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Journal Cover Sri Lanka Journal of Obstetrics and Gynaecology
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  This is an Open Access Journal Open Access journal
   ISSN (Print) 1391-7536 - ISSN (Online) 2279-1655
   Published by Sri Lanka Journals Online Homepage  [48 journals]
  • Intra-partum fetal monitoring – cardiotocograph

    • Abstract: No abstract available Published on 2016-11-08 00:00:00
       
  • Using the internal inguinal ring as a landmark for the safe placement of
           secondary trocars at laparoscopy

    • Abstract: AimAvoidance of injury to the epigastric vessels is an important safety consideration in siting secondary ports at laparoscopy. We evaluated trans-illumination, direct visualization of vessels and using the internal inguinal ring, which has a constant relationship with the inferior epigastric vessels as an anatomical landmark to locate these vessels.MethodsNinety consecutive women undergoing laparoscopy were recruited for the study. The Ability to trans-illuminate the superficial and inferior epigastric vessels, to visualize inferior epigastric vessels and to locate the round ligament entering the internal inguinal ring were documented. The body mass index (BMI) was noted. The association of the body mass index (BMI) with these variables was calculated by simple regression analysis.ResultsAbility to visualize the internal inguinal ring was significantly higher than that of locating the superficial or inferior epigastric vessels by trans -illumination or by directvisualization. p<0.001.Ability to visualize and to trans -lluminatethe inferior epigastric vessels decreased with increasing BMI (p< 0.05). There was no significant relationship between body mass index and the ability to visualize the round ligament entering the deep inguinal ring. (p=0.64)ConclusionLocating the deep inguinal ring and using it as an anatomical landmark and placing the lateral trocars lateral to a saggital line originating from the internal ring is a reliable and useful method in preventing unintended injury to anterior abdominal wall vessels during secondary trocar placement Published on 2016-11-08 00:00:00
       
  • Case report: intracranial hypertension in labour

    • Abstract: Neurological manifestations are seldom reported during labour with majority of cases being eclampsia. We report a case of 33-year-old lady in her second pregnancy developing features of raised intracranial pressure (bilateral Abducens nerve palsy and papilloedema) after administration of Prostaglandin E2 for induction of labour. Radiological imaging was unremarkable and the neurological symptoms spontaneously resolved within 24 hours of the delivery of the baby. Published on 2016-11-08 00:00:00
       
  • Accidental self-insertion of an intrauterine contraceptive device into the
           bladder

    • Abstract: No abstract available Published on 2016-11-08 00:00:00
       
  • A historical perspective - Diagnostic challenges in obstetrics and
           gynaecology in the pre sonology and cardiotocography era

    • Abstract: No abstract available Published on 2016-11-08 00:00:00
       
  • Abstracts of the SLCOG 2016 1st – 3rd July 2016, Colombo, Sri Lanka
           "Serve women and save the world"

    • Abstract: s of Plenary Lectures, Guest Lectures, Symposia, Free Communications Published on 2016-10-20 00:00:00
       
  • Posterior reversible encephalopathy syndrome in postpartum woman: a case
           report

    • Abstract: No abstract available Published on 2016-08-19 00:00:00
       
  • The antibiotic sensitivity pattern and the use of antibiotics in women
           with asymptomatic bacteriuria in pregnancy

    • Abstract: Background: Nitrofurantoin has been recommended as a first line therapy in Sri Lanka for urinary tract infections in pregnancy but it is not used frequently.Materials and Methods: At the Colombo South Teaching Hospital a descriptive cross sectional study was carried out from June 2015 to April 2016 on 98 consecutive pregnant women between eight to 24 weeks of gestation, residing in Colombo district and presenting with no urinary symptoms suggestive of urinary tract infection at the time of urine collection but having a positive urine culture (colony count of > 105 per ml of urine). The antibiotic sensitivity of the identified pathogens was studied.Results: The commonest organism found was Coliforms (n = 79) .The other organisms identified were Staphylococci (n = 10), Streptococci (n = 7) and Enterococci (n = 2). All the organisms were sensitive to Nitrofurantoin. However, Nitrofurantoin was used only in 57 women.Conclusion: As all the organisms were sensitive to Nitrofurantoin, prescribing practices need to be changed to include Nitrofurantoin as the first line of therapy for asymptomatic bacteriuria of pregnancy. Published on 2016-08-19 00:00:00
       
  • What should we in Sri Lanka do about Zika in pregnancy

    • Abstract: No abstract available Published on 2016-08-19 00:00:00
       
  • Comparison of surgical site infections and patients’ comfort level with
           

    • Abstract: Introduction: In the prevention of surgical site infections (SSIs), the ideal timing for removal of dressing remains unresolved.Objectives: To determine the outcomes of early removal of wound dressing in terms of surgical site infections (SSI), patients’ comfort level and whether it was acceptable to the patientsMethods: The study was conducted at the Obstetric Unit of the Professorial Unit of Colombo South Teaching Hospital from September 2012 to February 2013.Out of 498 patients assessed for eligibility, 400 were randomised using a stratified [emergency versus elective caesarean sections (CS)] design into the intervention and control groups. There were 281 and 119 patients in the emergency CS and elective CS groups respectively. In the total sample, 205 patients underwent the intervention (removal of dressing between six and 12 hours after CS) and 195 patients underwent delayed wound exposure between 24 to 30 hours after CS (controls). Patients were reviewed before discharge and in two weeks. On the 1st post-operative day, using a visual analogue scale, their ability to sit up, get off the bed, walk and squat was assessed. The acceptability of early wound exposure was assessed in the intervention group with a structured closed ended questionnaire administered on the 1st post-operative day.Results: There was no significant difference in the SSI rates between the two groups, in both strata. Patients in the intervention group were able to perform all the given tasks more easily than in the control group (p < 0.001). Of the 183 respondents in the intervention group, 85% would prefer to have the wound dressings removed early for their next CS, 78% thought early removal of dressing improved their hygiene and 90% thought it improved their overall comfort.Conclusion: Clean, primarily sutured CS wounds ,exposed within six to 12 hours after surgery do not have an increased incidence of SSI compared to those that are exposed within 24 to 36 hours. The patients were more comfortable and better able to carry out simple tasks after early exposure compared to delayed exposure, and early exposure was well accepted by the majority of patients who had this intervention. Published on 2016-08-19 00:00:00
       
 
 
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