Suyajna Joshi | Rajiv Gandhi University of Health Sciences (original) (raw)

Papers by Suyajna Joshi

International journal of reproduction, contraception, obstetrics and gynecology, 2016

Background: Iron deficiency is the commonest treatable cause of postpartum anemia. Parenteral iro... more Background: Iron deficiency is the commonest treatable cause of postpartum anemia. Parenteral iron therapy results faster and higher replenishment of iron stores and correction of Hb levels with better compliance. The study was to compare the safety and efficacy of ferric carboxy maltose (FCM) with iron sucrose to treat iron deficiency anemia in the post-partum. Methods: 200 women of postpartum iron deficiency anemia were allocated into two groups. Iron sucrose group, subjects were given I.V. iron sucrose in multiple doses, 200 mg/day on day 0,2,4,6,8 total of 1000 mg. FCM group , subjects were given I.V. ferric carboxymaltose 1000 mg single dose. Both groups Hb%, and serum ferritin were done on 0 and day 30 of last dose of parenteral iron. Side effects, compliance were noted. Results: There was statistically significant rise (P <0.001) of Hb in FCM group 4.68 g/dl compare to iron sucrose group 3.92 g/dl. Mean rise of serum ferritin was 71.07±27.23 and 95.39±45.84 in iron sucrose and ferric carboxy maltose group. No serious adverse events were reported in either the FCM group or Iron sucrose group. Conclusions: Properties like ultra-short duration of treatment, fewer adverse reactions and better compliance makes FCM the first-line drug in the management of postpartum iron deficiency anemia.

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Background: A three wave pattern of corona virus has been seen in many countries during the 2020 ... more Background: A three wave pattern of corona virus has been seen in many countries during the 2020 pandemic. Observed data show that the effects of the virus do vary between the three waves. Differences in severity of the disease have been reported, although the comparative characteristics of the three waves still remain largely unknown.Methods: This was a prospective cross sectional study continuation of our first paper comparing 133 pregnant COVID- 19 positive patients in the first wave and 251 patients admitted during second wave and 92 patients in third wave who delivered at district hospital, Bellary.Results: In the present study 72.8% patients were in the age of 20-30 years, 85.87% patients belong to lower socio- economic status, mild anaemia about 32.6% in third wave, moderate anaemia seen in 10.8% in third wave, and 3.44% had severe anaemia. Non-severe pre-eclampsia was present in 10.8% of the patients, severe pre-eclampsia was seen in 6.52% of the cases and. Mode of delivery ...

International Journal of Reproduction, Contraception, Obstetrics and Gynecology Joshi SD et al. Int J Reprod Contracept Obstet Gynecol. 2023 Jan;12(1):164-169 www.ijrcog.org, 2023

Background: A three wave pattern of corona virus has been seen in many countries during the 2020 ... more Background: A three wave pattern of corona virus has been seen in many countries during the 2020 pandemic. Observed data show that the effects of the virus do vary between the three waves. Differences in severity of the disease have been reported, although the comparative characteristics of the three waves still remain largely unknown. Methods: This was a prospective cross sectional study continuation of our first paper comparing 133 pregnant COVID-19 positive patients in the first wave and 251 patients admitted during second wave and 92 patients in third wave who delivered at district hospital, Bellary. Results: In the present study 72.8% patients were in the age of 20-30 years, 85.87% patients belong to lower socioeconomic status, mild anaemia about 32.6% in third wave, moderate anaemia seen in 10.8% in third wave, and 3.44% had severe anaemia. Non-severe pre-eclampsia was present in 10.8% of the patients, severe pre-eclampsia was seen in 6.52% of the cases and. Mode of delivery was 29.34% FTND, 3.26% FTVD emergency LSCS was 63.06% in third wave, and preterm delivery was seen in 4.34% in third wave. Elevated levels of D-dimer were found 25% in third wave. 0 deaths being reported in third wave. Conclusions: This study compared the obstetric and clinical outcome in COVID-19 positive patients who are in labor in first, second, and third wave of COVID-19 infection. Although our conclusions are limited, the finding so obtained are important for understanding the clinical parameters, obstetric parameters and perinatal outcome in three waves.

