The Journal of Obstetrics and Gynecology of India

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1 The Journal of Obstetrics and Gynecology of India Official Publication of The Federation of Obstetric & Gynecological Societies of India (FOGSI) Peer Reviewed Journal Indexed in medind Website: Founder Editor Late J. Jhirad Founder Secretary & Manager Late G. N. Vazifdar Past Editor Late K. M. Masani Late R. D. Pandit Editors Emeritus V. N. Purandare Mahendra N. Parikh Adi E. Dastur Associate Editor Gautam N. Allahbadia Jt. Associate Editor C. V. Hegde Assistant Editor Suvarna Khadilkar Assistant Secretary Madhuri A. Patel Jt. Assistant Secretary Sujata Dalvi * * * Ex Offi cio Members P. K. Shah President, FOGSI Nozer Sheriar Secretary General, FOGSI H. D. Pai Dy. Secretary General, FOGSI Jaydeep Tank Treasurer, FOGSI Madhuri A. Patel Jt. Treasurer * * * Biostatistician Arerkar Anil Editor C. N. Purandare Secretary & Manager Geetha Balsarkar Journal Office: Model Residency CHS., Ground Floor, 605 Bapurao Jagtap Marg, Jacob Circle, Mahalaxmi East, Mumbai Tel: (91 22) , , Fax: (91 22) journalobgyn@gmail.com Website: International Advisory Board Arulkumaran S (UK) Laxmi Baxi (USA) Salim Daya (Canada) Alan H. DeCherney (USA) Ian Fraser (Australia) Louis Keith (USA) Andre Lalonde (Canada) Kyros Nicolaides (London) National Corresponding Editors Subhash Biswas (Kolkata) Asha Dalal (Mumbai) Usha Gupta (Delhi) Shantha Kumari (Hyderabad) Ashok Kumar (Delhi) Atul Munshi (Ahmedabad) Tripti Nagaria (Raipur) Muralidhar Pai (Manipal) S. N. Tripathy (Cuttack) The Obstetric and Gynecological Societies Affiliated to FOGSI Agartala Agra Ahmedabad Ahmednagar Aizwal Ajmer Akola Aligarh Allahabad Alleppey Amravati Amritsar Anand Asansol Aurangabad Azamgarh Bangalore Baramati Bardhaman Bareilly Baroda Beed Belgaum Bellary Bengal Berhampur Bhagalpur Bhandara Bharuch Bhavnagar Bhagalkot Bhilai Bhopal Bhubaneshwar Bhuj Bihar Bijapur Bikaner Bilaspur Bokaro Bulandshahr Burla Calicut Cannanore Chalisgaon Chandrapur Chitradurga Cochin Coimbatore Darbhanga Davangere Dehradun Delhi Deoli Dhanbad Dhule Dibrugarh Dindigul Durg Durgapur Erode Eluru Faridabad Firozabad Faridkot Gauhati Gadhinglaj Ghaziabad Godhra Gondia Gorakhpur Gulbarga Guntur Gurgaon Gwalior Haldwani Hassan Himatnagar Hubli Hyderabad Ichalkaranji Imphal Indore Islampur Jabalpur Jaipur Jalandhar Jalgaon Jalna Jammu Jamnagar Jamshedpur Jhansi Jodhpur Jorhat Junagadh Kakinada Kalyani Kanpur Karad Karimnagar Karur Kasaragod Kashipur Khamam Kerala Kohima Kolhapur Korba Kota Kottayam Kurnool Latur Loni Lucknow Ludhiana Madurai Mahabubnaga Malda Malegaon Mathura Mangalore Manipal Margoa Mau Meerut Mehsana Miraj Moradabad Mumbai Muzaffarnagar Muzaffarpur Mysore Nabha Nadiad Nagaon Nagercoil Nagpur Nalbari Nalgonda Nanded Nasik Navi Mumbai Navsari Nellore Noida Northern Odisha Orissa Osmanabad Panaji Pandharpur Parbhani Patiala Palanpur Palghar Porbandar Pondicherry Pune Raichur Raipur Rajkot Ratlam Rajahmundry Ranchi Rewa Roorkee Rewari Rohtak Rourkela Sagar Saharanpur Salem Satara Sevagram Shillong Shimoga Shahjahanpur Sindhudurgnagri Silchar Siliguri Singrauli Solapur Southern India Sri Ganganagar Srinagar Surat Thanjavur Theni Thrissur Tirunelveli Tirupati Trichy Tumkur Udaipur Udgir Ujjain Varanasi Vapi Vellore Visakhapatnam Vijaywada Warangal Yamunanagar Yavatmal Disclaimer - The Editor disclaims any responsibility or liability for statements made and opinions or views expressed by authors and contributors and claims made by advertisers. Copyright - No part of this Journal can be reproduced or transmitted in any form or by any means, electronic or mechanical, without written permission from the Editor. Printed and published by Dr. Geetha Balsarkar on behalf of The Federation Of Obstetric and Gynaecological Societies of India, Printed at Novelty Priners, AG 15/16, Saraf Kaskar Industrial Estate, Next to Union Bank, S.V. Road, Jogeshwari (West), Mumbai and published at The Federation Of Obstetric and Gynaecological Societies of India Model Residency, 605, Bapurao Jagtap Marg, Jacob Circle, Mahalakshmi (East), Mumbai , Editor: Dr. C. N. Purandare.

