Knowledge, Attitudes and Practices Regarding Contraception Among Physicians in a Tertiary Care Centre in Urban India
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - July 11, 2020 Category: OBGYN Source Type: research

A Multicentre Observational Study on Risk Factors for Breast Cancer
ConclusionOur study contributes to the descriptive prevalence of some known risk factors in Indian breast cancer patients. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - July 10, 2020 Category: OBGYN Source Type: research

Breast Feeding in Suspected or Confirmed Cases of COVID 19 –a New Perspective
AbstractThe encounter with the rampant novel Corona virus infection has led the healthcare system across the world to update and modify its tools to fight this pandemic. Pregnancy, childbirth and breast feeding are a set of special situations to be dealt in women afflicted with Covid-19. Currently there is no universal consensus on managing the issue of breast feeding with rooming-in of the neonates in women with suspected or confirmed Covid-19. Literature is still evolving with contradictory guidelines from various authorities across the globe. This review intends to analyse the available evidence on managing breast feedi...
Source: The Journal of Obstetrics and Gynecology of India - July 7, 2020 Category: OBGYN Source Type: research

Management of Pregnant Women in Times of Covid-19: A Review of Current Literature
This article intends to compile and summarise guidelines from esteemed organisations, along with their implication in the Indian scenario, and offers an easy tool for clinicians managing pregnant women in times of COVID-19. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - July 7, 2020 Category: OBGYN Source Type: research

Impact of the Coronavirus Infection in Pregnancy: A Preliminary Study of 141 Patients
ConclusionThere is no significant effect of COVID infection on maternal and foetal outcome in pregnancy and there is no evidence of vertical transmission of the COVID-19 infection but long-term follow-up of these babies is recommended. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - July 7, 2020 Category: OBGYN Source Type: research

The Diagnostic Efficacy of Swede Score for Prediction of Pre-invasive Cervical Lesions: A Prospective Hospital-Based Study
ConclusionThe Swede score by just incorporating one additional variable that is size of the lesion, showed better correlation with histopathology. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - July 4, 2020 Category: OBGYN Source Type: research

Informed Consent for Emergency Obstetric Care During COVID-19 Pandemic
AbstractInformed consent process has become a challenging issue before surgery for any emergency obstetric care during this COVID pandemic. There is an increased risk of morbidity if there is a need of intensive care unit postoperatively and a risk of high mortality if patient has symptoms of COVID-19. Admission to intensive care unit adds on to the financial burden to the patient. Also, there is an increased risk of perinatal anxiety and depression during the COVID pandemic. When an asymptomatic carrier develops symptoms of COVID after delivery or caesarean section, the morbidity increases. So we have designed an informed...
Source: The Journal of Obstetrics and Gynecology of India - July 3, 2020 Category: OBGYN Source Type: research

Single-Centre Experience of Doing Safe Total Laparoscopic Hysterectomy: Retrospective Analysis of 1200 Cases
AbstractStudy ObjectiveAssessment of safety and feasibility of total laparoscopic hysterectomy in a high-volume tertiary care centre.DesignRetrospective study design.SettingTertiary care centre: Galaxy care Hospital, Pune, India.Materials and MethodsThis is a retrospective observational study conducted in a tertiary care resident training hospital in Pune which is a high-volume teaching hospital. 1200 total laparoscopic hysterectomy patients between July 2013 and June 2019 operated by a group of trained surgeons were analysed, and parameters, namely demography, indication of surgery, surgical time, intra-operative blood lo...
Source: The Journal of Obstetrics and Gynecology of India - June 29, 2020 Category: OBGYN Source Type: research

Randomised Controlled Trial of Sublingual and Rectal Misoprostol in the Prevention of Primary Postpartum Haemorrhage in a Resource-Limited Community
ConclusionAt the recommended dose, sublingually administered misoprostol ( ‘the sweet of life’) is associated with a lower incidence of PPH than the rectal route. Despite its higher incidence of shivering and pyrexia, it was accepted by more women than rectally administered misoprostol.ClinicalTrials.gov identifier PACTR201911500348367. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - June 29, 2020 Category: OBGYN Source Type: research