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021

One of the known complications after caesarean delivery is uterine caesarean scar defect or isthm... more One of the known complications after caesarean delivery is uterine caesarean scar defect or isthmocele. Isthmocele is usually asymptomatic or may cause gynecological problems, such as menometrorrhagia, infertility, chronic abdominal/pelvic pain. Isthmocele may cause obstetrical sequalae like preterm delivery, uterine rupture, caesarean scar pregnancy or abnormal placental implantation. In the present case report, asymptomatic patient underwent laparoscopic surgery for isthmocele repair after shared decision-making and medical treatment have been evaluated. We suggested that isthmoplasty should be offered to women with symptoms or if it is causing infertility.

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021

Background: A two wave pattern has been seen in many countries in reported cases of corona virus ... more Background: A two wave pattern has been seen in many countries in reported cases of corona virus disease-19 during the 2020 pandemic. Observed data show that the effects of the virus do vary between the two periods. Differences in severity of the disease have been reported, although the comparative characteristics of the two waves still remain largely unknown.Methods: This was a prospective cross sectional study continuation of our first paper comparing 133 pregnant COVID-19 positive patients delivered at District Hospital, Bellary, in the first wave and 251 patients admitted during second wave.Results: In the present study 87.9% patients were in the age of 20-30 years, 90% patients belong to lower socio-economic status, mild anemia about 27.4% in second wave, moderate anemia seen in 16.7% in second wave, and 10.35% had severe anemia. Non-severe pre-eclampsia was present in 18.72% of the patients, severe pre-eclampsia was seen in 9.94% of the cases and 01.59% had gestational hyperte...

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021

Background: To identify the frequency of meconium aspiration syndrome among the total births who ... more Background: To identify the frequency of meconium aspiration syndrome among the total births who suffered from meconium staining of amniotic fluid, to find out risk factors during pregnancy, therapies and various complications associated with this condition and their effects on perinatal outcome.Methods: This was a retrospective study of 252 antenatal patients delivered at Department of DNB-OBG District hospital Bellary during the year January 2019 to December 2019 with gestational age between 37-40 weeks with singleton pregnancies and cephalic presentation were included in the study.Results: The Caesarean section rate for fetal distress was 96.6% in patients with meconium stained amniotic fluid (MSAF). Meconium aspiration syndrome (MAS) was found in3.93% babies. APGAR score at 1 minute <7 was found in 25 cases (9.84%).Conclusions: Meconium stained amniotic fluid is associated with increased need for neonatal resuscitation, increased risk of birth asphyxia, meconium aspiration sy...

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021

Background: This study is conducted to see the effects of oligohydramnios on both mother and fetu... more Background: This study is conducted to see the effects of oligohydramnios on both mother and fetus.Methods: 237 antenatal patients delivered at Department of DNB-OBG District hospital Bellari during January 2018 to December 2018 with gestational age between 37-40wks with AFI<5cms with intact membranes were studied and analyzed retrospectively for perinatal and maternal outcome.Results: Out of 237 cases with oligohydramnios with AFI <5cm studied, about 229 cases underwent LSCS (96.6%). most are primigravida about 164(69.19%), belong to age group of <25 about 181(76%). Average gestational age noted to be 38+4 weeks about 55.9% (132), NICU admission seen in 47(19.8%) of total cases. Most of the babies delivered are >2.5 kg birth weight about 144 (60.75%) of cases. New born with APGAR <7 @ 1 min seen in 36 cases (15.15%). Meconeum stained liquor seen in about 70 cases (29.5%).Conclusions: Oligohydramnios has significant correlation with increased Caesarean section for fe...

Indian Journal of Thoracic and Cardiovascular Surgery, 2020

Journal of clinical and diagnostic research : JCDR, 2013

To determine the efficacy and the safety of the single dose MgSo4 ('VIMS') regimen in tre... more To determine the efficacy and the safety of the single dose MgSo4 ('VIMS') regimen in treating eclamptic seizures and their effect on the maternal and foetal outcomes. A prospective, observational study was conducted in the period from 2003 to 2007. 513 eclamptic women who were admitted to the Dept of OBG, VIMS, Bellary, received single doses of 4g diluted 50% Mgso4 intravenously, with simultaneous 4g 50% MgSo4 intramuscularly. The recurrent seizures, maternal mortality and the perinatal mortality were measured. 9.16% of recurrence (11.66%-16.49%), 3.3% of maternal mortality (1.8%-4.9%) and 24.8 % ( 21.1%-28.7%) of perinatal mortality were observed. The statistical analysis was done by using confidence intervals, standard deviations, means and the Standard normal "Z" test. The single dose MgSo4 regimen is effective and safe in controlling eclamptic convulsions. The 'VIMS' regimen can be used at First Referral Units, before shifting the patients to tertiary ...

