Manasi Patnaik - Academia.edu (original) (raw)

Papers by Manasi Patnaik

Research paper thumbnail of Early diagnosis, a step towards reducing mortality in placenta accreta spectrum: a case series

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

The worldwide incidence of placenta accrete spectrum (PAS) is increasing day by day, mostly due t... more The worldwide incidence of placenta accrete spectrum (PAS) is increasing day by day, mostly due to the increasing trends in caesarean section (CS) rates. PAS is accountable for high maternal morbidity and mortality as it is associated with extensive haemorrhage, which often requires hysterectomy, multiple blood and blood product transfusions, ureteric and bladder injuries and prolonged ICU stay. The aim of this case series is to highlight the importance of early diagnosis and high degree of suspicion of PAS for a planned management in decreasing maternal morbidity and mortality. Antenatal patients who were associated with PAS and managed in obstetrics and gynaecology department, Kalinga institute of medical sciences, Bhubaneswar during the time period of 2 years were critically reviewed and are being presented as case series. High degree of suspicion, pre operative radiological diagnosis, well preparedness and multidisciplinary approach help us in reducing the maternal mortality and...

Research paper thumbnail of Retrospective Observational Study of Caesarean Section Cases in a Tertiary Care Hospital in Odisha

Indian Journal of Obstetrics and Gynecology Research, 2017

Objective: To study the incidence and indications of LSCS. Place and Duration: This study was car... more Objective: To study the incidence and indications of LSCS. Place and Duration: This study was carried out from January to July 2016 in Department of Obstetric and Gynaecology, KIMS, Bhubaneswar. Methodology: In this retrospective analytical study, the total number of patients delivered and the number of LSCS done in the above mentioned study period were counted to find the incidence of LSCS in our hospital. Age, parity and gestational age of the patients who underwent LSCS were tabulated. The indications of LSCS were analyzed from pre operative and intra operative findings. Result: In our study the incidence of LSCS was 67.67%. Of these patients 43.22% belonged to age group 26 -30 yrs and 2.6% patients were in 35 – 39yr age group. 1.49% patients were less than 20 yrs of age and 0.37% were more than 40 yrs. 58.73% of patients were primigravida whereas 28.06% were second gravid and 13.19% were gravida three or more. In 50.74% LSCS was done at > 38 – 42 wk gestational age (GA) follo...

Research paper thumbnail of Role of vaginal fluid urea and creatinine in diagnosis of premature rupture of membrane

Indian Journal of Obstetrics and Gynecology Research, 2020

Introduction: Pre labour rupture of membrane is associated with an increased maternal and perinat... more Introduction: Pre labour rupture of membrane is associated with an increased maternal and perinatal morbidity and mortality. So confirmatory diagnosis is essential before initiating the definitive treatment of PROM. Materials and Methods: This study was a cross sectional, case control, hospital based study. All pregnant women having gestational age 28 to 42 weeks are divided into 3 groups as per criteria. Each group has 30 pregnant women group 1 and group 2 are the cases studied and group 3 is control group. Data analysis was done by ANOVA test, kurskal Wallis Test. Difference between two groups are analysed using Man whitney’s U test. Results: The level of vaginal fluid urea and creatinine came out to be higher in group 1 (confirmed cases) than group 2 (suspected cases) and group 3 (controls). Conclusion: Detection of urea and creatinine in vaginal fluid is easy, safe and cost effective method to diagnose PROM. Keywords: Premature rupture of membrane, Vaginal fluid, Urea, Creatinine.

Research paper thumbnail of Role of admission cardiotocography and amniotic fluid index on perinatal outcome in low risk pregnancy at term

International journal of reproduction, contraception, obstetrics and gynecology, 2021

Normal or low-risk pregnancy constitutes majority of pregnant population. Foetal surveillance dur... more Normal or low-risk pregnancy constitutes majority of pregnant population. Foetal surveillance during labour is necessary to ensure safe passage of the foetus from an intrauterine to an extra uterine environment with minimum intervention. A number of technical breakthroughs occurred in the 20 century that led to development of admission Cardio-tocography (CTG) in the 1960’s to monitor fetal heart rate and uterine contractions. Clinical estimation of amniotic fluid volume (AFV) measured as Amniotic fluid index (AFI) is another important part of fetal assessment as variation in its amount has been related to the outcome of pregnancy. Both the above methods are routinely used in clinical practice to identify fetal well-being as they are quick and easily accessible in the labor room.

