Raksha Shetty - Academia.edu (original) (raw)
Papers by Raksha Shetty
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2016
Thyroid diseases are the commonest endocrine disorders affecting women of reproductive age group ... more Thyroid diseases are the commonest endocrine disorders affecting women of reproductive age group and hence constitute the commonest endocrine disorder in pregnancy also. It has long been recognized that maternal thyroid hormone excess or deficiency can influence the outcome for mother and fetus at all stages of pregnancy as well as interfere with ovulation and fertility. 1,2 Maternal hypothyroidism is the most common disorder of thyroid function in pregnancy and has been associated with spontaneous pregnancy loss, pre eclampsia, preterm delivery, antepartum hemorrhage, low birth weight, fetal distress and reduced intellectual function of the offspring. Thyroid dysfunction is often overlooked in pregnant women because of the nonspecific symptoms and hypermetabolic state of pregnancy. Hence thyroid function tests become essential to know the thyroid status in pregnancy.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2016
Thyroid diseases are the commonest endocrine disorders affecting women of reproductive age group ... more Thyroid diseases are the commonest endocrine disorders affecting women of reproductive age group and hence constitute the commonest endocrine disorder in pregnancy also. It has long been recognized that maternal thyroid hormone excess or deficiency can influence the outcome for mother and fetus at all stages of pregnancy as well as interfere with ovulation and fertility. 1,2 Maternal hypothyroidism is the most common disorder of thyroid function in pregnancy and has been associated with spontaneous pregnancy loss, pre eclampsia, preterm delivery, antepartum hemorrhage, low birth weight, fetal distress and reduced intellectual function of the offspring. Thyroid dysfunction is often overlooked in pregnant women because of the nonspecific symptoms and hypermetabolic state of pregnancy. Hence thyroid function tests become essential to know the thyroid status in pregnancy. 3 METHODS Place of study: The study was conducted at Tertiary Medical Referral Centre for three years. Total number of cases: Cases studied were 100.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: Disrespect and abuse during facility-based childbirth is a global problem with differ... more Background: Disrespect and abuse during facility-based childbirth is a global problem with differing driving factors in different contexts. Obstetric Violence (OV) refers to professional deficiencies in maternity care. The objective of this study was to assess knowledge and attitudes towards OV in a cohort of members of the obstetric healthcare team at a tertiary care, teaching hospital in Western India (Mumbai).Methods: A questionnaire-based study involving 80 participants comprising of trainee doctors and faculty, nursing students, staff and teachers from the department of Obstetrics and Gynaecology and hospital administration.Results: 57.97% of participants had heard the term ‘Obstetric violence’ earlier. 75.36% reported verbal abuse as a form of OV, others being physical abuse, non-consented care, discriminatory care, abandonment/neglect or refusal of care and imposition of interventions without scientific basis. 53% and 89.8% of the participants did not consider routine episiot...
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: Elective frozen embryo transfer (FET), has recently increased significantly with impr... more Background: Elective frozen embryo transfer (FET), has recently increased significantly with improvements in cryopreservation techniques. Observational studies and randomized controlled trials suggested that the endometrium in stimulated cycles is not optimally prepared for implantation; risk of ovarian hyperstimulation syndrome reduced and pregnancy rates increased following FET and perinatal outcomes are less affected after FET. However, the evidence is not unequivocal and recent randomised control trials challenge the use of elective FET for the general IVF population. Pregnancy rates were analysed in a cohort of patients undergoing embryo transfers.Methods: This was a retrospective cohort study of patients who underwent embryo transfers from April 2018 to March 2019 at study centre in Surat.175 cycles of embryo transfers (119 fresh and 56 frozen) were included in the study. Outcomes measured were positive pregnancy, clinical pregnancy and ongoing clinical pregnancy rates achieve...