Indian Journal of Public Health Research & Development, 2013

Tuberous sclerosis (TSC) is a rare genetic disease that causes benign tumors to grow in the brain... more Tuberous sclerosis (TSC) is a rare genetic disease that causes benign tumors to grow in the brain and on other vital organs. It commonly affects the central nervous system (CNS). In addition to the benign tumors that frequently occur in TSC, other common symptoms include seizures, mental retardation, behavioral problems and skin abnormalities. TSC may present at birth, but signs can be subtle and full symptoms may take some time to develop. Definitive antenatal diagnosis is very rare.

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2014

The patient is a 25-year-old infertile lady presented to our hospital with primary infertility fo... more The patient is a 25-year-old infertile lady presented to our hospital with primary infertility for 10-years. Her general physical and systemic examinations were with in normal limits. Hysterosalpingogram (HSG) showed right fimbrial block [Table/Fig-1]. Ultrasound examination of the abdomen and pelvis was normal and follicular study was suggestive of ovulation.

Journal of Cardiothoracic Anesthesia, 1989

Background: Iron deficiency is the commonest treatable cause of postpartum anemia. Parenteral iro... more Background: Iron deficiency is the commonest treatable cause of postpartum anemia. Parenteral iron therapy results faster and higher replenishment of iron stores and correction of Hb levels with better compliance. The study was to compare the safety and efficacy of ferric carboxy maltose (FCM) with iron sucrose to treat iron deficiency anemia in the post-partum. Methods: 200 women of postpartum iron deficiency anemia were allocated into two groups. Iron sucrose group, subjects were given I.V. iron sucrose in multiple doses, 200 mg/day on day 0,2,4,6,8 total of 1000 mg. FCM group , subjects were given I.V. ferric carboxymaltose 1000 mg single dose. Both groups Hb%, and serum ferritin were done on 0 and day 30 of last dose of parenteral iron. Side effects, compliance were noted. Results: There was statistically significant rise (P <0.001) of Hb in FCM group 4.68 g/dl compare to iron sucrose group 3.92 g/dl. Mean rise of serum ferritin was 71.07±27.23 and 95.39±45.84 in iron sucrose and ferric carboxy maltose group. No serious adverse events were reported in either the FCM group or Iron sucrose group. Conclusions: Properties like ultra-short duration of treatment, fewer adverse reactions and better compliance makes FCM the first-line drug in the management of postpartum iron deficiency anemia.

J Obstet Gynaecol India, 2006

Paper received on 03/12/2003 ; accepted on 25/05/2004 Correspondence : Dr. Suyajna D Joshi Geetha... more Paper received on 03/12/2003 ; accepted on 25/05/2004 Correspondence : Dr. Suyajna D Joshi Geetha Nursing Home, KC Road, Bellary 531 101. Tel. 08392 - (O) 274844 (R) 274342 Email: suyajna@yahoo.com ... J Obstet Gynecol India Vol. 56, No. 2 : March/April 2006 ...

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021

Background: Current study was conducted to determine the incidence of caesarean sections in primi... more Background: Current study was conducted to determine the incidence of caesarean sections in primigravida.Methods: A total number of 1698 primigravidas were admitted in the department of DNB district hospital Ballari, out of which 501 primigravidas who underwent caesarean section were included in the study.Results: Caesarean section rate in primigravida was observed to be 29.5%, 55% of women were from rural areas and 45% from urban areas, 69.9% women belonged to lower class 31.1% belonged to upper middle class, 25% were illiterate while 75% were literate.Conclusions: Meta-analysis suggests that the occurrence of pregnancy complications differ according to fetal sex with a higher cardiovascular and metabolic load for the mother in the presence of a male fetus.

