Skip to main content

AMRITA GAURAV

Followers

10

Following

2

Co-author

1

Public Views

Daniel D. Hutto

University of Wollongong

The University of Texas at Austin

University of California, Santa Barbara

University of British Columbia

Shaun Gallagher

University of Memphis

Oytun Okan Şenel

Ankara University

Dr Noore Alam Tufani

Sher-e-Kashmir University of Agricultural Sciences and Technology (SKUAST)

Abdulrahman Bello (DVM, MSc, PhD)

Usmanu Danfodio University, Sokoto

Guilherme Moerbeck

UERJ - Universidade do Estado do Rio de Janeiro / Rio de Janeiro State University

Ihsanul Firdaus

Universitas Udayana

Interests

Uploads

Papers by AMRITA GAURAV

Endometrial Biopsy for Histological Endometrial Maturation Should Not Be Performed in the Initial Evaluation of Infertility

SN Comprehensive Clinical Medicine, May 20, 2023

Comparison of extra-peritoneal cesarean section with conventional trans-peritoneal cesarean section: An open label randomized controlled trial

European Journal Of Obstetrics & Gynecology And Reproductive Biology: X, Sep 1, 2023

Comparison of vaginoscopic hysteroscopy and traditional hysteroscopy: A systematic review and meta‐analysis

International journal of gynaecology and obstetrics, Jun 12, 2023

A Rare Case of Primary Ovarian Lymphoma—A Diagnostic Dilemma

Indian Journal of Gynecologic Oncology

“See and Treat” an Advocated Approach for Precancerous Lesions of the Cervix- A North Indian Referral Center Based Randomized Control Trial

Asian Pacific journal of cancer biology, Aug 21, 2022

Cervical cancer is the 4 th most common cancer in women with an estimated 570,000 new cases and 3... more Cervical cancer is the 4 th most common cancer in women with an estimated 570,000 new cases and 311,000 deaths in 2018 representing 6.6% of all female cancers. India and China together contribute more than a third of this global cervical burden, with 97000 cases and 60000 deaths in India in 2018 [1]. When diagnosed, cervical cancer is one of the most successfully treatable

Bilateral mucinous ovarian carcinoma in a young female with tumor weighing 41.1 kg

Journal of family medicine and primary care, 2022

Partial Mole versus Hydropic Abortus: A Report of Two Cases

Asian Journal of Case Reports in Surgery, Jan 27, 2021

Outcomes of gynecologic cancer surgery during the COVID-19 pandemic: an international, multicenter, prospective CovidSurg-Gynecologic Oncology Cancer study

American Journal of Obstetrics and Gynecology

EP410/#198 Stratified who risk score and chemotherapy response in gestational trophoblastic neoplasia

E-Posters

patients had choriocarcinoma. An informed consent questionnaire was analysed. The questionnaire i... more patients had choriocarcinoma. An informed consent questionnaire was analysed. The questionnaire included patient data, demographic data, socioeconomic information andinformation on the patient's current condition, information on the reasons for treatment delay, medical history and patient health awareness. Results The most common reasons for delaying treatment were: after the curettage they didn't explain what to do next, which specialist to contact-64%, the patient's opinion that it was just a miscarriage-49%, lack of money-34%, there were no available places in hospital-39%, did not want the family to know about the recommended chemotherapy-38%, family problems-47%. History and psychological aspects: in 63% of cases women did not share their problem with others; fear of infertility after chemotherapy was the reason for delaying chemotherapy in 58% of cases. Conclusions Psycho-emotional factors are of considerable importance in the full diagnosis and adequate treatment of HTD. Monitoring principles for women after evacuation of a HM should be standardized. Further research on the epidemiology of HTD in Uzbekistan is needed. There are no unified surveillance centers for this disease.

