Swati Trivedi - Academia.edu (original) (raw)

Papers by Swati Trivedi

Research paper thumbnail of Feto-maternal outcome in human immunodeficiency virus seropositive mothers in co-relation with CD4 count

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Background: To study the effect of human immunodeficiency virus (HIV) infection on pregnancy outc... more Background: To study the effect of human immunodeficiency virus (HIV) infection on pregnancy outcomes and new born as mother to child transmission of HIV is a major route on new infections in children and compare it with HIV uninfected pregnancies.Methods: Prospective comparative study conducted on 40 HIV seropositive and 40 HIV seronegative pregnant women attending ANC and delivering in the department of obstetrics and gynecology, S. M. S. Medical College, Jaipur, Rajasthan, India.Results: CD4 count had no effect on birth weight of baby or term of delivery. HIV seropositive pregnancies were more prone to IUD, still birth and preterm birth (p=0.029). Mother to child transmission was 2.7%.Conclusions: HIV infection increases the risk of adverse foetal outcome in terms of intrauterine demise, still birth and preterm labour.

Research paper thumbnail of Unicornuate uterus: case reports of heterogenous presentations challenging clinical diagnosis and management

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Unicornuate uterus is an anomaly arising from defective lateral fusion of incompletely developed ... more Unicornuate uterus is an anomaly arising from defective lateral fusion of incompletely developed mullerian duct or paramesonephric duct with the contralateral duct. Pregnancy in non-communicating rudimentary horn can result in I and II trimester pregnancy losses along with maternal morbidity and mortality. Here we describe three such cases of unicornuate uterus with non-communicating rudimentary horn pregnancy, who presented to our hospital with pain in lower abdomen. Two of them with II trimester pregnancy landed in haemorrhagic shock owing to rupture of pregnant horn, though were revived by immediate intervention. Third patient who came with a definitive diagnosis of I trimester rudimentary horn pregnancy was managed electively by hemi-hysterectomy. Rupture of pregnant uterus can occur in II trimester when associated with uterine anomaly. Early sonographic diagnosis has a major offering in workup, management and prevention of mother from grave life threatening consequences.

Research paper thumbnail of A case report of sirenomelia with two umbilical arteries: an unusual finding in a rare case

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Sirenomelia also known as Mermaid syndrome is a rarely encountered fusion anomaly of the caudal r... more Sirenomelia also known as Mermaid syndrome is a rarely encountered fusion anomaly of the caudal region of body often associated with Potter’s facies, single umbilical artery and various visceral abnormalities which make it irreconcilable with life. Here we report a case of sirenomelia delivered in our tertiary care hospital by lower segment cesarean section to a 24 year old third gravida with no previous live issues. No high risk factors could be identified with the mother including diabetes mellitus. Baby was born alive with Potter’s facies. Both the lower limbs were merging into each other like a mermaid’s tail (hence called mermaid syndrome). Sex of the baby could not be identified and the urogenital and anal orifices were absent. Umbilical cord stump had two umbilical arteries. The baby died after 20 hours of life. There appears to be no definitive modality for diagnosing sirenomelia in the antenatal period. However, if a patient has consistently low AFI without any history of l...

Research paper thumbnail of A rare case report of conjoined twins: Thoraco-omphalopagus with anterior abdominal wall defect

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Conjoined twins are a rare deviation of monozygotic monoamniotic twins which results from fusion ... more Conjoined twins are a rare deviation of monozygotic monoamniotic twins which results from fusion of the two at any part of their body. The prognosis is not good and associated with high mortality. Here we report a case of conjoined twin which was referred to our tertiary care hospital as twin pregnancy with impacted breech in obstructed labour. Taking mothers condition into account, she was taken for emergency caesarean section, performing which we realised that it was a conjoined twin. The baby were still born and conjoined at thorax and abdomen (thoraco-omphalopagus) with anterior abdominal wall defect in one and unrevealed sex in other. Current report emphasizes on making an early diagnosis of conjoined twin pregnancy, so that it can be managed at the earliest according to the gestational age.