Coronavirus (COVID-19) Infection in Pregnancy: Does Non-contrast Chest Computed Tomography (CT) Have a Role in Its Evaluation and Management?
AbstractThe outbreak of COVID-19 has become a globally concerning pandemic having affected more than 5 million people worldwide. The disease caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is highly contagious. Only limited literature exists on the evaluation and management of pregnant women with suspected or confirmed COVID-19. In this short commentary, we inform the readers of the potential role of chest CT in symptomatic COVID-19 pregnant women and the related limitations. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - June 29, 2020 Category: OBGYN Source Type: research

Successful Management of Rare Case of Placenta Percreta upto Anterior Abdominal Wall
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - June 15, 2020 Category: OBGYN Source Type: research

Beta-HCG Concentration in Vaginal Fluid: Used as a Diagnostic Biochemical Marker for Preterm Premature Rupture of Membrane in Suspected Cases and Its Correlation with Onset of Labour
Conclusionβ-hCG in vaginal fluid is a reliable biochemical marker for diagnosing suspected cases of PPROM and is well correlated with onset of labour. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - June 5, 2020 Category: OBGYN Source Type: research

Laparoscopic Excision of Cesarean Scar Ectopic Pregnancy
ConclusionLaparoscopic excision of cesarean scar ectopic is a technically demanding procedure, but with excellent results. All gynecologists should be familiar with this technique due to the increasing incidence of cesarean scar ectopic gestations. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - June 3, 2020 Category: OBGYN Source Type: research

Inflammatory Myofibroblastic Tumour at Episiotomy Site: A Rare Case Report with Review of Literature
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - May 27, 2020 Category: OBGYN Source Type: research

Is Idiopathic Hirsutism Truly Idiopathic?
AbstractObjectiveTo determine whetherother androgens [androstenedione (A4), 17-hydroxy progesterone (17OHP) and dehydroepiandrosterone (DHEA)] were elevated in women with classically defined idiopathic hirsutism (IH)/patient-important hirsutism (PIH).Study DesignRetrospective analysis.SettingOutpatient endocrine department of a tertiary care hospital.PatientsIn total, 30 consecutive women with IH/PIH were included. IH/PIH was defined as presentation with hirsutism with normal menstrual cycles (25 –35 days), normal total (
Source: The Journal of Obstetrics and Gynecology of India - May 26, 2020 Category: OBGYN Source Type: research

Corrected Cloacal Anomaly: Obstetric Challenge —A Rare Case Report
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - May 26, 2020 Category: OBGYN Source Type: research

Revisiting Post-Sterilization Regret in India
ConclusionWomen need to be counselled about the permanent nature of sterilization in order to avoid future regret as sterilization is largely dominated by socio-economic conditions. Thus, couples ’ decision-making towards using the contraceptive from the basket of choice would help in uplifting the social and cultural status of women in conservative societies and will have a positive effect on contraceptive use. In addition, efforts should be made to educate both the partners equally about contraceptive methods that have higher efficiency. Further, there is also a need to improve the quality of services, both in term...
Source: The Journal of Obstetrics and Gynecology of India - May 16, 2020 Category: OBGYN Source Type: research

Evaluation of CA-125 as an Indicator of Imaging During Follow-up of Carcinoma Ovary: Original Research
ConclusionCA125 value of ≥ 70 IU/L is a better predictor of recurrence; however, imaging done when value rises>  35 IU/L would be able to detect significant recurrences early thus allowing early treatment. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - May 12, 2020 Category: OBGYN Source Type: research

Life of an Obstetrician and Gynaecologist: A 45  Years Journey
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - May 12, 2020 Category: OBGYN Source Type: research

Abdominal Tuberculosis Mimicking Ovarian Cancer: A Diagnostic Dilemma
ConclusionsAbdominal TB is common in India and can mimic ovarian malignancy, and hence, high degree of suspicion needed. The isolation of AFB is the gold standard for diagnosis of pulmonary tuberculosis but has a low yield in abdominal TB. Ultrasound-guided procedure is reasonable as an initial procedure. As much time can be lost in working up these patients through multiple diagnostic algorithms using ascitic tap, USG biopsy and then an operative procedure, diagnostic laparoscopy could be considered early in the work up. It is a simple, time-saving and cost-effective way of establishing a diagnosis sooner with least compl...
Source: The Journal of Obstetrics and Gynecology of India - May 9, 2020 Category: OBGYN Source Type: research

