Introduction: Increase in caesarean section rates up to 10-15% at the population level are associated with decreases in maternal, neonatal and infant mortality Above this level, increasing the rate of caesarean section is no longer associated with reduced mortality. WHO proposes the Robson’s classification system as a global standard for assessing, monitoring and comparing caesarean section rates within healthcare facilities. Aims and Objectives: Aim of the study was to know the caesarean section rate in our institution and to evaluate the distribution of caesarean deliveries according to Robson’s Ten Group Classification System. Material and Methods: A prospective and observational study was conducted in the department of Obstetrics and Gynecology at GMC and Rajindra Hospital, Patiala. The study included all the women delivered by caesarean section from the period January 2016 to December 2016. The result obtained was analyzed to see and compare the caesarean section rate for the various contributing groups. Results: Caesarean delivery rate was found to be 40.49%. Maximum number of caesarean deliveries were contributed by Group 5 i.e. 26.51% followed by Group 10 (21.76%), Group 1 (19.87%) and Group 6 (6.78%). The main indication for caesarean delivery at our institution was repeat caesarean delivery (36.29%) followed by fetal distress (26.71%). Conclusion: Major contributing groups, Group 5, Group 10, Group 1 and Group 6 needs to be targeted to bring down the caesarean rate
ORIGINAL RESEARCH ARTICLE | June 27, 2019
An Insight into Sexual Abuse in Malaysia
Najimudeen M, Myo Hla Myint, Shyam Rao, Mie Mie Cho Win
Sexual violence are escalating not only in Malaysia but all over the world. Most often the perpetrator have close contact with the victim. Sexual violence against children and women brings with it long-term complications. The victims suffer in silence. Effective and organised preventive measures are necessary to safe guard the vulnerable innocent people.
ORIGINAL RESEARCH ARTICLE | June 30, 2019
Ormeloxifene: A Selective Estrogen Receptor Modulator in Medical Management of Dysfunctional Uterine Bleeding
OBJECTIVE: The study was done to evaluate the efficacy of ormeloxifene in medical management of dysfunctional uetrine bleeding. METHODS: Thirty women in reproductive age group who have completed child bearing, attending the outpatient gynaecology department with complaint of heavy menstrual flow were recruited for the study over a period of one year. Ormeloxifene (60 mg) was given orally twice a week for first 12 weeks and then once a week for up to next 12 weeks. Menstrual blood loss measurement was done using pictorial blood loss assessment chart (PBAC), blood haemoglobin (gm/ dl) levels and endometrial thickness was the main measurements to evaluate the efficacy of therapy. The data obtained was analyzed using the mean and p values of less than 0.05 were accepted as indicating statistical significance. RESULTS: There was a significant reduction in PBAC score from pre-treatment and post-treatment with ormeloxifene (p˂0.001).There was also significant reduction in the endometrial thickness after treatment (p˂0.001).The difference in mean haemoglobin concentration of 2.02 gm/dl between pre-treatment and post-treatment.no major adverse effects were seen in the study. CONCLUSION: The results in this study showed that ormeloxifene, a non-hormonal, non- steriodal agent provides effective and favourable medical management with least side effects, suitable for the treatment of dysfunctional uterine bleeding
ORIGINAL RESEARCH ARTICLE | June 30, 2019
The Advent of Gynecological Endoscopic Surgery at a Tertiary Care Hospital in Sikkim, a Remote North- Eastern State of India
Topic: The advent of gynecological endoscopic surgery at a tertiary care hospital in Sikkim, a remote north- eastern state of India. Gynecological surgeries are being increasingly performed worldwide and have gained popularity because of shorter duration of surgery, decreased blood loss and faster recovery after surgery which decreases the cost of hospitalization. This has generated a keen interest in a large number of gynecologists who are getting trained in laparoscopic procedures and in turn are facilitating the establishment and smooth running of laparoscopy units in their own working area. The laparoscopic unit in our hospital was also started with the idea of imparting quality health care to the patients. The difficulties encountered in setting up the unit, monetary issues , training of surgeons and then counselling the patients about the advantages of undergoing laparoscopic surgery and their dilemma in accepting laparoscopic surgery in place of open surgeries are will be discussed
Scholars Middle East Publishers
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