Idiopathic chronic granulomatous vulvitis and related diagnostic and treatment conundrum

BMJ Case Reports

Three years ago, a woman in her late 30s presented with huge masses in the lower genital tract re... more Three years ago, a woman in her late 30s presented with huge masses in the lower genital tract region, including bilateral labia majora, labia minora and the gluteal region. The patient had had many antimicrobial, antiprotozoal, steroid and topical antibiotic treatments. The patient was misdiagnosed and treated for metastatic Crohn’s disease, but there was no improvement. The patient underwent extensive local excision of the lesions and was identified with a deep aggressive angiomyxoma; however, the tumors recurred. Her clinical condition deteriorated, and she was brought to this institution. This area was biopsied, and the results were suggestive of non-necrotising granulomatous disease. Labial and gluteal lesions were surgically excised, followed by primary closure of the operative site. The patient has undergone regular monitoring and has not experienced a recurrence.

Monstrous Invasion of Placenta Percreta and Previa: Multidisciplinary Management of a Case, the Role of a Urologist, and a Literature Review

Cureus

In rare situations, pregnant women may experience life-threatening bleeding due to the placenta's... more In rare situations, pregnant women may experience life-threatening bleeding due to the placenta's aberrant invasion of the bladder. A 28-year-old pregnant female with two previous cesarean deliveries presented with the chief complaint of abdominal pain at the earlier scar site. Ultrasound imaging was suggestive of placenta percreta with bladder invasion. The patient underwent elective cesarean section with a uterine-preservation strategy. A healthy male baby was delivered by classical cesarean section, and bilateral uterine artery ligation was done. The patient developed severe postoperative hemorrhage, for which she was re-explored, and the urology team was called for intraoperative assistance. The area of placental invasion into the bladder was resected entirely with bladder reconstruction. Placenta percreta is a life-threatening condition that can involve adjacent uterine structures. Successful management involves a multidisciplinary strategy involving experienced obstetricians, urologists, anesthesiologists, blood bank teams, and neonatologists.

Maternal-Fetal Characteristics of Pregnant Women With Severe COVID Disease and Maternal-Neonatal Characteristics of Neonates With Early-Onset SARS-CoV-2 Infection: A Prospective Data Analysis

Cureus

Introduction COVID-19 and its mutants have significantly impacted the health care system, claimin... more Introduction COVID-19 and its mutants have significantly impacted the health care system, claiming numerous lives and adding to the morbidity. The data are scarce to describe the effect of disease severity on pregnancy outcomes, the possibility of mother-to-child transmission, and neonatal outcomes of COVID-positive babies. This study aimed to report the maternal and fetal characteristics of pregnant women with severe COVID disease as well as maternal and neonatal characteristics of neonates with early-onset SARS-CoV-2 infection. Materials and methods This is a prospective data analysis of pregnant women with severe COVID disease and neonates with earlyonset SARS-CoV-2 infection. The disease parameters including demographic data, clinical presentation, investigations, management, and maternal and neonatal outcomes were recorded and analyzed. Results India has faced three waves till now. At the study center, a total of 165 (60, 68, and 37 in the first, second, and third waves, respectively) COVID-positive pregnant women were admitted during all three waves. No severe COVID disease with pregnancy was noted in the first and third waves. During the second wave (March to June 2021), 15 pregnant women were found to have severe COVID disease. All of them had COVID-related symptoms, with the majority requiring supplementary oxygen at presentation. Nine of these women had intrauterine fetal demise at admission. Nearly 73% were in their second trimester, and the rest were in the third trimester. There was raised total leukocyte count and alanine transaminase in 73% and raised aspartate transaminase in all cases. All of them were admitted to the intensive care unit. Two women in their third trimester had a termination of pregnancy by cesarean section, and one of the neonates had early neonatal death due to perinatal asphyxia. Both the neonates were COVID-19 positive. Eleven women with critical illness succumbed to the disease. No neonate was found to have early-onset SAR-CoV-2 infection during the first and third waves. Only 11 neonates tested positive for SARS-CoV-2 at the time of birth during the second wave. None of them had any COVID-related symptoms. Preterm birth was reported in four cases. The average Apgar scores at 1 and 5 minutes were 6.9 and 8.09, respectively. The average birth weight was 2,551.81 grams. All neonates were initially kept in the neonatal intensive care unit. Out of 11, four neonates required treatment in the form of positive-pressure ventilation, chest compressions, high-flow nasal oxygen, and non-invasive and invasive ventilation. Neonatal mortality was documented in two cases. Six mothers had one or more positive results in either amniotic fluid, placental membrane, or vaginal or cervical swab, highlighting the possibility of antepartum or intrapartum transmission. Conclusion Severe COVID disease during pregnancy was associated with high rates of intrauterine fetal demise and maternal mortality. Raised liver enzymes might be taken as a predicting factor for severe disease. On the other hand, early-onset neonatal SARS-CoV-2 infection is mostly asymptomatic and has a good prognosis. Additionally, mother-to-child transmission of SARS-CoV-2 is possible in the antepartum and intrapartum periods.

