thesis topics in obstetrics and gynaecology in india 2020

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M.B.B.S Phase III – Part-II
OBST & GYNECOLOGY

ONGOING MS DISSERTATION


DR. A DISHA GOWDA	Dr. Mahadevi Savannur	Nil	Maternal and perinatal outcomes in advanced maternal age – a cross sectional study at KAHER’s Dr Prabhakar Kore Hospital and Medical research centre
DR. ADITI ASTHANA	Dr MB BELLAD	Nil	PVPI in detecting FGR – 1 yr case control study
DR. ANGELINE VERONICA A	Dr. M B Bellad	Nil	Fetomaternal complications in Primary Emergency Caesarean Section – A cross sectional study
DR. AWINDRILA PAL	Dr Yeshita Pujar	Nil	PREVALENCE OF HYPERTENSIVE DISORDERS IN PREGNANCY AND MATERNAL AND PERINATAL OUTCOMES : AN OBSERVATIONAL STUDY at KAHER’s Dr Prabhakar Kore Hospital and Medical research centre
DR. CHILUKURI ANILA REDDY	Dr Kamal Patil	Nil	Comparing the efficacy of first trimester fasting blood glucose versus IADPSG criteria at 24 to 28 weeks in diagnosis of gestational diabetes mellitus – A one year prospective observational study
DR. DIVYA SINHA	Dr Shridevi Metgud	Nil	Comparison of Cord Blood Lipid Profile among Hypertensive and Non-Hypertensive Mothers:A One year Case-Control Study at KAHER’s Dr Prabhakar Kore Hospital and Medical Research Centre, Belagavi
DR. JANA HARSHITHA SREE CHANDANA	M.C. METGUD	Nil	MATERNAL AND FETAL OUTCOMES IN PREGNANT WOMEN WITH REDUCED FETAL MOVEMENTS – OBSERVATIONAL STUDY.
DR. KORAPALA VYSHNAVI	Dr Romana Maldar	Nil	Predictive ability of neonatal acidemia at birth with total intrapartum fetal reperfusion time on cardiotocogram :A One year Case-Control Study at KAHER’s Dr Prabhakar Kore Hospital and Medical Research Centre, Belagavi
DR. MAHASWETA DAS	DR M.B. BELLAD	Nil	Prevalence Of Congenital Fetal Anomalies Detected On Third Trimester Ultrasound And At Birth – A Cross-Sectional Study
DR. MANSI JAIN	DR ANITA DALAL	Nil	Prediction of Severe Maternal Morbidity Using Obstetric Morbidity Index- A One-year cross sectional study at KAHER’S Dr Prabhakar Kore Hospital And Medical Research Centre, Belagavi
DR. MOUNA RAVI	Dr M C METGUD	Nil	ANAEMIA IN PREGNANCY AND ITS MATERNAL AND PERINATAL OUTCOMES: A ONE YEAR CROSS- SECTIONAL STUDY
DR. MRUNALINI PATIL	Dr. Kamal Patil	Dr. Vikrant Ghatnatti	A One-Year Randomized Trial of Metformin Versus Insulin for Glycemic Control and Maternal and Perinatal Outcomes in Gestational Diabetes.
DR. MULAKALA SANDHYA RANI	DR M C METGUD	Nil	Maternal and perinatal outcomes in overweight and obese pregnant women – A cross sectional study
DR. NIDHI SINGH BADHORIYA	Dr yeshita pujar	Nil	Title-maternal and fetal outcome in preterm premature rupture of membranes: a year observational study
DR. PANKTI PRANAV PARIKH	Dr. Hema Patil	Nil	Emergency obstetric referral patterns in Tertiary Care centre: A cross-sectional observational study in North Karnataka, India
DR. SAMIKSHA S BYAKOD	DR ANITA DALAL	DR RAMACHANDRA BHAT	A ONE YEAR CROSS SECTIONAL STUDY OD WOMEN DELIVERING LOW BIRTH WEIGHT NEWBORNS AT KAHERS DR PRABHAKAR KORE HOSPITAL AND MEDICAL RESEARCH CENTRE BELAGAVI
DR. SANGAMESH DYAMANNA SORAKOPPA	Dr YESHITA PUJAR	Nil	MATERNAL AND PERINATAL OUTCOMES OF EXCESS LIQUOR IN PREGNANCY AN OBSERVATIONAL STUDY AT KAHER’s DR PRABHAKAR KORE HOSPITAL AND MEDICAL RESEARCH CENTRE
DR. SHUBHASHREE V	DR. ANITA DALAL	DR. BHEEMSAIN V. TEKKALAKI	A one year hospital based cross sectional study of post-partum depression in mothers with neonates admitted to Neonatal Intensive Care Unit of KAHER, JNMC – Dr. Prabhakar Kore Charitable hospital and MRC, Belagavi, Karnataka.
DR. SYEDA SARAH BIBI FATIMA	DR KAMAL PATIL	Nil	Study of the effect of maternal IV hydration vs Oral hydration on amniotic fluid index in isolated oligohydramnios, A randomised controlled trial
Dr. Chintakindi Preethi	Dr. Mahadevi Savanur	Nil	Study of high sensitivity C-reactive protein (HS-CRP) levels in early and late onset pre eclampsia in atertiary care hospital-one year cross sectional study.
Dr. Kavya S	Dr. Yeshita Pujar	Nil	Correlation of endometrial thickness by trans-vaginal sonography (TVS) and histopathology in women with abnormal peri-menopausal and postmenopausal bleeding- A prospective study.
Dr. Spurthi Prabhakr Bura	Dr. Anita Dalal	Nil	An observational study of Coagulation profile in severe pre-eclampsia and eclampsia patients.
Dr. Sahana M B	Dr. Hema Patil	Dr. R B Nerli	Assessment of pelvic floor muscle strength in women and its associated factors- A cross sectional study I+N a tertiary care cetre.
Dr. Ketaki Choudhari	Dr. Kamal Patil	Nil	Assessment of risk factors associated with iatrogenic and spontaneous preterm birth and their outcomes in a tertiary care hospital: A prospective observational study.
Dr. Shanmukhi Nayidi	Dr. M. C. Metgud	Nil	Maternal and fetal outcomes in postdated pregnancy in a tertiary care hospital -A one year cross sectional study.
Dr. Tanvi Karambelkar	Dr. M. C. Metgud	Nil	Prevalence of hypophoatemia after administration of intravenous iron preparation (Iron isomaltoside & ferric carboxymaltose) in postpartum anemia a longitudinal observational study.
Dr. Hriday Ravishankar Naik	Dr. Kamal Patil	Nil	Longitudinal study of placenta previa and its fetomaternal outcomes at a tertiary care centre- a one year study.
Dr. Sudhanshu Gan	Dr. Yeshita Pujar	Nil	association of serum placental growth factor in pre eclampsia and FGR with maternal and perinatal outcomes- A one year cross sectional study.
Dr. Karthiga S	Dr. Romana Khursheed	Nil	One year cross sectional study of gestational weight gain in women attending KAHER’s Dr. Prabhakar Kore Hospital, Belagavi.
Dr. Priya Saraf	Dr. Yeshita Pujar	Nil	Role of hyserolaparoscopy for the diagnosis of female infertility- A one year hospital based observational study.
Dr. Kusha Vashishta	Dr. M. C. Metgud	Nil	A study of pregnancy outcome in various high risk pregnancies – A prospective cross sectional study.
Dr. Shefali Garg	Dr. Anita Dalal	Dr. Manjula A Vagarali	Microbiological profile of surgical site infections following surgical procedures in the department of obstetrics and gynaecology- A descriptive observational study.
Dr. Taiyaba Fatma	Dr. Kamal Patil	Nil	A Prospective observational study to compare the maternal outcomes between modified early obstetrics warning system (MEOWS) and standard of care groups among high risk pregnant women.
Dr.Chandana KR	Dr. M. B. Bellad	Nil	Vaginal versus laparoscopic closure of vault in total laparoscopic hysterectomy- A prospective obsevational study.
Dr. Sagarika N Swamy	Dr. M. B. Bellad	Nil	Maternal opthalmic artery doppler at 19 to 23+0 weeks as predictor of pre-eclamosia- A descriptive observational study.
Dr. Kshirabdhi Tanaya Mohapatra	Dr. Shreedevi Metgud	Nil	Evaluation of efficacy and safty of dilapan-s vs dinoprostone gel for ripening of cervix prior to induction of labour-A randomised control trial.
Varsha Gurram	Dr .Anita Dalal	Nil	An observational study on surgical methods used in PPH
Prameela Gurupadappa Vandal	Dr. M.C. Metgud	Nil	Maternal and fetal outcome in postdated pregnancy in tertiary care hospital – one year cross sectional study
Dr. Akanksha Seth	Dr. Anita Dalal	Dr. Rajeshwari Handigund	Platelet count and platelet indices in pregnancy with pre-eclampsia and eclampsia, an observational study.
Dr. Aritri Bhattacharya	Dr. Hema Patil	Nil	First trimester serum uric acid as an early predictor of gestational diabetes mellitus.
Dr. Ayushi Verma	Dr. M. C. Metgud	Nil	Brasss V drape v/s modified gross formula in estimation of postpartum blood loss.
Dr. Eniya V	Dr. Romana Khursheed	Nil	Prediction of neonatal acidemia at birth with intrapartum total declaration area on fetal cardiotocogram – A one year case control study.
Dr. Gayathri	Dr. Kamal Patil	Nil	I/V Labetalol vs oral nefidipine in acute severe hypertension of pregnancy – A randomized controlled trial.
Dr. Geethika Vegesna	Dr. Yeshita Pujar	Nil	Injection oxitocin vs injection carbetocin in reduction of postpartum blood loss in caesarean section -A randomized control study.
Dr. Gurrela Sneha	Dr. M. B. Bellad	Dr. Ranjit Kangle	Antenatal screening for hemoglobinopathies in a tertiary care centre- one year descriptive observational study.
Dr. Saieshwari T	Dr. M. B. Bellad	Dr. Manjunath S Somannavar	Intra muscular oxitocin 10 units vs oxytocin 5U + ERGOMETRINE 0.2mg vs carbetocin 100mcg in reduction of post-partum blood loss – A randomized controlled trial.
Dr. Shreya	Dr. Yeshita Pujar	Nil	Implementation of labour care guide and its impact on cesarean section rate – An observational study.
Dr. Sneha Chakraborty	Dr. Kamal Patil	Nil	Effectiveness of mifepristone and misoprostol v/s misoprostol alone in induction of labour – A randomized controlled trail.
Dr. Yuktha Khanna	Dr. Anita Dalal	Nil	Azithromycin as an adjunct prophylactic drug for prevention of SSI in cesarean delivery- A randomized control trail.
Dr. Ankita Salvi	Dr. Shreedevi Metgud	Nil	Prevalence of vaginal colonization of Group B Streptococci in pregnant women.
Dr. Shaikh Rifaat Sultana	Dr. M. C. Metgud	Nil	A prospective study of postpartum anaemia – Incidence and interventions.
Dr. Manjusha B R	Dr. Anita Dalal	Nil	One year case control study of serum magnesium levels in preterm and term labour.
Dr. Manipal Lakshmi Baiju	Dr. Hema Patil	Nil	Correlation of vitamin B12 deficiency with sensorymotor deficits in post menopausal women- A one year cross sectional observational study.
Dr. K S Shivapriya	Dr. M. B. Bellad	Nil	Prevalence of thrombocytopenia in pregnant women from 34-38 weeks – descriptive observational study.
Dr. Gitanshi Arora	Dr. Mahadevi Savanur	Nil	A one year prospective observational study of potentially life threatening complications in pregnancy , maternal near miss and maternal mortality in KLE’S Dr. Prabhakar Kore Charitable Hospital, Belagavi.
Dr. Akshata Satish Patil	Dr. Kamal Patil	Nil	Knowledge attitude and practice of Covid-19 vaccination in pregnancy.
Dr. Apurva Singh	Dr. M. C. Metgud	Nil	Estimation of expected fetal weight using symphysio- fundal height and ultrasonography and comparison of it with actual birth weight – A prospective study.