Research paper thumbnail of The impact of high maternal body mass index on obstetric and perinatal outcomes

International journal of reproduction, contraception, obstetrics and gynecology, 2021

The incidence of obesity has increased to pandemic proportions over the last 20 years. The incide... more The incidence of obesity has increased to pandemic proportions over the last 20 years. The incidence is higher in females than males according to the World Health Organization (WHO). In 2016, more than 1.9 billion adults, 18 years and older, were overweight. Of these over 650 million were obese. In 2016, 39% of adults aged 18 years and above were overweight and 13% were obese. A lifestyle changing towards sedentary has been attributed to increased incidence of obesity in women. According to National Family Health Survey (NFHS)-4 (2015-16), the percentage of women aged 15-49 years who were overweight or obese in India was 20.7% and in Odisha was 16.5%.

Research paper thumbnail of Caesarean Scar Pregnancy

Research paper thumbnail of Knowledge, Practice and Acceptance of Contraceptives Among MTP Seekers

BACKGROUND Unplanned pregnancy is the reason behind majority of MTPs in a developing and overpopu... more BACKGROUND Unplanned pregnancy is the reason behind majority of MTPs in a developing and overpopulated country like India. The unmet need for contraception still poses a challenge despite the best efforts of the Government and other Non-Government Organisations. So counselling regarding knowledge and use of contraception should be an integral part of post-abortion care. Only with counselling can the acceptance of contraceptive be increased in women of reproductive age. Thus, unwanted pregnancies and the risks involved due to unsafe abortion in many cases can be avoided. The aim of this study is to study the knowledge and awareness of contraceptives and assess their acceptability in women seeking medical termination of pregnancy (MTP) at two tertiary health centres in Bhubaneswar. MATERIALS AND METHODS A cross-sectional study of 257 women seeking MTP in two tertiary care hospitals in Bhubaneswar. Data regarding awareness of contraception and their acceptance in post-abortion period was collected using a pre-structured questionnaire. RESULTS Majority of women seeking MTP had two or more living children (68.1%) and were between 21-30 years of age (64.2%). Most of them had prior knowledge of contraception excepting few (8.1%). Commonest reason for not using them was fear of side effects. All the women were counselled prior to discharge and most of them (89.2%) agreed to adapt birth control methods. CONCLUSION Unmet need of contraception is the most common reason for women having unplanned pregnancy. Though the awareness of different methods of contraception is high, the actual acceptance rate is low. Hence, there is a need for community health education to inculcate proper knowledge and ensure their use in the target population.

Research paper thumbnail of Study of Socio – Demographic Profile of MTP Seekers

International journal of scientific research, 2018

Objective : To study the socio-demographic and obstetric profile of women seeking medical termina... more Objective : To study the socio-demographic and obstetric profile of women seeking medical termination of pregnancy(MTP) at two tertiary centres in Bhubaneswar. Methodology : Cross sectional study of 257 women seeking MTP in two tertiary care hospitals in Bhubaneswar. Socio-demographic and obstetric data was collected from these women on a pre structured questionnaire. Results : Maximum number of women seeking MTP belonged to the age group of 20-30 years (64.2%). More than half of them were from low socio-economic status with a low level of literacy. In our study a significant 7.3% of MTP seekers were unmarried. Limiting the family size was the most common cause for seeking MTP(43.5%) followed by the need for spacing between two children(23.3%). Conclusion : Educating women regarding their reproductive health will go a long way in preventing unwanted pregnancies. Counselling women in the post partum period will definitely reduce the unmet need for spacing and limiting the family.

Research paper thumbnail of Prevalence, risk factors and causative organisms of asymptomatic bacteriuria in pregnancy

International Journal of Advances in Medicine

Background: Asymptomatic bacteriuria (ASB) is a relatively common condition occurring due to the ... more Background: Asymptomatic bacteriuria (ASB) is a relatively common condition occurring due to the morphological and physiological changes in the genitourinary tract during pregnancy. If left untreated, it may lead to acute pyelonephritis and adverse fetal and maternal outcomes. The objective was to determine prevalence, risk factors and etiological agents with susceptibility for ASB among pregnant women attending an antenatal clinic at a tertiary care hospital, Odisha, India.Methods: A prospective study with 200 pregnant women was conducted, over a period of 4 months, starting from 1st April 2017 to 31st July 2017. The mid- stream clean catch urine specimen was collected and processed in all the cases and other data were collected from the questionnaire given to them. The isolates from all the cases of ASB were identified and antimicrobial susceptibility was tested by Kirby- Bauer disc diffusion method and interpreted.Results: Prevalence of ASB in our study was 25.3%, with maximum pr...

