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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  [49 journals]
  • Fetal scalp stimulation tests to improve the value of an admission

    • Abstract: Introduction: An admission cardiotocograph (CTG) in a woman in early labour can lead to unnecessary interventions without improving neonatal outcomes Objective: To assess fetal scalp stimulation as a complementary test to improve the value of an admission CTG. Method: Women (n = 243) with uncomplicated singleton pregnancies with a cephalic presentation at >37 weeks gestation, in early labour or with induction of labour (IOL )) had a CTG for ten minutes followed by a fetal scalp Digital Stimulation Test (DST) for 15 seconds during the routine vaginal examination, and the CTG was continued for another five minutes. If fetal heart rate (FHR) acceleration were absent after DST ( DST negative) , an Allis Clamp was applied to the fetal scalp and the CTG was continued for another five minutes. FHR accelerations indicated a positive test result. The initial CTG and the results of DST and application of Allis Clamp were compared with the five-minute APGAR score of the neonate. Results: Of the 243 women, 107 (44%) had a negative DST but this number decreased to 27 (11%) after additional Allis clamping of the fetal scalp. The addition of the fetal scalp stimulation tests (FSST) markedly increased the specificity of the CTG in predicting neonatal hypoxia from 58% (95% CI 51.3-64.6%) to 96.4% (95% CI 93-98.5%). After the addition of FSST , the likelihood ratio of the presence of FHR accelerations in excluding neonatal hypoxia was 22.1 ( 95% CI 10.8-45.4) while the likelihood ratio of the absence of FHR accelerations in predicting neonatal hypoxia was 0.22 (95% CI 0.1-0.52) Conclusion: When FHR accelerations are absent in the admission CTG, FSST complement it by helping to rule out fetuses probably not having hypoxia during early labour or IOL, and enables the identification of fetuses who would require close monitoring. Published on 2016-12-01 00:00:00
  • Small for gestational age: towards standards of our own

    • Abstract: No abstract available Published on 2016-12-01 00:00:00
  • Successful outcome of multifetal pregnancy in a single horn of a
           bicornuate uterus: a case report

    • Abstract: No abstract available Published on 2016-12-01 00:00:00
  • Morbidly adherent placenta: experience in two tertiary care centers in Sri

    • Abstract: No abstract available Published on 2016-11-01 00:00:00
  • Accidental self-insertion of an intrauterine contraceptive device into the

    • Abstract: No abstract available 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
  • 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
  • Intra-partum fetal monitoring – cardiotocograph

    • 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: Abstracts of Plenary Lectures, Guest Lectures, Symposia, Free Communications Published on 2016-10-20 00:00:00
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