Acute non-puerperal uterine inversion ascribed to malignant mixed Mullerian tumor of uterus: a rare presentation

Women & Health

Pararectal Abscess Masquerading as an Ovarian Cyst: A Case Report

Asian Journal of Case Reports in Surgery, Jan 27, 2021

Implementing the Practice of Birth Companion in Labor During the COVID-19 Pandemic: A Quality Improvement Endeavor in India

Cureus

We aim to implement the practice of birth companions (BC) (from 0% to 90%) during labor to provid... more

EP789 Sequential use of risk malignancy index and Ca-125 in evaluating adnexal masses

ePoster, 2019

Introduction/Background Adnexal masses have a wide spectrum with respect to age of presentation, ... more Introduction/Background Adnexal masses have a wide spectrum with respect to age of presentation, signs & symptoms, imaging findings and histopathology report. Pre-operative identification of malignant potential of adnexal masses is important. Ovarian cancer is a significant cause of mortality in menopausal women, large population-based studies demonstrate that the majority of adnexal masses are benign. Exceptionally an ovarian tumour may be malignant and should be treated as early as possible. Methodology This is a prospective study, conducted at All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India. The data was collected from Department of Gynaecology over a period of eighteen months from June 2017 to December 2018. All women who were diagnosed to have an adnexal mass irrespective of age, parity and menopausal status were included in the study. USG abdomen with pelvis was ordered in all patients followed by CECT or MRI in selective patients. Tumor markers such as Ca-125 were measured, and Risk of Malignancy Index (RMI) was calculated for each tumor. The clinical and imaging findings were correlated with intra-operative findings and finally with the histopathology (HPE) report. Results A total of 171 women were included in the study who were diagnosed to have adnexal mass. 137 women (80.1%) had benign tumor (Group B) while 34 women (19.9%) were found to have malignant tumor (Group M). Mean age in group B was 37.27±12.88 and in group M was 46.12±13.46 (P value=0.001). Ca-125 was significantly higher in group M (1350 U/ml) than group B (175 U/ml) [P value=0.008). The RMI score was also found to significantly increased in group M than group B (P value=0.007). Conclusion With respect to adnexal masses, both Ca-125 as well as RMI scoring are important diagnostic tools. RMI scoring has a better overall diagnostic performance than Ca-125 in predicting malignancy. Disclosure Nothing to disclose.

Incidentally diagnosed placenta accreta managed conservatively in a primigravida: case report and review of literature

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Placenta accrete spectrum (PAS) disorder is rarely reported in primigravida woman without recogni... more Placenta accrete spectrum (PAS) disorder is rarely reported in primigravida woman without recognisable risk factors. It can be encountered intraoperatively without prior suspicion. Massive obstetric haemorrhage and increased maternal morbidity and mortality is often associated with emergency caesarean hysterectomy. We presented a 26-year-old primigravida who was presented to our institute as post-dated pregnancy in labour with no other comorbidities. She was taken up for cesarean section in view of prolonged labor. After birth of the baby, the placenta failed to separate on its own and could not be delivered with gentle controlled cord traction and uterine massage. Placenta was seen bulging out at left cornuo-fundal site as boggy mass in serosa of uterus as bluish distended placental bulge suggestive of placenta accreta. Placenta was left in situ and postoperatively uterine artery embolisation was done. Post-operatively patient did not develop any complications and follow up period ...