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021

Background: The use of anti-fibrinolytic therapy has potential to reduce obstetric blood loss due... more Background: The use of anti-fibrinolytic therapy has potential to reduce obstetric blood loss due to profound changes that take place in the fibrinolytic system during normal childbirth. Objective was to evaluate the efficacy of tranexamic acid in reducing postpartum hemorrhage (PPH) during normal labour.Methods: Patients who planned for normal delivery and fulfilling the inclusion criteria were recruited for the study. The pre-delivery parameters -pulse rate, blood pressure, Hb gm% and PCV% were measured for each patient. The study group received injection oxytocin (10 IU) and injection tranexamic acid (500 mg) slow intravenous route. The control group received injection oxytocin (10 IU) and placebo injection. Immediately after delivery of the anterior shoulder of the baby, when all the liquor was drained, Brasse-V drape is placed under the patient. Then the patient was given pre-weighed pads, which were weighed 2 hours post-partum. Final blood loss was calculated by combining amou...

One of the known complications after caesarean delivery is uterine caesarean scar defect or isthm... more One of the known complications after caesarean delivery is uterine caesarean scar defect or isthmocele. Isthmocele is usually asymptomatic or may cause gynecological problems, such as menometrorrhagia, infertility, chronic abdominal/pelvic pain. Isthmocele may cause obstetrical sequalae like preterm delivery, uterine rupture, caesarean scar pregnancy or abnormal placental implantation. In the present case report, asymptomatic patient underwent laparoscopic surgery for isthmocele repair after shared decision-making and medical treatment have been evaluated. We suggested that isthmoplasty should be offered to women with symptoms or if it is causing infertility.

Background: Current study was conducted to determine the incidence of caesarean sections in primi... more Background: Current study was conducted to determine the incidence of caesarean sections in primigravida. Methods: A total number of 1698 primigravidas were admitted in the department of DNB district hospital Ballari, out of which 501 primigravidas who underwent caesarean section were included in the study. Results: Caesarean section rate in primigravida was observed to be 29.5%, 55% of women were from rural areas and 45% from urban areas, 69.9% women belonged to lower class 31.1% belonged to upper middle class, 25% were illiterate while 75% were literate. Conclusions: Meta-analysis suggests that the occurrence of pregnancy complications differ according to fetal sex with a higher cardiovascular and metabolic load for the mother in the presence of a male fetus.

International journal of reproduction, contraception, obstetrics and gynecology, 2016

Background: Iron deficiency is the commonest treatable cause of postpartum anemia. Parenteral iro... more Background: Iron deficiency is the commonest treatable cause of postpartum anemia. Parenteral iron therapy results faster and higher replenishment of iron stores and correction of Hb levels with better compliance. The study was to compare the safety and efficacy of ferric carboxy maltose (FCM) with iron sucrose to treat iron deficiency anemia in the post-partum. Methods: 200 women of postpartum iron deficiency anemia were allocated into two groups. Iron sucrose group, subjects were given I.V. iron sucrose in multiple doses, 200 mg/day on day 0,2,4,6,8 total of 1000 mg. FCM group , subjects were given I.V. ferric carboxymaltose 1000 mg single dose. Both groups Hb%, and serum ferritin were done on 0 and day 30 of last dose of parenteral iron. Side effects, compliance were noted. Results: There was statistically significant rise (P <0.001) of Hb in FCM group 4.68 g/dl compare to iron sucrose group 3.92 g/dl. Mean rise of serum ferritin was 71.07±27.23 and 95.39±45.84 in iron sucrose and ferric carboxy maltose group. No serious adverse events were reported in either the FCM group or Iron sucrose group. Conclusions: Properties like ultra-short duration of treatment, fewer adverse reactions and better compliance makes FCM the first-line drug in the management of postpartum iron deficiency anemia.

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Background: A three wave pattern of corona virus has been seen in many countries during the 2020 ... more Background: A three wave pattern of corona virus has been seen in many countries during the 2020 pandemic. Observed data show that the effects of the virus do vary between the three waves. Differences in severity of the disease have been reported, although the comparative characteristics of the three waves still remain largely unknown.Methods: This was a prospective cross sectional study continuation of our first paper comparing 133 pregnant COVID- 19 positive patients in the first wave and 251 patients admitted during second wave and 92 patients in third wave who delivered at district hospital, Bellary.Results: In the present study 72.8% patients were in the age of 20-30 years, 85.87% patients belong to lower socio- economic status, mild anaemia about 32.6% in third wave, moderate anaemia seen in 10.8% in third wave, and 3.44% had severe anaemia. Non-severe pre-eclampsia was present in 10.8% of the patients, severe pre-eclampsia was seen in 6.52% of the cases and. Mode of delivery ...

