This is to certify that this dissertation titled “A STUDY TO IDENTIFY THE CONTRIBUTORY RISK FACTORS OF DYSFUNCTIONAL UTERINE BLEEDING AMONG THE WOMEN IN REPRODUCTIVE AGE GROUPS ATTENDING GYNAECOLOGY OUTPATIENT DEPARTMENT AT INSTITUTE OF OBSTETRICS AND GYNAECOLOGY HOSPITAL FOR WOMEN AND CHILDREN, EGMORE, CHENNAI-8.”Is a bonafide workdone by MRS.M.VIJAYA, College Of Nursing, Madras Medical College, Chennai – 600003 submitted to the TAMILNADU DR.M.G.R. MEDICAL UNVERSITY, CHENNAI In Partial fulfillment of the requirements for the award of the Degree of Master of Science in Nursing, Branch III, OBSTETRICS AND GYNAECOLOGICAL NURSING, under our guidance and supervision during the academic period from 2009 – 2010.
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This is to certify that this dissertation titled “A study to assess the effectiveness of Benson’s relaxation therapy on level of blood pressure among Pregnancy Induced Hypertensive mothers in Institute of Obstetrics and Gynaecology Hospital-Egmore” is a Bonafide work done by Ms.Komathi.V,Msc (N) II year, College of Nursing, Madras Medical College, Chennai-600003, submitted to The Tamil Nadu Dr. M.G.R. Medical University, Chennai in partial fulfillment of the University rules and regulations towards the award of the degree of Master of Science in Nursing, Branch III, Obstetrics and Gynecological Nursing, under our guidance and supervision during the academic period from 2012- 2014.
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This is a retrospective study conducted at the Department of Pathology, Institute of Obstetrics and Gynaecology, Madras Medical College, Chennai. The study period was 7 years from January 2010 to December 2016. A total of seven cases of placental chorangiomas had been reported. Case details like age of the mother, order of pregnancy, gestational age, mode of delivery, indications for delivery, pregnancy outcome and birth weight of the children were obtained. Also details of relevant investigations, procedure done, nature and gross features
This is a two year clinical retrospective carried out in the Department of Obstetrics Gynaecology, at a tertiary care centre medical college and hospital Chennai, Institute ethical committee approval All pregnant females admitted to the age group of13-19 years during period were included in the study. details were collected by history following up the patients starting antenatal period, intrapartum neonatal outcome. MS Excel was statistical purpose.
Devon M. Rupley, Emmanuel.S.K., Morhe, et al (2014) To assess knowledge, attitudes, and practices of maternity care providers regarding the provision of postpartum intrauterine contraceptive devices (IUDs) in Komfo Anokye Teaching Hospital (KATH), Kumasi, Ghana. A descriptive, cross - sectional study was conducted between Specialists, residents, house officers, and nurse midwives who had been working in the Department of Obstetrics and Gynecology for at least 3 months were included. Self - administered questionnaires assessed formal training, current proficiency in IUD insertion, and attitudes toward postpartum IUD provision. Of 91 providers surveyed, 70 (77%) reported previous training in contraceptive counseling. Fewer than one in three respondents had ever inserted an IUD: 17 (44%) of 39 physicians and 9 (17%) of 52 midwives reported ever having inserted an IUD. A total of 33 (36%) respondents reported that they would recommend an IUD in the immediate postpartum period. Although most maternity care providers at KATH had received training in contraceptive counseling, few felt confident in their ability to insert an IUD. Further training in postpartum contraceptive
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This is to certify that this dissertation entitled “A study of epidemiological factors and clinical presentations of molar pregnancies in IOG”, is a bonafide work done by Dr.S.Sujatha, at the Institute of Obstetrics and Gynaecology and Government Hospital for Women and Children, Egmore attached to Madras Medical College, Chennai from 2006 – 2008 under our supervision and guidance in partial fulfillment of the regulations laid down by the Tamil Nadu Dr.M.G.R. Medical University – Chennai, for the award of the degree of M.D. in Obstetrics and Gynaecology.