Impact of Pregnancy on Susceptibility and Severity of COVID-19: A Hospital-Based Prospective Observational Study

Cureus

Objective: Pregnancy is a transient state of immunosuppression. The objective of this study was t... more Objective: Pregnancy is a transient state of immunosuppression. The objective of this study was to ascertain whether pregnant women are more susceptible to coronavirus disease 2019 (COVID-19) than non-pregnant women and the impact of pregnancy on the severity of COVID-19 and associated morbidity and mortality. Methods: A prospective observational study was performed at All India Institute of Medical Sciences (AIIMS) Rishikesh for a period of two months. A total of 42 and 33 COVID-19 positive women were included in the obstetric and non-obstetric cohorts respectively. Results: Baseline characteristics were similar in both groups. Approximately 48% of the obstetric cohort had no COVID-19-related symptoms. Whereas, 100% of the non-obstetric cohort was symptomatic and had a significantly higher number of patients presenting with fever, cough, and breathlessness. The obstetric cohort had a significantly higher incidence of mild disease (p=0.009). In the obstetric cohort, the mean gestational age was 32.59 ± 2.57 weeks, with patients spread across all trimesters. Most of the patients with severe disease were in their second trimester. There was no difference in intensive care unit (ICU) admission, duration of ICU stay, duration of hospital stay, and mortality among both groups. A significantly smaller number of patients in the obstetric cohort required ventilatory support (p=0.0002). The maternal mortality rate was 16.67%. All of them had severe diseases requiring ICU admission. The cause of death was attributed to severe COVID pneumonia with septic shock in all cases. The mortality rate was comparatively higher (27.27%) in the non-obstetric group. Conclusion: Pregnancy, unlike other immunocompromised conditions, does not seem to affect the prognosis of COVID-19 in terms of disease severity or mortality.

Presence of SARS‐CoV ‐2 in the lower genital tract of women with active COVID ‐19 infection: A prospective study

International Journal of Gynecology & Obstetrics, 2022

Pelvic tumors are common problems in gynecological diseases. Surgery remains the most important m... more Pelvic tumors are common problems in gynecological diseases. Surgery remains the most important method for the management of pelvic tumors, including ovarian benign or malignant tumors, sarcomas, neurogenic tumors, stromal tumors, and deep angiomyxoma. 1 The present study's three-dimensional (3D) reconstruction technique was based on preoperative computed tomography (CT) Funding information This study was funded by Application of new technologies suitable for obstetrics and gynecology (cstc2015shmszx0004). This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

153 ”See and treat”: an advocated perspective for pre invasive lesions of the cervix

Prevention of gynaecologic cancer, 2021

Introduction/Background* Secondary prevention of cervical cancer should remain a key priority for... more

Endometrial Biopsy for Histological Endometrial Maturation Should Not Be Performed in the Initial Evaluation of Infertility

SN Comprehensive Clinical Medicine, May 20, 2023

Comparison of extra-peritoneal cesarean section with conventional trans-peritoneal cesarean section: An open label randomized controlled trial

European Journal Of Obstetrics & Gynecology And Reproductive Biology: X, Sep 1, 2023

Comparison of vaginoscopic hysteroscopy and traditional hysteroscopy: A systematic review and meta‐analysis

International journal of gynaecology and obstetrics, Jun 12, 2023

A Rare Case of Primary Ovarian Lymphoma—A Diagnostic Dilemma

Indian Journal of Gynecologic Oncology

“See and Treat” an Advocated Approach for Precancerous Lesions of the Cervix- A North Indian Referral Center Based Randomized Control Trial

Asian Pacific journal of cancer biology, Aug 21, 2022

Cervical cancer is the 4 th most common cancer in women with an estimated 570,000 new cases and 3... more Cervical cancer is the 4 th most common cancer in women with an estimated 570,000 new cases and 311,000 deaths in 2018 representing 6.6% of all female cancers. India and China together contribute more than a third of this global cervical burden, with 97000 cases and 60000 deaths in India in 2018 [1]. When diagnosed, cervical cancer is one of the most successfully treatable

Bilateral mucinous ovarian carcinoma in a young female with tumor weighing 41.1 kg

Journal of family medicine and primary care, 2022

Partial Mole versus Hydropic Abortus: A Report of Two Cases

Asian Journal of Case Reports in Surgery, Jan 27, 2021

Outcomes of gynecologic cancer surgery during the COVID-19 pandemic: an international, multicenter, prospective CovidSurg-Gynecologic Oncology Cancer study