Research paper thumbnail of Absence of Wharton’s jelly: an association with feto-maternal morbidity

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Umbilical cord contains two arteries and one vein connecting fetus to the placenta and is respons... more Umbilical cord contains two arteries and one vein connecting fetus to the placenta and is responsible for blood flow between the two. It is surrounded by Wharton’s jelly which is a gelatinous substance and functions as adventitia layer of umbilical vessels, thereby providing insulation and protection to the umbilical cord. Umbilical cord abnormalities are associated with poor perinatal outcomes. Very few cases of absent Wharton’s jelly are reported in literature. Ours might be the 8th one in which we did a lower segment caesarean section for meconium stained liquor but the baby died after 12 hours.

Research paper thumbnail of Prospective comparative study of the effect of HIV infection on pregnancy outcomes between HIV seropositive and seronegative groups

International Journal of Clinical Obstetrics and Gynaecology, 2020

Background and objectives: To compare the age, booking status of HIV seropositive with seronegati... more Background and objectives: To compare the age, booking status of HIV seropositive with seronegative
pregnant females. To study the effect of HIV on term of delivery, birth weight of baby and mode of
delivery opted by patients.
Methods: Prospective comparative study on 40 HIV seropositive and 40 HIV seronegative pregnant
women attending ANC and delivering in the Department of Obstetrics and Gynaecology, S.M.S. Medical
College, Jaipur, Rajasthan.
Result: HIV seropositive patients mostly were booked, with maximum belonging to lower socio-economic
status. No statistically significant differences were found in the outcomes of HIV seropositive patients in
terms of new born birth weight or gestational age at delivery in comparison to seronegative pregnant
patients.
Conclusion: Due to better access to health care facilities now a days, more number of HIV seropositive
patients are getting themselves booked. HIV has no effect on birth weight or term of delivery of baby.

Research paper thumbnail of Feto-maternal outcome in human immunodeficiency virus seropositive mothers in co-relation with CD4 count

To study the effect of human immunodeficiency virus (HIV) infection on pregnancy outcomes and new... more To study the effect of human immunodeficiency virus (HIV) infection on pregnancy outcomes and new born as mother to child transmission of HIV is a major route on new infections in children and compare it with HIV uninfected pregnancies. Methods: Prospective comparative study conducted on 40 HIV seropositive and 40 HIV seronegative pregnant women attending ANC and delivering in the department

Research paper thumbnail of Feto-maternal outcome in human immunodeficiency virus seropositive mothers in co-relation with CD4 count

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Background: To study the effect of human immunodeficiency virus (HIV) infection on pregnancy outc... more Background: To study the effect of human immunodeficiency virus (HIV) infection on pregnancy outcomes and new born as mother to child transmission of HIV is a major route on new infections in children and compare it with HIV uninfected pregnancies.Methods: Prospective comparative study conducted on 40 HIV seropositive and 40 HIV seronegative pregnant women attending ANC and delivering in the department of obstetrics and gynecology, S. M. S. Medical College, Jaipur, Rajasthan, India.Results: CD4 count had no effect on birth weight of baby or term of delivery. HIV seropositive pregnancies were more prone to IUD, still birth and preterm birth (p=0.029). Mother to child transmission was 2.7%.Conclusions: HIV infection increases the risk of adverse foetal outcome in terms of intrauterine demise, still birth and preterm labour.

Research paper thumbnail of Unicornuate uterus: case reports of heterogenous presentations challenging clinical diagnosis and management

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Unicornuate uterus is an anomaly arising from defective lateral fusion of incompletely developed ... more Unicornuate uterus is an anomaly arising from defective lateral fusion of incompletely developed mullerian duct or paramesonephric duct with the contralateral duct. Pregnancy in non-communicating rudimentary horn can result in I and II trimester pregnancy losses along with maternal morbidity and mortality. Here we describe three such cases of unicornuate uterus with non-communicating rudimentary horn pregnancy, who presented to our hospital with pain in lower abdomen. Two of them with II trimester pregnancy landed in haemorrhagic shock owing to rupture of pregnant horn, though were revived by immediate intervention. Third patient who came with a definitive diagnosis of I trimester rudimentary horn pregnancy was managed electively by hemi-hysterectomy. Rupture of pregnant uterus can occur in II trimester when associated with uterine anomaly. Early sonographic diagnosis has a major offering in workup, management and prevention of mother from grave life threatening consequences.

