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Research paper thumbnail of Acceptance for coronavirus disease 19 vaccines among pregnant women seeking antenatal care in tertiary care hospital

Indian Journal of Obstetrics and Gynecology Research, 2023

Background: Corona virus disease 2019 (COVID-19) is caused by the Severe acute respiratory syndro... more Background: Corona virus disease 2019 (COVID-19) is caused by the Severe acute respiratory syndrome corona virus (SARS-COV-2). In the absence of an effective treatment, vaccination becomes the main modality to control the incidence of infectious diseases. Hence, there is a need to estimate the attitudes and willingness among pregnant women for COVID 19 Vaccine. Objectives of the Study: To estimate the frequency of COVID 19 Vaccine acceptance and non acceptance in pregnant women attending antenatal OPD. To describe the factors associated with non acceptance of COVID 19 Vaccine in pregnant women attending antenatal OPD Materials and Methods: This is an observational cross-sectional study where 500 pregnant women attending antenatal care were counseled about the COVID-19 vaccine. Women who refused the vaccine were asked about the reasons for refusal and the same was noted. Results: 95.6% accepted the vaccine and 4.4% did not accept. Majority belonged to 21 to 25 years(45% acceptors and 72% non acceptors), were second gravidas (38.7% acceptors and 54.5% non acceptors) and were between 25 to 36 weeks gestation(52.7% acceptors and 50% non acceptors). 13.8% of acceptors and 4.5% of non acceptors had previous history of abortions. Commonest concern was fear of vaccine related complications and fear of harming the fetus. Vaccine reactions followed by fear of harming the baby were the commonest reasons for non acceptance. Conclusion: Vaccine acceptance was high in this study (95.6%). Vaccine induced reactions followed by fear of harming the baby were the commonest reasons for non acceptance. This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Papers by Ashakiran Rathod

Research paper thumbnail of Acceptance for coronavirus disease 19 vaccines among pregnant women seeking antenatal care in tertiary care hospital

Indian Journal of Obstetrics and Gynecology Research, Nov 14, 2023

Background: Corona virus disease 2019 (COVID-19) is caused by the Severe acute respiratory syndro... more Background: Corona virus disease 2019 (COVID-19) is caused by the Severe acute respiratory syndrome corona virus (SARS-COV-2). In the absence of an effective treatment, vaccination becomes the main modality to control the incidence of infectious diseases. Hence, there is a need to estimate the attitudes and willingness among pregnant women for COVID 19 Vaccine. Objectives of the Study: To estimate the frequency of COVID 19 Vaccine acceptance and non acceptance in pregnant women attending antenatal OPD. To describe the factors associated with non acceptance of COVID 19 Vaccine in pregnant women attending antenatal OPD Materials and Methods: This is an observational cross-sectional study where 500 pregnant women attending antenatal care were counseled about the COVID-19 vaccine. Women who refused the vaccine were asked about the reasons for refusal and the same was noted. Results: 95.6% accepted the vaccine and 4.4% did not accept. Majority belonged to 21 to 25 years(45% acceptors and 72% non acceptors), were second gravidas (38.7% acceptors and 54.5% non acceptors) and were between 25 to 36 weeks gestation(52.7% acceptors and 50% non acceptors). 13.8% of acceptors and 4.5% of non acceptors had previous history of abortions. Commonest concern was fear of vaccine related complications and fear of harming the fetus. Vaccine reactions followed by fear of harming the baby were the commonest reasons for non acceptance. Conclusion: Vaccine acceptance was high in this study (95.6%). Vaccine induced reactions followed by fear of harming the baby were the commonest reasons for non acceptance. This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Research paper thumbnail of Study of prevalence of abnormal Pap Smear and its associated risk factors in HIV positive women: A cross sectional study

Authorea (Authorea), Jan 31, 2024

Research paper thumbnail of Clinical study of disseminated intravascular coagulation in pregnancy at tertiary care centre - risk factors, complications, management and outcome