American Journal of Obstetrics and Gynecology

EP410/#198 Stratified who risk score and chemotherapy response in gestational trophoblastic neoplasia

E-Posters

patients had choriocarcinoma. An informed consent questionnaire was analysed. The questionnaire i... more patients had choriocarcinoma. An informed consent questionnaire was analysed. The questionnaire included patient data, demographic data, socioeconomic information andinformation on the patient's current condition, information on the reasons for treatment delay, medical history and patient health awareness. Results The most common reasons for delaying treatment were: after the curettage they didn't explain what to do next, which specialist to contact-64%, the patient's opinion that it was just a miscarriage-49%, lack of money-34%, there were no available places in hospital-39%, did not want the family to know about the recommended chemotherapy-38%, family problems-47%. History and psychological aspects: in 63% of cases women did not share their problem with others; fear of infertility after chemotherapy was the reason for delaying chemotherapy in 58% of cases. Conclusions Psycho-emotional factors are of considerable importance in the full diagnosis and adequate treatment of HTD. Monitoring principles for women after evacuation of a HM should be standardized. Further research on the epidemiology of HTD in Uzbekistan is needed. There are no unified surveillance centers for this disease.

Idiopathic chronic granulomatous vulvitis and related diagnostic and treatment conundrum

BMJ Case Reports

Three years ago, a woman in her late 30s presented with huge masses in the lower genital tract re... more Three years ago, a woman in her late 30s presented with huge masses in the lower genital tract region, including bilateral labia majora, labia minora and the gluteal region. The patient had had many antimicrobial, antiprotozoal, steroid and topical antibiotic treatments. The patient was misdiagnosed and treated for metastatic Crohn’s disease, but there was no improvement. The patient underwent extensive local excision of the lesions and was identified with a deep aggressive angiomyxoma; however, the tumors recurred. Her clinical condition deteriorated, and she was brought to this institution. This area was biopsied, and the results were suggestive of non-necrotising granulomatous disease. Labial and gluteal lesions were surgically excised, followed by primary closure of the operative site. The patient has undergone regular monitoring and has not experienced a recurrence.

Monstrous Invasion of Placenta Percreta and Previa: Multidisciplinary Management of a Case, the Role of a Urologist, and a Literature Review

Cureus

In rare situations, pregnant women may experience life-threatening bleeding due to the placenta's... more In rare situations, pregnant women may experience life-threatening bleeding due to the placenta's aberrant invasion of the bladder. A 28-year-old pregnant female with two previous cesarean deliveries presented with the chief complaint of abdominal pain at the earlier scar site. Ultrasound imaging was suggestive of placenta percreta with bladder invasion. The patient underwent elective cesarean section with a uterine-preservation strategy. A healthy male baby was delivered by classical cesarean section, and bilateral uterine artery ligation was done. The patient developed severe postoperative hemorrhage, for which she was re-explored, and the urology team was called for intraoperative assistance. The area of placental invasion into the bladder was resected entirely with bladder reconstruction. Placenta percreta is a life-threatening condition that can involve adjacent uterine structures. Successful management involves a multidisciplinary strategy involving experienced obstetricians, urologists, anesthesiologists, blood bank teams, and neonatologists.

Maternal-Fetal Characteristics of Pregnant Women With Severe COVID Disease and Maternal-Neonatal Characteristics of Neonates With Early-Onset SARS-CoV-2 Infection: A Prospective Data Analysis