COMPLETED MS DISSERTATION


Dr. Avula Lakshmi Mounica	Dr. Yeshita Pujar	Nil	Fetal Macrosomia : risk factors, maternal and perinatal outcome – A one year cross sectional study
Dr. Jayanth S	Dr. Romana Khursheed	Nil	Maternal And Perinatal Outcome Among The Women Admitted In Active Labor At Kaher’S Dr Prabhakar Kore Hospital And Medical Research Centre”– A Observational Study
Dr. Girish Murgesh Biradarpatil	Dr. Kamal Patil	Nil	Efficacy and safety of Interavenous Ferric Carboxy Maltouse in Iron deficiency anaemia During Post-partum Period
Dr. Naramsetty Lakshmi Chandana	Dr. Kamal Patil	Nil	A Comparison of predictive value of transvaginal cervical length at 11-14 weeks and 18-22 weeks of gestation in preterm labour
Dr. Karuturi Vemani	Dr. M. C. Metgud	Nil	Maternal outcomes in pregnancy complicated with dissminated intravascular coagulation at a Tertiary Care Centre – An Observentional Study
Dr. Alimilla Sindhu	Dr. Kamal Patil	Nil	A One Year Cross Sectional Study of Factors Responsible for Failure of Induction of Labor in Term Nulliparous women
Dr. Rashwani Ratnakaran	Dr. M. B. Bellad	Nil	Post Partum Blood loss in Induceed versus spontaneous vaginal delivery – A Descriptive Observational study
Dr. Smriti Shree	Dr. Hema Patil	Nil	Vaginal dysbiosis in early second trimester of pregnancy and its assocation with PPROM: A longitudinal observational study of KAHER’s Dr. Prabhakar Kore Charitable Hospital Belagavi
Dr. Bhawna Garg	Dr. M. B. Bellad	Nil	Inj. Ferric Carboxymaltose (FCM) vs Iron Isomaltoside (IIM) in Anemia in Pregnancy (Antenatal) – A Randomized Contolled Trial
Dr. Sanjana K.	Dr. M. C. Metgud	Nil	Prospective study of association of uterine atonicity and PPH with serum calcium levels
Dr. Shwetha B H	Dr. Anita Dalal	Nil	Maternal lipid profile during second trimester on pregnancy outcomes and its Complications – A One year Observational Sutdy
Dr. Sravani Naramsetty	Dr. M. B. Bellad	Nil	Laparoscopic hysterectomy for benign conditions a hospital based cross sectional study.
Dr. Aarathi E M	Dr. Yeshita Pujar	Nil	Maternal & Perinatal Outcomes in Twin Pregnancy in Tertiary Care Centre – A Cross Sectional Study
Dr. Aditya Mohan Gan	Dr. Romana Khursheed	Nil	Impact of evidence based surgical bundle for prevntion of cesarean section SSI. A randomised control trial
Dr. Archi Raj	Dr. Anita Dalal	Nil	Association of serum lactate level with severity of Pre-Eclampsia and maternal complications : An Observentional study
Dr. Rashmi Keshav Giri	Dr. Yeshita Pujar	Nil	Ultrasonographic evaluation of Bleeding per Vaginum in Early Pregnancy – A Cross Sectional Study
Dr. Diksha Garg	Dr. M. C. Metgud	Nil	Clot Obsertation test for Early Detection of Coagulopathy in Obstetric Emergency – A One Year Prospective Study
Dr. Mareedu Spoorthi	Dr. Hema Patil	Nil	Co-relation of Maternal Hypothyroidism and Infant Outcome A prospective Study
Dr. Tella Srivani	Dr. Anita Dalal	Nil	Assessment of Risk of Cesarean Delivery following labour induction using A Validated Calcuator – A One year Observentional Study
Dr. Yoshita Sanjay Saneja	Dr. Kamal P. Patil	Nil	Risk Factors for perinatal Mortality: A Prospective study at tertiary care hospital, Belagavi
Dr. Kotireddy Jyothi Reddy	Dr. Hema Patil	Nil	Knowledge, Attitude And Practices Study Of Hiv/Aids Among Antenatal Women At A Tertiary Care Centera Cross Sectional Study
Dr. Yaganti Sree Lakshmi	Dr. Yeshita Pujar	Nil	Insulin Resistance And It’S Association With Preeclampsia” – A One Year Case Control Study At A Tertiary Care Centre.
Dr. Shreya Dandu	Dr. Anita Dalal	Nil	Association of Cord Blood lactate level Meconium Stained Liequor An Observational study
Dr. Roshni K	Dr. Romana Khursheed	Dr. Tanmaya Metgud	A One Year Cross Sectional Study of Preterm Births in a Teriary Care Centre in South India
Dr. Magdalin Priyadarshini D	Dr. Kamal Patil	Nil	One year Cross-Sectional Study of Maternal and Perinatal outcme in severe pre-eclampsia at KAHER’s Dr. Prabhakar Kore Hospital & MRC, Belagavi
Dr. R. S. Mahan Gowda	Dr. Kamal Patil	Nil	A Cross Sectional study fo primary cesarean Section in Multigravida at a tertiary Health Centre, Belagavi
Dr. Sneha M	Dr. Yeshita Pujar	Nil	Maternal And Perinatal Outcome Among The Women Admitted In Active Labor At Kaher’S Dr Prabhakar Kore Hospital And Medical Research Centre”– A Observational Study
Dr. Raksha Sree R	Dr. Yeshita Pujar	Nil	Estimation of Blood loss in abrupto placenta using shock Index
Dr. Bethany Grace Neumann	Dr. M. C. Metgud	Nil	Tranexamic acid to reduce blood loss in women at high risk for postpartum hemorrhage undergoing cesarean section – A Randomized controlled Trial
Dr. Cheyne Rosetta Estibeiro	Dr. Romana Khursheed	Nil	Association of first trimester maternal serum analytes (PAPP-A, BETA HCG, PLGF) with adverse pregnancy outcomes 1 year observational study at KAHER’s Dr. Prabhakar Kore Hospital and Medical Research Centre
Dr. Shehzareen Zoeb Haider	Dr. Anita Dalal	Nil	Early Maternal HbA1C Levels and its association with gestational diabetes mellitus – A One year Observational study at KAHER’s Dr. Prabhakar Kore Hospital, Belagavi
Dr. Kanchibhotla Meghana	Dr. M. B. Bellad	Dr. Bhavana Koppad	Delayed Cord Clamping versus Intact Umbilical Cord Milking and its effects on maternal blood loss – a Randomized Control Trial
Dr. Vomica Anand Kewalramani	Dr. M. B. Bellad	Nil	First Trimester Materanal Serum Glycosylated fibronectin as a predictor of preeclampsia A Descriptive Observational study
Dr. Yeruva Vijaya Durga	Dr. M. B. Bellad	Nil	Uterine Exteriorisation Versus In-Situ Repair During Hysterotomy In Cesarean Delivery – A Randomized Controlled Trial
Dr. Kanika Garg	Dr. M. C. Metgud	Nil	the Association between urinary tract infection as a risk factor for preclampsia : A cross sectional study
Dr. Shinjini Das	Dr. M. C. Metgud	Nil	A Prospective observational Study on early onset preeclampsia and late onset preeclampsia – maternal and perinatal outcomes at a tertiary health centre Belagavi
Dr. Shivani Managonkar	Dr. Hema Patil	Nil	Comparison of the accuaracy of Episcissor-60/OHP sheets with myo scissor in performing a mediolateral episiotomy – a randomized control trial for a duation of 1 year in a tertiary care centre
Dr. A. Arrchana	Dr. Anita Dalal	Nil	A prospective observational study on the correlation of Visual Inspection of cervix with Acetic acid (VIA) and Colposcopy in detection of premalignant lesion of cervix
Dr. Mounica B	Dr. Yeshita Pujar	Nil	Congenital Anomalies Diagnosed By Ultrasonography at Tertiary Care Centre – A Cross Sectional Study
Dr. Suryadevara Geetha Surya Kumar	Dr. M. B. Bellad	Nil	Acceptance of Post-Partum Intrauterine Contracpetive Device (PPIUCD) – hospital based descriptive longitudinal study at the teaching hospital attached to KAHER’s J N Medical College, Belagavi
Dr. Susan Sam Varghese	Dr. Yeshita Pujar	Nil	Management Practices in Ectopic Pregnancy – A Hospital Based study
Dr. Lameez Khan	Dr. M. C. Metgud	Dr. Prasad M R	Maternal and fetal outcomes among pregnant women with heart disease – A Prospective study
Dr. Ankita Patil	Dr. Anita Dalal	Nil	Lateral Location of the Pacenta as a predictor of pre eclampsia in pregnant women, A Hospital Based prospective study
Dr. Sbubha S R	Dr. M. C. Metgud	Nil	Accuracy of estimation of gestational age from 18-38 weeks by mean fetal renal lenth
Dr. Kshama A Hinchigeri	Dr. Kamal Patil	Nil	Injection tranexamic acid for preventing postpartum hemorrhage after vaginal delivery: One year hospital based randomized placebo-controlled trial
Dr. Meghan H M	Dr. M. B. Bellad	Dr. Manjunath C Patil	A Cross Sectional Study of Caesarean Sections one year hospital based study at a teaching hospital
Dr. Anjana Krishna	Dr. M. B. Bellad	Dr. M. B. Nagmoti	Prevalence of Urinary Tract Infection in Pregnancy at first antenatal care vist – A Hospital based study at the Teaching Hospital Attached to KLE University’s J.N.Medical College, Belagavi
Dr. Sweta Verma	Dr. M. K. Swamy	Nil	An Observational study of management practices and maternal outcome of postpartum hemorrhage at a tertiary care centre in Belagavi
Dr. Meghana T	Dr. Kamal Patil	Nil	Early Onset Fetal Growth Restriction and Its Perinatal Outcome – A One year Cross Sectional Study
Dr. Vartika Mohan	Dr. Anita Dalal	Nil	Oral Vs Vaginal Administration of Misoprostol, for induction of Labor, in Women presenting with premature rupture of Membrances 1 year Randomized Controlled Trial at the Teaching Hospital attached to Dr. Prabhakar Kore Charitable Hospital Belagavi
Dr. Archana Gupta	Dr. Yeshita Pujar	Nil	Prevalance of red cell alloimmunization Among Pregnant woman attending antenatal clinical at teaching hospital attached to KLE University J N Medical College, Belagavi
Dr. Priya A Joshi	Dr. M. C. Metgud	Nil	Correlation between fetal Transcerebellar Diameter and Gestional Age – A Hospital Based Observational Study
Dr. Samridhi Dhawan	Dr. Yeshita Pujar	Nil	Comparative study of Interacervical Dinoprostone Gel and Vaginal Misoprostol for Induction of Labour 1 Year Randomized Control Trial at Tertiary Care Centre, Belagavi
Dr. Belide Shruthi	Dr. M. B. Bellad	Dr. Sunil Jalalpure	Homocysteine and Asymmetric Dimethyl Arginine (ADMA) Levels in Early Pregnancy and Pregnancy Outcome – A Descriptive Observational Study at Teaching Hospital Attached to KLE University’s J.N.Medical College, Belagavi
Dr. Sunaya S Puranik	Dr. Kamal Patil	Nil	Prevalence of Congenital Anomalies and Assessment of Associated Maternal risk factors : A One Year Cross Sectional Study at KLES Dr. Prabhakar Kore Charitable Hospital, Belagavi
Dr. Rajashekhar Vittal Mali	Dr. Anita Dalal	Nil	Association Between Maternal and Fetal Risk Factors and Stillbirth in Tertiary Care Hospital in Belagavi – A Case Control Study
Dr. P. Divya	Dr. M. C. Metgud	Nil	One Year Prospective Observational Study Onmaternal and Fetal Outcome with Severe Anaemia Admitted in the Labour Room at KLE Dr. Prabhakar Kore Charitable Hospital
Dr. Ayesha Gulzar	Dr. M. K. Swamy	Nil	A One Year Cross Sectional study of Primary Cesarean Section at KLE Dr. Prabhakar Kore Charitable Hospital
Dr. Dcosta Usula Amellia Jean	Dr. Yeshita Pujar	Nil	A One year cross sectional study of Antepartum Haemorrhage and its Association with Maternal and Perinatal outcome at KLES Dr. Prabhakar Kore Charitable Hospital, Belagavi
Dr. Apoorva Hiremath	Dr.Anita Dalal	Nil	Accuracy of various ultrasonoghraphic formular in predicting EFW-A one year prospective congitudinal study.
Dr. Madhushree Deshpande	Dr.M.C.Metgud	Nil	Retrospective analysis of Blood Transfusions in Obstetrics: A one year cross sectional study.
Dr. Pandya Jay Y	Dr.M.K.Swamy	Nil	A cross sectional study of severe pre eclampsia and HELLP syndrome.
Dr. Pooja Kiran	Dr.Kamal Patil	Nil	Prediction vaginal birth after cesarean section using scoring system at the time of admission for trial of Labour-1 year prospective cohort study
Dr. Surbhi Handa	Dr.Yeshita Pujar	Nil	Prediction of Pre-eclampsia Evaluation of B/L uterine Artery doppler at 11-13+6 weeks.
Dr. Yeramala Arpita Reddy	Dr.Anita Dalal	Nil	“An Observational study for analysis of cesarean section deliveries according to robsons ten group classification system at a tertiary care Hospital in Belagavi”
Dr. Anusha Jetti	Dr.M.B.Bellad	Nil	Correlation between duration of cohabitatian and its effects on development of adverse pregnancy outcomes.
Dr. Anjana B	Dr.Hema Dhumale	Nil	Prostaglandins with estradiol versus prostaglandins alone for induction of labour in Unfavourable cervix – one year randomized control trial at KLE Dr. Prabhakar Kore Charitable
Dr. B Tejaswi R	Dr.M.K.Swamy	Nil	Maternal near Miss a cross sectional study Interhary care Hospital A prospective study.
Dr. Jahnavi Atluri	Dr.M.B.Bellad	Dr.Suresh Patted	Diastolic Dysfunction By 2d-Echocardiography In Pre-Eclamptic & Eclamptic Women Vs Normal Pregnant Women: A Hospital Based Case Control Study
Dr. Nidhi Pethapara	Dr.Anita Dalal	Nil	A study of first trimester maternal body mass index gestational weight gain and their association with maternal and perinatal outcomes.
Dr. Saniya Shaikh	Dr.Yeshita Pujar	Nil	Yolk sac diameter as a predictor of pregnancy outcome – a one year case control study at KLE Dr. Prabhakar Kore Free Charitable Hospital and MRC Belgaum
Dr. Soumya Patil	Dr.Kamal Patil	Nil	Analysis of risk factor of late preterm birth: A case control study.
Dr. Swati Goudar	Dr.M.C.Metgud	Nil	Association of Vaginal Ph>5 and The Incidence of Preterm Birth:A Prospective Chort Study
Dr. Snigdha Kumar	Dr. Kamal Patil	Nil	Study on Awareness and acceptability of screening for downs syndrome in the women attending ANC at KLE’s Prabhakar Kore charitable Hospital & MRC , Belgaum
Dr. Anshika Sehgal	Dr. Hema Dumale	Nil	Maternal serum beta human chronic gonadotropin Level estimation in second trimester as a predictor for pregnancy induced hypertension. – A Prospective study.
Dr. Steffi V Rodrigues	Dr. M.K.Swamy	Nil	A randomized control trial of extra-amniotic saline infusion versus intra cervical dinoprostone gel for induction of labour.
Dr. Swathi A	Dr. M.B.Bellad	Nil	Assessment of pain associated with intramuscular injection of Magnesium Sulphate with or without Lignocaine in women with severe preeclampsia and conscious eclamptic women- a Randomized Control Trial.
Dr. Tanu Pandey	Dr. Yeshita Pujar	Nil	Effectiveness of antenatal corticosteroids in reducing perinatal Morbidity and Mortality in late preterm births- a Randomized control trial’
Dr. Vinu Choudhary	Dr. M.C.Metgud	Nil	Effectiveness of antenatal corticosteroids in reducing perinatal Morbidity and Mortality in late preterm births- a Randomized control trial’
Dr. Sameer Kulkarni	Dr. Anita Dalal	Nil	Clinico-Pathological Features of Ovarian tumours- A Prospective Observational study
Dr. Satwik Metgud	Dr. M.C.Metgud	Nil	Comparison of efficacy & safety of intravenous ferric carboxymaltose v/s iron sucrose in the treatment of antepartum iron deficiency anemia- A randomized controlled trial
Dr. Trupti Ruge	Dr. Anita Dalal	Nil	To Determine the prevalence of Gestational diabetes mellitus at KLE’s Dr. Prabhakar Kore Hospital and medical Research Centre , Belgaum.
Dr. Nikila Gangula	Dr. Yeshita Pujar	Nil	To Determind the Perinatal Outcome in twin pregnancies with discordant growth- A cross-Sectional study
Dr. Nitika	Dr. M.B.Bellad	Nil	Prevalence of Discordant Growth in Twin Pregnancies.
Dr. Swarupa Biradar	Dr. Hema Dhumale	Nil	Case control study to Assess independent risk factors influencing surgical site infection after cesarean section
Dr. Shubha Rao	Dr. M.K.Swamy.	Nil	Intrapartum Management of meconium stained amniotic fluid: A one year prospective cross –sectional study
Dr. Amey J Sirsat	Dr. M.K.Swamy	Nil	One year cohort study, the role of Umbilical artery Doppler & Modified Biophysical Proffile in prediciting neonatal outcome in Intrautrine Growth Restriction, a hospital based study.
Dr. Shonir Pai	Dr. Kamal Patil	Nil	Evaluation of attitude and Behavior on training implementation of Home Based Life saving skills (HBLSS) in communities of Belgaum district- Cross sectional study
Dr. Emanual Gracias	Dr. Anita Dalal	Nil	Association Cervical Length at 18-23 weeks of gestation and spontaneous preterm delivery – A cohort study.
Dr. Avanti Laxmi	Dr. Hema Dhumale	Nil	A case control study to evaluate the correlation of hypothyroidism in pregnant women with adverse pregnancy outcome compared to pregnant women with normal preganancy outcome.
Dr. Snehal Shintre	Dr. M.C.Metgud	Nil	Effectiveness of risk of malignancy index to differentiate benign from malignant ovarian masses -A cross sectional study
Dr. Neha Gupta	Dr. M.B.Bellad	Nil	Safety & effectiveness of ventous extraction of fetal head versus manual extraction of fetal head at cesarean section – a randomized controlled trial
Dr. Keisham Sophia	Dr. M.C.Metgud	Nil	Interobserver variability of visual inspection methods between doctor & nurse for cervical cancer screening.
Dr. Komal Revankar	Dr. Hema Dhumale	Nil	A RCT to assess the role of routine third trimester USG in low risk pregnancy on antenatal interventions and its impact on perinatal outcome.
Dr. Simran Jeet	Dr. Anita Dalal	Nil	Role of visual inspection with acetic acid (VIA) and HPV DNA testing in detection of cervical neoplasia – A prospective study
Dr. Valli- Pillai	Dr. Yeshita Pujar	Nil	The role of progesterone in maintenance therapy following arrested preterm labour. A randomized controlled trial.
Dr. Sridevi Metgud	Dr. B.R.Desai	Nil	Comparison of clinical methods and ultrasound for prediction of expected fetal weight with actual birth weight in term pregnancies- A – prospective study.
Dr. Parul Mahajan	Dr. Parul Mahajan	Nil	Study ti determine incidence of Gestational Diabetes Mellitus using a single step diagnostic test- A one year hospital based prospective study
Dr. Deepti	Dr. B.R.Nilgar.	Nil	A cross sectional study by Translabial Ultrasonography to evaluate the integrity of Pelvic floor in patients with urogenital proplapse
Dr. Pallavi	Dr.M.B.Bellad	Nil	Oral clindamycin in 13-16 +1 week period of gestation with vaginal PH ≥ 5 for prevention of preterm labour. A randomized placebo controlled trial. At KLE’S Dr. Prabhakar Kore Hospital and Medical Research Centre.”
Dr.Bhushan Desai.	Dr. M.K.Swamy	Nil	A Randomised controlled trial of oral nifedepine vs intravenous labetalol in acute control of blood pressure in hypertensive emergencies of pregnancy.
Dr.Vishnupriyanka	Dr. Bhavana Sherigar.	Nil	Comparing the diagnostic value of Radiometric assay and polymerase chain reaction (PCR) in diction of genital tuberculosis in infertile woman
Dr. Nandan	Dr. Anita Dalal	Nil	Effective of Health Education on knowledge attitude of barrier towards cervical cancer screening among female nurses working in Tertiry Health care centre”
Dr Shreen	Dr. Kamal Patil	Nil	Amniocentesis in prenatal diagnosis for chromosomal abnormalities- A cross sectional study”

