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JAYPEE JOURNALS
International Scientific Journals from Jaypee
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1.  RESEARCH ARTICLE
Knowledge, Attitude, and Practice of Contraception among Pregnant Women in Ende District, East Nusa Tenggara, Indonesia
Budi I Santoso, Raymond Surya
[Year:2017] [Month:April-June] [Volume:9 ] [Number:2] [Pages:63] [Pages No:110-118] [No of Hits : 1210]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10006-1470 | FREE

ABSTRACT

Introduction: Indonesia has the fourth largest population in the world with 255.7 million people and a rate of birth of 21 per 1,000 population. There is also a high rate of unmet need and total fertility rate (TFR), which can potentially lead to unwanted pregnancies, consequently increasing the maternal mortality rate (MMR). Thus, family planning program through postpartum contraceptive use is one of the efforts to reduce the MMR and TFR. This study is conducted to assess the knowledge, attitude, and practice (KAP) of contraception among pregnant women in Ende district.

Materials and methods: A cross-sectional study was carried out at three primary health centers in the main district of Ende from July to August 2015. A total of 305 pregnant women who completed questionnaires assessing their KAP of contraception were enrolled in this study. The data were analyzed using Statistical Package for the Social Sciences version 23.0 for Windows with Pearson or Spearman correlation tests.

Results: In this study, 86.53% of pregnant women were aware of family planning methods, among which the best known was injection (63.97%). Most respondents obtained information from health professionals (63.30%). More than half of the respondents agreed that contraception was beneficial and would recommend it to their families. The most prevalent reason for not wanting to use contraception in the future was the desire to have a child (44.59%). The total knowledge score was correlated with attitude and practice scores (p < 0.001).

Conclusion: More than half of respondents knew, agreed, and would like to recommend contraception. Primary health care providers play a major role in improving women’s knowledge of family planning. To support the success of family planning, the government should emphasize on family planning education. In particular, there appears to be need for counseling about family planning for pregnant women.

Keywords: Contraception, Cross-sectional study, Knowledge, Attitude and practice, Pregnant women.

How to cite this article: Santoso BI, Surya R. Knowledge, Attitude, and Practice of Contraception among Pregnant Women in Ende District, East Nusa Tenggara, Indonesia. J South Asian Feder Obst Gynae 2017;9(2):110-118.

Source of support: Nil

Conflict of interest: None

Date of received: 29 January 2017

Date of acceptance: 16 February 2017

Date of publication: March 2017

 
2.  CASE REPORT
Herlyn–Werner–Wunderlich Syndrome: Premenarche
Anita David, Shobha N Gudi, Shankar R
[Year:2017] [Month:April-June (supplement)] [Volume:9 ] [Number:2] [Pages:67] [Pages No:207-210] [No of Hits : 895]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10006-1496 | FREE

ABSTRACT

Aim: To increase awareness about this rare condition in order to aid early diagnosis and effective treatment which can eventually prevent complications and infertility issues in the future.

Materials and methods: A case of a 10 year old pre-menarchal girl, who presented with this syndrome, was managed surgically. After this, a literature search was done and similar case reports were reviewed.

Results: The Herlyn-Werner-Wunderlich syndrome (HWW) is a rare Müllerian anomaly with an incidence of 0.1-3.8%. It is characterised by uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis. This condition can be treated with surgery. Since delay in diagnosis may lead to complications, early diagnosis and treatment is beneficial. When Müllerian anomalies are encountered, a screening should also be made for congenital renal abnormalities and vice versa. This condition usually presents postmenarche with abdominal pain due to hematocolpos or dysmenorrhoea. However, there are rare occasions when this condition can present even before menarche.

Conclusion: The clinical presentation of HWW syndrome requires a high index of clinical suspicion. Though computed tomography or ultrasound can be used to confirm the diagnosis, magnetic resonance imaging is considered to be the preferred imaging modality. Early diagnosis and surgical management is important in order to prevent complications like retrograde tubal reflux, leading to endometriosis and infertility.

Keywords: Dysmenorrhea, Hematocolpos, Müllerian anomalies, Premenarchal pain abdomen, Renal agenesis, Uterine didelphys.

How to cite this article: David A, Gudi SN, Shankar R. Herlyn- Werner-Wunderlich Syndrome: Premenarche. J South Asian Feder Obst Gynae 2017;9(2):207-210.

