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Search Results: 1 - 10 of 139589 matches for " Sai K Borawake "
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WARFARIN TOXICITY PRESENTING AS RUPTURED OVARIAN TUMOUR WITH HEMOPERITONEUM: A CASE REPORT
Vidyadhar B Bangal,Kunnal K Shinde,Sai K Borawake
International Journal of Biomedical and Advance Research , 2012, DOI: 10.7439/ijbar.v3i3.334
Abstract: Warfarin, a coumarin derivative, is commonly used in prevention and treatment of thromboembolic events in various clinical situations. Although, a safe drug, its toxicity may result into intraperitoneal bleeding. Warfarin induced intraperitoneal bleeding is dose dependent and may have fatal outcome. A case is reported here, who presented with massive intraperitoneal haemorrhage secondary to warfarin toxicity. She had undergone mitral valve replacement six months before the episode. Clinical and imaging suggested a pelvic mass mimicking ruptured ovarian tumour. Her prothrombin time INR was 1.1 at the time of admission. Emergency laparotomy revealed a large organised blood clot in the pouch of Douglas extending to adnexal region, mimicking ruptured ovarian tumour. Warfarin was withdrawn for few days. Patient was transfused with fresh frozen plasma and fresh whole blood. Post operative recovery was uneventful. Warfarin in low dose was restarted for thromboembolic prophylaxis.
IMPORTANCE OF FOLLOW UP AND CONTRACEPTIVE COMPLIANCE TO ACHIEVE SUCCESSFUL PREGNANCY OUTCOME FOLLOWING TREATMENT OF GESTATIONAL CHORIOCARCINOMA
Vidyadhar B Bangal,Kunaal K Shinde,Sai K Borawake
International Journal of Biomedical and Advance Research , 2012, DOI: 10.7439/ijbar.v3i5.393
Abstract: Choriocarcinoma is a highly malignant trophoblastic tumor that follows normal pregnancy,abortion or ectopic pregnancy. The risk is immeasurably greater following hydatidiform mole. We present a report of a young woman who developed gestational choriocarcinoma following repeated hydatidiform mole.After thorough assessment of risk factors, combination chemotherapy in the form of MAC-FAC regimen was given for six cycles. The woman showed good compliance for two years, regarding regular follow up, treatment and contraceptive advice. Patient became pregnant after two years of follow up and gave birth to a healthy baby.
Review of Maternal and Fetal Outcome in Obstetric Emergencies reported to Tertiary Care Institution in Western India
Vidyadhar B Bangal,Sai K Borawake,Rajiv M Chandaliya
International Journal of Biomedical and Advance Research , 2012, DOI: 10.7439/ijbar.v3i6.545
Abstract: Background- Obstetric emergencies can occur suddenly and unexpectedly They are associated with adverse maternal and perinatal outcome. Early identification of high risk pregnancies can reduce the obstetric emergencies .Study was carried out to find out the incidence ,nature and outcome of obstetric emergencies. Material and methods-Retrospective observational study of all obstetric emergencies admitted at tertiary care center over two years period was done. Results-Obstetric emergencies occurred more frequently during antenatal period (52%) than intra (32%)or postnatal period(16%).Hemorrhage and severe hypertension were the common emergencies during pregnancy, where as prolong labour ,obstructed labour and rupture uterus were common during intra natal period. Postpartum hemorrhag ,retained placenta and inversion of uterus and puerperal sepsis were common causes of emergencies during postnatal period. Maternal and perinatal mortality was significantly higher in obstetric emergency cases. Postpartum hemorrhage was the commonest direct cause and infective hepatitis was the commonest indirect cause for maternal deaths. Prematurity,low birth weight babies and birth asphyxia were responsible for 90 percent of perinatal deaths. Conclusion-Early registration , regular antenatal visits ,early identification and timely referral of high risk pregnancies can reduce the incidence of obstetric emergencies. Training of nurse midwives ,village health workers and doctors in early identification and treatment of common emergencies can reduce the maternal and perinatal morbidity and mortality.