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Ongoing projects with Grants obtained (Intramural and extramural) Extra mural

Dr. Latha Chaturvedula	ICMR funded	As Principal Investigator: National Registry on COVID-19 infection among pregnant women and their neonates -2020 (Multicentric)		Ongoing
Dr. Latha Chaturvedula	ICMR funded	Autophagy as a target for therapy in ovarian cancer: a phase II randomised trial with biomarker correlation (Co investigator)		Ongoing
Dr. Latha Chaturvedula	ICMR funded	Post-operative intraperitoneal chemotherapy after interval cytoreduction in epithelialovarian cancer (POICE): a randomized phase III trial. (Co-investigator)		Ongoing
Dr. Latha Chaturvedula	WHO funded	Women’s Health and Domestic violence against women during COVID-19 pandemic in India. Multicentric Trial (Co investigator)	2021	Ongoing
Dr. Latha Chaturvedula	ICMR	Severity of COVID disease and pregnancy outcome among women with COVID infection with or without COVID vaccination – A multicentric case-control study.		Yet to start. 95 lakh
Dr. Latha Chaturvedula	Extramural (DST)	Effectiveness of “Pregnancy Tele Yoga Module” on stress, anxiety or depression during COVID-19 Pandemic: a prospective, multi-centre, open-label single-arm exploratory study.	2022	2.4 lakh
Dr. Latha Chaturvedula	Extramural DBT Wellcome India Alliance	Seroepidemiology, maternal immune status and missed diagnosis of pertussis among young infants in India - a multicentric study.	2022	2.87 crore

Dr. Gowri Dorairajan	ICMR funded	Micromorphological differences in strong versus weak previous caesarean scar in term pregnant women: a case-control study.	2020-2022	Ongoing. 19.17 lakh
Dr. Gowri Dorairajan	National Task Force ICMR extramural	ICMR contraceptive registry of PPIUCD and Centchroman users	2018-2021	Ongoing Total 4.8 lakhs per year
Dr Haritha S	NACO.	Prevalence of select Sexually Transmitted Infections/Reproductive Tract Infections among sub-populations at High Risk of HIV in India: FSW, MSM, IDU and Migrants.		₹14, 52,000
Dr. Chitra T	ICMR funded	Tranexamic Acid For The Prevention Of Postpartum Haemorrhage After Vaginal Delivery: A Randomized, Double-Blind, Placebo-Controlled Multicentric Trial.(TIP-PPH Trial)	2021	Ongoing; Funding awaited.

Intramural

1.	Dr. Chitra T	Guide	Assessment of thyroid auto antibodies in euthyroid infertile women with Polycystic Ovarian Syndrome - A cross sectional analytical Study-Ongoing	Intramural Grant Rs.1,04,000
2.	Dr. Chitra T	Guide	The effect of hysterolaparoscopic evaluation on pregnancy rates prior to Intrauterine Insemination and after failed Intrauterine insemination in unexplained infertility – A Randomized controlled trial -Ongoing	Intramural Grant Rs 2,50,000/-
3.	Dr. Chitra T	Guide	Comparison of clinical efficacy & safety profile of Ethinyl estradi-ol(EE) 30 mcg/ Drosperinone (DRSP) 3 mg combination on clinical, hormonal, metabolic parameters and quality of life in over-weight/obese women with normal weight women with polycystic ova-ry syndrome	Intramural Grant Rs 2,00,000/-
4.	Dr. Chitra T	PI	Effect of Vasopressin Injection on Ovarian Reserve after Laparoscopic Ovarian Cystectomy for Benign Ovarian Cysts : A Randomized Clinical Trial.-Ongoing	Intramural Grant Rs.3,16,000/-
5	Dr. Gowri Dorairajan	Guide	Study of efficacy and safety of Hygroscopic dilator for pre-induction ripening of cervix in woman with previous one caesarean section at term	Ongoing grant of 3 lakhs total
6	Dr S.Murali	PI	Levonorgestrel intrauterine device verses combined transcervical resection of the endometrium and levonorgestrel intrauterine device in the management of Adenomyosis: A randomized clinical trial.	2.7 Lakh; Ongoing
7.	Dr S.Murali	Guide	Dilapan versus misoprostol for cervical ripening prior to operative resectoscopy.	Rs 40,000 ;completed
8	Dr. Latha Chaturvedula		Comparison of 2-year recurrence-free survival among women with locally advanced uterine cervical cancer with and without early clearance of high-risk human papillomavirus after complete response with chemoradiation – A prospective cohort study.	6.25 LAKH Started in 2022

Dr Haritha :

Pregnancy outcome in subclinical hypothyroidism (TSH between 2.5-4 MIU/ml) with and without thyroid peroxidase antibodies..₹1,13,500. 2020- 2021.

Dr Sasirekha R :

	Amount	Period of Grant	Grant Agency
1	Rs.1,70,000/=	18 months from June 2020	JIPMER (Intramural)
2	Rs.1,16,000/-	18 months from January 2021	JIPMER (Intramural)

Major Publications (2021-2022)--Indexed Journals

Sreerama D, Surana M, Moolchandani K, Chaturvedula L, Keepanasseril A, Keepanasseril A, Pillai AA, Nair NS. Percutaneous balloon mitral valvotomy during pregnancy: A systematic review and meta-analysis. Acta Obstet Gynecol Scand. 2021; 100(4):666-675.
Gowri D, Vandana G, Palanivel C, Subhalakshmi B. Experiences and Felt Needs of Women during Childbirth in a Tertiary Care Centre: a Hospital‑Based Cross‑Sectional Descriptive Study. J Obstet and Gynecol India. 2021;6; XX.
Sireesha MU, Chitra T, Subbaiah M, Nandeesha H. Effect of laparoscopic ovarian cystectomy on ovarian reserve in benign ovarian cysts. J Hum Reprod Sci 2021; 14:56-60.
Bhabani Pegu, Chitra Thyagaraju, Deepthi Nayak,, Murali Subbaiah. Placenta accreta spectrum-a catastrophic situation in obstetrics. Obstet Gynecol Sci. 2021;64(3):239-247.
Subbaiah M, Chaturvedula L, Kubera NS, Raj A. Subsequent pregnancy outcome after uterine compression suture placement for postpartum hemorrhage. Int J Gynaecol Obstet. 2021; 00:1–6.
Subbaiah M, Selvest N, Maurya DK. Comparison of bipolar ball endometrial ablation and transcervical resection of the endometrium in the treatment of heavy menstrual bleeding: A randomized clinical trial. Gynecol Minim Invasive Ther 2021; 10:143-7.
Krishnamurthy A, Durairaj J, Subbaiah M. Evaluation of a symptom-based score in combination with CA125 to predict ovarian malignancy in women with adnexal mass. J Egypt Natl Canc Inst. 2022; 34(1):7.
Harika B, Subbaiah M, Maurya DK. Diagnostic Accuracy of Hysteroscopic Scoring System in Predicting Endometrial Malignancy and Atypical Endometrial Hyperplasia. J Midlife Health. 2021 Jul-Sep; 12(3):206-210.
Parveen S, Rengaraj S, Chaturvedula L. Factors associated with the outcome of TOLAC after one previous caesarean section: a retrospective cohort study. Journal of Obstetrics and Gynaecology. 2022 Apr 3; 42(3):430-6.
Natarajan T, Rengaraj S, Chaturvedula L, Wyawahare M. Predictors of adverse maternal outcome in jaundiced pregnant women identified as having pregnancy-specific liver disease (P-sLD). Journal of Obstetrics and Gynaecology. 2022 Jan 20:1-7

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INDIAN OBSTETRICS & GYNAECOLOGY (IOG) JOURNAL

The Indian Obstetrics & Gynaecology (IOG) Journal is a peer reviewed, indexed journal for the Obs & Gynae Fraternity with a circulation of more than 30,000.

It is an exclusive specialty publication designed for budding and established authors & researchers in the field of Obstetrics and Gynaecology. The IOG Journal gives them an exhaustive platform to publish their research work apart from original research articles, review articles, case reports, book reviews, letters to the editor and other scientific information related to the fields of Obstetrics, Gynaecology & Infertility.

thesis topics in obstetrics and gynaecology in india 2020

Indian Journal of Obstetrics and Gynecology Research

Official Publication of Innovative Education and Scientific Research Foundation

Published by IP Innovative Publication Pvt. Ltd.

Print ISSN: 2394-2746

Online ISSN: 2394-2754

CODEN : IJOGCS

Current Issue

Volume: 11 , Issue: 3

Indian Journal of Obstetrics and Gynecology Research Indexed by Scopus

Journal Keywords

Current volume - 11 | issue - 3 | year - 2024, table of contents.

