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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  [41 journals]
  • Management of diabetes during pregnancy

    • Authors: The Editor
      Abstract: No abstract available
      DOI : http://dx.doi.org/10.4038/sljog.v36i1.6975 Sri Lanka Journal of Obstetrics and Gynaecology 2014; 36: 38-42
      PubDate: 2014-06-05
      Issue No: Vol. 36 (2014)
       
  • Management of Hypertensive Disease During Pregnancy

    • Authors: The Editor
      Abstract: No abstract available
      DOI : http://dx.doi.org/10.4038/sljog.v36i1.6973 Sri Lanka Journal of Obstetrics and Gynaecology 2014; 36: 31-34
      PubDate: 2014-06-05
      Issue No: Vol. 36 (2014)
       
  • Management of eclampsia

    • Authors: The Editor
      Abstract: No abstract available
      DOI : http://dx.doi.org/10.4038/sljog.v36i1.6974 Sri Lanka Journal of Obstetrics and Gynaecology 2014; 36: 35-37
      PubDate: 2014-06-05
      Issue No: Vol. 36 (2014)
       
  • A rare case of carcinoma of the vulva coexisting with third degree uterine
           prolapse treated in a rural Medical College of West Bengal

    • Authors: D P Saha, A Mitra, R Pal, J K Nandi, H Agarwal, S Rani
      Abstract: Coexistence of carcinoma of the vulva and uterovaginal prolapse is very rare. We thus present the simultaneous operative management of the two conditions in a patient with stage II carcinoma of the vulva and third degree uterine prolapse as available literature is very scanty to guide a surgeon.


      DOI : http://dx.doi.org/10.4038/sljog.v36i1.6968Sri Lanka Journal of Obstetrics and Gynaecology 2014; 36: 17-18
      PubDate: 2014-06-04
      Issue No: Vol. 36 (2014)
       
  • Management of acute puerperal inversion of the uterus

    • Authors: The Editor
      Abstract: No abstract available
      DOI : http://dx.doi.org/10.4038/sljog.v36i1.6972 Sri Lanka Journal of Obstetrics and Gynaecology 2014; 36: 28-30
      PubDate: 2014-06-04
      Issue No: Vol. 36 (2014)
       
  • Cervical agenesis: two case reports with review of literature

    • Authors: Nayana Pathak, Praveen Mohan
      Abstract: Cervical agenesis is an extremely rare congenital Mullerian duct anomaly of female genital tract. It is a complex surgical problem and management is still controversial. Failure to manage these patients correctly may be associated with long-term psychological, sexual, reproductive health damage and suffering. We have managed two cases of cervical agenesis with cryptomenorrhea.


      DOI : http://dx.doi.org/10.4038/sljog.v36i1.6969 Sri Lanka Journal of Obstetrics and Gynaecology 2014; 36: 17-18
      PubDate: 2014-06-04
      Issue No: Vol. 36 (2014)
       
  • Management of postpartum haemorrhage

    • Authors: The Editor
      Abstract: No abstract available
      DOI : http://dx.doi.org/10.4038/sljog.v36i1.6971 Sri Lanka Journal of Obstetrics and Gynaecology 2014; 36: 22-27
      PubDate: 2014-06-04
      Issue No: Vol. 36 (2014)
       
  • A randomized controlled trial of rectal analgesia diclofenac sodium for
           relief of perineal pain following child birth

    • Authors: D L W Dasanayake
      Abstract: Objectives: To evaluate rectal diclofenac sodium in the relief of perineal pain after trauma during childbirth.
      Design: A randomized , double blind trial
      Setting: The obstetric department (ward 21) , Professorial Unit, Colombo South Teaching Hospital, Kalubowila.
      Population: Women with an episiotomy or any degree of perineal tears including vestibular tears, which required suturing.
      Method: Women were randomly allocated to either diclofenac sodium or placebo suppositories (Anusol) , using a random – number table. Treatment packs contained two, diclofenac sodium 100 mg and diclofenac sodium 50 mg suppositories or two placebo suppositories, The first (diclofenac sodium100mg or placebo) was inserted when suturing was completed , and the second (50 mg diclofenac sodium or placebo) 12 hours after birth. Women were asked to indicate their degree of perineal pain at 24 hours after birth, using 10 cm visual analogue scale.
      Main outcome measure: Pain score at 24 hours after birth.
      Results: A total of 169 women were recruited, with 84 randomized to diclofenac sodium suppositories and 85 to placebo. Women in the diclofenac sodium group were significantly less likely to experience pain within 24 hours of delivery (percentage of mean pain score reduction , 45% , P < .001 ) compared with those who received placebo.
      Conclusions: The use of rectal diclofenac sodium is a simple and effective method of reducing the pain experienced by women following perineal trauma within the first 24 hours after childbirth.


