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Papers by Neha Thakur
Journal of South Asian Federation of Obstetrics and Gynaecology
Background: Abortion service as medical healthcare facility is an essential service a woman needs... more Background: Abortion service as medical healthcare facility is an essential service a woman needs. Despite well-developed medical service centers in our country and the legalization of abortion, the incidence of illegal and unsafe abortion has not come down. This study was carried out to analyze the complications following self-medication of abortion pills and to suggest measures to prevent such practice. Methods: This was a retrospective observational study conducted in 125 women who came with history of (H/o) self-intake of abortion pills and presented at our hospital from January 2020 to December 2020. Result: In this study, majority of participants who took self-abortion pills were between 21 and 25 years (36%) of age, and most of them (61.6%) had completed their higher secondary education. Nearly half of the study participants (49.6%) who presented to Obstetrics and Gynecology OPD or in the emergency department were with a history of 2-3 months of amenorrhea. Incomplete abortion was found in 97 (77.6%) patients. Instrumental evacuation was required in 30 (24%) patients. Twenty-three (18.4%) patients were severely anemic. Transfusion of blood was required in 38 (30.4%) patients. Conclusion: Medical abortion is effective and safe when carried out under medical supervision. Unsupervised use of medical abortion pills is associated with many complications like incomplete abortion, rupture ectopic, and ruptured uterus. So, over-the-counter sale of medical abortion pills should be restricted.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021
Background: It is one of the most common surgery practiced in present era in obstetric population... more Background: It is one of the most common surgery practiced in present era in obstetric population it has led to rise in postoperative morbidity in the form of surgical site infection (SSI). It not only burdens the health system but it also puts a serious negative impact on patient’s life. The present study is aimed to determine the incidence, risk factors and the microbiological and antibiotic sensitivity pattern for SSI following caesarean section in our institute.Methods: The study is prospective, descriptive study carried out in department of obstetrics and gynecology of Pt. Jawaharlal Nehru medical college, Raipur between May 2019 and April 2020.Results: Out of the 1215 participants who underwent caesarean section, 251 patients had SSI, with incidence of 20.6% among them superficial SSI (n=154) was 61.3% while deep SSI (n=75) 29.8% and 8.7% (n=22) organ/space SSI. Gram positive organism was highest isolated from superficial SSI 66.2% while from deep SSI and organ/space SSI gram ...
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2017
Background: Since late nineteenth century, the caesarean section first done there is a tremendous... more Background: Since late nineteenth century, the caesarean section first done there is a tremendous improvement in the surgical and anaesthetic skills. It has emerged as a safe mode of delivery but now, in the present era there is a continuous rising trend of caserean section. Objective of present study is to evaluate the effect of some specific gestational factors and other known variables associated with poor wound healing in women who delivered by cesarean section.Methods: A total of 1215 women delivered by cesarean section at Pt. JNM Medical college, Raipur, Chhattisgarh, India from May 2014 to April 2015 were included in this study. The BMI was measured at gestational age when she got operated, grade of surgeons was noted. Subcutaneous tissue depth was intra-operatively measured from the fascia to the skin surface, while the incision length was measured after skin closure.Results: Out of 1215 women operated 251 cases developed SSI with incidence of 20.5%. Incision length (OR 2.40...
Journal of South Asian Federation of Obstetrics and Gynaecology
Background: Abortion service as medical healthcare facility is an essential service a woman needs... more Background: Abortion service as medical healthcare facility is an essential service a woman needs. Despite well-developed medical service centers in our country and the legalization of abortion, the incidence of illegal and unsafe abortion has not come down. This study was carried out to analyze the complications following self-medication of abortion pills and to suggest measures to prevent such practice. Methods: This was a retrospective observational study conducted in 125 women who came with history of (H/o) self-intake of abortion pills and presented at our hospital from January 2020 to December 2020. Result: In this study, majority of participants who took self-abortion pills were between 21 and 25 years (36%) of age, and most of them (61.6%) had completed their higher secondary education. Nearly half of the study participants (49.6%) who presented to Obstetrics and Gynecology OPD or in the emergency department were with a history of 2-3 months of amenorrhea. Incomplete abortion was found in 97 (77.6%) patients. Instrumental evacuation was required in 30 (24%) patients. Twenty-three (18.4%) patients were severely anemic. Transfusion of blood was required in 38 (30.4%) patients. Conclusion: Medical abortion is effective and safe when carried out under medical supervision. Unsupervised use of medical abortion pills is associated with many complications like incomplete abortion, rupture ectopic, and ruptured uterus. So, over-the-counter sale of medical abortion pills should be restricted.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021
Background: It is one of the most common surgery practiced in present era in obstetric population... more Background: It is one of the most common surgery practiced in present era in obstetric population it has led to rise in postoperative morbidity in the form of surgical site infection (SSI). It not only burdens the health system but it also puts a serious negative impact on patient’s life. The present study is aimed to determine the incidence, risk factors and the microbiological and antibiotic sensitivity pattern for SSI following caesarean section in our institute.Methods: The study is prospective, descriptive study carried out in department of obstetrics and gynecology of Pt. Jawaharlal Nehru medical college, Raipur between May 2019 and April 2020.Results: Out of the 1215 participants who underwent caesarean section, 251 patients had SSI, with incidence of 20.6% among them superficial SSI (n=154) was 61.3% while deep SSI (n=75) 29.8% and 8.7% (n=22) organ/space SSI. Gram positive organism was highest isolated from superficial SSI 66.2% while from deep SSI and organ/space SSI gram ...
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2017
Background: Since late nineteenth century, the caesarean section first done there is a tremendous... more Background: Since late nineteenth century, the caesarean section first done there is a tremendous improvement in the surgical and anaesthetic skills. It has emerged as a safe mode of delivery but now, in the present era there is a continuous rising trend of caserean section. Objective of present study is to evaluate the effect of some specific gestational factors and other known variables associated with poor wound healing in women who delivered by cesarean section.Methods: A total of 1215 women delivered by cesarean section at Pt. JNM Medical college, Raipur, Chhattisgarh, India from May 2014 to April 2015 were included in this study. The BMI was measured at gestational age when she got operated, grade of surgeons was noted. Subcutaneous tissue depth was intra-operatively measured from the fascia to the skin surface, while the incision length was measured after skin closure.Results: Out of 1215 women operated 251 cases developed SSI with incidence of 20.5%. Incision length (OR 2.40...