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2016
An ovarian fibroma is a benign sex-cord stromal tumour. Ovarian fibromas represent 4% of all ovar... more An ovarian fibroma is a benign sex-cord stromal tumour. Ovarian fibromas represent 4% of all ovarian neoplasms. 1 Mostly occur in peri-and post-menopausal age groups, median age being 52 years. 1 They tend to be asymptomatic. If symptoms are present, the most common one is abdominal pain. 1 On gross pathology, they are firm and white or tan. The cut surface is greywhite and homogeneous with a whorled pattern and occasional areas of calcification. On microscopic examination, there are intersecting bundles of spindle cells producing collagen. There may be thecomatous areas (fibrothecoma). The presence of an ovarian fibroma can cause ovarian torsion in some cases. Ovarian fibroma is almost always benign in nature. It may be associated with ascites and hydrothorax, known as Meigs' syndrome. We report a case of an ovarian fibroma with unique clinical and radiological presentation and an elevated serum CA-125 level. CASE REPORT A 37-year old patient, married since 10 years, P1L1, presented with a pelvic mass and a history of recurrent urinary tract infection since 1 month. Her menstrual cycles were regular, 28 day cycles, menses lasting 3-4 days, with normal flow and painless. There was no history of loss of weight or appetite or bowel disturbances. There was no family history of any malignancy. She had a previous normal delivery 9 years ago. Her general physical examination was unremarkable. Per abdomen examination revealed a firm mass in the midline, arising from the pelvis, corresponding to a 20weeks gravid uterus. Pelvic examination revealed a firm mass, not separable from the uterus and with fullness in the posterior fornix and pouch of Douglas. Routine laboratory tests were within normal limits. Serum CA-125 level was 166.6U/ml.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2016
An ovarian fibroma is a benign sex-cord stromal tumour. Ovarian fibromas represent 4% of all ovar... more An ovarian fibroma is a benign sex-cord stromal tumour. Ovarian fibromas represent 4% of all ovarian neoplasms. 1 Mostly occur in peri-and post-menopausal age groups, median age being 52 years. 1 They tend to be asymptomatic. If symptoms are present, the most common one is abdominal pain. 1 On gross pathology, they are firm and white or tan. The cut surface is greywhite and homogeneous with a whorled pattern and occasional areas of calcification. On microscopic examination, there are intersecting bundles of spindle cells producing collagen. There may be thecomatous areas (fibrothecoma). The presence of an ovarian fibroma can cause ovarian torsion in some cases. Ovarian fibroma is almost always benign in nature. It may be associated with ascites and hydrothorax, known as Meigs' syndrome. We report a case of an ovarian fibroma with unique clinical and radiological presentation and an elevated serum CA-125 level. CASE REPORT A 37-year old patient, married since 10 years, P1L1, presented with a pelvic mass and a history of recurrent urinary tract infection since 1 month. Her menstrual cycles were regular, 28 day cycles, menses lasting 3-4 days, with normal flow and painless. There was no history of loss of weight or appetite or bowel disturbances. There was no family history of any malignancy. She had a previous normal delivery 9 years ago. Her general physical examination was unremarkable. Per abdomen examination revealed a firm mass in the midline, arising from the pelvis, corresponding to a 20weeks gravid uterus. Pelvic examination revealed a firm mass, not separable from the uterus and with fullness in the posterior fornix and pouch of Douglas. Routine laboratory tests were within normal limits. Serum CA-125 level was 166.6U/ml.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2016
Thyroid diseases are the commonest endocrine disorders affecting women of reproductive age group ... more Thyroid diseases are the commonest endocrine disorders affecting women of reproductive age group and hence constitute the commonest endocrine disorder in pregnancy also. It has long been recognized that maternal thyroid hormone excess or deficiency can influence the outcome for mother and fetus at all stages of pregnancy as well as interfere with ovulation and fertility. 1,2 Maternal hypothyroidism is the most common disorder of thyroid function in pregnancy and has been associated with spontaneous pregnancy loss, pre eclampsia, preterm delivery, antepartum hemorrhage, low birth weight, fetal distress and reduced intellectual function of the offspring. Thyroid dysfunction is often overlooked in pregnant women because of the nonspecific symptoms and hypermetabolic state of pregnancy. Hence thyroid function tests become essential to know the thyroid status in pregnancy.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2016
Thyroid diseases are the commonest endocrine disorders affecting women of reproductive age group ... more Thyroid diseases are the commonest endocrine disorders affecting women of reproductive age group and hence constitute the commonest endocrine disorder in pregnancy also. It has long been recognized that maternal thyroid hormone excess or deficiency can influence the outcome for mother and fetus at all stages of pregnancy as well as interfere with ovulation and fertility. 1,2 Maternal hypothyroidism is the most common disorder of thyroid function in pregnancy and has been associated with spontaneous pregnancy loss, pre eclampsia, preterm delivery, antepartum hemorrhage, low birth weight, fetal distress and reduced intellectual function of the offspring. Thyroid dysfunction is often overlooked in pregnant women because of the nonspecific symptoms and hypermetabolic state of pregnancy. Hence thyroid function tests become essential to know the thyroid status in pregnancy. 3 METHODS Place of study: The study was conducted at Tertiary Medical Referral Centre for three years. Total number of cases: Cases studied were 100.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: Disrespect and abuse during facility-based childbirth is a global problem with differ... more Background: Disrespect and abuse during facility-based childbirth is a global problem with differing driving factors in different contexts. Obstetric Violence (OV) refers to professional deficiencies in maternity care. The objective of this study was to assess knowledge and attitudes towards OV in a cohort of members of the obstetric healthcare team at a tertiary care, teaching hospital in Western India (Mumbai).Methods: A questionnaire-based study involving 80 participants comprising of trainee doctors and faculty, nursing students, staff and teachers from the department of Obstetrics and Gynaecology and hospital administration.Results: 57.97% of participants had heard the term ‘Obstetric violence’ earlier. 75.36% reported verbal abuse as a form of OV, others being physical abuse, non-consented care, discriminatory care, abandonment/neglect or refusal of care and imposition of interventions without scientific basis. 53% and 89.8% of the participants did not consider routine episiot...
