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Papers by Dr.Sushma Sharma

A large Numbers of women spend a considerable time outside their homes for their families economi... more A large Numbers of women spend a considerable time outside their homes for their families economic upliftment. So, there safety, particularly in the present time becomes pertinent.

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2019

Background: The indications of Caesarean Section (CS) have been changing over time, along with a ... more Background: The indications of Caesarean Section (CS) have been changing over time, along with a visible, much talked about rise in the rate. Without a doubt, C-sections can effectively prevent maternal and perinatal mortality when done for a medical indication. However, little is researched about the extent of maternal indications and the fetal outcomes of C-sections.Methods: Data of January to March 2012 and January to March 2017 was obtained by detailed study of the patient files from the Medical Records Department of the hospital. A predesigned proforma was used to record the relevant information. Data was analysed using standard statistical methods.Results: Cephalo pelvic disproportion (CPD) and fetal distress (FD) remained the major causes of CS in both the groups, being 50.4% in group2012 and 60.5% in group2017. Trends of CS due to maternal demand and tubal ligations are emerging. Though the rise in CS was not significant in the 5 year period having gone up from 45.41% to 48....

International Journal of Clinical Obstetrics and Gynaecology, 2019

Introduction: Adolescents are the future of our country that will hold the reign of the nation's ... more Introduction: Adolescents are the future of our country that will hold the reign of the nation's development. Age group 13 to 19 years (as per WHO) constitutes adolescents who contribute 22% of total population. This study aims to assess the knowledge and impact of primal problems among the adolescents with respect to the variables such as Sexual health, Mental health, Protective factor, Smoking, Alcohol, HIV knowledge. Material and Methods: A cross sectional study was conducted between February and March 2019 in the rural high schools and colleges. The study was conducted over two months of time. The data was collected with the help of pretested and prevalidated questionnaire.202 students of the age group 13-19 years participated in the study of which 101 were boys and 101 were girls. Results: Out of 202 students 101 were boys and 101 were girls. Average age for boys was around 16years and for girls it was 16.5 years. Anxiety was observed in 92(45.5%) of the total number of students, of which 40(39%) were boys and 52(51%) were girls. In HIV awareness 132 students were knowing about HIV infection/AIDS, of which 62(61%) were boys and 70(69%) were girls. In Substance abuse any kind of substance abuse was found in 38(18.8%) out of all students and for surprise all were found to be boys. Conclusion: Very less research work is done on adolescents in rural areas. This study will help us to find the extent of factors responsible for adolescent behavioural changes hence policies needed to be designed and to find out new interventions in order to bring down current problems in adolescent age group.

MMJ - A Journal by MIMER Medical College, Pune, India, 2017

We report a case which aims to highlight how multiple problems may exist in a single patient, yet... more We report a case which aims to highlight how multiple problems may exist in a single patient, yet can be managed with a favourable outcome. This patient of ours had infertility, RPL, genital TB. After successful treatment of infertility and TB, she had intrauterine demise of 1 baby of twin, thereby presenting multiple challenges, yet had a good outcome.

BMJ Open, 2015

Background: Current strategy of single HIV test during pregnancy in India can miss new HIV infect... more Background: Current strategy of single HIV test during pregnancy in India can miss new HIV infections acquired after the first test or those HIV infections that were missed in the first test due to a false-negative HIV test. Methods: Between August 2011 and April 2013, 9097 pregnant HIV uninfected women were offered a second HIV test near term (34 weeks or beyond) or within 4 weeks of postpartum period. A decision analysis model was used to evaluate cost-effectiveness of a second HIV test in pregnant women near term. Primary and secondary outcome: Our key outcome measures include programme cost with addition of second HIV test in pregnant women and quality-adjusted life years (QALYs) gained. Results: We detected 4 new HIV infections in the second test. Thus HIV incidence among pregnant women was 0.12 (95% 0.032 to 0.297) per 100 person women years (PWY). Current strategy of a single HIV test is 8.2 times costlier for less QALYs gained as compared to proposed repeat HIV testing of pregnant women who test negative during the first test. Conclusions: Our results warrant consideration at the national level for including a second HIV test of all pregnant women in the national programme. However prior to allocation of resources for a second HIV test in pregnancy, appropriate strategies will have to be planned for improving compliance for prevention of mother-to-child transmission of HIV and reducing lossto-follow-up of those women detected with HIV.