2 EDITORIAL Hegde C V Management of Large Bowel Injury During Laparoscopic Surgery 501 MILESTONES Purandare C N Patel M A Balsarkar G D Indian Contribution to Obstetrics and Gynecology 504 REVIEW ARTICLE Sinai Talaulikar Vikram Belli Anna-Maria Manyonda Isaac GnRH Agonists: Do They Have a Place in the Modern Management of Fibroid Disease? 506

3 OBSTETRICS Chandel Lata R Kanga Anil Thakur Kamlesh Mokta Kiran K Sood Anuradha Chauhan Smriti Prevalance of Pregnancy Associated Asymptomatic Bacteriuria: A Study Done in a Tertiary Care Hospital Pregnancy associated asymptomatic bacteriuria is a common occurrence. In the present study incidence came out to be 7.34%. The commonest pathogen isolated was E.coli amounting to 79.5%. Because of complications associated with asymptomatic bacteriuria in pregnancy, it should be diagnosed early and should be treated with appropriate antibiotic therapy. Culture of urine sample is the gold standard method for diagnosis. 511 Shalaby Hend Abdel Rahaman Elhady Reda Abd Gamal Anas Mohamed Badry Ahmed Al Prenatal Diagnosis in Low Resource Setting: Is It Acceptable? This study reveals attitude and acceptability of prenatal procedures among Egyptian women. Positive attitude was expressed towards non-invasive procedures. Attitude was guarded towards invasive procedures due to fear of abortion. Cost of procedure did affect the decision. 515 Balkawade Nilesh Unmesh Shinde Mangala Ashok Study of Length of Umbilical Cord and Fetal Outcome: A Study of 1,000 Deliveries The present study was undertaken to assess the correlation between umbilical cord length and fetal outcome. The findings of a worrisome fetal heart rate tracing or failure of fetal descent during labor is not uncommon. Most of these are associated with abnormalities of cord length. 520

