for Journals by Title or ISSN
for Articles by Keywords
Followed Journals
Journal you Follow: 0
Sign Up to follow journals, search in your chosen journals and, optionally, receive Email Alerts when new issues of your Followed Journals are published.
Already have an account? Sign In to see the journals you follow.
Journal Cover Sri Lanka Journal of Obstetrics and Gynaecology
  [1 followers]  Follow
  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]
  • Use of mirena (levonorgestrel-releasing intrauterine system) in
           menorraghia in a young female with von Willebrand disease (vWD) Type 3 - A
           case report

    • Abstract: von Willebrand disease (vWD) is a bleeding disorder that is predominantly attributable to reduced levels of von Willebrand factor (vWF) activity. vWD prevalence is 1% in the population and vWD Type 3 is very rare. vWD Type 3 is inherited as autosomal recessive manner and accounts for less than 5% of all cases. Individuals with vWD type 3 can have a severe internal and joint bleeding. However, type 3 and type 2 variants are extremely difficult to manage and there is no guarantee that haemostasis will be achieved even when plasma concentrations have apparently been corrected into the normal range. We report a female child aged 10 years presented to us with heavy menstrual bleeding for three days which continued for another seven days. This episode was after recent onset of menarche and was diagnosed as having vWD Type 3. It was considered as a life threatening bleeding. Immediate and long term management of this patient with a major bleed was a daunting task. She was treated with Intermediate purity factor viii/ factor viii (cryoprecipitate), activated factor vii, Blood and antifibrinolytics. Long term endometrial suppression was the key to hinder excessive bleeding during menstruation (which could be life threatening) as she would need prophylaxis during each episode. Selecting the correct method which suits her best was not without difficulty. Intrauterine use of Mirena (levonogestrel-releasing intrauterine system-LNG-IUS) Was a better option and there are very few reports if at all of its use in a similar situation. We have used it as a novel method to suppress excessive menstrual bleeding (long term) in this patient with von Willebrand disease type 3. Published on 2017-11-01 00:00:00
  • Total laparoscopic hysterectomy : an achievable reality throughout Sri

    • Abstract: No abstract available Published on 2017-11-01 00:00:00
  • Clinical utility of PALM-COEIN classification for abnormal uterine

    • Abstract: No abstract available Published on 2017-11-01 00:00:00
  • Impact of urinary incontinence on quality of life of women in a community
           sample in three districts of Sri Lanka – a cross sectional study

    • Abstract: Wellbeing of a person includes a good quality of life (QOL), which can be perceived and mediated by a many factors. Although UI has no impact on mortality it is one of the conditions that can significantly affect a person’s QOL. This paper aims to investigate the impact of UI on the women’s QOL. Methods: This study is a community based cross-sectional study performed in three districts of Sri Lanka targetting the population of women who were above 18 years of age. A sample of 2310 women was selected for this study in cluster basis. A cluster was a Public Health Midwife area, and from each cluster 15 women were selected. An interviewer administered questionnaire consisting of sociodemographic factors, medical and Obstetric history, and the King’s Health Questionnaire (KHQ) was used. A trend test, Jonckheere-Terpstra test was performed and significance was set at 5%. Results: Majority of the women in all three districts felt that felt that UI had no impact on their general health. QOL showed an impact on the trend of severity on stress incontinence and on the severity trend on urge incontinence, which was statistically significant with each domain namely role limitations, physical limitations, social limitations, personal relationships, emotional problems and sleep/energy issues. Coping strategies like wear sanitary pads to avoid getting wet with urine (5.4%), limiting their fluid intake at all times (11%) were also observed. Conclusions: The negative effect of UI on QOL needs to be addressed targeting those at higher risk. Awareness on treatment needs to be addressed, as all QOL domains were affected by UI. Published on 2017-11-01 00:00:00
  • Abstracts of the SLCOG Golden Jubilee Congress, 3rd – 6th August 2017,
           BMICH, Colombo, Sri Lanka "Women’s Health: Past Experiences; Future

    • Abstract:        Published on 2017-09-21 00:00:00
  • Antenatal cough-induced rib fractures: an uncommon cause of upper
           abdominal pain

