Indian Journal of Obstetrics and Gynecology

This short communication highlighted the role of Obstetrics and Gynecology (OBG) journals in enabling evidence-based maternal and women’s health through a preliminary search of PubMed database for articles analyzing obstetrics and gynecology journals and found five studies: on Spanish contribution in authorship, study designs, mislabeling of case-control studies, quality of randomized controlled trials, and citation accuracy. There is dearth need to evaluate the role of OBG journals through more systematic studies on reporting and publication characteristics in order to encourage Evidence-based OBG practice, education and research. 

Keywords: Gynecological research; Gynecological journals; Gynecological publications; Evidence-based obstetrics and gynecology.

The objective of this short communication paper was to address the implications of obesity in obstetrics and gynecology through an evidence-informed integrative overview of literature searched from PubMed database, on disease-specific and treatment-specific effects. Studies demonstrated disease-specific influence of obesity in women with cervical cancer, breast cancer, gynecological cancer (ovarian cancer, endometrial cancer), and treatment-specific influence for procedures such as laparasocopy, fat mobilization system and Jejuno-ileal bypass surgery. There is need for future longitudinal cohort studies in women to explore the predictive factors for obesity and its consequences in obstetric and gynecological health and disease.

Keywords: Metabolic gynecology; Gynecological obesity; Gynecological cancer; gynecological endocrinology.

True hermaphrodite is one of the rarest variety of Disorders of Sexual Differentiation (DSDs) and represents only 5% of cases of all. A 12 year-old presented with complains of pain and swelling right side lower abdomen with Right sided Undescended testis. On exploration Mullerian structures was present on right side and on left side testis was normal into left hemiscrotum. 

Keywords: True hermaphrodite; Persistent mullerian duct syndrome; Disorders of Sexual Differention.

Pregnancy and lactation are periods of high calcium requirement. Around 200-300 mg of calcium/day is either transferred via the placenta to the fetus or excreted in breast milk. The provision of this calcium is made by the physiological adaptations of calcium absorption, urinary calcium excretion, and maternal bone calcium turnover. So woman of child-bearing age will meet their own needs of calcium and those of their infants if they regularly consume adequate amounts of calcium (1,000mg/day). Additional calcium supplementation during pregnancy appears to have the greatest impact in women who chronically consume < 500 mg calcium /day.
Hypertensive disorders of pregnancy are more frequent in countries where the customary calcium intake is low. In such areas, World Health Organization recommended calcium supplementation as part of the antenatal care for the prevention of preeclampsia in pregnant women, particularly among those at higher risk of developing hypertension.

Keywords: Calcium metabolism; Pregnancy; Lactation; Preeclampsia; Osteoporosis.

Introduction: Malaria during pregnancy is a recognised risk factor for maternal and fetal complications and it is endemic in certain areas of our country. Pregnancy also enhances the severity of malaria particularly with P falciparum infestation. Malaria in pregnancy is a complex phenomenon and malaria epidemiology is rapidly changing, additional evidence is still required to understand how best to control malaria. Material and Methods: This is a prospective observational study conducted in the department of medicine of A.C.P.M. Medical College during the period from July 2009 to Feb 2014. Twenty seven pregnant women with sub types of malaria in pregnancy were studied. The maternal complications and outcome of pregnancy was studied. Observation: A total of 27 pregnant women patients with plasmodium falciparum, vivax and mixed malaria with age group 15 to 45 years (mean 26.29) There was statistically significant increase in the incidence of anemia(mean Hb 6.4gm%), thrombocytopenia(mean platelet count 65700/cmm), mean leucocyte count 9129 and mean random blood sugar 60.7mg/dl, high grade fever, headache, jaundice, altered sensorium observed in plasmodium falciparum infection during pregnancy. There was also increased 11.11% renal and hepatic failure, and 7.4% intrauterine fetal deaths in plasmodium falciparum malaria. Conclusion: Plasmodium falciparum malaria is more severe and life threatening in pregnant females as compared to plasmodium vivax, it was found in our study that either primigravida or multigravida. Plasmodium falciparum type of malaria causes more illness with higher incidence of complications, multiorgan involvement and supposedly bad prognosis.

Keywords: P.falciparum; P.vivax; Clinical profile; Anemia.

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