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Patole, Kiran P.
- Endometrial Evaluation by Histopathology in Abnormal Uterine Bleeding in Perimenopausal and Postmenopausal Patients
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PDF Views:80
Authors
Affiliations
1 Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College and Research Centre, Nashik, IN
2 Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik, IN
3 Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College and Research Centre, Nashik, IN
1 Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College and Research Centre, Nashik, IN
2 Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik, IN
3 Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College and Research Centre, Nashik, IN
Source
MVP Journal of Medical Sciences, Vol 1, No 2 (2014), Pagination: 75-79Abstract
Introduction: Abnormal Uterine Bleeding (AUB) is an important symptom of both benign and serious gynaecological diseases. Abnormal perimenopausal or postmenopausal bleeding is associated with endometrial carcinoma in approximately 10% of cases. The present study is designed to study the histopathological results of the endometrial biopsy in women with abnormal perimenopausal and postmenopausal uterine bleeding.
Aims and Objectives: To study, the various histopathological patterns of endometrium, in patients with abnormal uterine bleeding, those are in perimenopausal and postmenopausal age group.
Materials and Methods: In all 100 patients were selected for the study after satisfying the specific inclusion and exclusion criteria. They underwent detailed history taking including the pattern of bleeding associated with general, systemic, and pelvic examination. They were subjected to routine laboratory investigations and pelvic ultrasound examination. Endometrial biopsy was done irrespective of endometrial thickness. Endometrial biopsy was done in OPD without anaesthesia. Biopsy was performed using a manual vacuum aspiration syringe, and the material collected was sent for histopathological examination. Endometrium was also obtained from patients undergoing diagnostic or therapeutic dilatation and curettage. Analysis of Histopathology report was done and results were obtained. Results: Most predominant findings of histopathological examination were the … •Proliferative Endometrium in 29% •Simple hyperplasia without atypia 28% •Secretory 20% •Followed by other patterns
Conclusion: Study of endometrial histopathology in perimenopausal and postmenopausal women with abnormal uterine bleeding is helpful to diagnose hyperplasia and carcinoma of endometrium.
Keywords
Postmenopausal Uterine Bleeding, Simple Hyperplasia without Atypia, SecretoryFull Text
- A Study of Cardiotocography During Active Labour to Assess the Perinatal Outcome in High Risk Pregnancy
Abstract Views :316 |
PDF Views:81
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MVP Journal of Medical Sciences, Vol 3, No 2 (2016), Pagination: 92-95Abstract
Introduction: Cardiotocography is a test performed duringactive labour. It was used to assess the fetal wellbeing. Aim: To evaluate the CTG in high risk pregnancies and assess the perinatal outcome. Materials and Methods: Prospective observational study was conducted on 105 high risk pregnant patients fulfilling the eligibility criteria & written informed consent. Complete clinical & obstetrics examination was done. CTG monitoring was done during active labour. The results of CTG were studied according to NICE guidelines. Perinatal outcome were studied by Apgar score, NICU admission. Results: Out of 105 patients 56.2% were primigravida. Post datism was the most common risk factor present in 35.2% females followed by PIH (31.4%), oligohydramnios (18.1%), Anaemia (17.1%), Prev. LSCS (16.2%) and IUGR (16.2%). Normal CTG pattern was observed in 62.9% while suspicious and abnormal pattern was observed in 13.3% and 23.8% pregnancies respectively. Over one third of females with suspicious and abnormal CTG pattern had Thick Meconium Stained Liquor (MSL) during pregnancy. (p< 0.05) The association of abnormal pattern in CTG and caesarean section was found to be statistically significant (p<0.001). The Sensitivity and Specificity of CTG for predicting neonatal morbidity was 81.25% and 82.2%, while it's PPV and NPV was 66.6% and 90.9%. Conclusion: CTG appears to be a simple non-invasive test that can serve as a screening tool in assessing fetuses of high risk obstetric patients in hospitals/centers with a heavy workload and limited resources.Full Text
References
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- To Study the Correlation Between Maternal Body Mass Index and Birth Weight of the Baby
Abstract Views :186 |
PDF Views:107
Authors
Affiliations
1 Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College Hospital & RC, Nashik – 422003, Maharashtra, IN
1 Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College Hospital & RC, Nashik – 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 5, No 2 (2018), Pagination: 222-225Abstract
Maternal BMI directly or indirectly indicates maternal health and wellbeing. Birth weight of the baby is an important determinant of the neonate’s wellbeing. A total of 150 women who had delivered at a tertiary care hospital fulfilling the inclusion criteria were studied. They were classified into underweight, average weight, overweight according to the BMI noted in the first trimester. 22 women (14.7%) were underweight having BMI less than 18.5 kg/m2. 97 women (64.7%) belonged to the average weight group with BMI between 18.5 kg/m2 to 25 kg/m2. 31 women (20.7%) belonged to the overweight group with BMI more than 25 kg/m2. In the underweight group, 13 (59.1%) had underweight babies, 9 (40.9%) had appropriate for gestational age babies and there were no large for gestational age babies. In the average weight group, 22 (22.7%) had underweight babies, 72 (74.2%) had appropriate for gestational age babies and 3 (3.1%) had large for gestational age babies. In the overweight group, 6 (19.4%) had underweight babies, 17 (54.8%) had appropriate for gestational age babies while 8 (25.8%) had large for gestational age babies. Correlation of maternal BMI and birth weight of the babies was found to be statistically significant. Underweight mothers had significantly more chance of having a small for gestational age baby as compared to the average weight mothers. Overweight mothers have significantly more chance of having a large for gestational age baby as compared to average weight mothers.Keywords
Maternal Body Mass Index, Birth Weight.Full Text
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