2016: Journal of Obstetrics and Gynaecology of India
Georgy Joy Eralil
OBJECTIVE: Levonorgestrel-releasing intrauterine system (LNG-IUS) has been shown to be an effective treatment for patients with abnormal uterine bleeding (AUB) in many Western studies. The purpose of study was to examine the effectiveness of LNG-IUS in the treatment of Indian women with AUB. METHODS: We conducted a retrospective observational study of 70 women diagnosed with AUB and treated with LNG-IUS insertion between February 2010 and 2014 at the Department of Gynecology of Sree Narayana Institute of Medical Sciences...
October 2016: Journal of Obstetrics and Gynaecology of India
Sapna B Jain, Kshma D Chandrakar
OBJECTIVE: NDVH is a minimally invasive, safe, effective, and economical surgery. Still AH is preferred for benign gynaecological indications. Our study aims to promote NDVH in all technically possible cases by adequate counselling of the patient. METHODS: This prospective observational study enrolled 100 women seeking hysterectomy for benign gynaecological conditions (excluding prolapse) in a teaching hospital. Women were counselled on the basis of 'PREPARED' questionnaire to assess their awareness about NDVH and were offered NDVH as the proposed surgery and result is analysed...
October 2016: Journal of Obstetrics and Gynaecology of India
Anupam Kapur, Ranjeeta Angomchanu, Madhusudan Dey
BACKGROUND: Fibroid or myoma is the commonest reported tumor of uterus, and is one of the important reasons for hysterectomy in our setting. Different drugs are available for medical management of fibroid uterus including mifepristone, a progesterone antagonist. Varying dosage regimen for mifepristone was studied as medical management of fibroid uterus. The aim of the project was to study the effect of mifepristone on the symptoms and size of fibroids, especially using a low-dose regimen for 6 months...
October 2016: Journal of Obstetrics and Gynaecology of India
R Vishnu Prasad, J Venkatachalam, Zile Singh
BACKGROUND: Global contraceptive usage was 63.3 % in 2010 which was 9 % more than that in 1990. NFHS-III 2005-2006 revealed that the contraceptive prevalence rate was 56 % while in the past decade it was 48 %. In India, female sterilization is the most commonly preferred method of contraception accounting for 76 %, while in Tamil Nadu it was 90 %. Thus, this study aims at measuring the prevalence of unmet needs of family planning and its determinants in a rural area of Kancheepuram district, Tamil Nadu...
October 2016: Journal of Obstetrics and Gynaecology of India
Tamer Hanafy Said
BACKGROUND AND OBJECTIVE: To determine the safety and sustainability of operative laparoscopy in surgical management of cornual and interstitial ectopic pregnancy using a simple and practical method. DESIGN: Case series of five consecutive cases. SETTING: Endoscopy unit in Alexandria University Hospital and Alexandria New Medical Center. PATIENTS: Between July 2013 and May 2015, five women with interstitial and cornual ectopic pregnancies were admitted for laparoscopic surgical treatment...
October 2016: Journal of Obstetrics and Gynaecology of India
Y M Kabadi, B Harsha
OBJECTIVE: To study the role of hysterolaparoscopy in the evaluation and management of female infertility. MATERIALS AND METHODS: A retrospective study of the 94 case files of all the patients who underwent diagnostic hysterolaparoscopy for infertility between January 2014 to June 2015 in the department of Obstetrics and Gynecology, Karnataka Institute of Medical Sciences, Hubli. These infertile women were confirmed to have normal ovulatory cycles, hormonal assays and seminogram report...
October 2016: Journal of Obstetrics and Gynaecology of India
Poorva Badkur, Kavita N Singh, Vineeta Ghanghoriya
AIMS AND OBJECTIVES: To study the colposcopic findings and prevalence of lower genital tract infections in HIV-positive women on anti-retroviral therapy. To find correlation between colposcopic finding, m RNA HPV and cytology of lower genital tract infections in HIV-positive women on anti-retroviral therapy. MATERIALS AND METHODS: The present prospective observational study was conducted in the Department of Obstetrics and Gynaecology, Netaji Subhash Chandra Bose Medical College, Jabalpur, from 1 June 2013 to 31 October 2014...
October 2016: Journal of Obstetrics and Gynaecology of India
Farzaneh Tafvizi, Masomeh Masomi
BACKGROUND: Various studies have been conducted on the role of leptin in the different types of infertility, including endometriosis, polycystic ovaries and male infertility; however, only a few studies have been conducted on the effect of leptin on unexplained infertility. The purpose of the present study was therefore to compare serum leptin levels in women with unexplained infertility and fertile women as a contributing factor to female infertility in Iran. METHODS: The present case-control study was conducted on 40 women with unexplained infertility and 30 fertile women who met the inclusion criteria (FSH < 10, BMI < 30, normal AMH and AFC and age under 35)...
October 2016: Journal of Obstetrics and Gynaecology of India
Leena Wadhwa, Rupali Khanna, Taru Gupta, Sangeeta Gupta, Sarika Arora, Sumi Nandwani
AIMS AND OBJECTIVE: To evaluate the role of GnRH antagonist in prevention of premature LH surge and increasing pregnancy rates in IUI cycle with mild ovarian hyperstimulation (MOH). STUDY DESIGN: Prospective parallel, randomised controlled study. MATERIAL AND METHODS: Couples diagnosed with unexplained, male factor subfertility and with one or both tubes patent were randomised to receive either a GnRH antagonist (study group) or no intervention (control group)...
October 2016: Journal of Obstetrics and Gynaecology of India
Saptarshi Ghosh, Pamidimukalabramhananda Rao
INTRODUCTION: Though high dose rate (HDR) intracavitary brachytherapy (ICBT) is now an integral part in the treatment of cervical cancer, the quest for optimum dose and fractionation schedule is still ongoing. While the American Brachytherapy Society recommends individual fraction size of <7.5 Gy, there are few studies where the authors obtained similar results with higher dose per fraction. OBJECTIVE: To compare and analyse two high-dose-rate intracavitary brachytherapy schedules-7 Gy per fraction for three fractions with 9 Gy per fraction for two fractions...
October 2016: Journal of Obstetrics and Gynaecology of India
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