Research paper thumbnail of A case report of sirenomelia with two umbilical arteries: an unusual finding in a rare case

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Sirenomelia also known as Mermaid syndrome is a rarely encountered fusion anomaly of the caudal r... more Sirenomelia also known as Mermaid syndrome is a rarely encountered fusion anomaly of the caudal region of body often associated with Potter’s facies, single umbilical artery and various visceral abnormalities which make it irreconcilable with life. Here we report a case of sirenomelia delivered in our tertiary care hospital by lower segment cesarean section to a 24 year old third gravida with no previous live issues. No high risk factors could be identified with the mother including diabetes mellitus. Baby was born alive with Potter’s facies. Both the lower limbs were merging into each other like a mermaid’s tail (hence called mermaid syndrome). Sex of the baby could not be identified and the urogenital and anal orifices were absent. Umbilical cord stump had two umbilical arteries. The baby died after 20 hours of life. There appears to be no definitive modality for diagnosing sirenomelia in the antenatal period. However, if a patient has consistently low AFI without any history of l...

Research paper thumbnail of A rare case report of conjoined twins: Thoraco-omphalopagus with anterior abdominal wall defect

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Conjoined twins are a rare deviation of monozygotic monoamniotic twins which results from fusion ... more Conjoined twins are a rare deviation of monozygotic monoamniotic twins which results from fusion of the two at any part of their body. The prognosis is not good and associated with high mortality. Here we report a case of conjoined twin which was referred to our tertiary care hospital as twin pregnancy with impacted breech in obstructed labour. Taking mothers condition into account, she was taken for emergency caesarean section, performing which we realised that it was a conjoined twin. The baby were still born and conjoined at thorax and abdomen (thoraco-omphalopagus) with anterior abdominal wall defect in one and unrevealed sex in other. Current report emphasizes on making an early diagnosis of conjoined twin pregnancy, so that it can be managed at the earliest according to the gestational age.

Research paper thumbnail of Absence of Wharton’s jelly: an association with feto-maternal morbidity

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Umbilical cord contains two arteries and one vein connecting fetus to the placenta and is respons... more Umbilical cord contains two arteries and one vein connecting fetus to the placenta and is responsible for blood flow between the two. It is surrounded by Wharton’s jelly which is a gelatinous substance and functions as adventitia layer of umbilical vessels, thereby providing insulation and protection to the umbilical cord. Umbilical cord abnormalities are associated with poor perinatal outcomes. Very few cases of absent Wharton’s jelly are reported in literature. Ours might be the 8th one in which we did a lower segment caesarean section for meconium stained liquor but the baby died after 12 hours.

Research paper thumbnail of Prospective comparative study of the effect of HIV infection on pregnancy outcomes between HIV seropositive and seronegative groups

International Journal of Clinical Obstetrics and Gynaecology, 2020

Background and objectives: To compare the age, booking status of HIV seropositive with seronegati... more Background and objectives: To compare the age, booking status of HIV seropositive with seronegative
pregnant females. To study the effect of HIV on term of delivery, birth weight of baby and mode of
delivery opted by patients.
Methods: Prospective comparative study on 40 HIV seropositive and 40 HIV seronegative pregnant
women attending ANC and delivering in the Department of Obstetrics and Gynaecology, S.M.S. Medical
College, Jaipur, Rajasthan.
Result: HIV seropositive patients mostly were booked, with maximum belonging to lower socio-economic
status. No statistically significant differences were found in the outcomes of HIV seropositive patients in
terms of new born birth weight or gestational age at delivery in comparison to seronegative pregnant
patients.
Conclusion: Due to better access to health care facilities now a days, more number of HIV seropositive
patients are getting themselves booked. HIV has no effect on birth weight or term of delivery of baby.

Research paper thumbnail of Feto-maternal outcome in human immunodeficiency virus seropositive mothers in co-relation with CD4 count

To study the effect of human immunodeficiency virus (HIV) infection on pregnancy outcomes and new... more To study the effect of human immunodeficiency virus (HIV) infection on pregnancy outcomes and new born as mother to child transmission of HIV is a major route on new infections in children and compare it with HIV uninfected pregnancies. Methods: Prospective comparative study conducted on 40 HIV seropositive and 40 HIV seronegative pregnant women attending ANC and delivering in the department