Research paper thumbnail of Varicose Veins of Vagina in a Term Pregnancy leading to LSCS

International Journal of Scientific Research, Dec 1, 2014

Research paper thumbnail of Caesarean Scar Pregnancy

International Journal of Scientific Research, Sep 1, 2014

Research paper thumbnail of Retrospective Observational Study of Caesarean Section Cases in a Tertiary Care Hospital in Odisha

IP Innovative Publication Pvt. Ltd, Jun 1, 2017

Objective: To study the incidence and indications of LSCS. Place and Duration: This study was car... more Objective: To study the incidence and indications of LSCS. Place and Duration: This study was carried out from January to July 2016 in Department of Obstetric and Gynaecology, KIMS, Bhubaneswar Methodology: In this retrospective analytical study, the total number of patients delivered and the number of LSCS done in the above mentioned study period were counted to find the incidence of LSCS in our hospital. Age, parity and gestational age of the patients who underwent LSCS were tabulated. The indications of LSCS were analyzed from pre operative and intra operative findings. Result: In our study the incidence of LSCS was 67.67%. Of these patients 43.22% belonged to age group 26-30 yrs and 2.6% patients were in 35 – 39yr age group. 1.49% patients were less than 20 yrs of age and 0.37% were more than 40 yrs. 58.73% of patients were primigravida whereas 28.06% were second gravid and 13.19% were gravida three or more. In 50.74% LSCS was done at > 38 – 42 wk gestational age (GA) followed by 40.89% in 34 – 38wk GA and 8.36% in <34wks of GA. The commonest indication of LSCS was previous caesarean section in 23% followed by cephalo pelvic disproportion(CPD) in 11.3%, preterm premature rupture of membranes and premature rupture of membranes in 9.8%. Pregnancy induced hypertension (PIH), foetal distress and oligohydramnious each accounted for 9.4%. 1.67% patients underwent LSCS after some form of treatment for primary infertility and 0.73% of patients had LSCS on request. Conclusion: LSCS rate is high compared to the WHO standard and previous LSCS is the commonest indication followed by CPD.

Research paper thumbnail of Early diagnosis, a step towards reducing mortality in placenta accreta spectrum: a case series

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

The worldwide incidence of placenta accrete spectrum (PAS) is increasing day by day, mostly due t... more The worldwide incidence of placenta accrete spectrum (PAS) is increasing day by day, mostly due to the increasing trends in caesarean section (CS) rates. PAS is accountable for high maternal morbidity and mortality as it is associated with extensive haemorrhage, which often requires hysterectomy, multiple blood and blood product transfusions, ureteric and bladder injuries and prolonged ICU stay. The aim of this case series is to highlight the importance of early diagnosis and high degree of suspicion of PAS for a planned management in decreasing maternal morbidity and mortality. Antenatal patients who were associated with PAS and managed in obstetrics and gynaecology department, Kalinga institute of medical sciences, Bhubaneswar during the time period of 2 years were critically reviewed and are being presented as case series. High degree of suspicion, pre operative radiological diagnosis, well preparedness and multidisciplinary approach help us in reducing the maternal mortality and...

Research paper thumbnail of Retrospective Observational Study of Caesarean Section Cases in a Tertiary Care Hospital in Odisha

Indian Journal of Obstetrics and Gynecology Research, 2017

Objective: To study the incidence and indications of LSCS. Place and Duration: This study was car... more Objective: To study the incidence and indications of LSCS. Place and Duration: This study was carried out from January to July 2016 in Department of Obstetric and Gynaecology, KIMS, Bhubaneswar. Methodology: In this retrospective analytical study, the total number of patients delivered and the number of LSCS done in the above mentioned study period were counted to find the incidence of LSCS in our hospital. Age, parity and gestational age of the patients who underwent LSCS were tabulated. The indications of LSCS were analyzed from pre operative and intra operative findings. Result: In our study the incidence of LSCS was 67.67%. Of these patients 43.22% belonged to age group 26 -30 yrs and 2.6% patients were in 35 – 39yr age group. 1.49% patients were less than 20 yrs of age and 0.37% were more than 40 yrs. 58.73% of patients were primigravida whereas 28.06% were second gravid and 13.19% were gravida three or more. In 50.74% LSCS was done at > 38 – 42 wk gestational age (GA) follo...

