scholarly journals Uterine Rupture Following Non-Operative Vaginal Delivery: A Close Save of Delayed Presentation With Hemoperitoneum to a Rural Tertiary Care Hospital

Cureus ◽  
2022 ◽  
Author(s):  
Surekha Tayade ◽  
Arzoo Chadha ◽  
Smriti Khandelwal ◽  
Nidhi Makhija ◽  
Hard Tilva ◽  
...  
Keyword(s):  
Vaginal Delivery ◽  
Uterine Rupture ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Delayed Presentation ◽  
Operative Vaginal Delivery

A STUDY OF FETOMATERNAL OUTCOME OF INSTRUMENTAL VAGINAL DELIVERIES AT A RURAL TERTIARY CARE HOSPITAL IN MANDYA DISTRICT KARNATAKA

2021 ◽  
pp. 1-3
Author(s):  
Triza Kumar Lakshman ◽  
Ekta Chhabra ◽  
Ravindra S. Pukale
Keyword(s):  
Vaginal Delivery ◽  
Tertiary Care ◽  
Neonatal Morbidity ◽  
Care Hospital ◽  
Maternal Complications ◽  
Perineal Tear ◽  
Operative Vaginal Delivery ◽  
Vaginal Deliveries ◽  
Skilled Operator ◽  
Assisted Delivery

Introduction: Giving birth can be a long and painful process and is not always a perfect one. Instrumental vaginal delivery is an art and provides a 1 temporal advantage over cesarean delivery. It is also an alternative procedure for delivery in emergency obstetrics. Instrumental vaginal delivery is an integral part of Obstetrics care world wide. The present study was carried out to evaluate the maternal and neonatal outcome in operative/assisted vaginal delivery. Method: We performed a retrospective observational study of women with singleton term pregnancies who underwent operative vaginal delivery at Adichunchanagiri Institute of Medical Sciences. The study was conducted between August 2019 to August 2020 for the duration of 1 year and the data was accrued from patient database retrospectively and was entered in Microsoft Excel (Version 16.4) for Windows. Results: During the study period, 95 patients underwent Instrumental Vaginal Delivery, of which 74 were vacuum assisted and 21 were forceps nd delivery. The most common indication for Operative vaginal delivery was failure of maternal efforts followed by prolong 2 stage of labour in vacuum group and severe pre-eclampsia in forceps group. Vacuum was used more often than forceps for most of the deliveries. Maternal st nd complication like 1 and 2 degree perineal tear were seen more often with the use of forceps. Instrument marks and bruising were found in the neonates delivered by forceps and a greater incidence of cephalohaematomas and caput in the neonates delivered with vacuum. Conclusion: A successful instrumental vaginal delivery can be achieved with lesser maternal and neonatal morbidity with timely assessment of labour and skilled operator. The overall rate of perinatal and maternal morbidity and mortality vary by indication and operative instrument. Women who underwent forceps-assisted delivery had greater rates of maternal complications than those who underwent vacuum-assisted delivery

scholarly journals Factors influencing delayed presentation of breast cancer at a tertiary care hospital in Pakistan

2018 ◽  
Vol 2 (1) ◽  
pp. e1141
Author(s):  
Mehreen Baig ◽  
Iram Sohail ◽  
Humera Naz Altaf ◽  
Omar Shahzad Altaf
Keyword(s):  
Breast Cancer ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Delayed Presentation ◽  
Factors Influencing

Delayed presentation of anorectal malformations in a tertiary care hospital in India

2021 ◽  
Author(s):  
Gali Divya ◽  
Vijay Kumar Kundal ◽  
Pinaki R. Debnath ◽  
Rajasekhar Addagatla ◽  
Anil Kumar Garbhapu ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Anorectal Malformations ◽  
Care Hospital ◽  
Delayed Presentation

scholarly journals Clinical Presentation and Mortality of Women Presented with Puerperal Sepsis at Tertiary Care Hospital

2020 ◽  
pp. 116-121
Author(s):  
Erum Samreen ◽  
Madiha Abbasi ◽  
Naheed Parveen
Keyword(s):  
Abdominal Pain ◽  
Caesarean Section ◽  
Vaginal Delivery ◽  
Clinical Features ◽  
Vaginal Discharge ◽  
Clinical Presentation ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Puerperal Sepsis