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Elsayed et 26 al reported a case report of 18 year old woman with PPH which was refractory to the usual measures at the Lucile Packard children’s Hospital, Stanford university , California, USA. The patient continued to bleed inspite of all resuscitative measures. The surgeons finally Packed the uterus and thenapplied the NASG. Within minutes of NASG placement,the patient had a remarkable improvement in the sensorium,and the bleeding subsided, pulse rate decreased and the blood pressure increased. The NASG was removed once the patient became stable and she was discharged.
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Duru Shah, Sangeetha Agrawal ,et al (2006), conducted a prospective randomized double blind study to evaluate the effects of herbo mineral phyto oestrogen formulation containing soya isoflavones in Indian women with signs and symptoms of menopause among 60 peri and post -menopausal women in a public hospital. Women with symptoms related to menopause were randomized to either group A or group B(placebo) menopausal symptoms were graded along a scale of kupperman index at base line and changes were noted every 2 months and thereafter for a total of 6 months. The group that received herbo mineral phyto oestrogen showed 40% of improvement in psychological symptoms compared to placebo group. Improvement was noted in vasomotor symptoms, symptoms relating to sexual activity and urinary symptoms in group A. Study concluded that herbo mineral phyto oestrogen containing soya isoflavones is effective in management of symptoms in menopausal women.
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Place and population: This study was carried out in Khulna Medical College Hospital (KMCH) jointly by the Department of Obstetrics and Gynaecology, Department of Child Health and Center for Nuclear Medicine in Collaboration with Institute of Nuclear Medicine, Dhaka. Period of study was 45 months extending from October’01 to June’05. Newborn infants of both sexes aged between 0 to 24 hours delivered in hospital during that period were included in the study. Although blood sample for the procedure can be taken upto 120 hours of birth, heel prick causing discomfort was avoided. Two doctors in each year had given voluntary service for this study. Detailed information including the history and clinical findings were recorded in a predesigned clinical format in order to detect presdisposing factors in relation to hypothyroidism. Methods of sample collection:
Globally every year about 500,000 maternal deaths and 5 - 6 million perinatal deaths occur and 99% of them are in the developing world  . The safe motherhood initia- tive is a global effort to reduce maternal mortality and morbidity and to achieve a healthy baby by proper management of obstetrical problems. Caesarean section is the most frequently performed major operation in obstetrics and plays an important role in this respect . Modern obstetric care includes liberalized use of caesarean section and it steadily increases in the past 20 years . In emergency situation, caesarean section is done due to unforeseen complication arising either during pregnancy or during labour; this acts as a life saving measure for both the mother and fetus . Every operative procedure has its own hazards; thus, caesarean section is also not free from them . In Bangladesh, the obstetrics care has improved; however, this is not optimal to reduce the maternal mortality and morbidity. During delivery the fetal outcome is also important. Though the rate of fetal mortality and morbidity has been improved the overall scena- rio of emergency caesarian section is not evaluated. In this regards, it is indispensable to know the situation of feto-maternal morbidity and mortality in Bangladesh . There- fore, the present study was undertaken to observe the maternal and fetal outcome among the pregnant women who had undergone emergency caesarean section.
In 2011 and 2014, the Edmonton Research Orientation Survey (EROS) was circulated to all faculty members within the Department of Obstetrics and Gynaecology at the University of British Columbia (UBC). The study re- ceived Research Ethics approval from the University of British Columbia/Children’s and Women’s Health Centre of British Columbia Research Ethics Board. The EROS is a validated tool developed to measure beliefs, attitudes and involvement in research [15–18]. The questionnaire consists of 38-items rated on a 5-point Likert scale from 1 (strongly disagree) to 5 (strongly agree). Four subscales measure respondents’ value of research, value of innovation, research involvement, and research utilization (i.e., evidence-based practice). EROS was developed to “as- sess the degree to which individual’s clinical practice is in- fluenced by research findings” and the scale and its subscales are promising measures of research utilization and attitudes toward research [15, 16]. Each sub-scale is made-up of several items from the 38-point scale and is intended to measure various aspects of research orienta- tion. Valuing Research pertains to a positive attitude to- wards research (e.g. “Even when funds are severely limited, it is important to support research activities.”); Re- search Involvement pertains to active participation in re- search (e.g. “I am actively involved in doing clinical research”; Being on the Leading Edge reflects value for innovation and change (e.g. “I am constantly looking for new information to help with my work.”; Evidence-Based Practice refers to whether or not respondents self- reported using research to guide their day to day practice (e.g.“ Reading the research literature has changed the way I practice.”) .