INDUCTION OF LABOUR VERSUS EXPECTANT MANAGEMENT FOR PREMATURE RUPTURE OF MEMBRANES AT TERM
Vidyadhar B Bangal,Pujil Gulati,Kunnal K Shinde,Sai K Borawake
International Journal of Biomedical Research , 2013, DOI: 10.7439/ijbr.v3i3.328
Abstract: Background :Premature rupture of the membranes at term is spontaneous rupture of the membranes after 37 wks of the gestations and before the onset of the regular painful uterine contractions .It occurs in ten percent of cases These cases are either managed conservatively or by immediate induction of labour. Material and Methods :A prospective, randomized controlled study was carried out for a period of two years from November 2008 to October 2010 at Rural Medical College, Loni. One hundred pregnant women with term PROM were assigned randomly, each in induction and expectant group. Results :.The mean interval from induction to delivery was significantly shorter in the induction group as compared with expectant group . Incidence of maternal morbidity was comparable in both the groups Neonatal morbidity was higher in expectant group . Incidence of hyper stimulation were more with induction group as compared to expectant group. There was no maternal or perinatal mortality in any group. Intrapartum complications and mode of delivery were similar in both groups Conclusion: Immediate induction of labour in cases of PROM at term using oral misoprostol resulted in shorter induction delivery interval but increased rate of operative intervention. Maternal morbidity was comparable with induction and expectant line of management. However, neonatal morbidity was higher in expectant group
INTRAUTERINE FETAL DEMISE OF CO-TWIN IN MULTIFETAL PREGNANCY
Kunaal Shinde,Vidyadhar B Bangal,Sai K Borawake,Rashmi K Singh
International Journal of Biomedical Research , 2013, DOI: 10.7439/ijbr.v3i1.258
Abstract: Intrauterine twin gestation with demise of one of the foetuses pose anxiety in the mind of obstetrician, patient and the relatives. It is an uncommon complication of uniovular twins having monochorionic placenta. Fetal demise in the first half of pregnancy does not have adverse effect on the mother. Surviving co-twin is at risk of development of growth restriction, cerebral encephalomalacia and microcephaly. We present a case of 32 weeks of twin gestation with intrauterine fetal demise of one baby with hypofibrinogenemia and gestational hypertension. She was successfully managed with good maternal and fetal outcome.
INTRAUTERINE FETAL DEMISE OF CO-TWIN IN MULTIFETAL PREGNANCY
Kunaal Shinde,Vidyadhar B Bangal,Sai K Borawake,Rashmi K Singh
International Journal of Biomedical Research , 2012, DOI: 10.7439/ijbr.v3i1.258
Abstract: Intrauterine twin gestation with demise of one of the foetuses pose anxiety in the mind of obstetrician, patient and the relatives. It is an uncommon complication of uniovular twins having monochorionic placenta. Fetal demise in the first half of pregnancy does not have adverse effect on the mother. Surviving co-twin is at risk of development of growth restriction, cerebral encephalomalacia and microcephaly. We present a case of 32 weeks of twin gestation with intrauterine fetal demise of one baby with hypofibrinogenemia and gestational hypertension. She was successfully managed with good maternal and fetal outcome.
INDUCTION OF LABOUR VERSUS EXPECTANT MANAGEMENT FOR PREMATURE RUPTURE OF MEMBRANES AT TERM
Vidyadhar B Bangal,Pujil Gulati,Kunnal K Shinde,Sai K Borawake
International Journal of Biomedical Research , 2012, DOI: 10.7439/ijbr.v3i3.328
Abstract: Background :Premature rupture of the membranes at term is spontaneous rupture of the membranes after 37 wks of the gestations and before the onset of the regular painful uterine contractions .It occurs in ten percent of cases These cases are either managed conservatively or by immediate induction of labour. Material and Methods :A prospective, randomized controlled study was carried out for a period of two years from November 2008 to October 2010 at Rural Medical College, Loni. One hundred pregnant women with term PROM were assigned randomly, each in induction and expectant group. Results :.The mean interval from induction to delivery was significantly shorter in the induction group as compared with expectant group . Incidence of maternal morbidity was comparable in both the groups Neonatal morbidity was higher in expectant group . Incidence of hyper stimulation were more with induction group as compared to expectant group. There was no maternal or perinatal mortality in any group. Intrapartum complications and mode of delivery were similar in both groups Conclusion: Immediate induction of labour in cases of PROM at term using oral misoprostol resulted in shorter induction delivery interval but increased rate of operative intervention. Maternal morbidity was comparable with induction and expectant line of management. However, neonatal morbidity was higher in expectant group
Caesarean Sections -Are we doing right ?
