Search

Background: Abnormal Uterine Bleeding (AUB) is a term that encompasses any deviation from the normal menstrual cycle or pattern. It is characterized by irregularities in regularity, frequency, heaviness, and duration of flow, all of which can exhibit significant variability. Hysteroscopy adds a visual dimension to the examination, allowing for the exploration of previously inaccessible areas within the uterine cavity. This enhances precision and accuracy in identifying abnormalities. Methods: From September 2022 to December 2022, the Department of Obstetrics and Gynaecology at the National Institute of Medical Sciences & Research in Jaipur conducted a prospective study within a hospital setting. Results: In our study, out of 220 cases, the most common finding was a proliferative endometrium, observed in 41.36% of cases. This was followed by secretory and hyperplastic endometrium, found in 21.82% and 20.45% of cases, respectively. The least common finding was a misplaced Copper-T intrauterine device, which was observed in only 2 cases, accounting for less than 1% of the total. Conclusion: The research affirms the reliability of hysteroscopy as a valuable method for assessing abnormal uterine bleeding (AUB), particularly in benign conditions like endometrial polyps and submucous myomas. It can be utilized as the primary diagnostic tool for these abnormalities. However, hysteroscopy alone, without a targeted biopsy, may not provide sufficient diagnostic value in cases of endometrial hyperplasia. Therefore, it is recommended to combine hysteroscopy with curettage in AUB cases to improve its sensitivity and positive predictive value. [ABSTRACT FROM AUTHOR]

Objectives: This study aimed to compare the efficacy and safety of intravenous paracetamol (1000mg) and intramuscular tramadol (100mg) as labor analgesic. Methods: A prospective randomized study was conducted on 120 women in active labor at NIMS Hospital, Jaipur, between January and September 2023. Patients were divided into two groups: Group A received intravenous paracetamol, and Group B received intramuscular tramadol. Labor progression, pain intensity (according to McGills scale), perinatal outcomes, and maternal side effects were monitored. Results: Paracetamol was found to be more effective in pain relief than tramadol. After 1 and 3 hours, paracetamol demonstrated superior pain relief. After 3 hours, 70% cases of Group A had significant pain relief as compared to 40% cases of Group B. The total duration of labor from the active phase of first stage of labor was 4.55 hours in Group A and 6.46 hours in Group B. Both drugs showed no significant difference in neonatal outcomes. Nausea and vomiting were the primary maternal adverse effects, with tramadol displaying a slightly higher incidence, though the difference was not statistically significant. Conclusion: In conclusion, intravenous paracetamol is a more effective and safer labor analgesic compared to intramuscular tramadol. It offers superior pain relief, shortens the duration of labor, and has fewer maternal side effects. These findings suggest that intravenous paracetamol can be a valuable option for labor analgesia in low-resource healthcare settings in developing countries, contributing to a more positive childbirth experience for mothers. [ABSTRACT FROM AUTHOR]

Background: Infertility is a widespread global health concern that impacts millions of people of reproductive age worldwide. Statistics indicate that around one in every six individuals of reproductive age experience infertility at some point in their lives. Methods: From May 2022 to October 2022, the Department of Obstetrics and Gynaecology at the National Institute of Medical Sciences & Research in Jaipur conducted a prospective study within a hospital setting. Results: On Liquid-based Pap smear 79.38% patients were present NlLM, 11.88% patients were present ASCUS, 3.75% patients were presenting inflammatory and 3.75% patients were present HSIL & 1.25 of LSIL. Conclusion: Our findings indicate that infertile patients, particularly those with tubal factor infertility, exhibit a higher propensity for cervical cytological abnormalities. Therefore, these patients could potentially benefit from increased cervical cytological screening. [ABSTRACT FROM AUTHOR]