Browsing by Author "Arora, Mamta"

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    Observational study of vaginal culture in symptomatic and asymptomatic non pregnant female patient in tertiary care hospital
    (Medip Academy, 2024-02) Chandanan, Ani; Arora, Mamta; Arora, Swati; Mishra, Shalini; Malik, Annu; Kumari, Neha
    Background: Vaginal miroflora plays an important role in maintaining healthy microenvironment. Lactobacilli are the dominant flora responsible for this. Any disturbance in balance of normal and abnormal flora leads to different types of vaginal infections like, vulvo-vaginal candidiasis, and bacterial vaginosis. Most common organisms causing vaginitis is Gardnerella vaginalis which causes bacterial vaginosis. Other organisms responsible for infections are, candida, trichomonas, and viruses. Abnormal growth of pathogenic bacteria during pregnancy can lead to various adverse pregnancy outcomes.Methods: This is an observational study conducted in a tertiary care hospital over a period of 6 months (January 2023 to June 2023). Overall, out of 135 women, sample of 120 women were taken and treated accordingly.Results: Among 120 women, 52 (43.3%) women had no growth on culture, while 20 patients (16.6%) showed growth of Klebsiella and 20 (16.6%) patient shows Candida and rest shows growth of other pathogen.Conclusions: In our study, half of the women were found to be with positive culture report, who shown improvement after treatment.
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    A study on analysis of caesarean section indications using Robson’s ten group classification system
    (Medip Academy, 2024-03) Arora, Mamta; Chandanan, Ani; Kotwal, Ankush Singh; Garhwal, Priya
    Background: Over the past decades, there has been a steady rise in the rate of caesarean delivery. Although not well understood, multiple factors have contributed to this uptrend. The goal of cesarean delivery is to avoid the complications that might develop after vaginal delivery. However, this major surgery is not without significant impact on maternal and fetal outcomes. Maternal complications include the increased risk of post-partum hemorrhage, risk of hysterectomy, infection and deep venous thrombosis besides longer hospital stay.Methods: This was retrospective observational study done in the department obstetrics and gynecology at T. S. Misra medical College for a duration of 18 months from December 2021 to May 2023. It included all patients who underwent caesarean section.Results: In our study maximum patients were in group 10(30.2%) according to Robsons classification followed by group 5 (20.9%).Conclusions: In conclusion, the rate of caesarean delivery is trending up and this has contributed to significant medical, social and financial impacts in the involved families. The most common indication for CS is previous CS. Therefore, the rate of CS can be controlled if CS is done in primigravidae with the genuine indication.