krishna sinha - Academia.edu (original) (raw)

Papers by krishna sinha

Research paper thumbnail of Comparative study of Mifepristone and Ulipristal acetate as Medical management of uterine fibroids in symptomatic patients of reproductive age group

MedPulse International Journal of Gynaecology, 2019

Research paper thumbnail of Evaluate the Direct and Indirect Etiologies of Maternal Mortality: A Retrospective Analysis

International Journal of Medical and Biomedical Studies, 2020

Aim: prevalence and the various direct and indirect etiologies of maternal mortality. Materials a... more Aim: prevalence and the various direct and indirect etiologies of maternal mortality. Materials and Methods: The present 1 years retrospective hospital based study was conducted in the Department of Obstetrics and Gynecology, Jawaharlal Nehru Medical College and Hospital, Bhagalpur,Bihar,India Results: A total of 56 deaths were analyzed. The mortality rate in study period was 333 per 1,00,000 live births. Maximum maternal deaths (60.7%) were reported in the age group 21-25 years. More deaths were reported in multiparous women (67.9%) as compared to primiparous women (32.1%). Most of them were unbooked cases (60%). Hemorrhage (30.4%), eclampsia (16.1%), sepsis (12.5%) and embolism (7.1%) were the major direct causes of maternal death. Anemia (16.1%) was the major indirect cause of death. Conclusions: Hemorrhage is the leading cause of maternal death followed by hypertensive disorders and sepsis. Anemia continues to be the most common indirect cause. Majority of maternal deaths were p...

Research paper thumbnail of Teenage Pregnancy and Its Obstetrics and Neonatal Outcome in Tertiary Care Hospital: An Observational Study

International Journal of Medical and Biomedical Studies, 2020

Aim: to study the effects of teenage pregnancy on obstetrics and neonatal outcome. Materials and ... more Aim: to study the effects of teenage pregnancy on obstetrics and neonatal outcome. Materials and methods: The present prospective comparative interventional study was conducted in the Department of Obstetrics and Gynecology, Jawaharlal Nehru Medical College and Hospital, Bhagalpur, Bihar, India. Total 60 patients were divided in to two groups. Results: Majority of the patients (66.9%) were in the 18-20 years of age group. Pre-eclampsia was observed in 26.7% of the patients who didn’t receive vitamin D supplement whereas the group I which received supplementation showed on pre-eclampsia in 6.7% of the patients (p=0.001). Conclusion: This study concludes that there is significant role of vitamin D supplementation in pregnant women in prevention of pre-eclampsia. Keywords: pre-eclampsia, vitamin D, neonatal outcome, teenage

Research paper thumbnail of Vitamin D Supplementation and Its Effect on Pregnancy Outcome: A Comparative Study

International Journal of Medical and Biomedical Studies, 2020

Aim: to determine the effect of vitamin D supplementation on pregnancy outcome. Materials and met... more Aim: to determine the effect of vitamin D supplementation on pregnancy outcome. Materials and methods: The present prospective comparative interventional study was conducted in the Department of Obstetrics and Gynecology, Jawaharlal Nehru Medical College and Hospital, Bhagalpur,Bihar,India. Total 80 patients were divided in to two groups. Group I (n=40): received only routine iron, folic acid and calcium supplementation (irrespective of vitamin D level). Group II (n=40): vitamin D supplementation (irrespective of vitamin D level) in the form of oral cholecalciferol sachet 60,000IU vitamin D weekly from 10 weeks of pregnancy until delivery along with routine iron, folic acid and calcium supplementation. Results: Pre-eclampsia was observed in 22.5% of the patients who didn’t receive vitamin D supplement whereas the group I which received supplementation showed on pre-eclampsia in 6.7% of the patients (p=0.001). Conclusion: This study concludes that there is significant role of vita...