The New Indian Journal of OBGYN

Objectives: 1) To estimate the frequency of DIC in pregnant women admitted in Vanivilas hospital,... more Objectives: 1) To estimate the frequency of DIC in pregnant women admitted in Vanivilas hospital, 2) To describe the risk factors of DIC, 3) To describe the maternal and perinatal outcome. Methods: This is a prospective study conducted at Vanivilas Hospital, Bangalore, Karnataka, from January 2019 to June 2020 for 18 months. After applying inclusion criteria and DIC scoring from ISTH, 96 women who were diagnosed with overt DIC were studied with respect to their age, parity, presenting symptoms, associated obstetric complications, mode of delivery, number of transfusions, development of complications and maternal and perinatal outcome. Results: There were 23476 deliveries and 96 (1 in 245 deliveries) cases of overt DIC during 18 months period. Among associated obstetric complications, 40.6% had abruptio placenta, 26% pregnancy induced hypertension, 14.6% postpartum haemorrhage, 6.3% IUD, 5.2% HELLP syndrome, 4.2% AFLP and 3.2% suspected embolism. The complications of DIC noted were haemorrhage 75%, hypovolemic shock 40.6%, acute kidney injury 18.8%, MODS 37.5%, sepsis 18.6% and maternal deaths 12.5%. All 96(100%) women were admitted to ICU and all received blood component transfusions. 30.2% required mechanical ventilation, 18.8% ionotrope support, 16.7% dialysis, and 13.5% underwent peripartum hysterectomy and 11.5% stepwise devascularisation. 33.3% neonates required NICU admission and 27.1% were preterm births. Conclusion: DIC was seen in 1 in 245 deliveries. Abruption was the commonest risk factor for DIC. Obstetric haemorrhage was the main complication. The maternal mortality associated with DIC was 12.5%.

Research paper thumbnail of Torsion of Gravid Uterus due to Uterine Asymmetry associated with Placental Abruption, Intrauterine Fetal Demise, and Maternal Shock

International Journal of Infertility & Fetal Medicine, 2014

ABSTRACTA 24-year-old gravida 3 para 2 living 1 with 28 weeks gestation presented with acute abdo... more ABSTRACTA 24-year-old gravida 3 para 2 living 1 with 28 weeks gestation presented with acute abdomen and shock. A diagnosis of concealed abruption with intrauterine death of fetus was made and case was taken for emergency cesarean section. It turned out to be 180° levorotation of gravid uterus with abruption. Detorsion of the uterus failed. A dead fetus was delivered through a vertical incision on posterior wall of uterus. Asymmetrically, enlarged uterus and excess liquor were the associated findings. Total hysterectomy was done for uncontrolled atonic postpartum hemorrhage. Postoperative period was uneventful. Although a rare obstetric condition, torsion of gravid uterus should be considered in the differential diagnosis of placental abruption particularly when concealed.How to cite this articleRathod AT. Torsion of Gravid Uterus due to Uterine Asymmetry associated with Placental Abruption, Intrauterine Fetal Demise and Maternal Shock. Int J Infertil Fetal Med 2014;5(2):64-65.

Research paper thumbnail of Study of Obstetric Admissions to the Intensive Care Unit of a Tertiary Care Hospital

The Journal of Obstetrics and Gynecology of India, 2015

Purpose To analyze obstetric admissions to intensive care unit and to identify the risk factors r... more Purpose To analyze obstetric admissions to intensive care unit and to identify the risk factors responsible for intensive care admission. Methods This is a retrospective study of all obstetric cases admitted to the intensive care unit over a period of 3 years. Data were collected from case records. The risk factors responsible for ICU admission were analyzed. Results There were 765 obstetric admissions to ICU accounting for 1.24 % of all deliveries. 56.20 % were in the age group of 20-25 years. 38.43 % were in their first pregnancy. 36.48 % of cases were at 37-40 weeks of gestation. Postpartum admissions were 80.91 %. Major conditions responsible were obstetric hemorrhage in 44.05 %, hypertensive disorders of pregnancy in 28.88 %, severe anemia in 14.37 %, heart disease in 12.15 %, and sepsis in 7.97 % of ICU cases. 40.39 % cases required high dependency care. Maternal mortality was seen in 15.55 % of ICU cases. Commonest cause of mortality was hemorrhagic shock (26.89 %) and multiorgan dysfunction syndrome (26.05 %). Conclusion Commonest risk factors for ICU admissions are obstetric hemorrhage and hypertensive disorders of pregnancy. Other major risk factors are severe anemia, heart disease, sepsis, more than one diagnosis on admission, and the need for cesarean delivery.