4 OBSTETRICS Patil Mithil M Role of Neuroimaging in Patients with Atypical Eclampsia Eclampsia is associated with increased risk of maternal mortality from 1.8% in developed countries to 14% in developing countries. We have done neuroimaging with CT scan in 30 eclampsia patients who do not respond to the routine treatment ie. MgSO 4 and antihypertensives. In almost 20 patients we have found cerebral oedema described as Posterior Reversible Encephalopathy Syndrome & in 4 patients cerebral infarction. CVTS is found in 2 patients and tuberculomas in another two. Most of these patients who were refractory to the conventional treatment, responded to the medical management such as IV. Mannitol in Oedema and antikochs treatment in tuberculomas. 526 Nkwabong Elie Fomulu Joseph Nelson Kouam Luc Ngassa Pius Chanchu Outcome of Breech Deliveries in Cameroonian Nulliparous Women Vaginal breech delivery is unsafe in some, but not all, nulliparous women. 531 Hansda Jayasree Roychowdhury Joydeb Study of Thrombophilia in Recurrent Pregnancy Loss There is definite association between thrombophilic defect and recurrent pregnancy loss, preterm births and IUGR due to placental vasculopathy. Even after thorough evaluation in one third of cases, cause remains uncertain. Large and long term studies are necessary to prove stronger association to initiate early antithrombotic therapy. 536

5 GYNECOLOGY Batra Sonia Nayak Himanshu Dave Kalpana S Role of Neoadjuvant Chemotherapy (NACT) Followed by Surgical Cytoreduction in Advanced Epithelial Ovarian Cancer This study was conducted to demonstrate the role of Neoadjuvant chemotherapy(nact) in advanced epithelial ovarian cancer. It also demonstrates pattern of presentation and socio-demographic characteristics of advanced ovarian cancer. 541 Mahanta R Gogoi A Chaudhury P N B Roy S Bhattacharyya I K Sharma P Association of Oxidative Stress Biomarkers and Antioxidant Enzymatic Activity in Male Infertility of North-East India The aimed study for finding the association of oxidative stress biomarkers; the Lipid and Protein peroxidation and antioxidant enzymes as Superoxide dismutase and Glutathione peroxidase activity in male infertility showed positive correlation between the stress biomarkers and antioxidant enzyme activity in the studied population of normozoospermic and infertile group. 546 Sangeeta Shah Metformin and Pioglitazone in Polycystic Ovarian Syndrome: A Comparative Study Pioglitazone may be a newer alternative insulin-sensitizing drug to metformin, in the treatment of PCOD, as it has more metabolic and reproductive benefits and may also act in the long term to protect these women from developing Type-II diabetes mellitus. However unlike metformin it cannot be used if the woman conceives during treatment. 551

6 GYNECOLOGY Madhumati Goel Kavita Somani Anju Mehrotra Uma Singh Raj Mehrotra Immunohistochemical Expression of Cell Proliferating Nuclear Antigen (PCNA) and p53 Protein in Cervical Cancer The results of the present study observed that specific biomarkers of dysplasia (p53 & PCNA) could greatly improve the accuracy, precision, and sensitivity of cervical screening programs. These biomarkers will be helpful in those cases, which are seen low grade in histology sections but have a high proliferative index. 557 Patidar Arvind Kumar Kumar H S Walke Rahul V Hirapara Pushpendra H Jakhar Shankar Lal Bardia M R Evaluation of the Response of Concurrent High Dose Rate Intracavitary Brachytherapy with External Beam Radiotherapy in Management of Early Stage Carcinoma Cervix To evaluate local disease control and early complications, we compare concomitant with sequential brachytherapy in early stage carcinoma cervix. Response was better in the study group but statistically insignificant at cost of increased but manageable acute reactions. Larger study and longer follow up is advised to arrive at concrete conclusion. 562

7 CASE REPORTS Manisha Meena Jyoti Singh Abha Singh Anuradha A Rare Case of Vaginal Delivery After Uterine Rupture 566 Gupta Rakhi Tickoo Girija Persistent Uterine Prolapse During Pregnancy and Labour 568 Culha Cavit Ozkaya Mesut Serter Rustu Sahin Ibrahim Aydin Bayram Aral Yalcin Swyer s Syndrome: In a Fifty-Year-Old Female 571 Majumdar Abha Gill Kavneet Severe Adolescent Menorrhagia Due to Cervical Fibroid 575 ADVERTISEMENTS FOGSI conference Advertisements (in the Indian domestic edition only)

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