      DOI : http://dx.doi.org/10.4038/sljog.v36i1.6962

      Sri Lanka Journal of Obstetrics and Gynaecology 2014; 36: 14-16


      PubDate: 2014-06-03
      Issue No: Vol. 36 (2014)
       
  • Renal Transplantation and Pregnancy

    • Authors: V V Mishra, S Choudhary, Shilpa Ninama, Astha Dudhat, Rohina S Aggarwal
      Abstract: Objective: The aim of this study is to evaluate maternal & fetal outcome in cases of renal transplant patients. Methods: This is a retrospective study from 2010 to 2012 at a tertiary care centre. We analyzed six pregnancies in five renal transplant recipients for maternal and fetal outcome in terms of clinical and biological data. Results: The mean age was 28.6 ± 3 years. The mean time interval between renal transplantation and pregnancy was 2 year & 7 months. Regarding the immunosuppressive therapy all patients received steroids, three patients received Tacrolimus, one patient received Sirolimus and Mycophenolate Mofetil that was changed 1 month before conception. There was no significant difference between the serum creatinine levels before and during pregnancy. Amongst the five patients, two of them had pre -existing hypertension. Of these two patients, one developed super imposed pre-eclampsia. The other complications which were noted were urinary tract infection in one case, premature labour pain in one case, anaemia in two cases. No neonatal complication except low birth weight was noted. Two cases had spontaneous abortion. Caesarean section was performed in two cases due to severe oligohydroaminos. Conclusion: Pregnancy in renal transplant patient can be continued under optimal circumstances, including stable allograft function for at least 1 year post transplant without rejection with good control of blood pressure, and after appropriate adjustment of immunosuppressant and other known teratogenic medications prior to conception.
      DOI : http://dx.doi.org/10.4038/sljog.v36i1.6961 Sri Lanka Journal of Obstetrics and Gynaecology 2014; 36: 11-13
      PubDate: 2014-06-02
      Issue No: Vol. 36 (2014)
       
  • The analgesic efficacy of transversus abdominis plane (TAP) block after
           total abdominal hysterectomy: a randomized controlled trial

    • Authors: MGDG Wijewardana, R Pathiraja, MAMM Jayawardane
      Abstract: Objective: To assess the effectiveness of surgical TAP block in providing post-operative analgesia in women undergoing total abdominal hysterectomy through supra pubic transverse incision under general anaesthesia
      Design: A randomized controlled study
      Setting: Professorial Unit, Colombo South Teaching Hospital, Kalubowila
      Population: A total of forty women scheduled to undergo total abdominal hysterectomy for benign conditions
      Methodology: Women were randomized and the intervention arm received TAP block. Both arms received standard analgesia. The pain was assessed by visual analogue pain score at specific time intervals.
      Main outcome measure: Requirement of pethidine for pain relief for 24 hours and assessment of post-operative pain using a visual analogue scale at specific intervals up to 24 hours
      Results: Compared to controls, in women who received TAP block, there was a statistically significant reduction in pain at 30 minutes (pain score 4.5+1.3 vs. 5.4+1.0, p=0.02), at 1h (4.4±1.0 vs. 5.2±0.7, p=0.01), at 2h (4.0±0.9 vs. 4.8±0.7, p=0.01), at 3h (3.6±0.8 vs. 4.3±0.7, p=0.01), at 6hrs (2.8±0.9 vs. 3.0±0.7, p=0.001), and at 12hrs (2.1±1.0 vs. 3.0±0.9, p=0.01). At 24hrs, there was no significant difference in pain reduction. (1.4±0.5 vs. 1.8±0.7, p=0.11). The cumulative morphine requirement was also significantly less in the TAP group at all the time points.
      Conclusion: The TAP block provided highly effective postoperative analgesia following total abdominal hysterectomy and the cumulative morphine requirement was also significantly less in the TAP group at all the time points. It should be considered as part of a multimodal approach to anaesthesia and enhanced recovery in patients undergoing abdominal surgery.


      DOI : http://dx.doi.org/10.4038/sljog.v36i1.6954Sri Lanka Journal of Obstetrics and Gynaecology 2014; 36: 5-10
      PubDate: 2014-06-02
      Issue No: Vol. 36 (2014)
       
  • Eponyms in Gynecology and Obstetrics

    • Authors: Khalid Al Aboud, Daifullah Al Aboud
      Abstract: No abstract available
      DOI : http://dx.doi.org/10.4038/sljog.v36i1.6953 Sri Lanka Journal of Obstetrics and Gynaecology 2014; 36: 1-4
      PubDate: 2014-06-02
      Issue No: Vol. 36 (2014)
       
 
 
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