International Journal of Reproduction, Contraception, Obstetrics and Gynecology Joshi SD et al. Int J Reprod Contracept Obstet Gynecol. 2023 Jan;12(1):164-169 www.ijrcog.org, 2023

Background: A three wave pattern of corona virus has been seen in many countries during the 2020 ... more Background: A three wave pattern of corona virus has been seen in many countries during the 2020 pandemic. Observed data show that the effects of the virus do vary between the three waves. Differences in severity of the disease have been reported, although the comparative characteristics of the three waves still remain largely unknown. Methods: This was a prospective cross sectional study continuation of our first paper comparing 133 pregnant COVID-19 positive patients in the first wave and 251 patients admitted during second wave and 92 patients in third wave who delivered at district hospital, Bellary. Results: In the present study 72.8% patients were in the age of 20-30 years, 85.87% patients belong to lower socioeconomic status, mild anaemia about 32.6% in third wave, moderate anaemia seen in 10.8% in third wave, and 3.44% had severe anaemia. Non-severe pre-eclampsia was present in 10.8% of the patients, severe pre-eclampsia was seen in 6.52% of the cases and. Mode of delivery was 29.34% FTND, 3.26% FTVD emergency LSCS was 63.06% in third wave, and preterm delivery was seen in 4.34% in third wave. Elevated levels of D-dimer were found 25% in third wave. 0 deaths being reported in third wave. Conclusions: This study compared the obstetric and clinical outcome in COVID-19 positive patients who are in labor in first, second, and third wave of COVID-19 infection. Although our conclusions are limited, the finding so obtained are important for understanding the clinical parameters, obstetric parameters and perinatal outcome in three waves.

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021

One of the known complications after caesarean delivery is uterine caesarean scar defect or isthm... more One of the known complications after caesarean delivery is uterine caesarean scar defect or isthmocele. Isthmocele is usually asymptomatic or may cause gynecological problems, such as menometrorrhagia, infertility, chronic abdominal/pelvic pain. Isthmocele may cause obstetrical sequalae like preterm delivery, uterine rupture, caesarean scar pregnancy or abnormal placental implantation. In the present case report, asymptomatic patient underwent laparoscopic surgery for isthmocele repair after shared decision-making and medical treatment have been evaluated. We suggested that isthmoplasty should be offered to women with symptoms or if it is causing infertility.

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021

Background: A two wave pattern has been seen in many countries in reported cases of corona virus ... more Background: A two wave pattern has been seen in many countries in reported cases of corona virus disease-19 during the 2020 pandemic. Observed data show that the effects of the virus do vary between the two periods. Differences in severity of the disease have been reported, although the comparative characteristics of the two waves still remain largely unknown.Methods: This was a prospective cross sectional study continuation of our first paper comparing 133 pregnant COVID-19 positive patients delivered at District Hospital, Bellary, in the first wave and 251 patients admitted during second wave.Results: In the present study 87.9% patients were in the age of 20-30 years, 90% patients belong to lower socio-economic status, mild anemia about 27.4% in second wave, moderate anemia seen in 16.7% in second wave, and 10.35% had severe anemia. Non-severe pre-eclampsia was present in 18.72% of the patients, severe pre-eclampsia was seen in 9.94% of the cases and 01.59% had gestational hyperte...

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021

Background: To identify the frequency of meconium aspiration syndrome among the total births who ... more Background: To identify the frequency of meconium aspiration syndrome among the total births who suffered from meconium staining of amniotic fluid, to find out risk factors during pregnancy, therapies and various complications associated with this condition and their effects on perinatal outcome.Methods: This was a retrospective study of 252 antenatal patients delivered at Department of DNB-OBG District hospital Bellary during the year January 2019 to December 2019 with gestational age between 37-40 weeks with singleton pregnancies and cephalic presentation were included in the study.Results: The Caesarean section rate for fetal distress was 96.6% in patients with meconium stained amniotic fluid (MSAF). Meconium aspiration syndrome (MAS) was found in3.93% babies. APGAR score at 1 minute <7 was found in 25 cases (9.84%).Conclusions: Meconium stained amniotic fluid is associated with increased need for neonatal resuscitation, increased risk of birth asphyxia, meconium aspiration sy...