Bromocriptine, the active ingredient of Parlodel is a specific dopamine receptor agonist available for use in clinical practice. It has been successfully used in the treatment of hyperprolactinemia with associated amenorrhea, galactorrhea and infertility; in the inhibition of postpartum lactation; acromegaly and in Parkinson’s disease. Its role in obstetrics and gynaecology is strategic since it restores gonadal function and fertility. It decreases the size of prolactin secreting pituitary tumors, and has been used with varying degrees of success in the treatment of menstrual disorders, premenstrual syndrome and polycystic ovarian disease. Its role in the treatment of carcinoma cervix is beneficial, but not proven. Withdrawal of bromocriptine therapy however is associated with reversal of its beneficial effects and return of hyperprolactinemia. In this article the current knowledge about the pharmacologic effects and individual clinical applications oLbromocriptine pertaining to obstetrics and gynaecology have been reviewed.
Adopting the concept of biopolitics allows us to see how medical discourse, has wider power effects than just those produced in clinical practice. In my study of the special medical knowledge of the female body I look at gynaecological and obstetrical concerns not only in relation to the ’pursuit of knowledge’ but also in relation to the questions and issues raised by the medico-political management of the population’s health and growth. The needs of hygiene and the growth of the race made the female body a particular subject of medical concern. Gynaecology and obstetrics, then, were part of biopolitical concerns in the government of the social body and part of 19th century knowledge of the female body. This latter concern raises a second area ©# relating to medicine and gender, an area which has so far been under theorised in this discussion. In raising the issue of 19th century knowledge of the female body as opposed to the ’social’ body, or the ’male’ or the ’gender neutral’ body I wish to raise the question of gender. That is, how can we theorise the notion of gender in relation to 19th century social and medical knowledge of the reproductive body. In part answer to this question, one which my whole thesis addresses, I utilise another theoretical approach - that of literary ’readings’. In this theory the subject has meaning which is informed by more than one discourse, in fact though our understanding of the female body, appears to offer a simple meaning of ’body with uterus’ immediately we start to try and define its physicality the simplicity slips away and we instead see a range of meanings which do not remain fixed but shift according to different emphases of time, political and intellectual understanding. My task here is to explain what I see as the major meanings of the female body in the historically specific juncture of late 19th century Melbourne obstetrical and gynaecological discourse. These discourses, attempt to produce the meaning of the female body as predominantly that of ’body with uterus’. For the moment I remain with that
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Early intervention and appropriate treatment in patients with GDM or at increased risk for developing of GDM will helpful in preventing the adverse maternal and fetal outcome and also protect them from long term complications. Several studies have shown the association of hyperuricemia with GDM. This study, conducted in Mahatma Gandhi Medical College and Research Institute, Pondicherry between November 2010 and May 2012, was undertaken to find out the association of elevated first trimester uric acid with development of GDM. In our study mean age was 25.33±4.47yr without any statistical significance between age of the pregnant women studied and their serum uric acid level at <15 weeks of gestation (P = 0.704) and GDM (P = 0.643).The incidence of GDM with relation to age was low in this study as majority of the subjects were in the low risk age group for the development of GDM and also may be due to the smaller study population. Out of 70 women studied, 51.4% were primigravida and 48.6% were multigravida. There was no difference between the parity and serum uric acid levels at<15 weeks of
Abstract: Objective: The aim of the present study was to investigate protein arginine methyl transferase 7 (PRMT7) expression in endometrial cancer cells and to assess the involvement of PRMT7 in the occurrence and develop- ment of endometrial carcinoma. Methods: Real-time PCRand immunohistochemistry-SP were performed to deter- mine PRMT7 mRNA and protein expression, respectively, in normal endometrial tissues and endometrial carcinoma tissues. The correlations between PRMT7 protein expression and clinicopathological parameters of patients with endometrial cancer were analyzed retrospectively by comparing the positive rate among different groups. Results: PRMT7 expression was higher in stage I/II endometrial cancer tissues than in normal endometrial tissues, but the difference was not statistically significant (P = 0.105). PRMT7 expression was significantly higher in stage III/IV endometrial cancer tissues than in normal endometrial tissues (P<0.001). Moreover, PRMT7 expression was as- sociated with the differentiation degree (P = 0.007), distant metastasis (P = 0.015), and International Federation of Gynecology and Obstetrics (FIGO) stage (P = 0.028) of endometrial cancer but not with the age of patients with endometrial cancer (P = 0.063). Conclusion: These results suggest that PRMT7 participates in the occurrence and development of endometrial carcinoma, and is a novel candidate biomarker of endometrial serous carcinoma.