Source of support: Nil

Conflict of interest: None

Date of received: 2 January 2017

Date of acceptance: 2 March 2017

Date of publication: April 2017

 
3.  ORIGINAL ARTICLE
Dengue Fever during Pregnancy: Maternal and Fetal Complications
A Pavanaganga, MPA Sailakshmi, BR Rekha, R Nagarathnamma
[Year:2017] [Month:April-June] [Volume:9 ] [Number:2] [Pages:63] [Pages No:88-91] [No of Hits : 722]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10006-1465 | FREE

ABSTRACT

Introduction: Dengue fever is the most rapidly spreading arthropod-borne self-limiting febrile illness. During pregnancy, it causes maternal complications, such as hemorrhage, abortion, and fetal complications like preterm babies, intrauterine death, low birthweight babies.

Objectives: To study the prevalence of dengue fever in pregnant women. To study the maternal and fetal complications in women infected with dengue fever during pregnancy.

Materials and methods: This was a 2-year retrospective study conducted at RajaRajeswari Medical College & Hospital, Bengaluru, India, from June 2013 to June 2015. In this study, pregnant women affected with dengue fever were included irrespective of gestational age. Women with dengue nonstructural protein 1 antigen positive or dengue immunoglobulin (Ig)M and IgG positive were diagnosed to have dengue fever. Maternal and fetal complications were studied.

Results: During the study period, there were 4,137 deliveries, of which 15 women had dengue fever. Incidence and prevalence of dengue was 0.36 and 0.72% respectively. Dengue fever without complications was noted in 66.6% pregnant women, dengue with complications was noted in 20% women, while 6.6% (n = 1) women developed dengue shock syndrome that resulted in maternal death due to multiorgan failure. Dengue hemorrhagic fever was seen in 13.3% women. In our study, 33.3% of women had preterm delivery, 40% had small for gestational age babies, and 6.6% had intrauterine fetal demise.

Conclusion: Dengue fever is endemic in our country. Pregnant women are vulnerable to this disease. It is associated with maternal and neonatal morbidity and mortality. Early diagnosis and maintenance of hydration and symptomatic treatment will avoid related complications.

Keywords: Dengue fever, Intrauterine growth restriction, Preterm, Thrombocytopenia.

How to cite this article: Pavanaganga A, Sailakshmi MPA, Rekha BR, Nagarathnamma R. Dengue Fever during Pregnancy: Maternal and Fetal Complications. J South Asian Feder Obst Gynae 2017;9(2):88-91.

Source of support: Nil

Conflict of interest: None

Date of received: 16 December 2016

Date of acceptance: 21 January 2017

Date of publication: March 2017

 
4.  EDITORIAL
Endometrial Receptivity and Scoring for Prediction of Implantation and Newer Markers
Neharika Malhotra, Jaideep Malhotra, Amreen Singh, Pallavi Gupta, Narendra Malhotra
[Year:2017] [Month:April-June (supplement)] [Volume:9 ] [Number:2] [Pages:67] [Pages No:143-154] [No of Hits : 589]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10006-1481 | FREE

ABSTRACT

Assisted reproductive technologies (ARTs) are here to stay. At 11.30 am, 25 July, 1978, with the birth of Louise Brown, infertility was conquered by in vitro fertilization (IVF) and embryo transfer.

How to cite this article: Malhotra N, Malhotra J, Singh A, Gupta P, Malhotra N. Endometrial Receptivity and Scoring for Prediction of Implantation and Newer Markers. J South Asian Feder Obst Gynae 2017;9(2):143-154.

Source of support: Nil

Conflict of interest: None

Date of received: 10 January 2017

Date of acceptance: 10 March 2017

Date of publication: April 2017

 
5.  ORIGINAL ARTICLE
Liquid-based Cytology vs Conventional Cytology vs a Screening Tool for Cervical Cancer in Postmenopausal Women
Sabuhi Qureshi, Uma Singh, Sakshi Foruin, Neha Negi, Gargi Agarwal, Nisha Singh
[Year:2017] [Month:April-June (supplement)] [Volume:9 ] [Number:2] [Pages:67] [Pages No:159-163] [No of Hits : 557]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10006-1483 | FREE

ABSTRACT

Aim: To evaluate and compare the efficacy of liquid-based cytology (LBC) with conventional cytology (CS) as a screening tool for cervical cancer in postmenopausal women.

Materials and methods: This was an observational crosssectional study conducted over one year. Subjects were recruited from patients attending the outpatient department of the Department of Obstetrics and Gynecology, King George’s Medical University, Lucknow, Uttar Pradesh, India. Pap smear and LBC were taken in all subjects. In cases with suspected lesions, the discrepancy between Pap smear and LBC and colposcopy was found.

