Ovarian Follicle: Twirling Microfilaria ’s New Abode
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - July 19, 2019 Category: OBGYN Source Type: research

Pregnancy-Associated Breast Cancer: A Realistic Approach
ConclusionWith the increasing number of elderly primigravida amongst the urban population, a clear understanding of PABC is becoming more important. A multidisciplinary team approach shall help the clinician not only in reducing the heavy burden of patient responsibility but more importantly, in guaranteeing better quality of treatment, avoiding unnecessary delays in providing interventions and providing adequate treatment. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - July 18, 2019 Category: OBGYN Source Type: research

Can Polycystic Ovarian Syndrome be cured? Unfolding the Concept of Secondary Polycystic Ovarian Syndrome!
AbstractClassic polycystic ovarian syndrome (PCOS) is one of the commonest endocrine metabolic disorders in women of reproductive years. It is very disappointing that we have still not been able to know the exact cause, and hence, we cannot completely cure this syndrome. With availability of effective drugs and lifestyle modification, it can only be controlled and symptoms can be reduced. There are some well-defined factors which lead to PCOS phenotype. A concept of secondary PCOS is being described recently. This condition, even though rare, is completely curable, as majority of these factors are treatable. Hence, it is a...
Source: The Journal of Obstetrics and Gynecology of India - July 18, 2019 Category: OBGYN Source Type: research

Association Between Fetal Middle Cerebral Artery and Umbilical Artery Doppler Ratio with Fetal Distress in 38 –40 Weeks of Gestation
In this study, abnormal amniotic fluid index (AFI) (1.1%), low birth weight (
Source: The Journal of Obstetrics and Gynecology of India - July 17, 2019 Category: OBGYN Source Type: research

Comparative Study of Neoadjuvant Chemotherapy Followed by Definitive Chemoradiotherapy Versus Definitive Chemoradiotherapy Alone in Locally Advanced Carcinoma of Cervix
ConclusionNACT with taxane/platin followed by definitive CT/RT is as effective as the standard care in the treatment of locally advanced cervical cancer. It has even shown better results (p value  >  .005) and is also helpful in reducing systemic micrometastasis and bulk of the disease. It can be used as an alternative to the standard care at the places of long waiting time for the definitive treatment, without compromising the outcome. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - July 13, 2019 Category: OBGYN Source Type: research

Enterobius vermicularis Infection of the Uterine Endometrium in an Infertile Female
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - July 10, 2019 Category: OBGYN Source Type: research

Retraction Note to: Does the Time Interval Between Semen Collection, Processing and Insemination Affect Results of IUI?
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - July 3, 2019 Category: OBGYN Source Type: research

Home-Based Extended Low-Dose Oral Misoprostol in Management of First-Trimester Pregnancy Loss in Low-Resource Communities: A Randomized Trial
ConclusionIn low-resource communities, the home-based extended low-dose oral misoprostol protocol proved high efficacy, safety and tolerability in management of first-trimester pregnancy loss. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - June 26, 2019 Category: OBGYN Source Type: research

Rising Cesarean Rates: Are Primary Sections Overused?
AbstractDoubling of C-section rates from year 2000 to 2015 globally was declared an eye-opener on October 13, 2018, in FIGO World Congress. Rapid increase in rates without clear evidence of concomitant decrease in maternal or neonatal morbidity or mortality raises significant concern that cesarean delivery is overused. This review addresses issues related to exponentially rising rates, reasons for it, and strategies to reduce. Previous cesarean delivery has main contribution to rising rates as per evidence from the literature search in last 5  years. Focus on optimizing indications of primary C-section resulted in mak...
Source: The Journal of Obstetrics and Gynecology of India - June 13, 2019 Category: OBGYN Source Type: research

Partial Molar Pregnancy Associated with Severely Anemic Singleton Pregnancy
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - June 13, 2019 Category: OBGYN Source Type: research

Granulosa Cell Tumor of the Ovary Accompanying with Ollier ’s Disease: First Case of Contralateral Presentations
ConclusionThis case was the first of its kind that ovarian tumor was contralateral to the side involved by enchondromatosis. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - June 12, 2019 Category: OBGYN Source Type: research