New Horizons in Medicine and Medical Research Vol. 1, 2022

A large Numbers of women spend a considerable time outside their homes for their families economi... more A large Numbers of women spend a considerable time outside their homes for their families economic upliftment. So, there safety, particularly in the present time becomes pertinent.

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2019

Background: The indications of Caesarean Section (CS) have been changing over time, along with a ... more Background: The indications of Caesarean Section (CS) have been changing over time, along with a visible, much talked about rise in the rate. Without a doubt, C-sections can effectively prevent maternal and perinatal mortality when done for a medical indication. However, little is researched about the extent of maternal indications and the fetal outcomes of C-sections.Methods: Data of January to March 2012 and January to March 2017 was obtained by detailed study of the patient files from the Medical Records Department of the hospital. A predesigned proforma was used to record the relevant information. Data was analysed using standard statistical methods.Results: Cephalo pelvic disproportion (CPD) and fetal distress (FD) remained the major causes of CS in both the groups, being 50.4% in group2012 and 60.5% in group2017. Trends of CS due to maternal demand and tubal ligations are emerging. Though the rise in CS was not significant in the 5 year period having gone up from 45.41% to 48....

International Journal of Clinical Obstetrics and Gynaecology, 2019

Introduction: Adolescents are the future of our country that will hold the reign of the nation's ... more Introduction: Adolescents are the future of our country that will hold the reign of the nation's development. Age group 13 to 19 years (as per WHO) constitutes adolescents who contribute 22% of total population. This study aims to assess the knowledge and impact of primal problems among the adolescents with respect to the variables such as Sexual health, Mental health, Protective factor, Smoking, Alcohol, HIV knowledge. Material and Methods: A cross sectional study was conducted between February and March 2019 in the rural high schools and colleges. The study was conducted over two months of time. The data was collected with the help of pretested and prevalidated questionnaire.202 students of the age group 13-19 years participated in the study of which 101 were boys and 101 were girls. Results: Out of 202 students 101 were boys and 101 were girls. Average age for boys was around 16years and for girls it was 16.5 years. Anxiety was observed in 92(45.5%) of the total number of students, of which 40(39%) were boys and 52(51%) were girls. In HIV awareness 132 students were knowing about HIV infection/AIDS, of which 62(61%) were boys and 70(69%) were girls. In Substance abuse any kind of substance abuse was found in 38(18.8%) out of all students and for surprise all were found to be boys. Conclusion: Very less research work is done on adolescents in rural areas. This study will help us to find the extent of factors responsible for adolescent behavioural changes hence policies needed to be designed and to find out new interventions in order to bring down current problems in adolescent age group.

MMJ - A Journal by MIMER Medical College, Pune, India, 2017

We report a case which aims to highlight how multiple problems may exist in a single patient, yet... more We report a case which aims to highlight how multiple problems may exist in a single patient, yet can be managed with a favourable outcome. This patient of ours had infertility, RPL, genital TB. After successful treatment of infertility and TB, she had intrauterine demise of 1 baby of twin, thereby presenting multiple challenges, yet had a good outcome.

BMJ Open, 2015

Background: Current strategy of single HIV test during pregnancy in India can miss new HIV infect... more Background: Current strategy of single HIV test during pregnancy in India can miss new HIV infections acquired after the first test or those HIV infections that were missed in the first test due to a false-negative HIV test. Methods: Between August 2011 and April 2013, 9097 pregnant HIV uninfected women were offered a second HIV test near term (34 weeks or beyond) or within 4 weeks of postpartum period. A decision analysis model was used to evaluate cost-effectiveness of a second HIV test in pregnant women near term. Primary and secondary outcome: Our key outcome measures include programme cost with addition of second HIV test in pregnant women and quality-adjusted life years (QALYs) gained. Results: We detected 4 new HIV infections in the second test. Thus HIV incidence among pregnant women was 0.12 (95% 0.032 to 0.297) per 100 person women years (PWY). Current strategy of a single HIV test is 8.2 times costlier for less QALYs gained as compared to proposed repeat HIV testing of pregnant women who test negative during the first test. Conclusions: Our results warrant consideration at the national level for including a second HIV test of all pregnant women in the national programme. However prior to allocation of resources for a second HIV test in pregnancy, appropriate strategies will have to be planned for improving compliance for prevention of mother-to-child transmission of HIV and reducing lossto-follow-up of those women detected with HIV.

New Horizons in Medicine and Medical Research Vol. 1, 2022