Asian Research Journal of Gynaecology and Obstetrics 2020-03-03T10:33:21+00:00 Asian Research Journal of Gynaecology and Obstetrics Open Journal Systems <p style="text-align: justify;"><strong>Asian Research Journal of Gynaecology and Obstetrics</strong>&nbsp;aims to publish&nbsp;high-quality&nbsp;papers (<a href="/index.php/ARJGO/general-guideline-for-authors">Click here for Types of paper</a>) in all areas of&nbsp;‘Gynaecology and Obstetrics’. This journal facilitates the research and wishes to publish papers as long as they are technically correct, scientifically motivated. The journal also encourages the submission of useful reports of negative results. This is a quality controlled,&nbsp;OPEN&nbsp;peer-reviewed, open access INTERNATIONAL journal.</p> Morbid Obesity in Pregnancy 2019-10-22T10:03:35+00:00 Anjani Dixit Anju Singh Monica Vohra Pandit <p><strong>Aim: </strong>Changing lifestyle and late age of conception has led to rising incidence of obesity in pregnancy. We present a case report of perioperative management of a morbidly obese pregnant woman and the problems we faced during its management.</p> <p><strong>Case Presentation:</strong> A 35 years old, morbidly obese, unbooked, gravida 3 para 2 living 2, with post-dated pregnancy presented in labour. On investigation it was found that she was hypothyroid, diabetic, hypoproteinemic and moderately anaemic. She underwent Caesarean section due to fetal distress. Operation was difficult and an additional assistant was recruited at the operation table to retract the panniculus of anterior abdominal wall which extended to approximately 10 cm from mons veneris. She had one episode of sudden hypotension on second post-operative day which was managed conservatively. On day nine she developed a 5 x 4 cm sloughed area in the pannus near stitch-line. Wound debridement and healing occurred with secondary intention.</p> <p><strong>Discussion:</strong> Morbid obesity presents several challenges but our case highlights the additional problems due to unbooked and uninvestigated state with post-dated term pregnancy in labour. Here, Obstetrician is the first point of contact and has to deal with all the associated problems that are present and also has to envisage the complications that can ensue. In our case we had to deal with post-dated pregnancy, macrosomia, diabetes, anemia, hypoproteinemia on top of obesity.</p> <p><strong>Conclusion: </strong>Our case highlights the importance creating awareness in people for prenatal, routine antenatal visits, and importance of having institutional delivery. It also highlights unprecedented problems that can be faced by Obstetricians in dealing with such cases.</p> 2019-10-22T00:00:00+00:00 ##submission.copyrightStatement## Pregnancy Outcomes in Placental Abruption in a Tertiary Care Centre in Karnataka 2020-02-05T08:55:50+00:00 Riya Bhattacharya A. C. Ramesh <p><strong>Background: </strong>Abruptio placenta is a serious obstetric emergency which requires adequate management to avoid catastrophic events including maternal death.</p> <p><strong>Objective:</strong> To determine maternal and perinatal outcome and associate maternal risk factors on the outcome of pregnancy in patients with abruption whom we treated in the institute.</p> <p><strong>Materials and Methods: </strong>Retrospective study of 64 cases of placental abruption carried out in the Obstetric Department in JJM Medical College, Davangere between October 2018 and September 2019.</p> <p><strong>Results: </strong>The incidence of abruption was 0.65% (64 out of 9800 deliveries). Abruption more often occurred in multipara and women from lower socioeconomic status. It occurred most commonly between 26-30 yrs of women. Severe preeclampsia and previous history of caesarean section were leading associated risk factors (45% and 18% respectively). Anaemia was the commonest maternal complication followed by postpartum haemorrhage. Peripartum hysterectomy was done in two out of 64 cases. Maternal deaths were two.</p> <p><strong>Conclusion: </strong>In this study we identified clinical profiles of patients with abruptio placentae. With early recognition of the pre-existing risk factors, timely diagnosis and early intervention, the maternal and perinatal morbidity and mortality can be significantly reduced.</p> 2020-02-05T00:00:00+00:00 ##submission.copyrightStatement## Epidemiology of Human Papilloma Virus Genotypes (HPV) in Human Immunodeficiency Virus (HIV) Positive Women from Selected Hospitals in Ondo State, Nigeria 2020-03-03T10:33:21+00:00 A. K. Onifade O. O. Ladenika <p>The aim of this study is to investigate the epidemiology of Human Papillomavirus genotypes in Human Immunodeficiency Virus (HIV) positive women attending selected Government Hospitals in Ondo state, Nigeria. Questionnaires containing information about age, sex, parity, occupation, socio-demographic characteristics of the women, and exposure to factors which may influence sexually transmitted diseases (STDs) were administered. Information on other signs and symptoms of STD was also obtained. This study was conducted among women ≥20 years attending the HIV or medical outpatient Clinic from selected Hospitals in Ondo State. A total of 185 cervical swab samples collected were transferred in a phosphate buffer transport medium, kept in ice pack and then transferred to the laboratory for analysis. The following analyses were carried out on the samples: DNA extraction, genotyping using polymerase chain reaction (PCR) assay and agarose gel electrophoresis, using GP5+/GP6+ primers. Of the 185 cervical swabs samples collected from HIV positive women, 128 (69.2%) had their Human Papilloma Virus (HPV) status as positive, while 57 (30.8%) had their HPV status as negative. The higher prevalence of HPV IgG recorded in this work might be related to varying sexual behaviors, social vices and cultural practice in Ondo State. Prevalence of HPV IgG antibody in HIV women in relation to age of the showed that, age group 31-40 had the highest prevalence of HPV IgG antibody 75 (58.6%). The prevalence might be due to early indulgence in sexual activities and early marriage. The prevalence of HPV antibody in relation to education of the women showed that subjects with no formal education had the highest prevalence of HPV IgG antibody 62 (48.4%). Other parameters like past history of sexually transmitted diseases (STDs), use of oral contraceptives, and age at first sexual experience, occupation, level of education, and marital status also contributed to the high prevalence of HPV. The HR-HPV genotypes detected include: 16, 18, 35, 45, 30, 70, 69, 52, 31, 58, 39, 33, 61, 66 and 74 This study has shown a clear indication of the presence of HPV in HIV positive women, and equally the epidemiological classification of HPV in HIV positive women, and therefore recommends that, there is the need to educate people on the importance of routine HPV screening in order to prevent infection with the disease and development of cervical cancer. Public enlightenment programmes should be organized to educate people on the risk factors associated with HPV, which would also assist women in making responsible choices as regards sexual and other social practices.</p> 2020-03-03T00:00:00+00:00 ##submission.copyrightStatement##