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Papers by Bhakti Bawankule
Global journal for research analysis, 2019
BACKGROUND: Shoulder Dystocia is an uncommon and most frightening emergencies in the delivery roo... more BACKGROUND: Shoulder Dystocia is an uncommon and most frightening emergencies in the delivery room. Most cases occur without warning. The neonatal morbidity associated with shoulder dystocia is very high. Various methods are described to deliver the patients with impacted shoulders. McRoberts manoeuvre combined with suprapubic pressure is one of them. Aim of the study: To investigate the effectiveness of Mc Robert's Manoeuvre with suprapubic pressure for the management of Shoulder Dystocia. METHODS: A retrospective study was conducted over a period of 3 years from June 2015 to June 2018 and 25 cases of shoulder dystocia were analysed. Singleton pregnancy with cephalic presentation more than 37 weeks of gestation were included in the study. Maternal and neonatal morbidity including brachial plexus injuries were recorded. RESULTS: Mac Roberts manoeuver with suprapubic pressure were found to be most effective and least traumatic procedures in the patients having shoulder dystocia. ...
GLOBAL JOURNAL FOR RESEARCH ANALYSIS, Dec 15, 2019
Abnormal placentation (accreta, increta, percreta) has emerged over uterine atony as leading indi... more Abnormal placentation (accreta, increta, percreta) has emerged over uterine atony as leading indication for 2 peripartum hysterectomy. Placenta accrete syndrome is a general term used to describe the clinical condition when part of the placenta ,or the entire placenta, invades and is 3 inseparable from the uterine wall. These placental abnormalities rarely get detected before delivery. Antenatal diagnosis is crucial in planning its management and has shown to reduce maternal morbidity and mortality. (RCOG 2018) Accurate prenatal identication allows optimal obstetric management, because timing and site of delivery, availability of blood products, and recruitment of a skilled anaesthesia and surgical team can be organized in advance .The clinical consequence of placenta accreta is massive haemorrhage at the time of manual placental separation at the time of caesarean section.At times the haemorrhage is difcult to control and may even result in death on OT table. Mainstay of prenatal diagnosis remains USG, with MRI being 4 used only as an adjunct in indeterminate cases. SONOGRAPHIC CHARACTERISTICS INCLUDE: intraplacental lacunae, loss of the normal retroplacental clear space and thinning or disruption of the hyperechogenic 4 uterine serosa-bladder wall interface. SPECIFIC MRI FINDINGS ARE: uterine bulging , heterogeneous signal intensity within the placenta and dark intraplacental bands on T2-weighted images AIMS AND OBJECTIVES: The objectives of this study is to-1. To analyse maternal and foetal outcomes. 2. To analyse type of interventions. MATERIALS AND METHODS: TYPE OF STUDY:-Retrospective study. We retrospectively reviewed the medical records of all patients suspected to have placenta accreta.
Global journal for research analysis, 2019
BACKGROUND: Shoulder Dystocia is an uncommon and most frightening emergencies in the delivery roo... more BACKGROUND: Shoulder Dystocia is an uncommon and most frightening emergencies in the delivery room. Most cases occur without warning. The neonatal morbidity associated with shoulder dystocia is very high. Various methods are described to deliver the patients with impacted shoulders. McRoberts manoeuvre combined with suprapubic pressure is one of them. Aim of the study: To investigate the effectiveness of Mc Robert's Manoeuvre with suprapubic pressure for the management of Shoulder Dystocia. METHODS: A retrospective study was conducted over a period of 3 years from June 2015 to June 2018 and 25 cases of shoulder dystocia were analysed. Singleton pregnancy with cephalic presentation more than 37 weeks of gestation were included in the study. Maternal and neonatal morbidity including brachial plexus injuries were recorded. RESULTS: Mac Roberts manoeuver with suprapubic pressure were found to be most effective and least traumatic procedures in the patients having shoulder dystocia. ...
GLOBAL JOURNAL FOR RESEARCH ANALYSIS, Dec 15, 2019
Abnormal placentation (accreta, increta, percreta) has emerged over uterine atony as leading indi... more Abnormal placentation (accreta, increta, percreta) has emerged over uterine atony as leading indication for 2 peripartum hysterectomy. Placenta accrete syndrome is a general term used to describe the clinical condition when part of the placenta ,or the entire placenta, invades and is 3 inseparable from the uterine wall. These placental abnormalities rarely get detected before delivery. Antenatal diagnosis is crucial in planning its management and has shown to reduce maternal morbidity and mortality. (RCOG 2018) Accurate prenatal identication allows optimal obstetric management, because timing and site of delivery, availability of blood products, and recruitment of a skilled anaesthesia and surgical team can be organized in advance .The clinical consequence of placenta accreta is massive haemorrhage at the time of manual placental separation at the time of caesarean section.At times the haemorrhage is difcult to control and may even result in death on OT table. Mainstay of prenatal diagnosis remains USG, with MRI being 4 used only as an adjunct in indeterminate cases. SONOGRAPHIC CHARACTERISTICS INCLUDE: intraplacental lacunae, loss of the normal retroplacental clear space and thinning or disruption of the hyperechogenic 4 uterine serosa-bladder wall interface. SPECIFIC MRI FINDINGS ARE: uterine bulging , heterogeneous signal intensity within the placenta and dark intraplacental bands on T2-weighted images AIMS AND OBJECTIVES: The objectives of this study is to-1. To analyse maternal and foetal outcomes. 2. To analyse type of interventions. MATERIALS AND METHODS: TYPE OF STUDY:-Retrospective study. We retrospectively reviewed the medical records of all patients suspected to have placenta accreta.