PPH is most common cause of maternal death, contributing to approximately 35% death all over the world. WHO (2017) recommended that tranexamic acid should be considered as a standard comprehensive treatment package and must used in cases regardless PPH. To evaluate effectiveness safety intravenous Tranexamic (TA) for reduction postpartum blood loss after vaginal delivery LSCS record any adverse...

OBJECTIVE The percentage use of regional anaesthesia (RA) and failure rate of RA for different grades of caesarean section (CS) has become a marker of quality for obstetric anaesthesia service. The objective of our prospective observational study is to find out the technique of anaesthesia used in different grades of CS, reasons for choosing general anaesthesia (GA) and failure rate of RA in ou...

CONTEXT Fetal stress is relevant to newborn outcomes. Corticosterone is rarely quantified in human clinical endocrinology and is found at much lower concentrations than cortisol. However, fetal corticosterone is a candidate hormone as a fetal stress signal. OBJECTIVE Test the hypothesis that preferential fetal corticosterone synthesis occurs in response to fetal intra-partum stress. DESIGN ...

The human fetal adrenal is proportionally 10 to 20 times larger than the adult gland. Its large size is attributable to a histologically distinct central reticular zone known as the fetal zone. This zone is prominent throughout fetal life, but undergoes rapid involution in the first postnatal week (1). In the course of a study of the human fetal adrenal, electron micrographs were obtained of ce...

We present a case of term pregnancy which presented with chief complaint Breathlessness, chest pain as well one day history vomiting. She tested positive for COVID19 through reverse transcriptase polymerase chain reaction nasopharyngeal swab and the symptoms were attributed to Pneumonia caused due COVID19.However,the arterial blood gas showed metabolic acidosis high anion gap. This was non lact...

Giant encapsulated haematoma of the anterior abdominal wall is an unusual complication mesh incisional hernia repair. The commonest symptoms are swelling and pain. It can be diagnosed with ultrasonography Computed Tomography (CT) scan. objective this case report to illustrate challenges management a complex pathology in high-risk term pregnancy. In report, 28-year-old morbidly obese multiparous...

Acute kidney injury (AKI) is a recognized complication of birth asphyxia. Early recognition of AKI is important in asphyxiated neonates as it helps in early intervention and appropriate management. The aim of this study was to determine the pattern of AKI in asphyxiated neonates and its relation to the grade of Hypoxic Ischemic Encephalopathy (HIE). This was a prospective hospital based study, ...

INTRODUCTION Obesity during pregnancy is associated with meta-inflammation and an increased likelihood of clinical complications. Surgery results in intense, acute inflammatory responses in any individual. Because obese individuals exhibit constitutive inflammatory responses and high rates of Caesarian section, it is important to understand the impact of surgery in such populations. Whether mor...