A Five-Year Review of Ovarian Torsion Cases: Lessons Learnt
AbstractThe aim of the study was to analyse risk factors, surgical findings, ovarian salvage rate and histology of ovarian mass. We reviewed 81 cases of surgically proven ovarian torsion retrospectively from June 2014 to June 2019 at a tertiary care referral centre in South India. Demographic, clinical and surgical details of all patients were noted from the medical records. Mean age of the patients was 26  years. Most of the patients were nulliparous and had a pre-existing ovarian mass of size>  5 cm. Ovarian salvage rate was 43.2%. Concomitant cystectomy with detorsion was done in 30 patients without ...
Source: The Journal of Obstetrics and Gynecology of India - May 6, 2020 Category: OBGYN Source Type: research

An Integrated System for Fetal Scalp Visualization, Blood Collection and Analysis
ConclusionThe Neeraj-Bhaskar (NB) scope is an easy to use, affordable device that can be used time and again to decide on cases where emergency caesarean section can be avoided due to fetal distress. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - May 6, 2020 Category: OBGYN Source Type: research

Non-healing Wounds: A Delayed Wound Infection by Mycobacterium Tuberculosis
ConclusionA high degree of suspicion and tissue biopsy is required in case of delayed or non-healing wounds to diagnose tuberculosis as a cause. Even if typical tubercular granuloma is not visible in histopathology, the presence of epitheloid cells, giant cells, Langhans cells or predominant lymphocytic infiltrate equally suggests tubercular tissue infection. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - May 6, 2020 Category: OBGYN Source Type: research

Correlation of Antenatal Ultrasound Parameters with the Postnatal Outcome of Bilateral Fetal Hydronephrosis
ConclusionResolution of hydronephrosis took place in the majority of cases, and there was an adverse outcome in only one-third of them. Renal caliectasis was the best marker for the prediction of adverse outcome. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - May 6, 2020 Category: OBGYN Source Type: research

Association of Hypovitaminosis D with Metabolic Syndrome in Postmenopausal Women
AbstractThe prevalence of vitamin D deficiency and metabolic syndrome is spreading like a pandemic globally; postmenopausal women are particularly vulnerable population. Hypovitaminosis D is reported to predispose to various components of metabolic syndrome like dyslipidemia, hypertension, diabetes and obesity. The purpose of this review is to highlight the recently published evidence, evaluating the association of vitamin D deficiency with metabolic syndrome in postmenopausal women. Besides, it emphasizes the long-term risks involved with low vitamin D levels and importance of vitamin D supplementation. Data were obtained...
Source: The Journal of Obstetrics and Gynecology of India - April 25, 2020 Category: OBGYN Source Type: research

Relative Prevalence and Outcome of Fetal Neural Tube Defect in a Developing Country
ConclusionsNTD is one of the commonest malformations with high mortality, and the physical and mental sub-normality is high among those who survive. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - April 18, 2020 Category: OBGYN Source Type: research

Parasitic Fibroid: Complication of Post-Laparoscopic Morcellation
ConclusionComplications of parasitic fibroid can occur when morcelletor is used in laparoscopic surgeries, because of the growth of tissue which have spread in pelvic cavity. To prevent this complication, endobag morcellation should be used.Clinical SignificanceHistory of morcellation, should be asked to females, presenting with varied abdominal complaints, and history of laparoscopic surgery, possibility of parasitic fibroid should be considered in these patients. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - March 29, 2020 Category: OBGYN Source Type: research

Presidential Address
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - March 21, 2020 Category: OBGYN Source Type: research

Does Saving Uterus Save Ovaries?
AbstractOvarian function after hysterectomy is a subject of much controversy since many years. There is increasing awareness among gynecologists that the ovaries need to be spared at hysterectomy for benign conditions. However the awareness is limited, and many practitioners believe in removal of ovaries at hysterectomy. Removal of ovaries will save lives of patients at risk of developing ovarian cancer. But it will be unnecessary for low-risk women and will in fact endanger their lives by increasing cardiac risks. Recent data suggest that ovarian epithelial cancer arises from tubal epithelium, which adds new option of per...
Source: The Journal of Obstetrics and Gynecology of India - March 18, 2020 Category: OBGYN Source Type: research