Research paper thumbnail of Serum Magnesium Levels in Women’s Who Attained Menopause Naturally and Surgically: Analytical Cross Sectional Study

International Journal of Medical and Biomedical Studies, 2020

Aim: Serum magnesium levels in women’s who attained menopause naturally and surgically. Methods: ... more Aim: Serum magnesium levels in women’s who attained menopause naturally and surgically. Methods: The present analytical cross sectional study was conducted on patients (out patients and in patients) in Department of Obstetrics and Gynecology, Jawaharlal Nehru Medical College and Hospital, Bhagalpur, Bihar, India. Group 1 (N=60): Women who had undergone hysterectomy with bilateral salphingoophorectomy at least 6 month ago. Group 2 (N=60): Women who have attained natural menopause at least 1 year ago. Serum magnesium was estimated by magnesium by Xylidyl blue colorimetric assay. Results: In the present study maximum number of the patients 26 (43.3%) were in the age group of 46-50 years for the post surgical menopausal group and in the natural menopausal group maximum number of the patients were in the age group of 51-55 years 23 (38.3%). Maximum numbers of patients are multiparous in both groups. Hypomagnesemia was observed in 29 (48.3%) natural menopausal group and 17 (28.3%) were p...

Research paper thumbnail of To Assess the Maternal Anaemia, Intra-Uterian Growth Restriction and Neonatal Outcome in Tertiary Care Hospital, Bihar

International Journal of Medical and Biomedical Studies, 2020

Aim: To assess the maternal anaemia, intra-uterian growth restriction and neonatal outcome. Mater... more Aim: To assess the maternal anaemia, intra-uterian growth restriction and neonatal outcome. Materials and methods: a prospective, observational study conducted in Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College and Hospital, Bhagalpur, Bihar India. A total of 240 consecutive clinically suspected cases of IUGR with singleton pregnancies at 34-40 weeks of gestation were included in the study. Their socio-demographic profile and hemoglobin levels were recorded. A descriptive analysis of the data was performed. Results: Of 240 study subjects with IUGR at 34-40 weeks, 70.4% were anaemic, (48.8% had mild, 20.8% had moderate, 0.83 % had severe anaemia) while 29.6% were not anaemic. Significantly, the ratio of anaemic to non anaemic in antenatal IUGR pregnancies was 2.48:1. A birth weight of less than 2.5 kgs was recorded in 84% of pregnancies with moderate anaemia and 83.8% pregnancies with mild anaemia. Out of the 240 clinically diagnosed cases of IUGR 71.25% (...

Research paper thumbnail of Comparative study of Mifepristone and Ulipristal acetate as Medical management of uterine fibroids in symptomatic patients of reproductive age group

MedPulse International Journal of Gynaecology, 2019

Research paper thumbnail of Evaluate the Direct and Indirect Etiologies of Maternal Mortality: A Retrospective Analysis

International Journal of Medical and Biomedical Studies, 2020

Aim: prevalence and the various direct and indirect etiologies of maternal mortality. Materials a... more Aim: prevalence and the various direct and indirect etiologies of maternal mortality. Materials and Methods: The present 1 years retrospective hospital based study was conducted in the Department of Obstetrics and Gynecology, Jawaharlal Nehru Medical College and Hospital, Bhagalpur,Bihar,India Results: A total of 56 deaths were analyzed. The mortality rate in study period was 333 per 1,00,000 live births. Maximum maternal deaths (60.7%) were reported in the age group 21-25 years. More deaths were reported in multiparous women (67.9%) as compared to primiparous women (32.1%). Most of them were unbooked cases (60%). Hemorrhage (30.4%), eclampsia (16.1%), sepsis (12.5%) and embolism (7.1%) were the major direct causes of maternal death. Anemia (16.1%) was the major indirect cause of death. Conclusions: Hemorrhage is the leading cause of maternal death followed by hypertensive disorders and sepsis. Anemia continues to be the most common indirect cause. Majority of maternal deaths were p...

