Browsing by Author "Patil, Soumya"

Now showing 1 - 3 of 3
  • No Thumbnail Available
    Item
    Exploring Fetal and Maternal outcomes in Gestational Diabetes Mellitus: A comprehensive cross-sectional study
    (S. Nijalingappa Medical College & HSK Hospital & Research Centre, 2024-01) Patil, Vrinda Krishnagouda; Gaddi, Mahalakshmi Someshwar; Patil, Mridula Krishnagouda; Patil, Soumya
    Background: Indian females exhibit a significant occurrence of diabetes, with their likelihood of developing gestational diabetes mellitus being 11.3 times higher compared to Caucasian females. Women with GDM are more prone to experiencing complications such as preeclampsia and requiring a cesarean delivery. Aim: This study aims to investigate both antepartum and intrapartum complications in individuals with gestational diabetes mellitus, as well as assess fetal outcomes during pregnancy in these patients. Material and methods: A prospective observational study was done in the department of obstetrics & gynecology, tertiary care hospital. Pregnant women were screened for GDM by GST. 100 women defined as GDM by DIPSI criteria were included in the study. Maternal outcomes and Neonatal outcomes were studied. Results: The peak incidence of gestational diabetes mellitus occurred between ages 26 to 30 (44%), with 70% of the studied population being multigravida. The majority of GDM cases were identified between 34 and 36 weeks of gestation (68%). Mode of delivery was fairly balanced, with 52% through vaginal delivery and 48% through cesarean section. Pre-eclampsia developed in 16% of cases, while 12% experienced preterm labor and 6% had premature rupture of membranes. Conclusion: Gestational diabetes mellitus is linked to a slight elevation in perinatal complications. There is an increased occurrence of neonatal hypoglycemia, respiratory distress syndrome, hyperbilirubinemia, intrauterine death and Neonatal Intensive Care Unit admissions. Despite a notable association with significant macrosomia, the mode of delivery remained unchanged, with vaginal delivery being the most common at 52%.
  • Thumbnail Image
    Item
    A prospective analysis of polycystic ovarian syndrome in infertile women
    (Medip Academy, 2019-01) Patil, Soumya; Ramesh, Saraswathi; Kharidhi, Harinath Srinivasa Murthy
    Background: Polycystic ovarian syndrome (PCOS) is a frequently occurring metabolic and reproductive endocrinopathy. Young women with PCOS mainly present with reproductive problems such as hyperandrogenism, menstrual irregularities, infertility and chronic anovulation. Despite its high prevalence and implications on reproductive health, PCOS is underdiagnosed. The objective was to study the prevalence of PCO in women with infertility, their symptomatology, endocrine profiles and coexisting factors of infertility in women with PCOS.Methods: A prospective study was performed over a period of 6 months. Women presenting with infertility were subjected to detailed history taking, general and gynecological examination. Women with features of PCOS on ultrasound were identified and advised investigations such as serum FSH, LH, prolactin and laparoscopy when indicated.Results: During the study period, 102 patients consulted the infertility clinic, out of which 56 were diagnosed with PCOS. The prevalence of PCOS was found to be 54.9% among infertile women. Menstrual irregularity was found in 33 (59%) women, however, 23 (41%) had regular menstrual cycles. 4 among the 33 patients complained of dysmenorrhea, 5 had heavy menstrual bleeding. On examination, 19 (33.9%) were found hirsute, 8 (14.28%) had thyroid enlargement and 2 (3.57%) had galactorrhea. Investigations revealed mean FSH and LH levels of 8.7±2SD and 13.7±2SD respectively and mean LH/FSH ratio of 1.57±2SD.Conclusions: PCOS is a heterogenous disorder and with its high prevalence in infertile women, proper diagnosis and management is essential as it has many potential metabolic and cardiovascular risks if not managed appropriately.
  • Thumbnail Image
    Item
    Ruptured rudimentary horn pregnancy: a case report
    (Medip Academy, 2020-03) Venugopal, Gopika; Patil, Soumya; Manoli, Nandish S.; T., Pratap; Hemapriya; N., Madhuri
    Uterine anomalies are congenital malformations arising due to embryological mal-development of mullerian ducts. The European society of Human Reproduction and Embryology (ESHRE) classifies these anomalies into 6 classes. Hemi-uterus is one such class of formation defect of mullerian duct with unilateral uterine development; the contralateral part could be either incompletely formed or absent. In a rare form of ectopic pregnancy, implantation can occur in the cavity of a rudimentary horn of the hemi-uterus. Authors report a case of 22-year G2P1L1 with 12 weeks gestation who presented with acute abdomen. Ultrasound showed hemoperitoneum with suspicion of ectopic pregnancy. Laparotomy confirmed the diagnosis of ruptured right rudimentary horn with fetus and placenta in the peritoneal cavity. Immediate laparotomy and excision of the horn with transfusion of blood and blood products saved the patient in the nick of time.