Study of Spectrum of Chromosomal Rearrangements in Recurrent Pregnancy Loss
DiscussionOur study highlights that cytogenetic alterations not only are common in first trimester miscarriages, but are an important event in miscarriages presenting at later period of gestation and in young mothers as well. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - February 8, 2020 Category: OBGYN Source Type: research

Post-placental Intrauterine Device Insertion Versus Delayed Intrauterine Device Insertion: An Observational Study
ConclusionPPIUD is a safe, easy and effective alternative to interval IUD insertion and qualifies to be popularized as a first-line contraceptive agent in eligible patients owing to its immediate and sustained contraceptive benefit, patient comfort, convenience and lower incidence of side effects. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - February 8, 2020 Category: OBGYN Source Type: research

Myomectomy During Cesarean Section: Why Do We Abstain From?
ConclusionsCesarean myomectomy operation performed by experienced surgeons has no adverse effects other than lengthening the duration of operation and can be safely implemented. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - January 16, 2020 Category: OBGYN Source Type: research

Bias in Clinical Practice
AbstractRole of bias in errors of decision making is receiving increasing attention. It is turning out to be one of the main sources of mistakes. Hence, it is important to be aware of biases and to design strategies toward an unbiased approach. Biases are of various types, and the potential sources of bias can be related to the consultant, patients and factors related to working conditions. Availability bias, base rate neglect, confirmation bias, conjunction rule, diagnostic momentum bias, framing effect and confirmation bias are the common types, and these have been discussed in this manuscript using a scenario-based form...
Source: The Journal of Obstetrics and Gynecology of India - January 16, 2020 Category: OBGYN Source Type: research

Maternal Obesity and Pregnancy Outcome: in Perspective of New Asian Indian Guidelines
This study was conducted with the aim to assess obesity-related adverse maternal, neonatal and perinatal outcomes using new Asian Indian guidelines.MethodologyPregnant women up to 16-week gestation on first visit were enrolled. There were two exposure groups: one with BMI  
Source: The Journal of Obstetrics and Gynecology of India - January 13, 2020 Category: OBGYN Source Type: research

Ureteroneocystostomy for Ureterovaginal Fistula
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - January 13, 2020 Category: OBGYN Source Type: research

Pemphigoid Gestationis —A Rare Pregnancy Dermatoses
AbstractPemphigoid gestationis is a rare subepidermal bullous dermatosis of pregnancy, caused by the interaction of IgG1 auto-antibodies with 180 kD BP Antigen 2. This disease can lead to preterm delivery, but the neonate is affected in only 10% cases. The treatment of choice in pemphigoid gestationis is systemic corticosteroids. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - January 12, 2020 Category: OBGYN Source Type: research

Pregnancy and Its Successful Outcome in a Patient with Multiple Myeloma
We present the case of a 29-year-old lady with multiple myeloma who had spontaneous conception during maintenance therapy and subsequently a successful pregnancy outcome. She gave birth to a healthy female infant through normal vaginal delivery and subsequently could remain off therapy for 5 years. Since the patient had a history of abortions and stillbirth, it was a precious pregnancy and we could successfully salvage both the mother and the baby. Young female patients of myeloma who are in remission can be encouraged to start a family during their reproductive years with the suppor t of a comprehensive care team of ...
Source: The Journal of Obstetrics and Gynecology of India - January 10, 2020 Category: OBGYN Source Type: research

Measurement of Angle of Descent (AOD) by Transperineal Ultrasound in Labour to Predict Successful Vaginal Delivery
ConclusionThe use of intrapartum transperineal ultrasound and measurement of angle of descent can prove to be a valuable adjunct in management of labour, especially in cases of prolonged first and second stages of labour in predicting successful vaginal delivery. AOD of 116 ° or more can predict successful vaginal delivery within 2 h. AOD can be used in centres having facilities of intrapartum ultrasound. The authors recommend the use of ultrasound in labour room as it is non-invasive and can provide a lot of information. This method is currently useful for tertiary centres or medical colleges. (Source: The Journa...
Source: The Journal of Obstetrics and Gynecology of India - January 2, 2020 Category: OBGYN Source Type: research