Current Issue | Year-2024 | Volume-11 | Issue-3

Editor Desk

From the Editor’s Desk

Author : Manish R Pandya

Doi : Page No :

[Abstract] [PDF] [View (73)] [Download (53)]

Review Article

Cultural determinants in anemia prevention and management: Insights from women and caregivers

Author : Ram Kumar Garg*, Jyoti Bala, Prabha Garg, Subashini S. P, Jasline M, Vedamurthy R, Basavaraj Mudhol, Viji Mol

Page No : 308-314

Doi : http://doi.org/10.18231/j.ijogr.2024.060 Page No : 308-314

[Abstract] [Full Text HTML] [PDF] [EPub] [View (151)] [Download (89)]

Revisiting the link between abnormal uric acid levels and gestational diabetes mellitus: A systematic review

Author : Jayshri Sadashiv Jankar*, Anjali Manglaram, Tabish Ahmed, Arvind Yadav

Page No : 315-324

Doi : http://doi.org/10.18231/j.ijogr.2024.061 Page No : 315-324

[Abstract] [Full Text HTML] [PDF] [EPub] [View (135)] [Download (73)]

Different approaches and role of dinoprostone vaginal insert in induction of labour

Author : Manish R Pandya*, Ashwin Kakkar, Sadhna Gupta

Page No : 325-329

Doi : http://doi.org/10.18231/j.ijogr.2024.062 Page No : 325-329

[Abstract] [Full Text HTML] [PDF] [EPub] [View (137)] [Download (87)]

Optimizing obesity management for women in an Indian obstetrics and gynecology setting: A consensus approach by the Indian Society of Assisted Reproduction (ISAR)

Author : Nandita Palshetkar*, Hrishikesh Pai, Madhuri Patel, Ameet Patki, Sunita Tandulwadkar, Ameya Purandare, Pratik Tambe, Rohan Palshetkar, Murlidhar V Pai, Dibyendu Banerjee, Neeta Singh, Aswath Kumar, Piya Ballani Thakkar, Nitin Kapoor

Page No : 330-344

Doi : http://doi.org/10.18231/j.ijogr.2024.063 Page No : 330-344

[Abstract] [Full Text HTML] [PDF] [EPub] [View (121)] [Download (62)]

Original Article

Does threatened miscarriage have an influence on maternal & fetal outcomes during pregnancy? - Our experience in Kozhikode, North Kerala

Author : Saikrishna Narayanan*, Ambika Prema Rajan, Fathimathul Jusna Kalliyil, Lakshmi Rajappan Nair, Tajunnisa M Tajunnisa, Heera Shenoy T

Page No : 345-350

Doi : http://doi.org/10.18231/j.ijogr.2024.064 Page No : 345-350

[Abstract] [Full Text HTML] [PDF] [EPub] [View (132)] [Download (76)]

A review of maternal near miss events in a tertiary teaching hospital- A tool for improving quality of obstetric care in developing countries: A descriptive study

Author : Smita Thakkarwad, Mangal Supe, Suryakant Mundlod, Mahesh Asalkar*, Ravikiran Bacchewad, Shweta Puri, Sinchana Ramesh

Page No : 351-357

Doi : http://doi.org/10.18231/j.ijogr.2024.065 Page No : 351-357

[Abstract] [Full Text HTML] [PDF] [EPub] [View (136)] [Download (58)]

Evaluation of ovulation by urinary LH surge kits versus transvaginal sonography

Author : Aruna Verma*, Abhilasha Gupta, Vibha Chauhan

Page No : 358-363

Doi : http://doi.org/10.18231/j.ijogr.2024.066 Page No : 358-363

[Abstract] [Full Text HTML] [PDF] [EPub] [View (132)] [Download (65)]

Treatment of anaemia in pregnancy with oral iron, folic acid or iron, folic acid and vitamin B12 supplementation: A hospital-based open randomized study

Author : Anshu Sharma, P Ravinder, K Madhavan Nair, K Kalaivani, Prema Ramchandran*

Page No : 364-373

Doi : http://doi.org/10.18231/j.ijogr.2024.067 Page No : 364-373

[Abstract] [Full Text HTML] [PDF] [EPub] [View (135)] [Download (59)]

A cross sectional study to estimate the health care needs of perimenopausal and postmenopausal women

Author : Bhim Singh Rawat, Sukhpal Kaur*, Sushma Kumari Saini, Pooja Sikka, Pradeep Kumar Saha, Sarita Rawat

Page No : 374-380

Doi : http://doi.org/10.18231/j.ijogr.2024.068 Page No : 374-380

[Abstract] [Full Text HTML] [PDF] [EPub] [View (112)] [Download (61)]

Preterm birth in young women and singleton pregnancy following IVF in the kingdom of Bahrain

Author : Amala Sunder*, Bessy Varghese, Bedoor Al Omran, Basma Darwish, Ammar Chiter, Reem Talal Almehzaa, Abeer Alsada, Nawal Dayoub

Page No : 381-387

Doi : http://doi.org/10.18231/j.ijogr.2024.069 Page No : 381-387

[Abstract] [Full Text HTML] [PDF] [EPub] [View (115)] [Download (43)]

Serum human pregnancy specific glycoprotein 1 in pregnant women with preeclampsia in comparison with normal pregnancy

Author : Ali Mohamed Murad, Ban Hussein Ibraheem, Sarah Ismael Ali, Shatha Sami Hussein*, Liqa Ameer Saad

Page No : 388-392

Doi : http://doi.org/10.18231/j.ijogr.2024.070 Page No : 388-392

[Abstract] [Full Text HTML] [PDF] [EPub] [View (108)] [Download (53)]

Understanding factors affecting the acceptance of post-abortion contraception: A comprehensive analysis

Author : Gayathri S, Anil S Baipadithaya, Vipulachandra Y, Bhavya H U*

Page No : 393-397

Doi : http://doi.org/10.18231/j.ijogr.2024.071 Page No : 393-397

[Abstract] [Full Text HTML] [PDF] [EPub] [View (122)] [Download (51)]

Significance of leukocyte and platelet counts in hypertensive disorders of pregnancy - A retrospective study in a tertiary care hospital

Author : Veena S R*, Satish Korah Kuruvila

Page No : 398-402

Doi : http://doi.org/10.18231/j.ijogr.2024.072 Page No : 398-402

[Abstract] [Full Text HTML] [PDF] [EPub] [View (112)] [Download (68)]

Neurological complication of pregnancy: An experience from north east India

Author : Baiakmenlang Synmon*, Wansalan Karu Shullai, Shri Ram Sharma, Mahendra Ram Thakre, Donbok Lynser, Ayush Jain, Gareth Lyngwa

Page No : 403-408

Doi : http://doi.org/10.18231/j.ijogr.2024.073 Page No : 403-408

[Abstract] [Full Text HTML] [PDF] [EPub] [View (106)] [Download (56)]

Cervical fibroid: A diagnostic dilemma and operative challenge – one year study

Author : Sonia Dahiya*, Pushpa Dahiya, Kirti Saini, Shevata Jain, Vandana Bhuria, Krishna Dahiya

Page No : 409-414

Doi : http://doi.org/10.18231/j.ijogr.2024.074 Page No : 409-414

[Abstract] [Full Text HTML] [PDF] [EPub] [View (114)] [Download (64)]

Doppler abnormalities and perinatal outcome in growth restricted fetuses in a tertiary care center: A retrospective study

Author : Vinodhini K*, Sendhil Coumary A

Page No : 415-419

Doi : http://doi.org/10.18231/j.ijogr.2024.075 Page No : 415-419

[Abstract] [Full Text HTML] [PDF] [EPub] [View (113)] [Download (52)]

Neonatal outcomes of gestational diabetes mellitus (GDM) mothers: A cross-sectional study comparing medical nutritional therapy, metformin, and insulin treatments at a tertiary care centre

Author : Akshaya Radhakrishnan, B. N Surya, Shanthi Ethirajan

Page No : 420-425

Doi : http://doi.org/10.18231/j.ijogr.2024.076 Page No : 420-425

[Abstract] [Full Text HTML] [PDF] [EPub] [View (127)] [Download (57)]

Effects of early age of menarche on the health of Indian middle-aged women: A survey study

Author : Sneha S, Srihari Sharma K N*, Sai Bhavani Visarapu

Page No : 426-430

Doi : http://doi.org/10.18231/j.ijogr.2024.077 Page No : 426-430

[Abstract] [Full Text HTML] [PDF] [EPub] [View (150)] [Download (59)]

Evaluation of antibacterial susceptibility profile in pregnant women with asymptomatic bacteriuria in Kadapa

Author : Hakeem Sayeda Bee Bee Hajira, Hassan Shaikh Imrana, Sadgunothama Goud Kamparj*

Page No : 431-437

Doi : http://doi.org/10.18231/j.ijogr.2024.078 Page No : 431-437

[Abstract] [Full Text HTML] [PDF] [EPub] [View (109)] [Download (56)]

Navigating the unexpected: Insights into bladder injuries during emergency cesarean deliveries

Author : Smriti Anand, Pushpa Dahiya, Sonia Dahiya, Shikha Madan*

Page No : 438-441

Doi : http://doi.org/10.18231/j.ijogr.2024.079 Page No : 438-441

[Abstract] [Full Text HTML] [PDF] [EPub] [View (111)] [Download (75)]

Serratiopeptidase with diclofenac sodium for the management of post-operative pain and inflammation in a day care obstetric and gynaecological surgeries

Author : Kawita Bapat, Abhijeet Kumar*, Prashant Katke, Ketan Kulkarni, Sachin Suryawanshi

Page No : 442-446

Doi : http://doi.org/10.18231/j.ijogr.2024.080 Page No : 442-446

[Abstract] [Full Text HTML] [PDF] [EPub] [View (102)] [Download (59)]

Epidemiological, clinical and psychological aspects of victims of female child sexual abuse in the gynaecology and obstetrics department of tertiary hospital, Karnataka

Author : Puneetha V S, Ashwini Raju S, Raghavendra R Huchchannavar, Saraswathi Karelal*

Page No : 447-451

Doi : http://doi.org/10.18231/j.ijogr.2024.081 Page No : 447-451

[Abstract] [Full Text HTML] [PDF] [EPub] [View (125)] [Download (44)]

Correlation of adiponectin and leptin with BMI, blood pressure in patients with preeclampsia

Author : Swathi Thilak, Vemugadda Harika*, Radhakrishnan Narayanaswamy

Page No : 452-456

Doi : http://doi.org/10.18231/j.ijogr.2024.082 Page No : 452-456

[Abstract] [Full Text HTML] [PDF] [EPub] [View (120)] [Download (54)]

Knowledge, attitudes, awareness and factors associated with the uptake of influenza vaccine among pregnant women in urban Pune

Author : Hanif Shaikh*, Vaishali Undale, Anil Pardeshi, Shweta Jadhav, Pratiksha Jagtap, Parth Aphale, Anand Kawade, Mahesh Asalkar, Suneth Agampodi, Aman Upaganlawar, Chandrashekhar Upasani

Page No : 457-464

Doi : http://doi.org/10.18231/j.ijogr.2024.083 Page No : 457-464

[Abstract] [Full Text HTML] [PDF] [EPub] [View (119)] [Download (50)]

Immunohistochemical study of hormone receptors in endometrium with abnormal uterine bleeding

Author : Sainath K Andola, Umadevi S Andola, Shruti S Andola, Dhairya K Soneji*, Meenakshi Masgal, Anuradha G Patil

Page No : 465-471

Doi : http://doi.org/10.18231/j.ijogr.2024.084 Page No : 465-471

[Abstract] [Full Text HTML] [PDF] [EPub] [View (112)] [Download (42)]

A comprehensive analysis of contraceptive safety: Implications for gynecological health and education levels

Author : Srishti Thakur*, Manjit Kaur Mohi, Nayana Pathak, Pooja Jafra

Page No : 472-478

Doi : http://doi.org/10.18231/j.ijogr.2024.085 Page No : 472-478

[Abstract] [Full Text HTML] [PDF] [EPub] [View (113)] [Download (45)]

Comapring a lower dose of carbetocin to the standard dose of carbetocin in the prevention of postpartum hemorrhage during elective cesarean delivery: A randomised parallel group trial

Author : Rajasri G Yaliwal*, Neelamma G Patil, Shailaja R Bidri, Vijaya Soragavi

Page No : 479-483

Doi : http://doi.org/10.18231/j.ijogr.2024.086 Page No : 479-483

Endometrial pathology in abnormal uterine bleeding (AUB) & role of different techniques of endometrial sampling in evaluation of AUB: A cross-sectional study

Author : Mahesh Asalkar*, Ilaaf Rumani, Mangal Supe, Smita Thakkarwad, Sinchana Ramesh, Sayali Shivkumar Shete, Amrita Gautam

Page No : 484-491

Doi : http://doi.org/10.18231/j.ijogr.2024.087 Page No : 484-491

[Abstract] [Full Text HTML] [PDF] [EPub] [View (113)] [Download (55)]

Case Series

Myasthenia gravis in pregnancy: Successful outcome with multidisciplinary management

Author : Neha Varun, Reeta Mahey, Rajesh Kumari*, Jai Bhagwan Sharma

Page No : 492-495

Doi : http://doi.org/10.18231/j.ijogr.2024.088 Page No : 492-495

[Abstract] [Full Text HTML] [PDF] [EPub] [View (100)] [Download (42)]

Histopathological insights into ovarian tumors: A case series perspective

Author : Archi Arun Chawla, Priyanka Nimbalkar Jadhav, Shilpi Sahu, Apeksha Suresh Savale*

Page No : 496-503

Doi : http://doi.org/10.18231/j.ijogr.2024.089 Page No : 496-503

[Abstract] [Full Text HTML] [PDF] [EPub] [View (105)] [Download (67)]

Facing the unimaginable: Case series of hysterotomy at a tertiary care centre

Author : Shikha Madan*, Sonia Dahiya, Smriti Anand, Pushpa Dahiya, Savita Rani Singhal

Page No : 504-506

Doi : http://doi.org/10.18231/j.ijogr.2024.090 Page No : 504-506

[Abstract] [Full Text HTML] [PDF] [EPub] [View (108)] [Download (39)]

Case Report

Accessory cavitated uterine mass: A rare cause of severe dysmenorrhoea managed by minimally invasive surgery

Author : Cyriac Pappachan, Manasa Saraswathy Kabalimurthy*, Roshni Subhash, Koothan U T

Page No : 507-510

Doi : http://doi.org/10.18231/j.ijogr.2024.091 Page No : 507-510

[Abstract] [Full Text HTML] [PDF] [EPub] [View (104)] [Download (47)]

Colposcopic features of HPV associated adenocarcinoma usual type

Author : Priyanka Singh*

Page No : 511-514

Doi : http://doi.org/10.18231/j.ijogr.2024.092 Page No : 511-514

[Abstract] [Full Text HTML] [PDF] [EPub] [View (107)] [Download (50)]

A case report on tuberculosis in pregnancy revealing the need for an effective multidisciplinary approach and the importance of tailored therapy

Author : Nishitha Gandavaram*, Rajalekshmi M

Page No : 515-520

Doi : http://doi.org/10.18231/j.ijogr.2024.093 Page No : 515-520

[Abstract] [Full Text HTML] [PDF] [EPub] [View (107)] [Download (46)]

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About Journal

Journal of Obstetrics and Gynecology of India

Subject Area and Category

Obstetrics and Gynecology

Springer India

Publication type

09719202, 09756434

Information

How to publish in this journal

[email protected]

The set of journals have been ranked according to their SJR and divided into four equal groups, four quartiles. Q1 (green) comprises the quarter of the journals with the highest values, Q2 (yellow) the second highest values, Q3 (orange) the third highest values and Q4 (red) the lowest values.