The control subjects were selected from the in hospital patients at the same period in our hos- pital. There were totally four control groups: control group 1, borderline ovarian tumor pa- tients (BOT, n=20); control group 2, benign epi- thelial ovarian tumor patients (n=20); control group 3, patients who had already resected normal ovarian because of leiomyoma of uter- us (n=20); and control group 4, healthy people from physical examination center (n=20).
 Badji, C.A., Moreau, J.C., Bam, G., Diallo, D., Diouf, A., Dotou, C., Tahri, L. and Diadhiou, F. (2008) The Uterine Delivery of the Big Fetus at the University Hospital of Dakar: Epidemiology and Prognosis. Medicine Black Africa , 46, 355-358.  Hamada, H., Zaki, A., Nejjar, H., Filali, A., Chraibi, C., Bezad, R. and Taheralaoui,
This is a descriptive study conducted at Department of Obstetrics and Gynaecology of Patan Hospital, a tertiary care teaching hospital of Patan Academy of Health Sciences (PAHS), Lalitpur, Nepal. All patients who were admitted after 22 weeks of gestation with diagnosis of antepartum hemorrhage from April 2012 to April 2016 were included in the study. Patient information was obtained from record section. Maternal age, parity, booking status, gestational age, mode of delivery, type of APH, complications like anemia, shock, preeclampsia, malpresentation, postpartum hemorrhage, need of blood transfusion, caesarean section, peripartum hysterectomy and death were analyzed. Details of babies like sex, weight, live or dead, need of neonatal intensive care (NICU) admission, neonatal death (NND) were also analyzed.
In current research, assessment of drug related problems (DRPs) in OBG was done. The objective behind the research was to identify the drug related problems like adverse drug reactions (ADRs), drug interactions (DI), over dose (OD), under dose (UD), treatment without indication (TWI), untreated indication (UTI). DRP admissions have been significantly increased over the past few decades. DRP is defined as an event or circumstance that involves a patient‟s drug treatment that acutually or potentially, interfers with the achievement of an optimal outcome. From current research, 200 cases are collected. Out of 200 patients, 130 patients are identified with atleast one drug related problems.258 DRPs are identified. In that 128 drug interactions,7 treatment without indication, 25 untreated indication, 5 lower dose, 9 under dose, 33 ADRs, 5 drug duplication. Therefore, drug related problems are prevalent in hospital in-patients. Pharmacists can play important role to identify and resolving DRPs. Thus, it can be concluded this study can be beneficial for the assessment of drug related problems in Obstetrics and Gynaecology. Objectives: To study the drug related problems in OBG patients. Materials and Methods: It is a prospective observational study conducted in Basaveshwara Medical College, Hospital and Research Centre for a period of six months. Patients admitted in obstetrics and gynaecology are selected. The data was collected from medical records of the patients and documented in suitable designed form. Results: In the present study a total of 1500 drugs were prescribed in 200 patients. Out of 200 patients, 128 patients having DI, 53 are mild, 40 are moderate and 35 are major. 51 patients are over dosed. Hence drug duplication is 5. 9
In our analysis, studies were included accord- ing to the criteria as follows: (a) case-control studies focused on the relationship of ADIPOQ polymorphisms with PCOS risk; (b) PCOS pa- tients should be diagnosed with National Institute of Health criteria (NIH) or European Society for Human Reproduction and Embryo- logy/American Society for Reproductive Medi- cine criteria (ESHRE/ASRM) ; (c) sufficient data (the frequencies of alleles or genotypes) should provided to calculate the odds ratios (ORs) with 95% confidence intervals (95% CIs). Accordingly, studies with insufficient data, not case-control design, reviews and meta-analysis were excluded.
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