Minimally Invasive Endoscopic Approach for Management of OHVIRA Syndrome
ConclusionVaginoscopic resection of obstructed hemivaginal septum is an effective method. Management has shifted to minimally invasive approach due to improved imaging, precise preoperative diagnosis and proper understanding of the disease. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - June 10, 2019 Category: OBGYN Source Type: research

Evaluate the Feasibility of Surgical Transversus Abdominis Plane Block for Postoperative Analgesia After Cesarean Section
AbstractBackgroundTransversus abdominis plane (TAP) block is a fascial plane block providing postoperative analgesia after lower abdominal surgeries including Cesarean section. Conventionally, it is administered under ultrasound guidance or by blind technique. We studied a novel transperitoneal surgical TAP block for providing safe and effective analgesia after Cesarean section through transverse incision.MethodsA hundred patients who fulfilled the inclusion criteria were included in the study after obtaining informed written consent. They were randomized in two groups: Group A with surgical TAP block and Group B without T...
Source: The Journal of Obstetrics and Gynecology of India - June 8, 2019 Category: OBGYN Source Type: research

Safety and Efficacy of Intra-caesarean IUCD: A Prospective Study at a Tertiary Care Centre
ConclusionThe results of our study suggest that immediate intra-caesarean IUCD insertion appears to be a safe and effective method of contraception. The acceptability of intra-caesarean IUCD was high, and its continuation rate has demonstrated its safety. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - June 7, 2019 Category: OBGYN Source Type: research

Pilimiction: A Rare Presentation of Ovarian Dermoid
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - June 7, 2019 Category: OBGYN Source Type: research

Cesarean Myomectomy: An Experience from a Tertiary Care Teaching Hospital
ConclusionThis study demonstrates that cesarean myomectomy to be a safe and feasible procedure in experienced hands. It offers the advantage of avoiding a second surgery in selected patients. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - June 3, 2019 Category: OBGYN Source Type: research

A Multicenter, Randomized, Open-Label Trial Comparing the Efficacy and Safety of Monoclonal Anti-Rh (D) Immunoglobulin with Polyclonal Anti-Rh (D) Immunoglobulin for the Prevention of Maternal Rh-Isoimmunization
ConclusionThe efficacy and safety of the monoclonal preparation of anti-D was comparable to the polyclonal preparation of anti-D when used in the prevention of maternal Rh-isoimmunization.Trial registration Clinical Trial Registration Number: CTRI/2015/09/006172. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - June 3, 2019 Category: OBGYN Source Type: research

Using Near Miss Model to Evaluate the Quality of Maternal Care at a Tertiary Health-Care Center: A Prospective Observational Study
ConclusionHemorrhage and hypertensive disorders were the two most common causes of NM and deaths highlighting the importance of their prompt diagnosis and vigorous management. Periodic SMR calculation can be used as an audit to guide us in improving the overall status of maternal health. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - May 23, 2019 Category: OBGYN Source Type: research

Reference Centile Chart of Fetal Cerebroplacental Doppler from 24 to 40  Weeks Gestation in Indian Population
ConclusionThe constructed MCA, UA and CPR charts along with their MOM values could be used as reference for the regional population. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - May 21, 2019 Category: OBGYN Source Type: research

Retrospective Analysis of 32 Cases of Ovarian Granulosa Cell Tumours
ConclusionGCT of the ovary is a rare tumour with a tendency for late relapse. Survival is generally excellent as majority of the patients present in early stages. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - May 16, 2019 Category: OBGYN Source Type: research

Obesity in Pregnancy: Obstetrician ’ s Obstacle
AbstractObesity in pregnancy is associated with several complications which today ’s obstetricians have to face often. Overcoming these obstacles is truly challenging. There is a steady rise in incidence of overweight or obese women at reproductive age group in India and as well as other countries. Recent advances in bariatric medicine as well bariatric surgery have led to incr easing number of pregnancies in obese women. Since obesity is associated with adverse maternal and fetal outcome, it is considered as a high-risk pregnancy and such pregnancies need to be managed in maternity units which are well equipped with...
Source: The Journal of Obstetrics and Gynecology of India - May 15, 2019 Category: OBGYN Source Type: research

Bariatric Surgery for Obesity and Metabolic Syndrome
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - May 15, 2019 Category: OBGYN Source Type: research