Research paper thumbnail of Teenage Pregnancy and Its Obstetrics and Neonatal Outcome in Tertiary Care Hospital: An Observational Study

International Journal of Medical and Biomedical Studies, 2020

Aim: to study the effects of teenage pregnancy on obstetrics and neonatal outcome. Materials and ... more Aim: to study the effects of teenage pregnancy on obstetrics and neonatal outcome. Materials and methods: The present prospective comparative interventional study was conducted in the Department of Obstetrics and Gynecology, Jawaharlal Nehru Medical College and Hospital, Bhagalpur, Bihar, India. Total 60 patients were divided in to two groups. Results: Majority of the patients (66.9%) were in the 18-20 years of age group. Pre-eclampsia was observed in 26.7% of the patients who didn’t receive vitamin D supplement whereas the group I which received supplementation showed on pre-eclampsia in 6.7% of the patients (p=0.001). Conclusion: This study concludes that there is significant role of vitamin D supplementation in pregnant women in prevention of pre-eclampsia. Keywords: pre-eclampsia, vitamin D, neonatal outcome, teenage

Research paper thumbnail of Vitamin D Supplementation and Its Effect on Pregnancy Outcome: A Comparative Study

International Journal of Medical and Biomedical Studies, 2020

Aim: to determine the effect of vitamin D supplementation on pregnancy outcome. Materials and met... more Aim: to determine the effect of vitamin D supplementation on pregnancy outcome. Materials and methods: The present prospective comparative interventional study was conducted in the Department of Obstetrics and Gynecology, Jawaharlal Nehru Medical College and Hospital, Bhagalpur,Bihar,India. Total 80 patients were divided in to two groups. Group I (n=40): received only routine iron, folic acid and calcium supplementation (irrespective of vitamin D level). Group II (n=40): vitamin D supplementation (irrespective of vitamin D level) in the form of oral cholecalciferol sachet 60,000IU vitamin D weekly from 10 weeks of pregnancy until delivery along with routine iron, folic acid and calcium supplementation. Results: Pre-eclampsia was observed in 22.5% of the patients who didn’t receive vitamin D supplement whereas the group I which received supplementation showed on pre-eclampsia in 6.7% of the patients (p=0.001). Conclusion: This study concludes that there is significant role of vita...

Research paper thumbnail of Serum Magnesium Levels in Women’s Who Attained Menopause Naturally and Surgically: Analytical Cross Sectional Study

International Journal of Medical and Biomedical Studies, 2020

Aim: Serum magnesium levels in women’s who attained menopause naturally and surgically. Methods: ... more Aim: Serum magnesium levels in women’s who attained menopause naturally and surgically. Methods: The present analytical cross sectional study was conducted on patients (out patients and in patients) in Department of Obstetrics and Gynecology, Jawaharlal Nehru Medical College and Hospital, Bhagalpur, Bihar, India. Group 1 (N=60): Women who had undergone hysterectomy with bilateral salphingoophorectomy at least 6 month ago. Group 2 (N=60): Women who have attained natural menopause at least 1 year ago. Serum magnesium was estimated by magnesium by Xylidyl blue colorimetric assay. Results: In the present study maximum number of the patients 26 (43.3%) were in the age group of 46-50 years for the post surgical menopausal group and in the natural menopausal group maximum number of the patients were in the age group of 51-55 years 23 (38.3%). Maximum numbers of patients are multiparous in both groups. Hypomagnesemia was observed in 29 (48.3%) natural menopausal group and 17 (28.3%) were p...

Research paper thumbnail of To Assess the Maternal Anaemia, Intra-Uterian Growth Restriction and Neonatal Outcome in Tertiary Care Hospital, Bihar

International Journal of Medical and Biomedical Studies, 2020

Aim: To assess the maternal anaemia, intra-uterian growth restriction and neonatal outcome. Mater... more Aim: To assess the maternal anaemia, intra-uterian growth restriction and neonatal outcome. Materials and methods: a prospective, observational study conducted in Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College and Hospital, Bhagalpur, Bihar India. A total of 240 consecutive clinically suspected cases of IUGR with singleton pregnancies at 34-40 weeks of gestation were included in the study. Their socio-demographic profile and hemoglobin levels were recorded. A descriptive analysis of the data was performed. Results: Of 240 study subjects with IUGR at 34-40 weeks, 70.4% were anaemic, (48.8% had mild, 20.8% had moderate, 0.83 % had severe anaemia) while 29.6% were not anaemic. Significantly, the ratio of anaemic to non anaemic in antenatal IUGR pregnancies was 2.48:1. A birth weight of less than 2.5 kgs was recorded in 84% of pregnancies with moderate anaemia and 83.8% pregnancies with mild anaemia. Out of the 240 clinically diagnosed cases of IUGR 71.25% (...