Category	Year	Quartile
Obstetrics and Gynecology	2011	Q4
Obstetrics and Gynecology	2012	Q3
Obstetrics and Gynecology	2013	Q3
Obstetrics and Gynecology	2014	Q3
Obstetrics and Gynecology	2015	Q3
Obstetrics and Gynecology	2016	Q3
Obstetrics and Gynecology	2017	Q3
Obstetrics and Gynecology	2018	Q3
Obstetrics and Gynecology	2019	Q3
Obstetrics and Gynecology	2020	Q3
Obstetrics and Gynecology	2021	Q3
Obstetrics and Gynecology	2022	Q3
Obstetrics and Gynecology	2023	Q3

The SJR is a size-independent prestige indicator that ranks journals by their 'average prestige per article'. It is based on the idea that 'all citations are not created equal'. SJR is a measure of scientific influence of journals that accounts for both the number of citations received by a journal and the importance or prestige of the journals where such citations come from It measures the scientific influence of the average article in a journal, it expresses how central to the global scientific discussion an average article of the journal is.

Year	SJR
2011	0.100
2012	0.142
2013	0.168
2014	0.204
2015	0.213
2016	0.249
2017	0.236
2018	0.259
2019	0.293
2020	0.313
2021	0.290
2022	0.286
2023	0.318

Evolution of the number of published documents. All types of documents are considered, including citable and non citable documents.

Year	Documents
2010	71
2011	95
2012	142
2013	100
2014	162
2015	83
2016	228
2017	87
2018	96
2019	144
2020	99
2021	137
2022	182
2023	194

This indicator counts the number of citations received by documents from a journal and divides them by the total number of documents published in that journal. The chart shows the evolution of the average number of times documents published in a journal in the past two, three and four years have been cited in the current year. The two years line is equivalent to journal impact factor ™ (Thomson Reuters) metric.

Cites per document	Year	Value
Cites / Doc. (4 years)	2010	0.000
Cites / Doc. (4 years)	2011	0.042
Cites / Doc. (4 years)	2012	0.114
Cites / Doc. (4 years)	2013	0.218
Cites / Doc. (4 years)	2014	0.400
Cites / Doc. (4 years)	2015	0.473
Cites / Doc. (4 years)	2016	0.542
Cites / Doc. (4 years)	2017	0.457
Cites / Doc. (4 years)	2018	0.577
Cites / Doc. (4 years)	2019	0.751
Cites / Doc. (4 years)	2020	0.876
Cites / Doc. (4 years)	2021	1.075
Cites / Doc. (4 years)	2022	1.036
Cites / Doc. (4 years)	2023	0.925
Cites / Doc. (3 years)	2010	0.000
Cites / Doc. (3 years)	2011	0.042
Cites / Doc. (3 years)	2012	0.114
Cites / Doc. (3 years)	2013	0.218
Cites / Doc. (3 years)	2014	0.430
Cites / Doc. (3 years)	2015	0.411
Cites / Doc. (3 years)	2016	0.525
Cites / Doc. (3 years)	2017	0.421
Cites / Doc. (3 years)	2018	0.558
Cites / Doc. (3 years)	2019	0.752
Cites / Doc. (3 years)	2020	0.859
Cites / Doc. (3 years)	2021	1.056
Cites / Doc. (3 years)	2022	0.932
Cites / Doc. (3 years)	2023	0.854
Cites / Doc. (2 years)	2010	0.000
Cites / Doc. (2 years)	2011	0.042
Cites / Doc. (2 years)	2012	0.114
Cites / Doc. (2 years)	2013	0.224
Cites / Doc. (2 years)	2014	0.364
Cites / Doc. (2 years)	2015	0.321
Cites / Doc. (2 years)	2016	0.478
Cites / Doc. (2 years)	2017	0.415
Cites / Doc. (2 years)	2018	0.552
Cites / Doc. (2 years)	2019	0.617
Cites / Doc. (2 years)	2020	0.779
Cites / Doc. (2 years)	2021	0.930
Cites / Doc. (2 years)	2022	0.809
Cites / Doc. (2 years)	2023	0.730

Evolution of the total number of citations and journal's self-citations received by a journal's published documents during the three previous years. Journal Self-citation is defined as the number of citation from a journal citing article to articles published by the same journal.

Cites	Year	Value
Self Cites	2010	0
Self Cites	2011	0
Self Cites	2012	2
Self Cites	2013	3
Self Cites	2014	7
Self Cites	2015	8
Self Cites	2016	11
Self Cites	2017	7
Self Cites	2018	7
Self Cites	2019	21
Self Cites	2020	15
Self Cites	2021	7
Self Cites	2022	11
Self Cites	2023	10
Total Cites	2010	0
Total Cites	2011	3
Total Cites	2012	19
Total Cites	2013	67
Total Cites	2014	145
Total Cites	2015	166
Total Cites	2016	181
Total Cites	2017	199
Total Cites	2018	222
Total Cites	2019	309
Total Cites	2020	281
Total Cites	2021	358
Total Cites	2022	354
Total Cites	2023	357

Evolution of the number of total citation per document and external citation per document (i.e. journal self-citations removed) received by a journal's published documents during the three previous years. External citations are calculated by subtracting the number of self-citations from the total number of citations received by the journal’s documents.

Cites	Year	Value
External Cites per document	2010	0
External Cites per document	2011	0.042
External Cites per document	2012	0.102
External Cites per document	2013	0.208
External Cites per document	2014	0.409
External Cites per document	2015	0.391
External Cites per document	2016	0.493
External Cites per document	2017	0.406
External Cites per document	2018	0.540
External Cites per document	2019	0.701
External Cites per document	2020	0.813
External Cites per document	2021	1.035
External Cites per document	2022	0.903
External Cites per document	2023	0.830
Cites per document	2010	0.000
Cites per document	2011	0.042
Cites per document	2012	0.114
Cites per document	2013	0.218
Cites per document	2014	0.430
Cites per document	2015	0.411
Cites per document	2016	0.525
Cites per document	2017	0.421
Cites per document	2018	0.558
Cites per document	2019	0.752
Cites per document	2020	0.859
Cites per document	2021	1.056
Cites per document	2022	0.932
Cites per document	2023	0.854

International Collaboration accounts for the articles that have been produced by researchers from several countries. The chart shows the ratio of a journal's documents signed by researchers from more than one country; that is including more than one country address.

Year	International Collaboration
2010	1.41
2011	3.16
2012	0.70
2013	1.00
2014	1.85
2015	3.61
2016	3.95
2017	5.75
2018	1.04
2019	5.56
2020	6.06
2021	4.38
2022	2.20
2023	5.15

Not every article in a journal is considered primary research and therefore "citable", this chart shows the ratio of a journal's articles including substantial research (research articles, conference papers and reviews) in three year windows vs. those documents other than research articles, reviews and conference papers.

Documents	Year	Value
Non-citable documents	2010	0
Non-citable documents	2011	8
Non-citable documents	2012	15
Non-citable documents	2013	28
Non-citable documents	2014	34
Non-citable documents	2015	37
Non-citable documents	2016	35
Non-citable documents	2017	27
Non-citable documents	2018	28
Non-citable documents	2019	29
Non-citable documents	2020	41
Non-citable documents	2021	46
Non-citable documents	2022	51
Non-citable documents	2023	43
Citable documents	2010	0
Citable documents	2011	63
Citable documents	2012	151
Citable documents	2013	280
Citable documents	2014	303
Citable documents	2015	367
Citable documents	2016	310
Citable documents	2017	446
Citable documents	2018	370
Citable documents	2019	382
Citable documents	2020	286
Citable documents	2021	293
Citable documents	2022	329
Citable documents	2023	375

Ratio of a journal's items, grouped in three years windows, that have been cited at least once vs. those not cited during the following year.

Documents	Year	Value
Uncited documents	2010	0
Uncited documents	2011	69
Uncited documents	2012	151
Uncited documents	2013	256
Uncited documents	2014	235
Uncited documents	2015	292
Uncited documents	2016	228
Uncited documents	2017	337
Uncited documents	2018	251
Uncited documents	2019	233
Uncited documents	2020	159
Uncited documents	2021	181
Uncited documents	2022	212
Uncited documents	2023	235
Cited documents	2010	0
Cited documents	2011	2
Cited documents	2012	15
Cited documents	2013	52
Cited documents	2014	102
Cited documents	2015	112
Cited documents	2016	117
Cited documents	2017	136
Cited documents	2018	147
Cited documents	2019	178
Cited documents	2020	168
Cited documents	2021	158
Cited documents	2022	168
Cited documents	2023	183

Evolution of the percentage of female authors.

Year	Female Percent
2010	45.11
2011	58.42
2012	52.75
2013	53.44
2014	51.13
2015	48.36
2016	56.98
2017	59.02
2018	63.49
2019	61.50
2020	66.22
2021	63.86
2022	63.99
2023	67.36

Evolution of the number of documents cited by public policy documents according to Overton database.

Documents	Year	Value
Overton	2010	5
Overton	2011	23
Overton	2012	15
Overton	2013	15
Overton	2014	24
Overton	2015	9
Overton	2016	23
Overton	2017	7
Overton	2018	11
Overton	2019	7
Overton	2020	6
Overton	2021	2
Overton	2022	1
Overton	2023	1

Evoution of the number of documents related to Sustainable Development Goals defined by United Nations. Available from 2018 onwards.

Documents	Year	Value
SDG	2018	43
SDG	2019	68
SDG	2020	40
SDG	2021	67
SDG	2022	91
SDG	2023	100

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A Prospective Study to Determine the Predictive Ability of HDP-Gestosis Score for the Development of Pre-eclampsia

Original Article
Published: 17 September 2022
Volume 72 , pages 485–491, ( 2022 )

Cite this article

Meeta Gupta 1 ,
Poonam Yadav 2 &
Farhana Yaqoob 3

3530 Accesses

6 Citations

Explore all metrics

HDP-gestosis score is a risk scoring system (score 1–3) for the development of pre-eclampsia. When a pregnant woman’s total score is equal to or greater than 3, she is labelled as “at risk for pre-eclampsia” and is managed accordingly.

To determine the sensitivity, specificity, Positive predictive value (PPV), negative predictive value (NPV) and diagnostic accuracy of HDP-gestosis score for predicting pre-eclampsia.

This prospective study included 473 pregnant women who presented at the department of Obstetrics and Gynaecology, from June 2020 to December 2021. After 20 weeks of pregnancy, the patients were assessed for the development of pre-eclampsia. Details of age, gravida, obstetric history, menstrual cycle regularity, polycystic ovarian disease history, duration of marriage, parity, past medical and surgical intervention, previous/present medication, and family history were taken. Gestosis score was calculated and classified into mild (score of 1), moderate (score of 2) and high risk (score of ≥ 3) for the development of Pre-eclampsia (PE). Sensitivity, Specificity, PPV, NPV and diagnostic accuracy of HDP-gestosis score for predicting the development of PE were determined.

The mean age, gestational age, and BMI of the women were 28.4 ± 6.8 years, 11.5 ± 2.04 weeks, and 24.5 ± 3.7 kg/m 2, respectively. The gestosis score was 2 in 43.13% of the participants, 1 in 42.28%, and ≥ 3 in 14.59% of the women. PE developed in 15.01% ( n = 71) participants. The Sensitivity, Specificity, PPV, NPV, and Diagnostic accuracy of HDP-gestosis score for predicting PE were 83.1%, 97.51%, 85.51%, 97.03% and 95.35%, respectively.

Gestosis score is a novel early marker for prediction of the development of PE allowing for a prompt management for the patients, thereby curbing the adverse consequences.

Prediction of pre-eclampsia and its subtypes in high-risk cohort: hyperglycosylated human chorionic gonadotropin in multivariate models

Serum screening in first trimester to predict pre-eclampsia, small for gestational age and preterm delivery: systematic review and meta-analysis.

Avoid common mistakes on your manuscript.