Results: Pap smear reported 14.3% inadequate smears in women with postmenopausal changes and 5% inadequate smears in women without postmenopausal changes. In contrast, LBC reported no inadequate smear. This difference was statistically significant (p = 0.011). Cervical neoplasia was ruled out in 53.6% cases by Pap smear and 75.8% cases by LBC. The difference was statistically significant (p = 0.002).

Conclusion: Liquid-based cytology offers better results in detecting cervical pathology when compared with Pap smear. Liquid-based cytology could be better as a screening method, especially in postmenopausal women in which the screening is challenging due to menopause-induced anatomical and hormonal changes.

Clinical significance: Cervical cancer is the most common genital cancer among Indian women. Postmenopausal women are at higher risk for developing cervical cancer. Low estrogenic state poses a challenge for detection of cervical cancer by CS in postmenopausal women. We investigated LBC as a better cervical cancer screening tool in this age group.

Keywords: Cervical cancer screening, Liquid-based cytology, Pap smear, Postmenopausal.

How to cite this article: Qureshi S, Singh U, Foruin S, Negi N, Agarwal G, Singh N. Liquid-based Cytology vs Conventional Cytology as a Screening Tool for Cervical Cancer in Postmenopausal Women. J South Asian Feder Obst Gynae 2017;9(2):159-163.

Source of support: Nil

Conflict of interest: None

Date of received: 16 January 2017

Date of acceptance: 25 March 2017

Date of publication: April 2017

 
6.  Research Article
Oral Misoprostol vs Intravenous Oxytocin Infusion for Induction of Labor in Prelabor Rupture of Membranes
Shaheen Anjum, Rajyashri Sharma
[Year:2016] [Month:January-March] [Volume:8 ] [Number:1] [Pages:84] [Pages No:4-7] [No of Hits : 573]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10006-1375 | PAID (Buy Now)

ABSTRACT

Objectives: To compare the efficacy, side effects and safety of oral misoprostol to intravenous oxytocin infusion for induction of labor in prelabor rupture of membranes (PROM).

Materials and methods: Two hundred and sixty-six women of prelabor rupture of membranes were assigned to receive either oral misoprostol 100 µg 6 hourly to a maximum 3 doses (misoprostol group, n = 142), or escalating doses of oxytocin infusion up to 20 mIU/min in primigravida and up to 10 mIU/min in multigravida (oxytocin group, n = 114).

Results: Demographic characteristics were similar in both the groups. The difference in mean induction to delivery interval (8.2 ± 6 hours in misoprostol group vs 12.2 ± 6 hours in oxytocin group) was statistically significant when two groups were compared. The incidence of vaginal delivery (86.1% in misoprostol group vs 84.2% in oxytocin group), and cesarean delivery (13.9% in misoprostol group vs 15.8% in oxytocin group), was almost similar in both the groups. The indication of cesarean delivery was dystocia (40% in misoprostol group vs 67% in oxytocin group), and fetal distress (60% in misoprostol group vs 33% in oxytocin group) and the difference was statistically significant (p < 0.01). Maternal and neonatal safety outcomes were similar for the two treatments.

Conclusion: Oral misoprostol in prelabor rupture of membrane have almost similar results as intravenous oxytocin in safety, efficacy and side effects except induction delivery interval, which is less in misoprostol group.

Keywords: Induction of labor, Misoprostol, Oxytocin induction, Prelabor rupture of membranes.

How to cite this article: Anjum S, Sharma R. Oral Misoprostol vs Intravenous Oxytocin Infusion for Induction of Labor in Prelabor Rupture of Membranes. J South Asian Feder Obst Gynae 2016;8(1):4-7.

Source of support: Nil

Conflict of interest: None

Date of received: 8 November 2015

Date of acceptance: 18 February 2016

Date of publication: March 2016

 
7.  Editorial
Topical Nitroglycerin for Osteoporosis: Old Drug New Application
Jaideep Malhotra, Ruchika Garg, Prabhat Agrawal, Ayush Agarwal, Omkar Singh
[Year:2016] [Month:January-March] [Volume:8 ] [Number:1] [Pages:84] [Pages No:1-3] [No of Hits : 565]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10006-1374 | FREE

ABSTRACT

Osteoporosis is a progressive bone disease characterized by a decrease in the bone mass and density, which can lead to an increased risk of fracture. Multiple treatments have been formulated for it like calcium, vitamin D supplements, bisphosphonates, raloxifene, hormone replacement therapies, teriparatide and calcitonin. However, all of these have their own shortcomings. Topical nitroglycerin is a cost-effective, novel medication that not only increases bone formation but also decreases its resorption, and also has the potential to decrease vertebral fractures more than that provided by the existing treatments. Therefore, it could be the answer to the need of an efficacious, cost-effective, affordable, safe and a convenient form of therapy for the prevention of post-menopausal bone loss and osteoporosis as a whole. Therefore, we recommend that individuals with osteoporosis be treated with topical nitroglycerin ointment (15 mg/day).