    • Abstract: Rib fractures secondary to cough are an uncommon cause of thoracic or abdominal pain in pregnancy. There is little in the literature describing this accidental phenomenon during pregnancy and why fractures occur so easily. In most cases, they are diagnosed fortuitously during the course of investigation for other more common causes of acute chest and upper abdominal pain. We report the case of a 38 year old, G11P5 who was 35 weeks pregnant, admitted with sudden onset right upper quadrant and right sided chest pain post coughing. This pain was caused by a 10th right rib fracture which was managed conservatively with analgesia. Despite numerous reviews, the fracture was not diagnosed. The patient also suffered a rib fracture on the contralateral side in a previous pregnancy. Published on 2017-06-30 00:00:00
  • Safety and Success of immediate post-placental intrauterine device
           insertion at the time of Cesarean Section

    • Abstract: Background: Evidence is building up in favour of insertion of an intrauterine device (IUD) in the immediate postpartum period i.e.: post-placental IUD (PPIUD) insertion with regard to its safety and effectiveness as a method of contraception. PPIUD insertion at the time of Cesarean section (CS) is also a safe and acceptable method. However there is not much research evidence to encourage service providers to adopt this practice. We carried out this study to determine safety and success rates of immediate post caesarean IUD insertion. Materials And Methods: A cross sectional study was conducted on women who underwent PPIUD insertion following childbirth at the Teaching Hospital, Kandy from January 2013 to March 2013. Data were collected by an intervieweradministered questionnaire at postnatal wards as an exit interview. Repeat interviews were carried out at 6 weeks and 6 months since the date of PPIUD insertion. All women were assessed clinically and ultrasonically. Patient perceived morbidities following insertion of PPIUD and expulsion rates were assessed as outcome measures. Result: At the end of 3 months, 121 mothers had undergone PPIUD following CS and 362 following vaginal Delivery (VD). Eight women (6.7%) complained of abdominal pain following PPIUD insertion in the CS group while the same for the VD group was 3(0.8%). Abnormal vaginal bleeding was the second commonest complaint with 5(6%) and 8(2.2%) in CS group and VD group respectively. At the end of the observational period of 6 months, Six (5%) IUDs had been expelled in the CS group, where one (4.5%) was in elective CS and five (5.5%) were in emergency CS. This difference was not significant (p=0.5). The expulsion rate in women in VD group was found to be 17.7% (16), which was significantly higher than the same reported from the CS group (p<0.001). Conclusions: Post caesarean IUD insertion appears to be a safe and effective option at this short term analysis. This could be an effective method of family planning for women wishing for long acting reversible contraception. Considering the poor compliance to other family planning methods and the rate of CS at hospitals, application of this intervention seems feasible. Further studies need to be carried out to evaluate the outcomes at long term. Published on 2017-06-30 00:00:00
  • Classification of perinatal deaths according to ICD-PM: an audit on
           perinatal post-mortems in a tertiary care centre in Sri Lanka

    • Abstract: Introduction: Ending preventable perinatal deaths have become a priority in global public health agenda, highlighting the importance of collecting quality data related to perinatal mortality. Pathological post-mortems and placental examination play a vital role in identifying the cause of death. The objective of this analysis was to classify causes of death according to a uniform classification system, enabling comparison of data in different settings. Congenital malformations were further categorized according to the involved organ system. Method: This is a retrospective analysis of post-mortems of stillbirths (including the placentas) and neonatal deaths already reported at the Department of Pathology, University of Colombo from 2009-2015. Autopsy and placental examination were performed according to standard protocols. The cause of death was classified according to ICD-PM. Results: The study included 291 post-mortems; 198 stillbirths, 7 intra-partum deaths and 86 neonatal deaths. Ante-partum hypoxia was the commonest cause of death in stillbirths (83/198=41.9%), while, congenital malformations was the commonest in intra-partum (5/7=71.4%) and neonatal deaths (38/86=44.2%). Low birth weight and prematurity is the second most common cause in neonatal deaths (24/86=27.9%). Malformations were commonly present in cardiovascular system (stillbirths: 22/47=47%, intra-partum and neonatal deaths: 31/62=50%) followed by respiratory system (stillbirths: 14/47=30%, intra-partum and neonatal deaths: 20/62=32%). Conclusion: Ante-partum hypoxia, congenital malformations and low birth weight and prematurity are the leading causes of death in stillbirths and neonates however, quality data of a prospective study, analyzing maternal and feto/infant pathology together, is required to improve the validity of the results. Published on 2017-06-30 00:00:00
  • Improvements of post caesarean section pain management following the
           introduction of a new pain management protocol

