Asian Research Journal of Gynaecology and Obstetrics http://journalarjgo.com/index.php/ARJGO <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> en-US contact@journalarjgo.com (Asian Research Journal of Gynaecology and Obstetrics) contact@journalarjgo.com (Asian Research Journal of Gynaecology and Obstetrics) Tue, 22 Oct 2019 09:58:03 +0000 OJS 3.1.1.4 http://blogs.law.harvard.edu/tech/rss 60 Morbid Obesity in Pregnancy http://journalarjgo.com/index.php/ARJGO/article/view/30102 <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> Anjani Dixit, Anju Singh, Monica Vohra Pandit ##submission.copyrightStatement## http://journalarjgo.com/index.php/ARJGO/article/view/30102 Tue, 22 Oct 2019 00:00:00 +0000 Pregnancy Outcomes in Placental Abruption in a Tertiary Care Centre in Karnataka http://journalarjgo.com/index.php/ARJGO/article/view/30103 <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> Riya Bhattacharya, A. C. Ramesh ##submission.copyrightStatement## http://journalarjgo.com/index.php/ARJGO/article/view/30103 Wed, 05 Feb 2020 00:00:00 +0000