Cureus

Introduction COVID-19 and its mutants have significantly impacted the health care system, claimin... more Introduction COVID-19 and its mutants have significantly impacted the health care system, claiming numerous lives and adding to the morbidity. The data are scarce to describe the effect of disease severity on pregnancy outcomes, the possibility of mother-to-child transmission, and neonatal outcomes of COVID-positive babies. This study aimed to report the maternal and fetal characteristics of pregnant women with severe COVID disease as well as maternal and neonatal characteristics of neonates with early-onset SARS-CoV-2 infection. Materials and methods This is a prospective data analysis of pregnant women with severe COVID disease and neonates with earlyonset SARS-CoV-2 infection. The disease parameters including demographic data, clinical presentation, investigations, management, and maternal and neonatal outcomes were recorded and analyzed. Results India has faced three waves till now. At the study center, a total of 165 (60, 68, and 37 in the first, second, and third waves, respectively) COVID-positive pregnant women were admitted during all three waves. No severe COVID disease with pregnancy was noted in the first and third waves. During the second wave (March to June 2021), 15 pregnant women were found to have severe COVID disease. All of them had COVID-related symptoms, with the majority requiring supplementary oxygen at presentation. Nine of these women had intrauterine fetal demise at admission. Nearly 73% were in their second trimester, and the rest were in the third trimester. There was raised total leukocyte count and alanine transaminase in 73% and raised aspartate transaminase in all cases. All of them were admitted to the intensive care unit. Two women in their third trimester had a termination of pregnancy by cesarean section, and one of the neonates had early neonatal death due to perinatal asphyxia. Both the neonates were COVID-19 positive. Eleven women with critical illness succumbed to the disease. No neonate was found to have early-onset SAR-CoV-2 infection during the first and third waves. Only 11 neonates tested positive for SARS-CoV-2 at the time of birth during the second wave. None of them had any COVID-related symptoms. Preterm birth was reported in four cases. The average Apgar scores at 1 and 5 minutes were 6.9 and 8.09, respectively. The average birth weight was 2,551.81 grams. All neonates were initially kept in the neonatal intensive care unit. Out of 11, four neonates required treatment in the form of positive-pressure ventilation, chest compressions, high-flow nasal oxygen, and non-invasive and invasive ventilation. Neonatal mortality was documented in two cases. Six mothers had one or more positive results in either amniotic fluid, placental membrane, or vaginal or cervical swab, highlighting the possibility of antepartum or intrapartum transmission. Conclusion Severe COVID disease during pregnancy was associated with high rates of intrauterine fetal demise and maternal mortality. Raised liver enzymes might be taken as a predicting factor for severe disease. On the other hand, early-onset neonatal SARS-CoV-2 infection is mostly asymptomatic and has a good prognosis. Additionally, mother-to-child transmission of SARS-CoV-2 is possible in the antepartum and intrapartum periods.

Acute non-puerperal uterine inversion ascribed to malignant mixed Mullerian tumor of uterus: a rare presentation

Women & Health

Pararectal Abscess Masquerading as an Ovarian Cyst: A Case Report

Asian Journal of Case Reports in Surgery, Jan 27, 2021

Implementing the Practice of Birth Companion in Labor During the COVID-19 Pandemic: A Quality Improvement Endeavor in India

Cureus

We aim to implement the practice of birth companions (BC) (from 0% to 90%) during labor to provid... more

EP789 Sequential use of risk malignancy index and Ca-125 in evaluating adnexal masses

ePoster, 2019

Introduction/Background Adnexal masses have a wide spectrum with respect to age of presentation, ... more Introduction/Background Adnexal masses have a wide spectrum with respect to age of presentation, signs & symptoms, imaging findings and histopathology report. Pre-operative identification of malignant potential of adnexal masses is important. Ovarian cancer is a significant cause of mortality in menopausal women, large population-based studies demonstrate that the majority of adnexal masses are benign. Exceptionally an ovarian tumour may be malignant and should be treated as early as possible. Methodology This is a prospective study, conducted at All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India. The data was collected from Department of Gynaecology over a period of eighteen months from June 2017 to December 2018. All women who were diagnosed to have an adnexal mass irrespective of age, parity and menopausal status were included in the study. USG abdomen with pelvis was ordered in all patients followed by CECT or MRI in selective patients. Tumor markers such as Ca-125 were measured, and Risk of Malignancy Index (RMI) was calculated for each tumor. The clinical and imaging findings were correlated with intra-operative findings and finally with the histopathology (HPE) report. Results A total of 171 women were included in the study who were diagnosed to have adnexal mass. 137 women (80.1%) had benign tumor (Group B) while 34 women (19.9%) were found to have malignant tumor (Group M). Mean age in group B was 37.27±12.88 and in group M was 46.12±13.46 (P value=0.001). Ca-125 was significantly higher in group M (1350 U/ml) than group B (175 U/ml) [P value=0.008). The RMI score was also found to significantly increased in group M than group B (P value=0.007). Conclusion With respect to adnexal masses, both Ca-125 as well as RMI scoring are important diagnostic tools. RMI scoring has a better overall diagnostic performance than Ca-125 in predicting malignancy. Disclosure Nothing to disclose.