    • Abstract: Objective To evaluate improvements in post-caesarean section (CS) pain management in University Obstetrics Unit, Ragama, Sri Lanka following the introduction of a protocol for post-CS pain management. Methods A complete audit cycle was conducted in University Obstetrics Unit, Ragama, Sri Lanka. Initially a prospective audit was conducted among 126 consecutive CS during July and August, 2016. Basic demographic data and details regarding post-CS analgesia during the first 24 hours were collected. Re-auditing was done four months after the introduction of the protocol. In the re-auditing, 150 post-CS mother were conveniently selected over a period of three months and a coloured visual analogue scale (VAS) was used to assess the level of pain in the re-audit.Results There were no statistically significant difference between demographic details before and after the protocol. Before introduction of the protocol, use of diclofenac sodium rectal suppositories were the commonest analgesic type (42.9%) used. Only 6 (4.8%) out of 126 patients had properly documented pain management plan in the operative notes. None of the analgesics were prescribed for 6 (4.8%) patients. Out of total 126, only 6 (4.8%) subjects had a proper drug chart maintenance with regular analgesics. Forty two (33.3%) women were was not on any analgesics within the first 24 hours. After introduction of the protocol, regular analgesic dosing were given to 140 (93.3%) women with satisfactory drug chart maintenance in 140 (93.3%) cases. Out of 150, 140 (93.3%) patients received analgesia with at least a single method. Mean VAS score was 3.5 (SD 2.0) after first 24 hours. Diclofenac sodium suppository (86.7%) is the commenst first line medication. There was statistically significant difference (P < 0.05) in provision of pain relief after introduction of the protocol.Conclusion There was a significant improvement in post-CS pain management after introduction of a new post-CS pain management protocol. Published on 2017-06-30 00:00:00
  • The agreement between hematological indices obtained from two laboratories

    • Abstract: Introduction: Agreement between hematological indices obtained by different laboratories has been shown to be unsatisfactory in the past. Objectives: To evaluate the agreement between the hemoglobin concentrations (Hb) and between the hematocrits obtained from two laboratories. Method: Consecutive pregnant women (n = 350), with gestations between 12 to 20 weeks, presenting to the Academic Obstetric Unit at the Teaching Hospital Mahamodera Galle (THMG), from 10 November 2014 to 13 January 2015 had their Hb and hematocrit measured by flow-cytometry and hydro-dynamic focusing methods at the Durdan’s Hospital Laboratory, Galle (DHLG) and the colorimetric method at the laboratory of the THMG (THMGL). The agreement between the Hb values and between the hematocrit values obtained from the two laboratories were assessed by comparison of means, Pearson’s correlation, and the calculation of the limits of agreement and the clinical limits of indifference. Results: No significant differences were seen between the mean Hb values and between the mean hematocrit values obtained from the two laboratories. Strong, positive correlations were seen between the Hb values as well as between the hematocrit values obtained from the two laboratories (r =0.86, p < 001 and r =0.83, p < 001 respectively). The limits of agreement and the clinical limits of indifference between the Hb as well as between the hematocrit values obtained from the two laboratories were satisfactory, but individual differences of > 10% were seen in 6.6% of results Conclusion: Although there was good agreement between the Hb values as well as between the hematocrit values obtained from the two laboratories, individual differences of > 10% were seen in 6.6% of cases. Published on 2017-06-30 00:00:00
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
Tel: +00 44 (0)131 4513762
Fax: +00 44 (0)131 4513327
Home (Search)
Subjects A-Z
Publishers A-Z
Your IP address:
About JournalTOCs
News (blog, publications)
JournalTOCs on Twitter   JournalTOCs on Facebook

JournalTOCs © 2009-2016