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021

Background: This study is conducted to see the effects of oligohydramnios on both mother and fetu... more Background: This study is conducted to see the effects of oligohydramnios on both mother and fetus.Methods: 237 antenatal patients delivered at Department of DNB-OBG District hospital Bellari during January 2018 to December 2018 with gestational age between 37-40wks with AFI<5cms with intact membranes were studied and analyzed retrospectively for perinatal and maternal outcome.Results: Out of 237 cases with oligohydramnios with AFI <5cm studied, about 229 cases underwent LSCS (96.6%). most are primigravida about 164(69.19%), belong to age group of <25 about 181(76%). Average gestational age noted to be 38+4 weeks about 55.9% (132), NICU admission seen in 47(19.8%) of total cases. Most of the babies delivered are >2.5 kg birth weight about 144 (60.75%) of cases. New born with APGAR <7 @ 1 min seen in 36 cases (15.15%). Meconeum stained liquor seen in about 70 cases (29.5%).Conclusions: Oligohydramnios has significant correlation with increased Caesarean section for fe...

Indian Journal of Thoracic and Cardiovascular Surgery, 2020

Journal of clinical and diagnostic research : JCDR, 2013

To determine the efficacy and the safety of the single dose MgSo4 ('VIMS') regimen in tre... more To determine the efficacy and the safety of the single dose MgSo4 ('VIMS') regimen in treating eclamptic seizures and their effect on the maternal and foetal outcomes. A prospective, observational study was conducted in the period from 2003 to 2007. 513 eclamptic women who were admitted to the Dept of OBG, VIMS, Bellary, received single doses of 4g diluted 50% Mgso4 intravenously, with simultaneous 4g 50% MgSo4 intramuscularly. The recurrent seizures, maternal mortality and the perinatal mortality were measured. 9.16% of recurrence (11.66%-16.49%), 3.3% of maternal mortality (1.8%-4.9%) and 24.8 % ( 21.1%-28.7%) of perinatal mortality were observed. The statistical analysis was done by using confidence intervals, standard deviations, means and the Standard normal "Z" test. The single dose MgSo4 regimen is effective and safe in controlling eclamptic convulsions. The 'VIMS' regimen can be used at First Referral Units, before shifting the patients to tertiary ...

Indian Journal of Public Health Research & Development, 2013

Tuberous sclerosis (TSC) is a rare genetic disease that causes benign tumors to grow in the brain... more Tuberous sclerosis (TSC) is a rare genetic disease that causes benign tumors to grow in the brain and on other vital organs. It commonly affects the central nervous system (CNS). In addition to the benign tumors that frequently occur in TSC, other common symptoms include seizures, mental retardation, behavioral problems and skin abnormalities. TSC may present at birth, but signs can be subtle and full symptoms may take some time to develop. Definitive antenatal diagnosis is very rare.

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2014

The patient is a 25-year-old infertile lady presented to our hospital with primary infertility fo... more The patient is a 25-year-old infertile lady presented to our hospital with primary infertility for 10-years. Her general physical and systemic examinations were with in normal limits. Hysterosalpingogram (HSG) showed right fimbrial block [Table/Fig-1]. Ultrasound examination of the abdomen and pelvis was normal and follicular study was suggestive of ovulation.

Journal of Cardiothoracic Anesthesia, 1989

Background: Iron deficiency is the commonest treatable cause of postpartum anemia. Parenteral iro... more Background: Iron deficiency is the commonest treatable cause of postpartum anemia. Parenteral iron therapy results faster and higher replenishment of iron stores and correction of Hb levels with better compliance. The study was to compare the safety and efficacy of ferric carboxy maltose (FCM) with iron sucrose to treat iron deficiency anemia in the post-partum. Methods: 200 women of postpartum iron deficiency anemia were allocated into two groups. Iron sucrose group, subjects were given I.V. iron sucrose in multiple doses, 200 mg/day on day 0,2,4,6,8 total of 1000 mg. FCM group , subjects were given I.V. ferric carboxymaltose 1000 mg single dose. Both groups Hb%, and serum ferritin were done on 0 and day 30 of last dose of parenteral iron. Side effects, compliance were noted. Results: There was statistically significant rise (P <0.001) of Hb in FCM group 4.68 g/dl compare to iron sucrose group 3.92 g/dl. Mean rise of serum ferritin was 71.07±27.23 and 95.39±45.84 in iron sucrose and ferric carboxy maltose group. No serious adverse events were reported in either the FCM group or Iron sucrose group. Conclusions: Properties like ultra-short duration of treatment, fewer adverse reactions and better compliance makes FCM the first-line drug in the management of postpartum iron deficiency anemia.

