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Patil, Ajit
- A Comparative Study of Post-placental IUCD Insertion after Vaginal Delivery versus during Caesarean Section
Abstract Views :368 |
PDF Views:98
Authors
Ashwini Jadhav
1,
Ajit Patil
2
Affiliations
1 Former PG Resident, Department of Obstetrics & Gynaecology, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
2 Professor, Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
1 Former PG Resident, Department of Obstetrics & Gynaecology, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
2 Professor, Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 7, No 2 (2020), Pagination: 151-154Abstract
Introduction: Immediate postpartum period is the period from expulsion of placenta to 48 hours of delivery. The CuT-380A is effective for 10 years of continuous use. Institutional delivery provides an opportunity to the women with immediate Post-placental Intrauterine Contraceptive Device Services. Aims and Objectives: To compare complications of PPIUCD inserted after vaginal delivery and during caesarean section up to 12 weeks. To compare the rate of expulsion of PPIUCD inserted after vaginal delivery and after caesarean section. Material and Methods: Total 200 subjects were included in the study. Group A - Consisting of 100 subjects in whom IUCD (CuT 380 A) was inserted after vaginal delivery. Group B - Consisting of 100 subjects in whom IUCD (CuT 380 A) was inserted during caesarean section. Results: Whether CuT is expelled or in situ among both groups at 6 weeks and at 12 weeks shows significant difference in both groups; the rate of expulsion is more in group A at 6 weeks than group B, at 12 weeks there is no significant difference (P value = 0.0001 at 6 weeks and P value = 0.579 at 12 weeks). The reason might be early ambulation of patients after vaginal delivery compared to caesarean section. Conclusion: There should be a campaign to increase the awareness regarding lengths of PPIUCD. Health care personnel should be properly trained regarding aseptic insertion techniques and this will increase the usage of PPIUCD, reduce the unmet needs of contraception and also decrease the complications.Keywords
CuT 380 A, Post Placental IUCD, vaginal delivery, Caesarean SectionFull Text
References
- Post-partum IU. reference manual; Family Planning Division. Ministry of Health and Family Welfare, Government of India, New Delhi, India. 2010.
- Xu JX, Reusche C, Burdan A. Immediate Post-Placental Insertion of Intrauterine Device: A review of Chinese and world experiences. Adv Contracept. 1994; 10:71–82. PMid: 8030457. https://doi.org/10.1007/BF01986532
- Suri V. Post-placental Insertion of Intrauterine Contraceptive device. Indian J Med Res. 2012; 136:370-1.
- Family Planning needs during extended Post Partum Period in Asia: USAID/ACCESS 2009; 1.
- Winner B, Peipert JF, Zhao Q, Buckel C, Madden T, Allsworth JE, Secura GM. Effectiveness of Long-Acting Reversible Contraception. New England Journal of Medicine. 2012; 366(21):1998–2007. PMid: 22621627. https://doi.org/10.1056/NEJMoa1110855
- Report of a WHO Technical Consultation on Birth Spacing. Geneva, Switzerland. 2005; Jun13-15.
- Long-acting Reversible Contraception: The effective and appropriate use of long-acting reversible contraception. NICE clinical Guidelines, No. 30.National collaborating Centre for Women’s and Children’s Health (UK). London: RCOG Press; 2005 Oct; 8–13.
- Gupta D, Sharm S, Kanhere A, Jahan I. Study of acceptance of intra caesarean IUCD as method of contraception. International Journal of Reproduction, Contraception, Obstetrics and Gynecology Gupta D et al. Int J Reprod Contracept Obstet Gynecol. 2017 Nov; 6(11):5033–7. https://doi.org/10.18203/23201770.ijrcog20175021
- Mishra S. Evaluation of safety, efficacy and expulsion of post-placental and intra-cesarean insertion of intrauterine contraceptive devices (PPIUCD). J Obstet Gynaecol India. 2014; 64(5):337–43. PMid: 25368457 PMCid: PMC4199427. https://doi.org/10.1007/s13224-014-0550-3
- Hooda R. Immediate postpartum intrauterine contraceptive device insertions in caesarean and vaginal deliveries: A comparative study of follow-up outcomes. International Journal of Reproductive Medicine. 2016; Article ID 7695847: 1–5. doi/org/10.1155/2016/7695847
- Thiam O, Cisse ML, Ndiaye P, Thiam M, Tendeng JN, Gueye M, Niang MO, Diouf AA, Moreau JC. The Intrauterine Device (IUD) of the immediate postpartum a comparative study between the caesarean IUD and the IUD inserted after a natural delivery. Clinical Obstetrics, Gynecology and Reproductive Medicine. 2015; 1(3):87–92. https://doi.org/10.15761/COGRM.1000123
- Lall J, Nagar O. Comparative study of post placental cut insertion following vaginal and caesarean section. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2017 Mar; 6(3):901–6. https://doi.org/10.18203/2320-1770.ijrcog20170553
- Najam M, Rasheed N, Aslam S. Immediate post partum insertion of IUCD during caesarean delivery and vaginal delivery. Postpartum intrauterine contraceptive device: Expulsion rate after vaginal delivery and caesarean section. JSZMC. 2018; 9(1):1328–30.