Introduction

Pre-eclampsia (PE) is one of the commonest complications of pregnancy, affecting 4.6% pregnancies worldwide [ 1 ] and 1.8–16.7% pregnancies in the developing countries [ 2 ]. It is identified by systolic blood pressure (SBP) and diastolic blood pressure (DBP) greater than 140 mm Hg and 90 mm Hg, respectively, after 20 completed weeks of pregnancy. As reported in an Indian study, the overall pooled prevalence of PE in India was 11% [ 3 ].

PE is the major cause of maternal (that include abruptio placentae, disseminated intravascular coagulation, pulmonary oedema, acute renal failure, heart rhythm disturbances, and effects on other organs like liver, brain and lungs) as well as perinatal (fetal growth retardation, preterm deliveries and fetal deaths) complications worldwide [ 4 ].

The grave nature of the condition continues to baffle us to use certain predictive markers in the early part of the pregnancy which may help us to identify the women who may develop PE—so that appropriate preventive measures are begun for the prevention and management.

A plethora of maternal risk factors have been established to be positively linked with the development of PE, which include higher age, parity, comorbidities, family history, previous personal history, ethnicity, investigative markers like thyroid profile, uterine artery Doppler velocimetry, PAPP-A levels, placental IGF levels and certain systemic conditions [ 5 , 6 ]. As these factors are described by individual researchers, taking all of them into account and devising a scoring system for PE prediction were the need of the hour, especially for countries with limited resources and lack of biomarker testing facility.

A simple risk model named HDP-gestosis score has been devised by Dr Gorakh Mandrupkar with further modifications by committee including “Dr. Sanjay Gupte, Dr. Suchitra Pandit, Dr. Alpesh Gandhi and Dr. Girija Wagh” for effective screening and prediction of Pre-eclampsia [ 7 ]. This score considers all of the pregnant woman’s present and emerging risk factors. Each clinical risk factor is given a score of 1, 2, or 3 based on its severity in the development of pre-eclampsia. A total score is obtained from detailed history and examination of the woman. When a pregnant woman’s total score is equal to or greater than 3, she is labelled as “at risk for pre-eclampsia” and is managed accordingly [ 7 ].

Till date, to our knowledge, no study has been conducted in the practical setting to determine the diagnostic accuracy and sensitivity of prediction of Pre-eclampsia for HDP-gestosis score. So this study was conducted wherein HDP-gestosis score was applied and the pregnant women were followed-up to confirm and note the predictive ability for the development of PE.

A prospective study was done wherein 473 patients who presented in the department of Obstetrics and Gynaecology, ASCOMS, Jammu, over a duration of 18 months from June 2020 to December 2021, were enrolled. The inclusion criteria were: Age more than 18 years, and booked deliveries with first antenatal visit during the initial 11 weeks of pregnancy. Pregnant patients with COVID-19 disease, malignancy, liver diseases, intake of alcohol, substance abuse and smoking were excluded.

The sample size calculation was based on a study by Mishra et al. [ 8 ] where individual parameters used in the gestosis score were analysed for the relative risk in increasing pre-eclampsia. It was noted that mean arterial pressure (MAP) > 85, Dyslipidemia, Hypothyroidism, family history of HDP, Chronic hypertension, Thrombophilia, autoimmune disease were significant risk factors of Pre-eclampsia with odds ratio of 22.03, 5.02, 4.82, 3.37, 7.58, 2.07 and 4.40, respectively, in the HDP-gestosis score [ 8 ]. With these figures as reference, the minimum required sample size was 315 patients under 80% power and 5% significance. Considering the attrition rate and loss to follow-up, a 50% higher sample size was taken with total patients enrolled being 473.

A written consent was signed by all enrolled patients. Institutional ethical clearance was obtained for the study.

A detailed demographic history about age, gravida, obstetric history, menstrual cycle regularity, polycystic ovarian disease history, duration of marriage, parity, past medical and surgical intervention and previous/present medication were taken, followed by a routine clinical obstetric examination as per hospital protocol. Weight and height was measured based on which body mass index was calculated. Venous blood sample (5 ml) was collected in the antenatal visit (at 11–18 weeks of gestation) for assessing complete blood counts, thyroid profile, blood sugar levels, blood grouping and autoantibodies which included anti-TPO, antinuclear antibody (ANA), Rheumatoid factor, anti-dsDNA, SS-A and SS-B antibodies for specific diagnosis of the autoimmune disorders..

Taking all these factors into account, gestosis score was calculated by using the app ( https://m.apkpure.com/hdp-gestosis-score/hdp.gestosis.score) [ 9 ] and classified into mild (score of 1), moderate (score of 2) and high risk (score of equal to or more than 3) for the development of PE. All the parameters mentioned in the gestosis score were assessed from the history and investigations, and a total score was entered in the master chart for every patient. The various parameters and HDP-Gestosis score are shown in Table 1 .

Standards and Criteria

The standards and criteria used in the study for classifying the diseases of the patients were [ 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 ].

Hypertensive Disease of Pregnancy

Hypertensive disorders during pregnancy (HDP) include 4 categories: “(1) pre-eclampsia/eclampsia; (2) gestational hypertension (GH); (3) chronic hypertension; and (4) pre-eclampsia/eclampsia variants superimposed on chronic hypertension”.

Pre-eclampsia

Pre-eclampsia was defined as de novo blood pressure (BP) elevations (Systolic blood pressure of 140 mm Hg or more or diastolic blood pressure of 90 mm Hg or more on two occasions at least four hours apart) after 20 weeks of gestation coupled with proteinuria (300 mg or more per 24 h urine collection or Protein/creatinine ratio of 0.3 mg/dL or more or Dipstick reading of 2 +). Eclampsia is defined as PE with seizures.

Gestational Hypertension

De-novo hypertension that develops at > 20 weeks in absence of features of Pre-eclampsia.

Chronic Hypertension

Elevated BP before 20 weeks of gestation or persisting beyond 12 weeks postpartum.

Chronic Hypertension with Superimposed Pre-eclampsia

Increased BP and new‐onset proteinuria or other end‐organ dysfunction in addition to preexisting hypertension.

Thyroid Profile

A laboratory normal range of 0.1–3 mIU/L for TSH, 0.9–1.7 ng/dL for fT4 and 0–35 IU/mL for anti-TPO was used to classify thyroid disease. An increase in the TSH levels or fall in the fT4 levels with presence of symptoms was classified as hypothyroidism, and a fall in the TSH levels or rise in the fT4 levels with presence of symptoms (such as fatigue, weight gain/loss, reduced exercise capacity, constipation hair loss, dry skin, and bradycardia/tachycardia) was classified as hyperthyroidism.

The guidelines from the Endocrine Society using the Rotterdam criteria for diagnosis were applied which mandate the presence of two of the following three findings—hyperandrogenism, ovulatory dysfunction, and polycystic ovaries.

MAP = DBP + 0.33 × PP (SBP-DBP) where PP is the pulse pressure, SBP is systolic blood pressure and DBP is diastolic blood pressure.

Gestational Diabetes Mellitus (GDM)

The diagnosis of GDM was confirmed in the presence of “at least one abnormal value (≥ 92, 180 and 153 mg/dl for fasting, 1-h and 2-h plasma glucose concentration, respectively), following 75-g oral glucose tolerance test (OGTT)”.

Excessive Weight Gain During Pregnancy

A weight gain during the 2nd and 3rd trimester (in kgs) > 18 (among women with BMI < 18.5 kg/m 2 ), > 16 (among women with BMI 18.5–24.9 kg/m 2 ), > 11.5 (among women with BMI 25–29.9 kg/m 2 ) and > 9 (among women with BMI > = 30 kg/m 2 ) was considered excess weight gain.

SLE/APLA/RA/thrombophilia

The American College of Rheumatology has 11 classification criteria for lupus. If a patient meets at least four criteria, lupus can be diagnosed. The criteria include malar or discoid rash; photosensitivity; oral ulcers; arthritis; serositis; abnormal antinuclear antibody (ANA) titers; and renal, neurologic, hematologic, or immunologic disorders.

The participants were tested for the presence of circulating autoantibodies, including ANA. The ANA test was considered positive at a titer ≥ 1:80. Rheumatic diseases were classified according to widely used criteria for undifferentiated connective tissue disease (UCTD), RA, SLE, anti-phospholipid syndrome (APS), Sjögren’s syndrome, systemic sclerosis, polymyositis/dermatomyositis and mixed connective tissue disease.

Thrombophilia was diagnosed if there was idiopathic or recurrent venous thromboembolism; a first episode of venous thromboembolism at a “young” age (e.g., < 40 years); a family history of venous thromboembolism; venous thrombosis in an unusual vascular territory; and neonatal purpura fulminans or warfarin-induced skin necrosis.

Management of PE

The treatment for PE was started if BP remained higher than 140–90 mm Hg. It comprised of labetalol as a first-line therapy at dose of 100 mg BD up to maximum dose of 2400 mg. Nifedipine (preferably extended release) at dose of 10–30 mg OD was prescribed as a second line drug [ 20 ].

Outcome Measures

The final outcomes were proportion of women having “at high risk” gestosis score and those developing PE during the pregnancy.

The final data were entered in Microsoft EXCEL spreadsheet and analysed by “SPSS (Statistical Package for The Social Sciences) version 21.0”. A p -value < 0.05 was considered statistically significant.

Statistical Analysis

The data presentation was done in the form of frequency numbers or percentages with mean (SD) and median values. Fisher’s Exact test or Chi-Square test was used for determining the association between variables. Sensitivity (Sn), Specificity (Sp), Positive predictive value (PPV), negative predictive value (NPV) and diagnostic accuracy of HDP-gestosis score for predicting the development of PE was determined. p < 0.05 was considered statistically significant.

Of the 534 pregnant patients admitted and screened, 473 were finally included in the study. The study flow is shown in Fig. 1 .

The mean age, gestational age, and BMI of the enrolled women were 28.4 ± 6.8 years, 11.5 ± 2.04 weeks, and 24.5 ± 3.7 kg/m 2, respectively. The mean SBP and DBP were 117.4 ± 10.2 and 78.7 ± 5.8 mm Hg, respectively. 65.12% of the women were primigravida, and 34.88% were multigravida (Table 2 ).

The gestosis score was 2 in 204 (43.13%) of the participants, 1 in 200 (42.28%), and ≥ 3 (at risk) in 69 (14.59%) of the women (Fig. 2 ). During the follow-up, PE developed in 15.01% ( n = 71) participants (Fig. 3 ).

Distribution of Gestosis score of study subjects

Distribution of PE

Among the 71 women developing PE, 59 were correctly predicted by HDP-gestosis score > = 3, while among the remaining 12 cases of PE, eight patients had HDP-gestosis score of 2 and four patients had HDP-gestosis score of 1.

For the HDP-gestosis score of > = 3, true positives were 59, false positives were 10 and false negatives were 12. Based on it, the Sensitivity, Specificity, PPV, NPV and Diagnostic accuracy of HDP-gestosis score (> = 3) for predicting PE were 83.1%, 97.51%, 85.51%, 97.03% and 95.35%, respectively. Taking the HDP-gestosis score cutoff of 2 or more (moderate), the Sensitivity, Specificity, PPV and NPV were 94%, 49%, 25% and 98%, respectively (Table 3 ).

In our study, the prevalence of PE was 15.01%. Recently, Mou et al [ 2 ] found that the overall prevalence rate of PE was 14.4%. In a recent study, the lower rate of prevalence of PE was reported in Sweden and China (3.98% and 4.02%, respectively) [ 1 ]. Mayrink et al. [ 21 ] found that PE was present in 7.5% participants. Similarly, Mishra et al. [ 8 ] also reported incidence of HDP to be 15.4% among Indian women. Overall, PE ranges from 3 to 16% and is more common in the developing countries.

The study holds importance in raising the awareness of the prevalence of PE and how a simple scoring system may be able to predict the development of PE—thereby providing an opportunity of adequate management of the patients to curb adverse outcomes associated with PE.

We found that HDP-gestosis score > = 3 carried a sensitivity of 83.1% for predicting pre-eclampsia. This remains of use since for screening such high values may hold importance from the point of view of management. Though HDP-gestosis score > = 2 carried a higher sensitivity of 94%, but the specificity fell short to 49% in comparison to HDP-gestosis score > = 3 which showed a specificity of 97.51% for predicting PE- thereby indicating that HDP-gestosis score > = 3 very accurately rules out the development of PE. Since there is a trade-off between sensitivity and specificity for an ideal screening test, HDP-gestosis score (> = 3) seems to be a better predictor for PE. However notwithstanding, preventive measures and regular monitoring may be done for the moderate risk (HDP-gestosis score = 2).

Moreover, this is the first study to practically provide a validity data for the application of gestosis score. Previously, one study by Mishra et al. [ 8 ] analysed the odds ratio for individual factor of gestosis score wherein factors significantly associated with PE included MAP > 85 mmHg [adjusted odds ratio (AOR): 22.03; 95% confidence interval (CI) 10.06–48.22], age > 35 years (AOR: 5.21, 95% CI 2.75–9.85), maternal hypothyroidism (AOR: 4.82; 95% CI 2.54–9.37), primi (AOR: 4.54, 95% CI 2.50–8.25) and age < 19 years (AOR: 4.04; 95% CI 2.05–8.18).

The literature search shows that one such screening scoring system is already validated in the international community which inculcate mean arterial pressure (MAP), uterine artery PI (UTPI) and serum PLGF (or PAPP-A when PLGF is not available) [ 22 ]. It also has an app https://fetalmedicine.org/research/assess/preeclampsia/first-trimester . Gestosis score differs from this in avoiding the USG or biomarkers and making the scoring easy at the grassroot level by inculcating the maternal history and baseline tests.

As per the gestosis score, three categories of scoring factors exist. Studies have individually found risk association with these factors [ 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 ], thereby justifying the inclusion of these factors in gestosis score.

Mechanisms underlying the increasing of odds for development of PE in association with these factors remain diverse such as arterial stiffening, compliance of uterine vessels and endothelial dysfunction, placental functioning, placental maladaptation, depletion of maternal nutrients, maternal inflammatory response, increased lipid oxidation products or decrease in the levels of antioxidants, antipaternal immune response, and genetic or epigenetic influences [ 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 ].