Incidentally diagnosed placenta accreta managed conservatively in a primigravida: case report and review of literature

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Placenta accrete spectrum (PAS) disorder is rarely reported in primigravida woman without recogni... more Placenta accrete spectrum (PAS) disorder is rarely reported in primigravida woman without recognisable risk factors. It can be encountered intraoperatively without prior suspicion. Massive obstetric haemorrhage and increased maternal morbidity and mortality is often associated with emergency caesarean hysterectomy. We presented a 26-year-old primigravida who was presented to our institute as post-dated pregnancy in labour with no other comorbidities. She was taken up for cesarean section in view of prolonged labor. After birth of the baby, the placenta failed to separate on its own and could not be delivered with gentle controlled cord traction and uterine massage. Placenta was seen bulging out at left cornuo-fundal site as boggy mass in serosa of uterus as bluish distended placental bulge suggestive of placenta accreta. Placenta was left in situ and postoperatively uterine artery embolisation was done. Post-operatively patient did not develop any complications and follow up period ...

Impact of Pregnancy on Susceptibility and Severity of COVID-19: A Hospital-Based Prospective Observational Study

Cureus

Objective: Pregnancy is a transient state of immunosuppression. The objective of this study was t... more Objective: Pregnancy is a transient state of immunosuppression. The objective of this study was to ascertain whether pregnant women are more susceptible to coronavirus disease 2019 (COVID-19) than non-pregnant women and the impact of pregnancy on the severity of COVID-19 and associated morbidity and mortality. Methods: A prospective observational study was performed at All India Institute of Medical Sciences (AIIMS) Rishikesh for a period of two months. A total of 42 and 33 COVID-19 positive women were included in the obstetric and non-obstetric cohorts respectively. Results: Baseline characteristics were similar in both groups. Approximately 48% of the obstetric cohort had no COVID-19-related symptoms. Whereas, 100% of the non-obstetric cohort was symptomatic and had a significantly higher number of patients presenting with fever, cough, and breathlessness. The obstetric cohort had a significantly higher incidence of mild disease (p=0.009). In the obstetric cohort, the mean gestational age was 32.59 ± 2.57 weeks, with patients spread across all trimesters. Most of the patients with severe disease were in their second trimester. There was no difference in intensive care unit (ICU) admission, duration of ICU stay, duration of hospital stay, and mortality among both groups. A significantly smaller number of patients in the obstetric cohort required ventilatory support (p=0.0002). The maternal mortality rate was 16.67%. All of them had severe diseases requiring ICU admission. The cause of death was attributed to severe COVID pneumonia with septic shock in all cases. The mortality rate was comparatively higher (27.27%) in the non-obstetric group. Conclusion: Pregnancy, unlike other immunocompromised conditions, does not seem to affect the prognosis of COVID-19 in terms of disease severity or mortality.

Presence of SARS‐CoV ‐2 in the lower genital tract of women with active COVID ‐19 infection: A prospective study

International Journal of Gynecology & Obstetrics, 2022

Pelvic tumors are common problems in gynecological diseases. Surgery remains the most important m... more Pelvic tumors are common problems in gynecological diseases. Surgery remains the most important method for the management of pelvic tumors, including ovarian benign or malignant tumors, sarcomas, neurogenic tumors, stromal tumors, and deep angiomyxoma. 1 The present study's three-dimensional (3D) reconstruction technique was based on preoperative computed tomography (CT) Funding information This study was funded by Application of new technologies suitable for obstetrics and gynecology (cstc2015shmszx0004). This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

153 ”See and treat”: an advocated perspective for pre invasive lesions of the cervix

Prevention of gynaecologic cancer, 2021

Introduction/Background* Secondary prevention of cervical cancer should remain a key priority for... more