Browsing by Author "Yadav, Arun"

Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    Challenges with Adjuvant Radiation for Intracranial Chondrosarcoma in Pregnancy
    (Thieme Medical and Scientific Publishers Pvt. Ltd, 2023-01) Yadav, Arun; Goyal, Shikha; Madan, Renu; Singh, Ranjit; Chitkara, Aarti; Khosla, Divya
    Background: Managing a brain tumor during pregnancy is a highly confusing and challenging situation, complicated by several technical, medical, ethical, and sociocultural concerns. The interests of the mother and child are often pitted against each other, for which legal opinion may occasionally be needed. Case Report?We present the report of a young lady with intracranial well-differentiated chondrosarcoma who was determined to be pregnant in the immediate postoperative period. We discuss the management of challenges and dilemmas in devising optimum therapy, and the modifications and care required at each step to help safeguard maternal and fetal health. Risks with therapeutic radiation and measures to assess and pre-empt fetal doses that may assist decision-making are also discussed. Conclusion?Radiation therapy during pregnancy is challenging and requires multidisciplinary involvement and psychosocial support for the patient and family.
  • Thumbnail Image
    Item
    Natal and neonatal care practices of recently-delivered woman in rural areas of Lucknow district
    (Medip Academy, 2020-01) Yadav, Arun; Gupta, Pratibha; Srivastava, Mrinal Ranjan; Zaidi, Zeashan Haider
    Background: The health of women and children are eternally linked and when the health of women and child improves, life improves by every measure. Deaths associated with child birth were so common that societies developed cultural coping strategies or traditional practices. The objective of the study is to assess natal and neonatal care practices in rural areas of Lucknow district.Methods: The present study was carried out in the rural areas of Lucknow district. Study unit was recently delivered women (RDW), who gave birth to live newborn in last 1 year in rural areas of Lucknow for a period of 12 months. It was community based cross sectional study. A total of 368 RDW were interviewed. Multi stage random sampling technique was used to select RDW.Results: Majority cited all the reasons for preferring institutional delivery (58.2%) followed by those citing it cheaper or better services (17.4%) each and incentive (7.4%) respectively. Weight of baby was 2.5 to 3.5 kg in maximum cases (88%) followed by <2.5 kg (10.3%) respectively. Majority did not have any complication at birth (87%). Exclusive breast feeding was reported by majority (81%).Conclusions: Community needs to be appraised regarding performance and important positive achievement of MCH services in relation to health status of mother and neonate in their respective areas through community participation and will make the community more respective towards availing of accredited social health activist (ASHA) services. Proper provisioning of auxiliary nurse midwiferys, ASHAs and lady health workers would facilitate improvements in rural areas.