Objective: To determine the clinical presentation and mortality of women presented with puerperal sepsis at tertiary care Hospital. Materials and Methods: This cross-sectional study was conducted at obstetrics and gynaecology department of Liaquat University of medical and health Sciences, from April 2018 to march 2019. Women having age more than 15 years and presented with sepsis after birth followed by spontaneous vaginal delivery, instrumental or episiotomy vaginal delivery or caesarean section were included. All the data including clinical features and mortality were recorded by study proforma. Data was analyzed by using SPSS version 20. Results: Most of the patients 46.6%, having age between 26 to 35 years. Majority of the patients 48.3% were delivered by normal vaginal delivery (NVD) and 37.9% underwent caesarean section, while 13.8% given birth as NVD with episiotomy. Almost all cases presented with fever and other common clinical features were abdominal pain, vaginal discharge, wound infection and breast tenderness. According to the maternal outcome 24.1% patients were shifted to intensive care unit (ICU), 34.5% had prolonged hospital stay and mortality rate was 10.3%. There was no significant difference in maternal outcome according to mod of delivery; p-values were quite insignificant. Conclusion: It was concluded that puerperal sepsis is a major contributing factor of  maternal adverse outcome. Common clinical features were fever, abdominal pain and vaginal discharge.

scholarly journals Retinoblastoma Presentation and Survival: A four-year analysis from a tertiary care hospital

2019 ◽  
Vol 36 (ICON-Suppl) ◽  
Author(s):  
Nida Zia ◽  
Ahmer Ahmer Hamid ◽  
Sundus Iftikhar ◽  
Muhammad Hamza Qadri ◽  
Anzal Jangda ◽  
...  
Keyword(s):  
Clinical Symptoms ◽  
Tertiary Care Hospital ◽  
Early Recognition ◽  
Tertiary Care ◽  
Warning Signs ◽  
External Beam Radiation ◽  
Tumor Type ◽  
Care Hospital ◽  
Delayed Presentation ◽  
Beam Radiation

Objective: To study the clinical presentation, treatment, and outcome of Retinoblastoma (Rb) in a tertiary care hospital of Pakistan. Methods: A retrospective study was conducted in the Department of Pediatric Hematology Oncology, The Indus Hospital (TIH), Karachi from 1st June 2013 to 30th June 2017. Data including patients’ demography, clinical symptoms and duration, laterality, extent of the tumor, type of treatment, relapse, and final outcome were extracted and evaluated with respect to progression and survival. Results: A total of 93 patients were included; 34.4% were boys. The median age at presentation was 30 months. Leukocoria was the commonest symptom (61.3%), followed by proptosis (37.6%). Unilateral disease was seen in 59.1%, extraocular tumors in 43.5% and metastasis in 28.1%. Enucleation was performed on 46.2%, chemotherapy given to 80.6% and external beam radiation therapy to 29.3% patients. Conclusion: Delayed presentation, recurrent disease, extraocular disease and metastasis on presentation were factors affecting outcome in our cohort. Awareness about the early warning signs and symptoms in both public and health professionals for early recognition and timely management are mandatory to decrease morbidity and mortality. doi: https://doi.org/10.12669/pjms.36.ICON-Suppl.1720 How to cite this:Zia N, Hamid A, Iftikhar S, Qadri MH, Jangda A, Khan MR. Retinoblastoma Presentation and Survival: A four-year analysis from a tertiary care hospital. Pak J Med Sci. Special Supplement ICON 2020. 2020;36(1):S61-S66. doi: https://doi.org/10.12669/pjms.36.ICON-Suppl.1720 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Identifying the reasons for delayed presentation of Pakistani breast cancer patients at a tertiary care hospital

2019 ◽  
Vol Volume 11 ◽  
pp. 1087-1096 ◽  
Author(s):  
Faisal Gulzar ◽  
Muhammad Shoaib Akhtar ◽  
Rafshan Sadiq ◽  
Sajid Bashir ◽  
Sajida Jamil ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Delayed Presentation ◽  
Breast Cancer Patients

Management trend and safety of vaginal delivery for term breech fetuses in a tertiary care hospital of Karachi, Pakistan

2001 ◽  
Vol 29 (3) ◽  
Author(s):  
Nuruddin Badruddin Mohammed ◽  
Rozina Noor Ali ◽  
Chinnaiya Anandakumar ◽  
Rahat Najam Qureshi ◽  
Stephen Luby
Keyword(s):  
Vaginal Delivery ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital
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