Critical Factors Influencing the Acceptability of Post-placental Insertion of Intrauterine Contraceptive Device: A Study in Six Public/Private Institutes in India
ConclusionsAwareness of PPIUCDs is not a limiting factor in women ’s consent to PPIUCD insertion. As a woman’s decision to use a PPIUCD is significantly influenced by family members and her partner/husband, awareness initiatives that target these populations should be considered. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - May 10, 2019 Category: OBGYN Source Type: research

Predictive Value of Single Serum Progesterone Level for Viability in Threatened Miscarriage
ConclusionA single value of progesterone is useful in predicting the viability of the ongoing threatened pregnancy. Serum progesterone with a cut-off value of 10.8  ng/ml was found to have a positive predictive value of 95.7% and negative predictive value of 70.7% with an accuracy of 86%. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - May 9, 2019 Category: OBGYN Source Type: research

Role of Chromohysteroscopy in Evaluation of Endometrial Pathology Using Methylene Blue Dye
AbstractBackgroundChromohysteroscopy is expected to help in diagnosing subtle endometrial pathologies which could be missed on conventional hysteroscopy and also help in targeting biopsy from endometrium.ObjectiveTo study staining pattern of endometrium in patients undergoing chromohysteroscopy and  to evaluate and compare the histopathology of chromohysteroscopy-guided endometrial biopsy with conventional endometrial sampling.MethodThis was a cross-sectional study conducted during the period of 18 months in Department of Obstetrics and Gynaecology, ESI PGIMSR, New Delhi, India, from September 2016 to February 2018. T...
Source: The Journal of Obstetrics and Gynecology of India - May 6, 2019 Category: OBGYN Source Type: research

IOTA Simple Ultrasound Rules for Triage of Adnexal Mass: Experience from South India
ConclusionIOTA simple rules provide excellent discrimination between benign and malignant adnexal masses. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - May 3, 2019 Category: OBGYN Source Type: research

A Comparative Study of Non-descent Vaginal Hysterectomy and Laparoscopic Hysterectomy
AbstractObjectiveTo compare intra- and post-op complications between non-descent vaginal hysterectomy and laparoscopic hysterectomy and establish the better method for hysterectomy in non-descent uterus.MethodsA prospective comparative study of 80 hysterectomies was done over a period of January 2017 –Dec 2017, with 40 cases each in one group of non-descent vaginal hysterectomy (NDVH) and other group of total laparoscopic hysterectomy (TLH). Demographic characteristics, co-morbid conditions, indications for surgery, operative time, intra-operative blood loss, post-operative analgesia requireme nts, post-operative hos...
Source: The Journal of Obstetrics and Gynecology of India - April 27, 2019 Category: OBGYN Source Type: research

Effect of Melatonin on Blood Loss After Cesarean Section: A Prospective Randomized Double-Blind Trial
Conclusion Using 6  mg melatonin, sublingually, as a premedication in patients undergoing cesarean section with spinal anesthesia could statistically reduce the amount of blood loss after the lower segment cesarean section, although it may not be clinically meaningful.Registration number: ACTRN12612000117819 andClinicalTrials.gov Identifier: NCT01572805 (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - April 24, 2019 Category: OBGYN Source Type: research

Posterior Reversible Encephalopathy Syndrome (PRES): Evolving the Mystery of Eclampsia!
ConclusionPRES is the core component of the pathogenesis of eclampsia, and the incidence is 100% in our study. Inj. MgSO4 is the drug of choice, and addition of Inj. Mannitol in cases with recurrent convulsions, extreme irritability, visual symptoms and severe headache plays a dramatic role in control of convulsions and recovery of the patients. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - April 24, 2019 Category: OBGYN Source Type: research

Gross Hematuria in Pregnancy: An Enigma
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - April 23, 2019 Category: OBGYN Source Type: research

Validation of the Risk Score for Maternal Cardiac Complications in Women with Cardiac Disease in Pregnancy: A Retrospective Study
ConclusionThe new risk score (SHE-CDIP) would be useful to stratify the risk in Indian cohort of women with cardiac disease in pregnancy as it is population specific. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - April 22, 2019 Category: OBGYN Source Type: research

Prenatal Diagnosis of Osteogenesis Imperfecta Type III
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - April 22, 2019 Category: OBGYN Source Type: research