Research paper thumbnail of Acceptance for coronavirus disease 19 vaccines among pregnant women seeking antenatal care in tertiary care hospital

Indian Journal of Obstetrics and Gynecology Research, 2023

Background: Corona virus disease 2019 (COVID-19) is caused by the Severe acute respiratory syndro... more Background: Corona virus disease 2019 (COVID-19) is caused by the Severe acute respiratory syndrome corona virus (SARS-COV-2). In the absence of an effective treatment, vaccination becomes the main modality to control the incidence of infectious diseases. Hence, there is a need to estimate the attitudes and willingness among pregnant women for COVID 19 Vaccine. Objectives of the Study: To estimate the frequency of COVID 19 Vaccine acceptance and non acceptance in pregnant women attending antenatal OPD. To describe the factors associated with non acceptance of COVID 19 Vaccine in pregnant women attending antenatal OPD Materials and Methods: This is an observational cross-sectional study where 500 pregnant women attending antenatal care were counseled about the COVID-19 vaccine. Women who refused the vaccine were asked about the reasons for refusal and the same was noted. Results: 95.6% accepted the vaccine and 4.4% did not accept. Majority belonged to 21 to 25 years(45% acceptors and 72% non acceptors), were second gravidas (38.7% acceptors and 54.5% non acceptors) and were between 25 to 36 weeks gestation(52.7% acceptors and 50% non acceptors). 13.8% of acceptors and 4.5% of non acceptors had previous history of abortions. Commonest concern was fear of vaccine related complications and fear of harming the fetus. Vaccine reactions followed by fear of harming the baby were the commonest reasons for non acceptance. Conclusion: Vaccine acceptance was high in this study (95.6%). Vaccine induced reactions followed by fear of harming the baby were the commonest reasons for non acceptance. This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Research paper thumbnail of Acceptance for coronavirus disease 19 vaccines among pregnant women seeking antenatal care in tertiary care hospital

Indian Journal of Obstetrics and Gynecology Research, Nov 14, 2023

Background: Corona virus disease 2019 (COVID-19) is caused by the Severe acute respiratory syndro... more Background: Corona virus disease 2019 (COVID-19) is caused by the Severe acute respiratory syndrome corona virus (SARS-COV-2). In the absence of an effective treatment, vaccination becomes the main modality to control the incidence of infectious diseases. Hence, there is a need to estimate the attitudes and willingness among pregnant women for COVID 19 Vaccine. Objectives of the Study: To estimate the frequency of COVID 19 Vaccine acceptance and non acceptance in pregnant women attending antenatal OPD. To describe the factors associated with non acceptance of COVID 19 Vaccine in pregnant women attending antenatal OPD Materials and Methods: This is an observational cross-sectional study where 500 pregnant women attending antenatal care were counseled about the COVID-19 vaccine. Women who refused the vaccine were asked about the reasons for refusal and the same was noted. Results: 95.6% accepted the vaccine and 4.4% did not accept. Majority belonged to 21 to 25 years(45% acceptors and 72% non acceptors), were second gravidas (38.7% acceptors and 54.5% non acceptors) and were between 25 to 36 weeks gestation(52.7% acceptors and 50% non acceptors). 13.8% of acceptors and 4.5% of non acceptors had previous history of abortions. Commonest concern was fear of vaccine related complications and fear of harming the fetus. Vaccine reactions followed by fear of harming the baby were the commonest reasons for non acceptance. Conclusion: Vaccine acceptance was high in this study (95.6%). Vaccine induced reactions followed by fear of harming the baby were the commonest reasons for non acceptance. This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Research paper thumbnail of Study of prevalence of abnormal Pap Smear and its associated risk factors in HIV positive women: A cross sectional study

Authorea (Authorea), Jan 31, 2024

Research paper thumbnail of Clinical study of disseminated intravascular coagulation in pregnancy at tertiary care centre - risk factors, complications, management and outcome