Research paper thumbnail of Role of vaginal fluid urea and creatinine in diagnosis of premature rupture of membrane

Indian Journal of Obstetrics and Gynecology Research, 2020

Introduction: Pre labour rupture of membrane is associated with an increased maternal and perinat... more Introduction: Pre labour rupture of membrane is associated with an increased maternal and perinatal morbidity and mortality. So confirmatory diagnosis is essential before initiating the definitive treatment of PROM. Materials and Methods: This study was a cross sectional, case control, hospital based study. All pregnant women having gestational age 28 to 42 weeks are divided into 3 groups as per criteria. Each group has 30 pregnant women group 1 and group 2 are the cases studied and group 3 is control group. Data analysis was done by ANOVA test, kurskal Wallis Test. Difference between two groups are analysed using Man whitney’s U test. Results: The level of vaginal fluid urea and creatinine came out to be higher in group 1 (confirmed cases) than group 2 (suspected cases) and group 3 (controls). Conclusion: Detection of urea and creatinine in vaginal fluid is easy, safe and cost effective method to diagnose PROM. Keywords: Premature rupture of membrane, Vaginal fluid, Urea, Creatinine.

Research paper thumbnail of Role of admission cardiotocography and amniotic fluid index on perinatal outcome in low risk pregnancy at term

International journal of reproduction, contraception, obstetrics and gynecology, 2021

Normal or low-risk pregnancy constitutes majority of pregnant population. Foetal surveillance dur... more Normal or low-risk pregnancy constitutes majority of pregnant population. Foetal surveillance during labour is necessary to ensure safe passage of the foetus from an intrauterine to an extra uterine environment with minimum intervention. A number of technical breakthroughs occurred in the 20 century that led to development of admission Cardio-tocography (CTG) in the 1960’s to monitor fetal heart rate and uterine contractions. Clinical estimation of amniotic fluid volume (AFV) measured as Amniotic fluid index (AFI) is another important part of fetal assessment as variation in its amount has been related to the outcome of pregnancy. Both the above methods are routinely used in clinical practice to identify fetal well-being as they are quick and easily accessible in the labor room.

Research paper thumbnail of The impact of high maternal body mass index on obstetric and perinatal outcomes

International journal of reproduction, contraception, obstetrics and gynecology, 2021

The incidence of obesity has increased to pandemic proportions over the last 20 years. The incide... more The incidence of obesity has increased to pandemic proportions over the last 20 years. The incidence is higher in females than males according to the World Health Organization (WHO). In 2016, more than 1.9 billion adults, 18 years and older, were overweight. Of these over 650 million were obese. In 2016, 39% of adults aged 18 years and above were overweight and 13% were obese. A lifestyle changing towards sedentary has been attributed to increased incidence of obesity in women. According to National Family Health Survey (NFHS)-4 (2015-16), the percentage of women aged 15-49 years who were overweight or obese in India was 20.7% and in Odisha was 16.5%.

Research paper thumbnail of Caesarean Scar Pregnancy

Research paper thumbnail of Knowledge, Practice and Acceptance of Contraceptives Among MTP Seekers

BACKGROUND Unplanned pregnancy is the reason behind majority of MTPs in a developing and overpopu... more BACKGROUND Unplanned pregnancy is the reason behind majority of MTPs in a developing and overpopulated country like India. The unmet need for contraception still poses a challenge despite the best efforts of the Government and other Non-Government Organisations. So counselling regarding knowledge and use of contraception should be an integral part of post-abortion care. Only with counselling can the acceptance of contraceptive be increased in women of reproductive age. Thus, unwanted pregnancies and the risks involved due to unsafe abortion in many cases can be avoided. The aim of this study is to study the knowledge and awareness of contraceptives and assess their acceptability in women seeking medical termination of pregnancy (MTP) at two tertiary health centres in Bhubaneswar. MATERIALS AND METHODS A cross-sectional study of 257 women seeking MTP in two tertiary care hospitals in Bhubaneswar. Data regarding awareness of contraception and their acceptance in post-abortion period was collected using a pre-structured questionnaire. RESULTS Majority of women seeking MTP had two or more living children (68.1%) and were between 21-30 years of age (64.2%). Most of them had prior knowledge of contraception excepting few (8.1%). Commonest reason for not using them was fear of side effects. All the women were counselled prior to discharge and most of them (89.2%) agreed to adapt birth control methods. CONCLUSION Unmet need of contraception is the most common reason for women having unplanned pregnancy. Though the awareness of different methods of contraception is high, the actual acceptance rate is low. Hence, there is a need for community health education to inculcate proper knowledge and ensure their use in the target population.