Reproductive Endocrinology Infertility (REI) Specialists ’ Utilization and Attitudes Toward Expanded Carrier Screening (ECS) for Third-Party Oocyte Donors
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - December 24, 2019 Category: OBGYN Source Type: research

Diagnostic Value of Risk of Malignancy Algorithm (ROMA) in Adnexal Masses
AbstractBackgroundDifferentiating malignancy from benign diseases is the key to successful management of adnexal masses. Risk of malignancy algorithm (ROMA) has been used for this purpose. We have prospectively studied the diagnostic value of ROMA in patients presented with adnexal masses.MethodsWe prospective calculated ROMA values prior to surgery for adnexal masses. The risk calculated was then correlated with the histological findings, and results were analyzed according to menopausal status. ROMA cutoff value was determined using ROC curve, and sensitivity, specificity and predictive values were calculated. Statistics...
Source: The Journal of Obstetrics and Gynecology of India - December 23, 2019 Category: OBGYN Source Type: research

Tracing the Journey of Endometrium, from Womb to Arm: Deltoid Endometriosis
ConclusionTo the best of our knowledge, this is the third case of deltoid endometriosis reported till date. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - December 16, 2019 Category: OBGYN Source Type: research

The Effect of Vitamin D Supplementation on Improving Glycaemic Control in Diabetic Vitamin D-Deficient Pregnant Women: A Single-Blinded Randomized Control Trial
ConclusionVitamin D supplementation did not decrease insulin resistance or improve the glycaemic control in diabetic pregnant women with vitamin D deficiency. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - December 14, 2019 Category: OBGYN Source Type: research

Pregnancy, Ischemic Stroke and Heart Disease: A Rare Clinical Scenario
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - December 14, 2019 Category: OBGYN Source Type: research

Laparoscopic In-Bag Morcellation Compared with Conventional Morcellation of Myomas and Uterus with Myomas
ConclusionLaparoscopic contained bag morcellation for myomas and uterus with large myomas were evaluated. In myomectomy group both conventional and in bag laparoscopic morcellation were comparable in terms of duration of the surgery and blood loss. When all cases ( hysterectomy and myomectomy combined together) and cases of hysterectomy with large fibroid were studied, laparoscopic in bag morcellation took less operative time and there was statistically significant difference in operative time . No case of leiomyosarcoma was found in our study of 720 cases of myomas or uterus with large myomas. (Source: The Journal of Obst...
Source: The Journal of Obstetrics and Gynecology of India - December 9, 2019 Category: OBGYN Source Type: research

Successful Antenatal Management of Foeto-Maternal Alloimmune Thrombocytopenia
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - December 4, 2019 Category: OBGYN Source Type: research

Clinical Profile, Surgical Approach and Outcome of Complicated Genital Fistulae in Urban Population of a Developing Nation
ConclusionThe study demonstrates that complicated genital fistulae occur more commonly secondary to gynaecological surgeries as compared to obstetric complications in a contemporary cohort from a metropolitan city. A 100% success rate of reparative surgery could be achieved with a transperitoneal approach. Good outcome in ureteric fistulae can be achieved with conservative approach, after proper case selection. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - December 3, 2019 Category: OBGYN Source Type: research

Can RBC Indices be Used as Screening Test for Beta-Thalassemia in Indian Antenatal Women?
ConclusionThe sensitivity and specificity of MCV and MCH alone had low detection rate when used in combination had high sensitivity but the specificity was low; therefore, HPLC should be the preferred screening test for beta-thalassemia in Indian women. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - December 1, 2019 Category: OBGYN Source Type: research

Coagulopathies in Pregnancy: What an Obstetrician Ought to Know!
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - November 27, 2019 Category: OBGYN Source Type: research

Coagulopathies in Pregnancy: What an Obstetrician Oughd to Know!
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - November 23, 2019 Category: OBGYN Source Type: research

Pregnancy-Induced Hemophagocytic Lymphohistiocytosis: A Case Report
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - November 7, 2019 Category: OBGYN Source Type: research