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: Elective frozen embryo transfer (FET), has recently increased significantly with impr... more Background: Elective frozen embryo transfer (FET), has recently increased significantly with improvements in cryopreservation techniques. Observational studies and randomized controlled trials suggested that the endometrium in stimulated cycles is not optimally prepared for implantation; risk of ovarian hyperstimulation syndrome reduced and pregnancy rates increased following FET and perinatal outcomes are less affected after FET. However, the evidence is not unequivocal and recent randomised control trials challenge the use of elective FET for the general IVF population. Pregnancy rates were analysed in a cohort of patients undergoing embryo transfers.Methods: This was a retrospective cohort study of patients who underwent embryo transfers from April 2018 to March 2019 at study centre in Surat.175 cycles of embryo transfers (119 fresh and 56 frozen) were included in the study. Outcomes measured were positive pregnancy, clinical pregnancy and ongoing clinical pregnancy rates achieve...
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2016
An ovarian fibroma is a benign sex-cord stromal tumour. Ovarian fibromas represent 4% of all ovar... more An ovarian fibroma is a benign sex-cord stromal tumour. Ovarian fibromas represent 4% of all ovarian neoplasms. 1 Mostly occur in peri-and post-menopausal age groups, median age being 52 years. 1 They tend to be asymptomatic. If symptoms are present, the most common one is abdominal pain. 1 On gross pathology, they are firm and white or tan. The cut surface is greywhite and homogeneous with a whorled pattern and occasional areas of calcification. On microscopic examination, there are intersecting bundles of spindle cells producing collagen. There may be thecomatous areas (fibrothecoma). The presence of an ovarian fibroma can cause ovarian torsion in some cases. Ovarian fibroma is almost always benign in nature. It may be associated with ascites and hydrothorax, known as Meigs' syndrome. We report a case of an ovarian fibroma with unique clinical and radiological presentation and an elevated serum CA-125 level. CASE REPORT A 37-year old patient, married since 10 years, P1L1, presented with a pelvic mass and a history of recurrent urinary tract infection since 1 month. Her menstrual cycles were regular, 28 day cycles, menses lasting 3-4 days, with normal flow and painless. There was no history of loss of weight or appetite or bowel disturbances. There was no family history of any malignancy. She had a previous normal delivery 9 years ago. Her general physical examination was unremarkable. Per abdomen examination revealed a firm mass in the midline, arising from the pelvis, corresponding to a 20weeks gravid uterus. Pelvic examination revealed a firm mass, not separable from the uterus and with fullness in the posterior fornix and pouch of Douglas. Routine laboratory tests were within normal limits. Serum CA-125 level was 166.6U/ml.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2016
An ovarian fibroma is a benign sex-cord stromal tumour. Ovarian fibromas represent 4% of all ovar... more An ovarian fibroma is a benign sex-cord stromal tumour. Ovarian fibromas represent 4% of all ovarian neoplasms. 1 Mostly occur in peri-and post-menopausal age groups, median age being 52 years. 1 They tend to be asymptomatic. If symptoms are present, the most common one is abdominal pain. 1 On gross pathology, they are firm and white or tan. The cut surface is greywhite and homogeneous with a whorled pattern and occasional areas of calcification. On microscopic examination, there are intersecting bundles of spindle cells producing collagen. There may be thecomatous areas (fibrothecoma). The presence of an ovarian fibroma can cause ovarian torsion in some cases. Ovarian fibroma is almost always benign in nature. It may be associated with ascites and hydrothorax, known as Meigs' syndrome. We report a case of an ovarian fibroma with unique clinical and radiological presentation and an elevated serum CA-125 level. CASE REPORT A 37-year old patient, married since 10 years, P1L1, presented with a pelvic mass and a history of recurrent urinary tract infection since 1 month. Her menstrual cycles were regular, 28 day cycles, menses lasting 3-4 days, with normal flow and painless. There was no history of loss of weight or appetite or bowel disturbances. There was no family history of any malignancy. She had a previous normal delivery 9 years ago. Her general physical examination was unremarkable. Per abdomen examination revealed a firm mass in the midline, arising from the pelvis, corresponding to a 20weeks gravid uterus. Pelvic examination revealed a firm mass, not separable from the uterus and with fullness in the posterior fornix and pouch of Douglas. Routine laboratory tests were within normal limits. Serum CA-125 level was 166.6U/ml.