The study holds strength in validating a scoring system that can be routinely applied in the obstetric practice. The study results must be interpreted under limitations of being a single centre study with no association of fetomaternal outcomes with gestosis score.

In conclusion, gestosis score (> = 3) carried sensitivity, specificity, PPV, and NPV of 83.1%, 97.51%, 85.51%, and 97.03%, respectively, for predicting the development of PE. Overall, it seems to be a novel early marker with diagnostic accuracy of 95.35% for prediction of the development of PE allowing for a prompt management for the patients, thereby allowing to curb the adverse consequences.

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Department of Obstetrics and Gynaecology, AIIMS, F-311, Sainik Colony, Jammu, India

Meeta Gupta

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Poonam Yadav

Department of Obstetrics and Gynaecology, ASCOMS, Jammu, Jammu and Kashmir, 180011, India

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Dr. Meeta Gupta is a Professor, Department of Obstetrics and Gynaecology, AIIMS, F-311, Sainik Colony, Jammu, Jammu and Kashmir, 180011, India; Dr. Poonam Yadav is a Professor, Department of Obstetrics and Gynaecology, S.N Medical College, Agra, U.P, India; Dr. Farhana Yaqoob is an Associate Professor, Department of Obstetrics and Gynaecology, ASCOMS, Jammu, Jammu and Kashmir, 180011, India.

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Gupta, M., Yadav, P. & Yaqoob, F. A Prospective Study to Determine the Predictive Ability of HDP-Gestosis Score for the Development of Pre-eclampsia. J Obstet Gynecol India 72 , 485–491 (2022). https://doi.org/10.1007/s13224-022-01704-0

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Telemedicine for Women’s Health During COVID-19 Pandemic in India: A Short Commentary and Important Practice Points for Obstetricians and Gynaecologists

Vimee bindra.

Apollo Hospitals, Hyderabad, India

Background/purpose of study

In view of restrictions on patients because of COVID-19 pandemic, face-to-face consultations are difficult. This short commentary tells us about the feasibility of telemedicine in this scenario in obstetrics and gynaecology.

The database from our teleconsultation application (Apollo 247 and Askapollo) was analysed to assess feasibility of telemedicine and to design a triage pathway to reduce hospital visits for non-emergency situations and also to identify emergency cases without delay during this lockdown phase. Existing guidelines by Ministry of Health and Family Welfare (MOHFW), Government of India, were accessed.

This was a single-doctor experience of 375 consultations done over 65 days. We also designed a triage pathway for obstetrics and gynaecology cases, and we discussed general practice for obstetricians and gynaecologists with its utility and limitations.

Telemedicine has provided us the opportunity to manage women health problems and pregnancy concerns during this pandemic of COVID-19, except a few instances where face-to-face consultation or hospital visit is must. If we implement the triage pathway, we can minimize the risk of exposure for both patients and healthcare teams during COVID-19 pandemic.

Introduction

Disasters and pandemics pose a great challenge to health care delivery for an already burdened healthcare system. When the whole world is fighting with an invisible enemy, there is a major shift in routine patient care. WHO declared COVID 19 as pandemic on March 11, 2020 [ 1 ]. Many hospitals and practices had to cancel routine out-patients visits and out of necessity, most of the practices have been encouraged to use telemedicine as a method of continuity of care.

While writing this article, there were already 7,731,721 cases globally and 4,28,210 deaths [ 1 ]. India had reported 309,603 cases and 8890 deaths [ 2 ]. Pregnant women are the vulnerable population hence guidance and support through telemedicine will go a long way in reducing complications and timely intervention during this pandemic.

Known consequences of delayed access to healthcare due to lockdown and pandemic situation on pregnant women could be delay in identifying the warning signs, more maternal and neonatal deaths, less access to abortion facilities as patients are also scared to visit hospitals because of fear of contracting the infection. During these times telemedicine came as a boon for our patients when Govt of India and Medical Council of India released their new guidelines for use of telemedicine during this pandemic [ 3 ].

Our hospital telemedicine services came to our rescue and through our applications Apollo 247 and Ask Apollo we could serve a large number of women in need during this pandemic situation.

A total of 375 tele consults (single doctor experience) happened during 25th March to 31st May. The age range of patients who consulted via telemedicine were 18–60 years. 87% of patient who consulted through telemedicine were from a nearby location and 13% were outstation from remote locations or cities where nearby clinics and outpatient facilities were closed. The new patients who consulted for the first time constituted 27.5% of total consults, while follow up patients constituted 72.5% of the tele consults. (New patients mean they did not have any face to face consultation in the past 6 months and follow up patient had at least one face to face consultation in the past 6 months.)

Out of 375 consultations, 66% consultations happened for one time, 20% for two times, and rest of the consultation that is 14% happened for three or more than three times. Multiple consultations for same patients were mostly for pregnant patients.

As we know significant number of COVID-19 infections are caused by asymptomatic carriers, decreasing in person contact with patients is of vital importance [ 4 ]. The described triage pathway (Figs. 1 , ,2) 2 ) for teleconsultation allows for necessary urgent and emergent obstetric or gynaecologic care and helps in minimizing the exposure that would be associated with standard obstetric and gynaecology consultations. Many specialties like orthopaedic and urology are using telemedicine extensively [ 5 , 6 ].

An external file that holds a picture, illustration, etc.
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Obstetrics consultation triage

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Gynaecology consultation triage

Before COVID-19 pandemic, telemedicine had not been widely used by Indian physicians. It is there for distant telehealth services where rural areas are connected to hospitals through telemedicine.

Telemedicine and Women’s Health

Women’s health especially pregnant women can utilize this facility and avoid contracting the infection. For gynaecological disorders if no emergency can also be managed through telemedicine from the comfort of their homes. Gynaecologists and obstetricians can interact with patients, gather complete history, educate them regarding the warning signs in pregnancy and give advice and instruct them to come for physical consultation if needed. Telemedicine in India can go a long way in future at least for non-emergencies and low risk pregnancies. Also, not only covid-19, this can help to reduce transmission of many diseases and reduce overall disease burden on healthcare.

The following points can be useful practical guide for telemedicine for registered medical practitioners. Few of these have been adapted from Ministry of Health and Family Welfare (MOHFW) [ 3 ].

Consent is mandatory.

General considerations

Maintain confidentiality, medical record with reports, laboratory investigations and prescription.
Patient can be charged for consultation.
Schedule X prescription drug, narcotics or psychotropic substances cannot be prescribed.
Complete history/presenting complaints.
Old record if any, scans and blood reports.
Rule out allergies.
Assessment of her understanding of self-care/education regarding fetal movements/warning signs.

Examination

Patient and doctor both should understand that telemedicine is not a substitute for physical examination.
If required patient should be called for face to face consultation immediately (Figs. 1 , ,2 2 ).

Prescription

Healthy lifestyle education.
Pregnant patients in second and third trimester should be taught about “daily fetal movement count”, signs of labour, and identifying leaking.
Along with general gynaecological and obstetric advice, they should be taught about COVID-19 situation and importance of hand washing, sneezing etiquettes, social distancing should be explained.
Any first consult or follow up more than 6 months, video consultation is preferable.
New prescription issued should have all the information such as name, age, complaints, clearly written medications, doctor’s registration number and medications should be explained well with the time of intake as well as before or after food.

Special situation requiring face to face consultation

Pregnant patients with missed abortion, with labour pains, PROM, gestational hypertension, GDM (if uncontrolled), ante-partum haemorrhage, ectopic pregnancy, molar pregnancy.
For gynaecological patients with heavy menstrual bleeding not responding to medication, suspected ovarian torsion, acute pelvic inflammatory disease and others.

By utilizing telemedicine for non-urgent gynaecologic and obstetric consultations, we were able to provide appropriate care and counselling, while reducing the surge of outpatient gynaecologic and obstetric visits and care following COVID-19 crisis.

Telemedicine has provided us the opportunity to manage women health problems and pregnancy concerns during this pandemic of COVID-19, except a few instances where face to face consultation or hospital visit is must. If we implement the triage pathway we can while minimize the risk of exposure for both patients and healthcare teams during COVID-19 pandemic. More robust data is needed to evaluate the effectiveness of telemedicine to manage antenatal women and general gynaecological issues in India and this can be utilized in future too for continuity of care.

Acknowledgements

I express my thanks and acknowledge Mr. Atulya (Apollo 247 app) and Mr. Bhaskar (Ask Apollo) for providing me with the data from app for analysis.

Dr. Vimee Bindra

completed her basic medical education from R G Kar Medical College, Kolkata (1998–2003) and post-graduation in Obstetrics and Gynecology Kolkata (2005–2008), followed by a Diploma in Advanced Gynecological Endoscopy from BEAMS Hopsitals, MUMBAI and advanced Laparoscopy and Hysteroscopy training from Clermont Ferrand (FRANCE). She has a keen interest in the field of Gynecological Endoscopy specially Endometriosis Excision Surgeries and Fertility enhancing surgeries. She has received her Advanced Reproductive Technology (ART) Training from, Homerton University Hospital, London (UK). She has done her Fellowship in Cosmetic Gynaecology from American Aesthetic Association. She was awarded “Vaidya Sree Award in 2019” and “Best Emerging Gynaecologist of the year” in 2020. She is an author of three well known medical books in the field of Gynaecology and Obstetrics.

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Compliance with ethical standards

The author declares that there is no conflict of interest

This article does not contain any studies with human participants by any of the authors.

All patients who were consulted through telemedicine had consented to teleconsultation and they understood the nature of consultation as compared to physical consultation.

Dr. Vimee Bindra MS (Gynaecology and Obstetrics) is a consultant gynaecologist and obstetrician at Apollo Hospitals, Hyderabad, India.

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76 RESEARCH/DISSERTATION TOPICS IN OB/GYN

Obstetrics and Gynaecology has become a well-established field of medicine and has seen many advances over the past few decades. Many studies have brought about new and modified management of various conditions for better patient outcome. Below is a list of research/dissertation topics in the field.

Differences in Postpartum Pain Management Following Cesarean Section for Primary English Speaking Patients Compared to Non-English Speaking Patients
The Relationship Between Timing of Postpartum Hemorrhage Interventions and Adverse Outcomes.
Demographic Trends in Women Seeking Termination of Pregnancy for Fetal Anomaly at a Free-Standing Abortion Clinic: A Neglected Population?
Assessing Contraceptive Needs in Women Undergoing Bariatric Surgery.
Outcomes of Vaginal and Cesarean Delivery in Twins Delivering at Less than 34 Weeks’ Gestation
The Association of Type of Attending Obstetrician Call Schedule with Changes in Labor Management and Outcome.
Effect of Previous Induced Abortions on Postabortal Contraception Selection.
Risk Factors for Wound Complication in Women with Obstetric Anal Sphincter Injuries.
Postpartum Contraception Choices and Postpartum Visit Rates in an Urban Community Hospital.
Evaluating the Effect of Laboring Down in the Second Stage of Labor on Rates of Obstetric Anal Sphincter Injuries
Nulliparas with a History of Treatment for Cervical Dysplasia: Obstetrical Outcomes at Term.
Antiretroviral Exposure and Pregnancy Outcomes in HIV Postive Pregnant Women with Liver Enzyme Elevations.
Acute Liver Failure During Pregnancy: Different Prognostic Techniques and Medical Treatments
Comparison of the Efficacy of Different Techniques for Estimating Fetal Weight Throughout Pregnancy
Techniques for Managing Hypertension During Pregnancy
How Does Vitamin D Supplementation During Pregnancy Change the Outcomes for Mother and Child?
Gestational Diabetes and Medical Interventions
Hepatitis-B in Pregnant Women and Their Neonatal Outcome: Do Vaccines Effectively Reduce Transmission?
Gestational Weight Gain’s Effect on Delivery and Neonatal Health
Reliability of Ultrasounds be Used as a Pelvimetric Tool?
Comparative Study for Different Preventive Methods for Postpartum Hemorrhage
High Risk Pregnancies and the Implications of Color Doppler
Will an Amnio-Infusion Reduce Fetal Distress in Cases of Thick Meconoium Amniotic Fluid?
Predictors for Pregnancy-Induced Hypertension?
Excessive weight gain before and during gestational diabetes mellitus management: What is the impact?
The impact of induction of labor at 39 weeks in low-risk women on the incidence of stillbirth
Risk of congenital anomalies following preconception bariatric surgery
Dolutegravir in pregnancy and neural tube defects
Early delivery versus expectant management of late preterm preeclampsia
Incremental risk of stillbirth with advancing gestation at term
Body mass index, gestational weight gain, and pregnancy outcome
Periconceptional glucose control and preterm birth in type 1 diabetes
Progesterone supplementation does not improve outcome of pregnancies with early bleeding
Antibiotic prophylaxis for operative vaginal delivery
Maternal mortality disparity in the Nigeria
Age of oocyte donor for assisted reproduction and birth rates
Therapeutic Rest to Delay Admission in Early Labor: A Study on Morphine Sleep

