ESTIMATION OF FETAL WEIGHT BY CLINICAL EXAMINATION AND ULTRASOUND METHODS IN PREDICTING ACTUAL BIRTH WEIGHT: A NARRATIVE STUDY

Dr. Raziyeh Mossayebnezdad, Dr. Maryam Niknami, Dr. Sedigheh Pakseresht

Abstract

Background:Fetal weight is one of the most important factors in the management of prenatal care. The knowledge of the weight of the fetus helps obstetrician to decide on the mode of delivery. Assessment of fetal weight is essential in detecting neonatal complication.

Aim: The purpose of this study was to compare the clinical examination and ultrasound methods for predicting fetal weight estimates

Materials & Methods: This was a narrative study that by searching articles published in the Persian and English databases SID, GOOGLE SCHOLAR, PUBMED, SCOPUS, and WEB OF SCIENCE. The present study aims to compare clinical examination and ultrasound methods to assessment of fetal weight between January 2014 and December 2018 by using the keywords such as; Estimation, Fetal weight, Clinical methods, Johnsons’ formula, Dares’ formula, Dawns’ formula, Ultrasound.

Results: The articles were searched in 2014-2018. In all of 73 articles, 32 articles reviewed. The results indicated that Dare's formula is superior among the clinical methods and in the ultrasound method; Headlock’s formula is the highest accuracy.

Conclusions: The results of most studies show a significant direct correlation is between estimated and actual birth weight for the all the methods. Dare's formula is better than ultrasound estimated fetal weight. Also Dare's formula can be important in developing countries such as our country, where ultrasound is not available in remote areas. Clinical methods are easy and simple in estimation of fetal weight. So, suggested clinical methods to be used to estimate fetal weight and the need to be to training among medical and health service providers.

Keywords: Estimate Fetal weight; Clinical methods; Johnson formula; Dare formula; Dawn formula; Ultrasonography


XANTHOGRANULOMATOUS SALPINGITIS – A RARE ENTITY

Dr. Suman Lata Mendiratta, Dr. Manisha Sharma, Dr. Sarju Sanghvi, Dr. Somya Dash, Dr. Jasmine, Dr. Namrata Nargotra

Abstract

Xanthogranulomatous salpingitis is a benign condition in which there is inflammation of fallopian tube mainly by lipid laden histiocytes admixed with other inflammatory cells. It mimics malignancy at histopathological morphology and radio imagine study. Patients present with signs and symptoms of chronic PID. It can be managed by surgical exploration as diagnosis is retrospective. Here we report a rare case of xanthogranulomatous salpingitis.


COMPARISON OF VARIOUS ROUTES OF HYSTERECTOMY AND THEIR OUTCOMES

Dr. Suman Puri, Dr. Bhanu Priya, Dr. Pooja Tandon

Abstract

Background: Hysterectomy means surgical removal of uterus. It can be performed abdominally, vaginally or with laparoscopic or robotic assistance or combined approaches. Though hysterectomy is one of the most commonly performed surgery but research on hysterectomy is limited in developing countries like India. Aim of this study was to compare the various surgical methods of hysterectomy for intra-operative and post operative clinical outcomes.

Materials and Methods: This study was conducted on patients who underwent hysterectomy (abdominal, vaginal or laparoscopic) for benign gynaecological diseases in the department of Obstetrics & Gynaecology, DMCH Ludhiana from 1st Feb 2015 to 31 Jan 2016. The procedural parameters and outcomes of different routes of hysterectomy were noted.

Results: 100 patients were included in this study. Mean age and parity were 49.26±9.216 years and 2.4±1.10, respectively. Hysterectomy was performed by Laparoscopic (TLH), Laparoscopically Assisted Vaginal Hysterectomy (LAVH), Abdominal (TAH) and Vaginal (VH) routes in 30, 7, 49 and 14% cases, respectively. The operating time was shorter with the VH (91±16.19mins) than with TAH (139.41±21mins), LAVH (139±11.06mins) and TLH (146.50±13.73mins). Intra-operative blood loss was found to be higher with TAH (411.12±179.46ml) than in LAVH, TLH and VH (252.86±154.67, 189.93±105.60 and 115.36±84.64 ml, respectively).

Conclusions: No single route of hysterectomy is the best. The route should be individualised for each patient keeping in mind various factors like age, parity, indication for surgery, size of the uterus and patients preference.

Keywords: Routes of hysterectomy; Abdominal hysterectomy; Vaginal hysterectomy; Total laparoscopic hysterectomy; Laparoscopic assisted vaginal hysterectomy; Robotic assistance


RETROSPECTIVE ANALYSIS OF HYSTEROSCOPY AND HYSTEROSALPINGOGRAPHY AS COMBINED PROCEDURE AS A FIRST LINE INFERTILITY WORK UP

Dr. Vidya V Bhat, Dr. Rutuja Athawale, Dr. Sujatha Venkatraman

Objective: To study the usefulness of hysteroscopy and HSG as a combined procedure in a single setting to identify uterine pathologies as an infertility work up.

Study design: Retrospective analysis

Study duration: 2012 – 2017 (5yrs)

Setting: IVF unit, RadhakrishnaMultispeciality Hospital & IVF centre, Bangalore

Study population: 356 women who underwent both Hysteroscopy and HSG

Results: Abnormal intrauterine finding was noted in 44.9%. Among patients with abnormal intrauterine findings, hyperplastic endometrium was seen in 35(9.8%), polypoidal endometrium in 52(14.6%), uterine septum in 40(11.2%), intrauterine adhesions in 22(6%), myoma in 12 (3.3%). Concurrent interventions were performed in almost all of them. Tubal block was noted in 7.8%.

Conclusions: Complete evaluation of uterus and tubes can be made by combining hysteroscopy and HSG in the same setting. Other advantages are patient comfort, cost effectiveness, better identification of pathologies and further treatment will yield good conception rates

Keywords: Hysteroscopy; Hysterosalpingography; Infertility