Indian Journal of Medical and Health Sciences

Introduction: Maternal death in India is still high, alone accounting for a fifth of total global burden.3 By providing effective emergency obstetrical care and referral system, maternal mortality and morbidity can be reduced. Material and Method: This is retrospective descriptive study, conducted with analysis of routinely collected data for the period of 6 months, this study was conducted at district hospital, Bahraich which is 300 bedded tertiary level health facility. Result: A total of 5443 women were admitted for delivery over a period of 6 months. Out of total admitted women 139 were referred to higher centre, the referral rate was 2.55%. Among the deliveries conducted at the DH, vaginal delivery account for 78.997% of total delivered patients, 21.003% women delivered by cesarean section. Anemia is the most common cause of referrals which is 21.58% of total referred women. Eclampsia/severe preeclampsia is 2nd most common cause of referral (16.55% of total referral). Large number of patients 38.13% were coming from a distance of more than 20 km but within 50 km. 14.39% of total referred women were travelling a distance of 50–100 km to come to the DH. 22.30% women were conscious but having unstable vitals at the time of admission. 12.23% (17 out of 139) women were unconscious with low GCS scale. Conclusion: This study highlights the deficiency human resources, infrastructure and equipment at district hospital level hampering the provision of EmOC. If these issues are adequately addressed, it would greatly enhance health facility for providing EmOC.

Keywords: Referrals; EmOC; ANC Care.

Background: The ovaries are paired intrapelvic organs of female reproductive system. It is unique in the variety of lesions that can arise from ovary as it is complex in its embryology, histology and steroidogenesis. The ovary consists of totipotent sex cord cells and multipotent mesenchymal cells. They are common site of non-neoplastic and neoplastic lesions. Some non-neoplastic lesions of the ovary usually present as a pelvic mass and mimic an ovarian neoplasm and thus posses a great challenge to gynecological oncologist and pathologist. Therefore their proper recognition and classification is important for appropriate therapy. Material and Methods: A prospective clinicopathological study of 58 cases of non-neoplastic and neoplastic lesions of ovary was conducted in Department of Pathology, FMHS, SGT University, Gurugram over the period of one years from June 2018 to June 2019. The materials for this study were oopherectomy specimen, ovarian cystectomies as well as hysterectomy with unilateral/bilateral salphingoopherectomy received from department of Obstetrics and Gynecology. The non-neoplastic and neoplastic lesions from representative sections were studied and classified according to World Health Organisation (WHO) and correlation of histopathological patterns with age, bilaterality, morphology and grading of the tumour was done. Results: A total of 58 cases were studied out of which 31 (53.45%) cases were non-neoplastic and 27 (46.55%) cases were neoplastic. Among the 31 nonneoplastic cases, the most common lesion found was simple cyst with 13 (41.94%) cases followed by corpus luteal cyst with 6 (19.35%) cases. Among the 27 neoplastic ovarian lesions, 17 (62.96%) cases were benign tumour, 2 (7.4%) cases were borderline
tumour and 8 (29.64%) cases were malignant tumour. These tumours were classified according to WHO classification and categorised in three main groups. Surface epithelial tumours constituted the majority with 17 (62.98%) cases, followed by germ cell tumours which constituted 8 (29.62%) cases and sex cord stromal tumours constituted 2 (7.4%) cases. Conclusion: Ovarian cancers are called as “silent killer” as in most of the primary ovarian tumour they remain asymptomatic until the advanced stage. However, histomorphological study of tumour is still the gold standard method, these observations and results proved to be valuable base line information regarding frequency and pattern of ovarian tumours.

Keywords: Histolomorphological; Ovarian; NonNeoplastic, Neoplastic.
 

The aim is to study the role of Pan Tilt (PT) Camera in Telementoring during COVID-19 Crisis. At the time of pandemic when safe distancing practices and staying at home are being practiced globally, it becomes imperative that social distancing is maintained even during clinical practice and doctordoctor interactions in hospitals. A practical method of this practice would be to take the telemedicine practices. This study was conducted during the month of March-April 2020 during the time of COVID –19 pandemic.

Keywords: Pan Tilt Camera; COVID-19, Tele-mentoring.
 

Scar is a common problem following burn, trauma or infection. There are various methods to improve the scar. But there is no well-established method to prevent or treat the scar. Stem cell therapy is most recent technique that is claimed to hasten the healing. Stromal vascular fraction (SVF) is a source of stem cells. This article highlights the role of SVF in scar treatment.

Keywords: Stromal Vascular Fraction (SVF); Scar Management.