Gynaecology

Structures and Self: Advancing Equity and Justice in Sexual and Reproductive Health
Better Late Than Never: Brachytherapy is More Important Than Timeframe in Cervical Cancer Outcomes
Disparities in Genetics Assessment for Women with Ovarian Cancer: Can We Do Better?
Applying Follicle Culture and a PCOS Cohort to Identify Ovarian Mechanosensitive Genes: RAMP1 and ADAMTS19
A Comparison of Survival and Recurrence Outcomes in Patients With Endometrial Cancer Undergoing Robotic Versus Open Surgery.
Barriers to Prevention: Knowledge of HPV, Cervical Cancer, and HPV Vaccinations Among Certain Women Groups.
Risk Factors for 30-Day Perioperative Complications after Le Fort Colpocleisis.
Emergency Contraception Knowledge, Prescription Patterns, and Barriers to Provision among Emergency Medicine Resident Physicians.
Subsequent Pregnancy Outcome after B-Lynch Suture Placement
Resumption of Sexual Intercourse after Hysterectomy: The Patients’ Perspective.
Insufficient Edometrial Biopsy Results in Low-Income Women with Abnormal Uterine Bleeding.
The Impact of Surgeon Volume on Cost of Hysterectomy in a Tertiary Care Hospital.
Methotrexate: An Appropriate Treatment for Ectopic Pregnancy in an Urban Population?
Infertility Patients’ Knowledge of the Effects of Obesity on Reproductive Health Outcomes.
Racial and Ethnic Differences in Seeking, Initiating and Continuing Infertility Treatment
Management of Adenocarcinoma In Situ (ACIS) of the Uterine Cervix: A Comparison of Loop Electrosurgical Excision Procedure (LEEP) and Cold Knife Conization (CKC).
Effectiveness of Cloposcopic Cervical Screenings
Do Patients With frequent Miscarriages Have Higher Anticardiolipin Antibodies?
Dealing With Insulin Resistance Among Women Who Have Polycystic Ovarian Syndrome
Techniques for Treating Malignant Ovarian Tumors During Pregnancy
Dynsfunctional Uterine Bleeding: The Efficacy of an Ultrasound Diagnosis
The Efficacy of Hormone Therapy in Early Menopause
Uterine Bleeding: Is Bleeding Due to Histopathological Differences in the Endometrium?
Comparison of Side Effects of Different Contraceptive Methods
Risk factors for recurrent pelvic inflammatory disease
Does the method of primary treatment affect the pattern of first recurrence in high-grade serous ovarian cancer?
Predictive serum markers for unexplained infertility in child-bearing aged women
Sex hormones, gonad size and metabolic profile in adolescent girls born small-for-gestational age with catch-up growth
Barriers to cervical cancer screening and acceptability of HPV self-testing
Management of mesh complications following surgery for stress urinary incontinence or pelvic organ prolapse
Completeness of salpingectomy intended for ovarian cancer risk reduction
Incidence of abnormal cervical and vaginal cytology among women over age 65 living with human immunodeficiency virus
Primary treatment patterns and survival of cervical cancer in Nigeria
Further insights into the role of tumour characteristics in survival of young women with epithelial ovarian cancer
The oncological safety of hysteroscopy in the diagnosis of early-stage endometrial cancer
Night shift work: Impact on age at menopause
Transvaginal mesh hysteropexy versus vaginal hysterectomy with uterosacral ligament suspension for pelvic organ prolapse
Endometrial ablation versus hysterectomy for heavy menstrual bleeding
Comparative efficacy of surgical approaches for female stress urinary incontinence

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1 The Maternal and Foetal outcome in premature rupture of membranes.

2. Coagulation disorder in abruptio placentae and maternal and fetal outcome.

3. Study of Incidental HPV infection in PAP smear.

4. Doppler USG OBS and mean arterial pressure studies at 19-24 weeks and their outcome in pregnancy related to PIH.

5. Carcinoma of Cervix and its Management.

6. Pregnancy induced Hypertension : a prospective study of Fetomaternal outcome and its corelation to USG Doppler study and Histopathological changes of placenta.

7. Ectopic Pregnancy : Diagnosis & Management.

8. A prospective study of etiology, investigations, management and pregnancy outcome in Ist trimester abortions and its correlation with TORCH infection.

9. Safe simple and method of termination of early pregnancy MVA syringe.

10. A Study of ovarian malignancies; with special reference to management protocols.

11. Clinical and Sonographic correlation of IUGR.

12. To study Maternal & Neonatal outcome in vaginal birth after Caesarean section (VBAC) Vs Elective lower segment Caesarean section in patients with previous lower segment Caesarean section due to non recurrent cause.

13. Seroprevalence of Rubella virus in Preconceptional and Infertile women.

14. Comparative study of efficacy of Valethamate Bromide and Drotaverine in normal labor.

15. Cord blood nucleated red blood cell count- A marker of foetal Asphyxia.

16. Hysterectomy morbidity and mortality.

17. Comparative study of the Effect of different parenteral Iron preparation in pregnant anaemic women.

18. Nuchal cord & perinatal outcome.

19. Modified extraperitoneal Cesarean section -A study of 30 cases

20. Comparative analysis between PGE1 and PGE2 analogues for medical induction of labour.

21. Correlation of Pelvic findings, Ultrasound with Doppler and Tumor Marker (CA125) with Histopathological nature of ovarian tumors in women of 40 to 60 years of age.

22. Maternal and Perinatal outcome in Placenta Previa.

23. Effect of Progestrone in Management of Threatened preterm labour.

24. To Study the Effect of Omega 3 fatty acids on Pregnancy outcome.

25. Combined use of Serum Inhibin and CA 125 assays as Tumour Marker For Ovarian Cancer.

26. To Study the Correlation between Maternal Body Mass Index & Obstetric outcome.

27. To Study incidence of immediate postoperative complications of obstetrical and Gynaecological surgery.

28. Screening for preeclampsia and fetal growth restriction by uterine artery doppler at 11-14 weeks Gestation.

29. A study of Trans Obturator sling surgery in Management of Stress Urinary incontinence.

30. A study of correlation between maternal body mass index in pregnancy and its perinatal outcome.

31. Study of Multiple Pregnancy.

32. Role of Intrapartum fetal monitoring in predicting perinatal outcome.

33. Ultrasound evaluation of congenital anomalies in at risk Pregnacies.

34. Study of Perinatal Mortality.

35. Clinico-Microbiological Correlation of White Per Vaginal Discharge.

36. Placental Localisation by Ultrasound & its role in prediction of Pregnancy induced Hypertension.

37. Walking Epidural for painless labour.

38. Comparative Study of Various Methods of Fetal Weight Estimation at Term Pregnancy.

39. Comparison Study of various Oxytocics in management of third stage of labour.

40. Study of Socio-Demographic factors contributing to Eclampsia and their correlation with perinatal and Maternal outcome.

41. Control study on birth defects and risk factors at tertiary care centre.

42. Prospective clinical study of cases of Abruptio Placentae.

43. Study of safety & efficacy of low dose magnesium sulphate (MgSo4) regimen in controlling convulsion in Eclampsia.

44. Clinical study of PPH in rural population.

45. Effect of Maternal Haemoglobin % on Birth Weight and Apgar Score of baby.

46. Correlation of Clinical Features and Hormonal assays in Women having Polysistic Ovaries on Ultrasonography.

47. Intravenous Versus Oral Iron for Treatment of Anaemia in Pregnancy.

48. Borderline AFI in Last Trimester and Perinatal Outcome.

49. Extra-Amniotic Normal saline Instillation in 2nd trimester abortion.

50. A Study of Fetal outcome in Twin pregnancy at Government medical college , Nagpur.

51. Syndromic Diagnosis in RTI/STI among women of reproductive age group.

52. An Observational (Longitudinal) study of Amniotic Fluid index & perinatal (Fetal)outcome.

53. Prevalence & clinico pathological profile of endometriosis in Perimenopausal Women.

54. Perinatal outcome in cases of Term & Preterm Prelabour rupture of membranes with special reference to Body mass index, Hemoglobin status, Amniotic fluid index, Cervical score & Cervical and Vaginal colonization.

55. Study of Incidence of Hypothyroidism in Neonates.

56. Emergency Contraception – Public Awareness.

57. To study the effect of per-rectal Buscopan suppository (10 mg)on duration of active stage of labour, from ‘3’ cms – cervical dilatation to delivery of baby.

58. To compare the effects of intravaginal prostaglandin E1 and intracervical prostraglandin E2 for prelabour ripening of unfavourable uterine cervix in nulliparous women.

59. To study the efficacy of prophylactic IV methyl- Ergometrine, IM Prostaglanding -F2α, and oral prostaglandin -E1 in prevention of postpartum haemorrhage.

60. Complications and outcome in teenage pregnancy.

61. Study of risk factors and outcome in cases with postpartum hemorrhage.

62. Pregnancy outcomes in the in vitro fertilization conceived polycystic ovary syndrome patients: a retrospective study

63. The study of maternal factors and perinatal outcome in meconium-stained liquor in full term pregnancies.

64. A retrospective study on postmenopausal bleeding-causes and its diagnosis using transvaginal ultrasound and hysteroscopy.

65. A study of effect of vitamin D supplementation in vitamin D deficient females having polycystic ovarian syndrome.

66. Study of sublingual misoprostol versus interavaginal misoprostol in induction of labor.

67. Maternal and perinatal outcome in cases of oligohydramnios.

68. The role of dignostic hystero-laparoscopy in the evaluation of infertility and the diagnostic accuracy of hysterosalpingography in early detection of causes of infertility over hystoero-laparoscopy.

69. The study of maternal factors and perinatal outcome in Gestational Diabetes Mellitus

70. Ultrasound evaluation of cause of vaginal bleeding in first trimester of pregnancy.

71. Evaluation of factors leading to blood transfusion in antenatal & postnatal patients.

72. A prospective study to assess compliance safety and expulsion rate of CU-T 380 A in immediate post partum period.

73. A prospective comparative study to evaluate the efficacy and acceptability of intravenous iron sucrose and oral ferrous fumarate for the prevention of iron deficiency anemia during pregnancy.

74. Early neonatal outcome in meconium stained amniotic fluid in uncomplicated pregnancies.

75. Prostaglandin E1 in prevention of post partum bleeding: route of administration.

76. Prospective study to evaluate the safety,efficacy and acceptance of intra-venous iron sucrose complex in pregnant women with iron deficiency anaemia.

77. Non stress test as an admission test to assess the outcome of high risk pregnancy.

78. Study of indications of caesarean section and related maternal and fetal complications in teaching institute.

79. Study of maternal and neonatak outcome in cases of abruptio placenta.

80. Combination of foley bulb and vaginal misoproostol compared with vaginal misoprostol alone for cervical ripening and labor induction.

81. Prevalence of gestational diabetes mellitus with its maternal and fetal outcome.

82. Study of obstetric and fetal outcome of post caesarean section pregnancy at tertiary health care centre.

83. Study of complications of medical termination of pregnancy in first trimester.

84. A clinical study of ectopic pregnancy.

85. Prevalence of bacterial vaginosis in pregnancy after 20 weeks of gestation.

86. Prospective study of ultrasound imaging of ovaries with its clinical implication and management.

87. Role of encirclage operation in primigrivida patient with short cervical length.

88. Umbilical cord coiling index and perinatal outcome.

89. Relationship of the findings of colour doppler and non-stress test with the perinatal outcome among the cases of intra-uterine growth restriction.

90. The role of external pelvimetry and maternal height in the prediction of mode of delivery among nulliparous women.

91. A clinical study to correlate perinatal outcome of newborns with intrapartum diagnosis of fetal distress.

92. A comparative study of clinicosurgical outcome between total abdominal hysterectomy and vaginal hysterectomy in non proplapse and non oncological uterine conditions.

93. Comparison of sperm vitality of fresh semen before and after sperm preparation using two different methods in subfertile

94. Asthenozoospermic males attending the infertility OPD at a tertiary care centre.

95. Prospective study of socio demographic characteristics,maternal disorders & foetal risk factors responsible for early and late stillbirth in a rural tertiary care hospital.

96. A clinico -pathological study of women with complex and/or atypical endometrial hyperplasia and endometrial carcinoma with special refernce to risk factors including lifestyle diseases and polycystic ovarian syndrome.

97. Foetal and maternal outcome in eclampsia.

98. Study of non-descent vaginal hysterectomy.

99. Evaluation of high risk mothers by a screening system and its co-relation with perinatal outcome.

100. Study of maternal and neonatak outcome in cases of post partum hemorrhage.

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A Comparative Study of Non-descent Vaginal Hysterectomy and Laparoscopic Hysterectomy

Affiliations.

1 1Yashoda Hospital, Somajiguda, Hyderabad, India.
2 Department of Obstetrics and Gynaecology, Continental Hospitals, Gachibowlim, Hyderabad, India.
PMID: 31391746
PMCID: PMC6661041
DOI: 10.1007/s13224-019-01227-1

Objective: To 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.

Methods: A 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 requirements, post-operative hospital stay and post-operative complications were compared between both groups.

Results: The most common age in both groups was 41-50 years. Fibroid uterus was the most common indication for surgery in both groups. The mean operative time in NDVH group was 40 min while it was 120 min in TLH group, and the mean blood loss in NDVH group was 50 ml, while it was 120 ml in TLH group. P < 0.001 when intraoperative blood loss and operative time were compared between both groups. There were no conversions to laparotomy in NDVH group, while there were three conversions to laparotomy in TLH group. Both groups were similar in post-operative analgesia requirement and post-operative hospital stay. Post-operative complications were similar in both groups.

Conclusions: Non-descent vaginal hysterectomy has advantage over laparoscopic hysterectomy as scarless surgery with fewer complications.

Keywords: Laparoscopic hysterectomy; NDVH; Scar less surgery.

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The Journal of Obstetrics and Gynecology of India is a double-blind peer reviewed, bimonthly journal that focuses on the publication of clinical and basic research in all aspects of obstetrics and gynecology. An official publication of the Federation of Obstetrics and Gynaecological Societies of India. Covers community obstetrics and family ...
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A Prospective Study to Determine the Predictive Ability of HDP-Gestosis Score for the Development of Pre-eclampsia

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Prediction of pre-eclampsia and its subtypes in high-risk cohort: hyperglycosylated human chorionic gonadotropin in multivariate models

Introduction

Standards and Criteria

Hypertensive Disease of Pregnancy

Gestational Hypertension

Chronic Hypertension

Chronic Hypertension with Superimposed Pre-eclampsia

Thyroid Profile

Gestational Diabetes Mellitus (GDM)

Excessive Weight Gain During Pregnancy

SLE/APLA/RA/thrombophilia

Management of PE

Outcome Measures

Statistical Analysis

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