- MRI Evaluation of Ligament Injuries of the Knee Joint
Abstract Views :138 |
PDF Views:76
Authors
Sumit Baviskar
1,
Nilesh Chaudhari
2,
Ajit Patil
3,
Priti Komatwar
4,
Akshit Gangwal
4,
Ashu Dixit
4,
Sujay Saxena
4
Affiliations
1 Associate Professor, Department of Radio-Diagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India ., IN
2 Professor and Head, Department of Radio-Diagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India ., IN
3 Assistant Professor, Department of Radio-Diagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India ., IN
4 Former PG Resident, Department of Radio-Diagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India ., IN
1 Associate Professor, Department of Radio-Diagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India ., IN
2 Professor and Head, Department of Radio-Diagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India ., IN
3 Assistant Professor, Department of Radio-Diagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India ., IN
4 Former PG Resident, Department of Radio-Diagnosis, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India ., IN
Source
MVP Journal of Medical Sciences, Vol 9, No 1 (2022), Pagination: 51 - 56Abstract
Background and Objective: Knee joint is the complex joint. It is much frequently injured joint due to trauma. The principle intra articular structures in the knee are the 2 cruciate ligaments, 2 menisci and the 2 collateral ligaments. The main objective is to study the MRI findings in ligament injuries of knee joint. Materials and Methods: MRI knee of 110 patients with suspected ligament injuries of knee joint was performed on 1.5-T MR system using flexible surface knee coil. Results: A total of 110 patients in a period of 2 years were collected and analysed comprising of either single ligament or combination of ligament tears. Anterior Cruciate Ligament (ACL) tear was most common and seen in 61 patients followed by Medial Collateral Ligament (MCL) in 31, Lateral Collateral Ligament (LCL) in 22 and Posterior Cruciate Ligament (PCL) in 16 patients. Majority of the patients belonged to age group 18-30 years with right knee involvement. Males dominated in this study constituting 63.64% of total population. Conclusion: MRI is non-invasive prime imaging modality with nonionizing radiation and multi planar capabilities. It accurately detects, localizes and characterizes various ligament injuries of the knee joint and help in arriving at accurate final diagnosis thereby guiding further management of the patient.Keywords
ACL - Anterior Cruciate Ligament, LCL - Lateral Collateral Ligament, MCL- Medial Collateral Ligament, MRI - Magnetic Resonance Imaging, PCL- Posterior Cruciate Ligament, T – TeslaFull Text
References
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- Hong SH, Choi J-Y, Lee GK, Choi J-A, Chung HW, Kang HS. Grading of anterior cruciate ligament injury. Diagnostic efficacy of oblique coronal Magnetic Resonance Imaging of the knee. J Comput Assist Tomogr. 2003; 27(5):814–9. PMid: 14501376. https://doi.org/10.1097/00004728-20030900000022
- Singh JP, Garg L, Shrimali R, Setia VG. MR Imaging of knee with arthroscopic correlation in twisting injuries. Indian Journal of Radiology and Imaging. Medknow Publications; 2004. p. 33.
- Chaudhuri S, Joshi P, Goel M, No RH, Ramnagari A. Role of MRI in evaluation of traumatic knee injuries. Journal of Evolution of Medical and Dental Sciences. 2013 Feb 18; 2(7):765–72. https://doi.org/10.14260/jemds/336
- Takahashi N, Niitsu M, Itai Y, Sato M, Kujiraoka Y, Ikeda K, Kanamori A. MR Imaging of posterior cruciate ligament injuries. Nihon Igaku Hoshasen Gakkai zasshi. Nippon actaradiologica. 2001 Jul; 61(8):421–6.
- Sonin AH, Fitzgerald SW, Friedman H: MR Imaging of Posterior Cruciate Ligament; Normal, Abnormal and associated injury pattern. Radiographics. 1995; 15:551–61. PMid: 7624562. https://doi.org/10.1148/ radiographics.15.3.7624562
- Grover JS, Bassett LW, Gross ML, Seeger LL, Finerman GA. Posterior Cruciate Ligament: MR Imaging. Radiology. 1990 Feb; 174(2):527–30. PMid: 2296661. https://doi.org/10.1148/radiology.174.2.2296661
- Rasenberg EI, Lemmens JA, van Kampen A, Schoots F, Bloo HJ, Wagemakers HP, et al. Grading medial collateral ligament injury: Comparison of MR Imaging and instrumented valgus-varus laxity test-device. A prospective double-blind patient study. Eur J Radiol. 1995 Nov; 21(1):18–24. https://doi.org/10.1016/0720- 048X(95)00660-I
- Schweitzer ME, Tran D, Deely DM, Hume EL. Medial Collateral Ligament injuries: Evaluation of multiple signs, prevalence and location of associated bone bruises and assessment with MR Imaging. Radiology. 1995 Mar 1; 194(3):825–9. PMid: 7862987. https://doi.org/10.1148/radiology.194.3.7862987.