Vidyadhar B Bangal,Pravin S Thorat,Nisarg H Patel,Sai K Borawake
International Journal of Biomedical Research , 2013, DOI: 10.7439/ijbr.v3i6.540
Abstract: Introduction- Caesarean section is the most commonly performed major emergency surgical procedure in Obstetrics. With the improved caesarean skill of the obstetrician and techniques of anesthesia, the caesarean section has become a safe surgical procedure .The rate of caesarean section has shown progressive rise in last three decades in most part of the world .The immediate operative morbidity and the likelihood of complications in subsequent pregnancies, raise question marks regarding rising caesarean section rates. Material and methods- Retrospective analysis of 3980 caesarean sections performed at tertiary care teaching hospital over six years period, was undertaken to find out the rate of caesarean sections, indications and associated maternal morbidity and mortality . Results-The rate of caesarean section was in between 20 and 22 percent ,during the study period .The rate has been fairly constant throughout the study period. The common indications were previous caesarean section, fetal distress, cephalopelvic disproportion, pre-eclampsia or antepartum haemorrhage. Anemia and urinary infections resulted in postoperative febrile morbidity. Incidence of wound related complications were not significant .There were twelve maternal deaths ,of which six were due to severe uncontrolled hemorrhage from placental bed during caesarean section. Conclusion-Caesarean section rate can be maintained at acceptable limits by judicious selection of cases, allowing vaginal births after caesarean sections, external cephalic versions , assisted vaginal breech deliveries in selected cases and proper interpretation of results of electronic fetal monitors. Pain relief by epidural analgesia can reduce the fear of labour and rate of elective caesarean sections.
Caesarean Sections -Are we doing right ?
Vidyadhar B Bangal,Pravin S Thorat,Nisarg H Patel,Sai K Borawake
International Journal of Biomedical Research , 2012, DOI: 10.7439/ijbr.v3i6.540
Abstract: Introduction- Caesarean section is the most commonly performed major emergency surgical procedure in Obstetrics. With the improved caesarean skill of the obstetrician and techniques of anesthesia, the caesarean section has become a safe surgical procedure .The rate of caesarean section has shown progressive rise in last three decades in most part of the world .The immediate operative morbidity and the likelihood of complications in subsequent pregnancies, raise question marks regarding rising caesarean section rates. Material and methods- Retrospective analysis of 3980 caesarean sections performed at tertiary care teaching hospital over six years period, was undertaken to find out the rate of caesarean sections, indications and associated maternal morbidity and mortality . Results-The rate of caesarean section was in between 20 and 22 percent ,during the study period .The rate has been fairly constant throughout the study period. The common indications were previous caesarean section, fetal distress, cephalopelvic disproportion, pre-eclampsia or antepartum haemorrhage. Anemia and urinary infections resulted in postoperative febrile morbidity. Incidence of wound related complications were not significant .There were twelve maternal deaths ,of which six were due to severe uncontrolled hemorrhage from placental bed during caesarean section. Conclusion-Caesarean section rate can be maintained at acceptable limits by judicious selection of cases, allowing vaginal births after caesarean sections, external cephalic versions , assisted vaginal breech deliveries in selected cases and proper interpretation of results of electronic fetal monitors. Pain relief by epidural analgesia can reduce the fear of labour and rate of elective caesarean sections.
TWISTING OF THE UMBILICAL CORD CAUSING INTRAUTERINE FETAL DEATH
Vidyadhar B Bangal,Kunaal K Shinde,Satyajit P Gavhane,S K Borawake
International Journal of Biomedical and Advance Research , 2012, DOI: 10.7439/ijbar.v3i8.697
Abstract: Umbilical cord accident(UCA) is an emergency situation , as it threatens fetal wellbeing and or results into fetal jeopardy. Cord prolapse , cord compression, cord entanglement ,true knot formation , thrombosis and rupture of cord blood vessels are some of the known cord related causes of stillbirths .Twisting of the umbilical cord occurs less often than above mentioned cord accidents. Twisting of the umbilical cord leads to obstruction in the flow of blood in umbilical cord vessels leading to acute placental insufficiency and sudden fetal death. A rare case of full term pregnancy with multiple twists of the umbilical cord, leading to intrauterine fetal death is presented in this case report .The antenatal diagnosis, predisposing factors and preventive measures are discussed in the end
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