J Obstet Gynaecol India, 2006

Paper received on 03/12/2003 ; accepted on 25/05/2004 Correspondence : Dr. Suyajna D Joshi Geetha... more Paper received on 03/12/2003 ; accepted on 25/05/2004 Correspondence : Dr. Suyajna D Joshi Geetha Nursing Home, KC Road, Bellary 531 101. Tel. 08392 - (O) 274844 (R) 274342 Email: suyajna@yahoo.com ... J Obstet Gynecol India Vol. 56, No. 2 : March/April 2006 ...

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021

Background: Current study was conducted to determine the incidence of caesarean sections in primi... more Background: Current study was conducted to determine the incidence of caesarean sections in primigravida.Methods: A total number of 1698 primigravidas were admitted in the department of DNB district hospital Ballari, out of which 501 primigravidas who underwent caesarean section were included in the study.Results: Caesarean section rate in primigravida was observed to be 29.5%, 55% of women were from rural areas and 45% from urban areas, 69.9% women belonged to lower class 31.1% belonged to upper middle class, 25% were illiterate while 75% were literate.Conclusions: Meta-analysis suggests that the occurrence of pregnancy complications differ according to fetal sex with a higher cardiovascular and metabolic load for the mother in the presence of a male fetus.

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021

Background: The use of anti-fibrinolytic therapy has potential to reduce obstetric blood loss due... more Background: The use of anti-fibrinolytic therapy has potential to reduce obstetric blood loss due to profound changes that take place in the fibrinolytic system during normal childbirth. Objective was to evaluate the efficacy of tranexamic acid in reducing postpartum hemorrhage (PPH) during normal labour.Methods: Patients who planned for normal delivery and fulfilling the inclusion criteria were recruited for the study. The pre-delivery parameters -pulse rate, blood pressure, Hb gm% and PCV% were measured for each patient. The study group received injection oxytocin (10 IU) and injection tranexamic acid (500 mg) slow intravenous route. The control group received injection oxytocin (10 IU) and placebo injection. Immediately after delivery of the anterior shoulder of the baby, when all the liquor was drained, Brasse-V drape is placed under the patient. Then the patient was given pre-weighed pads, which were weighed 2 hours post-partum. Final blood loss was calculated by combining amou...

One of the known complications after caesarean delivery is uterine caesarean scar defect or isthm... more One of the known complications after caesarean delivery is uterine caesarean scar defect or isthmocele. Isthmocele is usually asymptomatic or may cause gynecological problems, such as menometrorrhagia, infertility, chronic abdominal/pelvic pain. Isthmocele may cause obstetrical sequalae like preterm delivery, uterine rupture, caesarean scar pregnancy or abnormal placental implantation. In the present case report, asymptomatic patient underwent laparoscopic surgery for isthmocele repair after shared decision-making and medical treatment have been evaluated. We suggested that isthmoplasty should be offered to women with symptoms or if it is causing infertility.

Background: Current study was conducted to determine the incidence of caesarean sections in primi... more Background: Current study was conducted to determine the incidence of caesarean sections in primigravida. Methods: A total number of 1698 primigravidas were admitted in the department of DNB district hospital Ballari, out of which 501 primigravidas who underwent caesarean section were included in the study. Results: Caesarean section rate in primigravida was observed to be 29.5%, 55% of women were from rural areas and 45% from urban areas, 69.9% women belonged to lower class 31.1% belonged to upper middle class, 25% were illiterate while 75% were literate. Conclusions: Meta-analysis suggests that the occurrence of pregnancy complications differ according to fetal sex with a higher cardiovascular and metabolic load for the mother in the presence of a male fetus.