Assessment of a Combination of Clinical Maneuvers in Evaluation of Post-Laparoscopic Pain: A Randomized Clinical Trial
AbstractBackgroundTo assess the efficacy of the combined maneuvers in evaluation of post-laparoscopic pain.Material and MethodsA randomized controlled study was conducted. Sixty-four women were included in the study and were randomly divided into two groups. Intervention group received combined maneuvers such as intraperitoneal normal saline infusion, pulmonary recruitment maneuver and local bupivacaine instillation at port sites after laparoscopic surgery. Control group received routine care.Main Outcome MeasuresUpper abdominal pain, shoulder pain and incision site pain were noted in both groups at 3, 6, 12, 24 and 48 &nb...
Source: The Journal of Obstetrics and Gynecology of India - April 20, 2019 Category: OBGYN Source Type: research

Methylenetetrahydrofolate Reductase Enzyme Level and Antioxidant Activity in Women with Gestational Hypertension and Pre-eclampsia in Lagos, Nigeria
AbstractBackgroundDeficiencies of enzymes in the folate cycle may lead to the generation of homocysteine, a toxic metabolic intermediate with pro-oxidant effect and ability to induce oxidant stress and lipid peroxidation as part of the pathophysiological process in gestational hypertension (GH) and pre-eclampsia (PE).AimThe aim of this study is to assess the reliability of plasma homocysteine (hcy) 5, 10 methylenetetrahydrofolate reductase (MTHFR) enzyme and oxidative stress parameters as indicators of aetio-pathogenesis and severity of gestational hypertension and pre-eclampsia.Subjects and MethodsThis was a comparative c...
Source: The Journal of Obstetrics and Gynecology of India - April 16, 2019 Category: OBGYN Source Type: research

The Relationship of Pregnancy-Associated Plasma Protein A and Human Chorionic Gonadotropin with Adverse Pregnancy Outcomes: A Prospective Study
AbstractPurposeThis prospective study investigated the relationship between pregnancy-associated plasma protein A (PAPP-A) and human chorionic gonadotropin (hCG) and adverse pregnancy outcomes in the Iranian population.MaterialsOverall, 994 singleton pregnant mothers of 18 –35-year old were referred for first-trimester screening tests, including PAPP-A and β-hCG, at the age of 6 days and 11–13 weeks, and were followed until the end of their pregnancy. The adverse pregnancy outcomes, PAPP-A, and β-hCG serum levels were recorded and analyzed. The sensitivity and specificity of the test were me...
Source: The Journal of Obstetrics and Gynecology of India - April 11, 2019 Category: OBGYN Source Type: research

Sex Hormones and Cognition: Where Do We Stand?
AbstractHypothalamic –pituitary–gonadal axis regulates the reproductive system. The overall health and wellbeing of a woman is subject to fluctuations in the sex hormones throughout her lifespan. Menopause, either natural or surgically induced, is often associated with cognitive complaints, especially memory disturb ances. Sex hormones, besides affecting the reproductive function, affect the central nervous system in many ways. Here, we aim to review the role of sex hormones in cognition and the current evidence on use of or against menopausal hormonal therapy as a cognition enhancer in women with cognitive dis...
Source: The Journal of Obstetrics and Gynecology of India - April 10, 2019 Category: OBGYN Source Type: research

Obstetric Complications of Donor Egg Conception Pregnancies
AbstractOvum donation (OD) pregnancies are becoming increasingly common. Obstetric complications with IVF pregnancies are well documented. However, until recently OD had not previously been investigated as a separate subtype of this. It could be postulated that there may be more complications with OD pregnancies as the embryo is immunologically different to the mother. The subsequent allograft reactions can cause problems with placental development and function leading to pathology. Initial studies investigating OD pregnancies were inadequate due to small sample size and inappropriate control groups. Studies specifically c...
Source: The Journal of Obstetrics and Gynecology of India - April 10, 2019 Category: OBGYN Source Type: research

Maternal and Neonatal Outcomes in Patients of Gestational Diabetes Mellitus on Metformin Therapy
ConclusionsMetformin is a clinically effective, inexpensive and safe drug for treating gestational diabetes mellitus. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - March 23, 2019 Category: OBGYN Source Type: research

Changing Scenario in Indian Contraceptive Methods: A Glimpse Through a Tertiary Hospital Statistics
ConclusionsPPIUCD is there to stay as a method of long-term contraception. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - March 20, 2019 Category: OBGYN Source Type: research