The New Indian Journal of OBGYN

Objectives: 1) To estimate the frequency of DIC in pregnant women admitted in Vanivilas hospital,... more Objectives: 1) To estimate the frequency of DIC in pregnant women admitted in Vanivilas hospital, 2) To describe the risk factors of DIC, 3) To describe the maternal and perinatal outcome. Methods: This is a prospective study conducted at Vanivilas Hospital, Bangalore, Karnataka, from January 2019 to June 2020 for 18 months. After applying inclusion criteria and DIC scoring from ISTH, 96 women who were diagnosed with overt DIC were studied with respect to their age, parity, presenting symptoms, associated obstetric complications, mode of delivery, number of transfusions, development of complications and maternal and perinatal outcome. Results: There were 23476 deliveries and 96 (1 in 245 deliveries) cases of overt DIC during 18 months period. Among associated obstetric complications, 40.6% had abruptio placenta, 26% pregnancy induced hypertension, 14.6% postpartum haemorrhage, 6.3% IUD, 5.2% HELLP syndrome, 4.2% AFLP and 3.2% suspected embolism. The complications of DIC noted were haemorrhage 75%, hypovolemic shock 40.6%, acute kidney injury 18.8%, MODS 37.5%, sepsis 18.6% and maternal deaths 12.5%. All 96(100%) women were admitted to ICU and all received blood component transfusions. 30.2% required mechanical ventilation, 18.8% ionotrope support, 16.7% dialysis, and 13.5% underwent peripartum hysterectomy and 11.5% stepwise devascularisation. 33.3% neonates required NICU admission and 27.1% were preterm births. Conclusion: DIC was seen in 1 in 245 deliveries. Abruption was the commonest risk factor for DIC. Obstetric haemorrhage was the main complication. The maternal mortality associated with DIC was 12.5%.

Research paper thumbnail of Torsion of Gravid Uterus due to Uterine Asymmetry associated with Placental Abruption, Intrauterine Fetal Demise, and Maternal Shock

International Journal of Infertility & Fetal Medicine, 2014

ABSTRACTA 24-year-old gravida 3 para 2 living 1 with 28 weeks gestation presented with acute abdo... more ABSTRACTA 24-year-old gravida 3 para 2 living 1 with 28 weeks gestation presented with acute abdomen and shock. A diagnosis of concealed abruption with intrauterine death of fetus was made and case was taken for emergency cesarean section. It turned out to be 180° levorotation of gravid uterus with abruption. Detorsion of the uterus failed. A dead fetus was delivered through a vertical incision on posterior wall of uterus. Asymmetrically, enlarged uterus and excess liquor were the associated findings. Total hysterectomy was done for uncontrolled atonic postpartum hemorrhage. Postoperative period was uneventful. Although a rare obstetric condition, torsion of gravid uterus should be considered in the differential diagnosis of placental abruption particularly when concealed.How to cite this articleRathod AT. Torsion of Gravid Uterus due to Uterine Asymmetry associated with Placental Abruption, Intrauterine Fetal Demise and Maternal Shock. Int J Infertil Fetal Med 2014;5(2):64-65.

Research paper thumbnail of Study of Obstetric Admissions to the Intensive Care Unit of a Tertiary Care Hospital

The Journal of Obstetrics and Gynecology of India, 2015

Purpose To analyze obstetric admissions to intensive care unit and to identify the risk factors r... more Purpose To analyze obstetric admissions to intensive care unit and to identify the risk factors responsible for intensive care admission. Methods This is a retrospective study of all obstetric cases admitted to the intensive care unit over a period of 3 years. Data were collected from case records. The risk factors responsible for ICU admission were analyzed. Results There were 765 obstetric admissions to ICU accounting for 1.24 % of all deliveries. 56.20 % were in the age group of 20-25 years. 38.43 % were in their first pregnancy. 36.48 % of cases were at 37-40 weeks of gestation. Postpartum admissions were 80.91 %. Major conditions responsible were obstetric hemorrhage in 44.05 %, hypertensive disorders of pregnancy in 28.88 %, severe anemia in 14.37 %, heart disease in 12.15 %, and sepsis in 7.97 % of ICU cases. 40.39 % cases required high dependency care. Maternal mortality was seen in 15.55 % of ICU cases. Commonest cause of mortality was hemorrhagic shock (26.89 %) and multiorgan dysfunction syndrome (26.05 %). Conclusion Commonest risk factors for ICU admissions are obstetric hemorrhage and hypertensive disorders of pregnancy. Other major risk factors are severe anemia, heart disease, sepsis, more than one diagnosis on admission, and the need for cesarean delivery.