Research paper thumbnail of Study of Socio – Demographic Profile of MTP Seekers

International journal of scientific research, 2018

Objective : To study the socio-demographic and obstetric profile of women seeking medical termina... more Objective : To study the socio-demographic and obstetric profile of women seeking medical termination of pregnancy(MTP) at two tertiary centres in Bhubaneswar. Methodology : Cross sectional study of 257 women seeking MTP in two tertiary care hospitals in Bhubaneswar. Socio-demographic and obstetric data was collected from these women on a pre structured questionnaire. Results : Maximum number of women seeking MTP belonged to the age group of 20-30 years (64.2%). More than half of them were from low socio-economic status with a low level of literacy. In our study a significant 7.3% of MTP seekers were unmarried. Limiting the family size was the most common cause for seeking MTP(43.5%) followed by the need for spacing between two children(23.3%). Conclusion : Educating women regarding their reproductive health will go a long way in preventing unwanted pregnancies. Counselling women in the post partum period will definitely reduce the unmet need for spacing and limiting the family.

Research paper thumbnail of Prevalence, risk factors and causative organisms of asymptomatic bacteriuria in pregnancy

International Journal of Advances in Medicine

Background: Asymptomatic bacteriuria (ASB) is a relatively common condition occurring due to the ... more Background: Asymptomatic bacteriuria (ASB) is a relatively common condition occurring due to the morphological and physiological changes in the genitourinary tract during pregnancy. If left untreated, it may lead to acute pyelonephritis and adverse fetal and maternal outcomes. The objective was to determine prevalence, risk factors and etiological agents with susceptibility for ASB among pregnant women attending an antenatal clinic at a tertiary care hospital, Odisha, India.Methods: A prospective study with 200 pregnant women was conducted, over a period of 4 months, starting from 1st April 2017 to 31st July 2017. The mid- stream clean catch urine specimen was collected and processed in all the cases and other data were collected from the questionnaire given to them. The isolates from all the cases of ASB were identified and antimicrobial susceptibility was tested by Kirby- Bauer disc diffusion method and interpreted.Results: Prevalence of ASB in our study was 25.3%, with maximum pr...

Research paper thumbnail of Varicose Veins of Vagina in a Term Pregnancy leading to LSCS

International Journal of Scientific Research, Dec 1, 2014

Research paper thumbnail of Caesarean Scar Pregnancy

International Journal of Scientific Research, Sep 1, 2014

Research paper thumbnail of Retrospective Observational Study of Caesarean Section Cases in a Tertiary Care Hospital in Odisha

IP Innovative Publication Pvt. Ltd, Jun 1, 2017

Objective: To study the incidence and indications of LSCS. Place and Duration: This study was car... more Objective: To study the incidence and indications of LSCS. Place and Duration: This study was carried out from January to July 2016 in Department of Obstetric and Gynaecology, KIMS, Bhubaneswar Methodology: In this retrospective analytical study, the total number of patients delivered and the number of LSCS done in the above mentioned study period were counted to find the incidence of LSCS in our hospital. Age, parity and gestational age of the patients who underwent LSCS were tabulated. The indications of LSCS were analyzed from pre operative and intra operative findings. Result: In our study the incidence of LSCS was 67.67%. Of these patients 43.22% belonged to age group 26-30 yrs and 2.6% patients were in 35 – 39yr age group. 1.49% patients were less than 20 yrs of age and 0.37% were more than 40 yrs. 58.73% of patients were primigravida whereas 28.06% were second gravid and 13.19% were gravida three or more. In 50.74% LSCS was done at > 38 – 42 wk gestational age (GA) followed by 40.89% in 34 – 38wk GA and 8.36% in <34wks of GA. The commonest indication of LSCS was previous caesarean section in 23% followed by cephalo pelvic disproportion(CPD) in 11.3%, preterm premature rupture of membranes and premature rupture of membranes in 9.8%. Pregnancy induced hypertension (PIH), foetal distress and oligohydramnious each accounted for 9.4%. 1.67% patients underwent LSCS after some form of treatment for primary infertility and 0.73% of patients had LSCS on request. Conclusion: LSCS rate is high compared to the WHO standard and previous LSCS is the commonest indication followed by CPD.