Comment on the Editorial “The Plague of Plagiarism: Prevention and Cure!!!”
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - March 19, 2019 Category: OBGYN Source Type: research

Specific Chromosomal Aberrations in Primary Amenorrhoea: Study on 3776 Cases from Indian Population
ConclusionAs per the literature till date, this study is the largest with high incidence of chromosomal abnormalities; early detection of abnormalities is necessary for guidance to reproductive management and genetic counselling. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - March 14, 2019 Category: OBGYN Source Type: research

Correction to: Contraception for Breast Feeding Mothers with the 75 Microgram Desogestrel-Only Pill: An Indian Perspective
This matter was investigated by the Editor-in-Chief of the journal and based on the investigation this correction is being published. The Journal of Obstetrics and Gynecology of India does not support publication of pharmaceutical company-sponsored articles. The co-author of this article has declared a conflict of interest as an employee of the manufacturing company of the drug helped in this review, and hence, readers are advised to take into account a possible bias. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - March 14, 2019 Category: OBGYN Source Type: research

Systemic Lupus Erythematosus and Pregnancy: A Brief Review
AbstractSystemic lupus erythematosus is a chronic multisystemic autoimmune disease that predominantly affects young women of childbearing age group. There is a complex immunologic interplay during pregnancy in patients with systemic lupus erythematosus. The pregnancy has direct impact on the disease where an increased rate of flares is noted, and lupus leads to increased risk of hypertensive diseases of pregnancy, preterm birth as well as miscarriages, particularly those with antiphospholipid antibodies. Neonates born to patients with lupus are at increased risk of neonatal lupus as well as heart block if born to patients ...
Source: The Journal of Obstetrics and Gynecology of India - March 12, 2019 Category: OBGYN Source Type: research

Comments on Manuscript: Interstitial and Cornual Ectopic Pregnancy: Conservative Surgical and Medical Management
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - March 9, 2019 Category: OBGYN Source Type: research

Hysteroscopic Management of Robert ’s Uterus
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - March 8, 2019 Category: OBGYN Source Type: research

Musculoskeletal Disorders and Menopause
AbstractMenopause has an adverse impact on overall musculoskeletal health. It is associated with osteoporosis, osteoarthritis and Sarcopenia. Sarcopenia includes age-related muscle wasting as well as loss of muscle function. It is a relatively newly recognized condition and is known to be accelerated by estrogen deficiency. Osteoarthritis is also linked with estrogen deficiency more recently. Locomotor disability leads to a compromised quality of life. Sarcopenia and obesity (sarcobesity) have adverse outcome as it leads to morbidity due to increased incidence of lifestyle diseases like diabetes mellitus, hypertension. Poo...
Source: The Journal of Obstetrics and Gynecology of India - March 7, 2019 Category: OBGYN Source Type: research

A Rare Case of Spontaneous Bilateral Ruptured Tubal Ectopic Pregnancy
AbstractBilateral tubal ectopic pregnancy is very rare, spontaneous cases being exceptional. Here, the authors report a case of spontaneous bilateral tubal ectopic pregnancy of 10-weeks gestation diagnosed and managed at Bharatratna Dr. Babasaheb Ambedkar Municipal and General Hospital, Kandivali, Mumbai. A 29-year-old, G2P1L1 patient presented in the emergency department with 3-months amenorrhea, abdominal pain and vaginal bleeding. Urine pregnancy test was positive, and an emergency ultrasound done revealed bilateral tubal ectopic pregnancies of 10-weeks size with hemoperitoneum. Emergency exploration was done, and a rig...
Source: The Journal of Obstetrics and Gynecology of India - March 7, 2019 Category: OBGYN Source Type: research

Harlequin Ichthyosis: A Rare Case of Congenital Ichthyosis
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - March 7, 2019 Category: OBGYN Source Type: research

Down ’s Syndrome Screening in the First Trimester with Additional Serum Markers: Indian Parameters
ConclusionFirst-trimester screening using four serum markers only can be carried out in India. Performance is expected to be similar to the second-trimester Quad test and will also facilitate early screening for preeclampsia and open spina bifida. A protocol of NT plus the four serum markers enhances the performance compared with NT, PAPP-A and free β-hCG. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - February 11, 2019 Category: OBGYN Source Type: research

Methylene Blue Use: Is It Safe?
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - February 1, 2019 Category: OBGYN Source Type: research