Keywords: Bone mineral density, Fracture, Nitroglycerin, Osteoporosis, Topical.

How to cite this article: Malhotra J, Garg R, Agrawal P, Agarwal A, Singh O. Topical Nitroglycerin for Osteoporosis: Old Drug New Application. J South Asian Feder Obst Gynae 2016;8(1):1-3.

Source of support: Nil

Conflict of interest: None

Date of received: 21 November 2015

Date of acceptance: 10 January 2016

Date of publication: March 2016

 
8.  REVIEW ARTICLE
Drug Review: Fosfomycin—A Rarely used but more Practical Approach for Urinary Tract Infections
Prabhat Agrawal, Ruchika Garg, Sangeeta Yadav, Omkar Singh
[Year:2015] [Month:May-August] [Volume:7 ] [Number:2] [Pages:50] [Pages No:68-70] [No of Hits : 1407]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10006-1326 | FREE

ABSTRACT

In this current era of resistance, treating urinary tract infections (UTIs) on outpatient department (OPD) basis has become cumbersome. Resistance has dramatically increased for cotrimoxazole, levofloxacin, ciprofloxacin and nitrofurantoin in past few decades. Intravenous drugs increase the cost of treatment and patient may need hospitalization. We searched and analyzed the literature and found fosfomycin to be better alternative in resistant UTI as resistance to this drug is low and is cost-effective in comparison to available intravenous drugs.

Keywords: Fosfomycin, Monurol, Resistant urinary tract infection.

How to cite this article: Agrawal P, Garg R, Yadav S, Singh O. Drug Review: Fosfomycin-A Rarely used but more Practical Approach for Urinary Tract Infections. J South Asian Feder Obst Gynae 2015;7(2):68-70.

Source of support: Nil

Conflict of interest: None

Date of received: 21 March 2015

Date of acceptance: 31 March 2015

Date of publication: August 2015

 
9.  News and Events
News and Events
[Year:2015] [Month:January-April] [Volume:7 ] [Number:1] [Pages:49] [Pages No:vii-ix] [No of Hits : 892]
Full Text PDF | Abstract | FREE

ABSTRACT

ASPIRE, Pakistan, 13th-15th March 2015
(Pre-Conference Workshops Report)

Hands-On Workshop on IUI
Venue: Rashid Latif Medical College, Lahore, Pakistan
Facilitator: Dr Farrukh Zaman, Dr Haroon Latif Khan, Dr Samina Suhail, Dr Aisha Awais, Mr Kausar Sidiqi, Mr Burhan
Number of Participants: 25
Program: Practicality of IUI Basic to Set Up, Ovarian Stimulation Protocols, Workup on infertility, Insemination on Dummy, Semen Preparation for IUI.

 
10.  Case Report
An Unusual Case of Anterior Vaginal Wall Cyst
GS Anitha, M Prathiba, Mangala Gowri
[Year:2015] [Month:September-December (supplement)] [Volume:7 ] [Number:3] [Pages:89] [Pages No:227-230] [No of Hits : 713]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10006-1367 | FREE

ABSTRACT

Vaginal cysts are rare and are mostly detected as an incidental finding during a gynecological examination. Gartner duct cysts, the most common benign cystic lesion of the vagina, represent embryologic remnants of the caudal end of the mesonephric (Wolffian) duct. These cysts are usually small and asymptomatic and have been reported to occur in as many as 1% of all women. A 17-year-old unmarried girl presented with mass per vagina since one and a half year. On examination, anterior vaginal wall cyst of 8 × 4 × 3 cm was detected. Surgical excision of the cyst was done under spinal anesthesia by sharp and blunt dissection. The cyst was filled with mucoid material and histopathological examination confirmed Gartner origin. This is a rare case of large Gartner cyst.

Keywords: Anterior vaginal wall cyst, Gartner cyst, Müllerian cyst, Surgical excision.

How to cite this article: Anitha GS, Prathiba M, Gowri M. An Unusual Case of Anterior Vaginal Wall Cyst. J South Asian Feder Obst Gynae 2015;7(3):227-230.

Source of support: Nil

Conflict of interest: None

Date of received: 4 August 2015

Date of acceptance: 24 September 2015

Date of publication: December 2015

 
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