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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]
  • Cervical cytology screening: knowledge attitudes and behaviour of public
           health midwives in an urban district in Sri Lanka

    • Abstract: Objective: To assess the knowledge, attitudes and behaviour of PHMM on cervical cytology screening.Method: It is a descriptive cross-sectional study. PHMM attached to the MOH division in Galle district were interviewed using a self-administered questionnaire on knowledge on cervical carcinoma screening their attitudes and screening behaviour.Results: Out of a total of 314 PHMM attached to MOH division in Galle only 274 participated in the study. 90% had an above average knowledge on cervical cytology screening and 94% identified cervical cytology as a screening method for cervical carcinoma. Awareness on Human Papilloma Virus (HPV) and DNA testing was low (26%). Correct identification of the target group, recommended interval of screening and benefits of screening by the PHMM were 90%, 98% and 83% respectively, and 94% had a favourable attitude on their role and capacity in cervical cytology screening. PHMM who are over 35-year age group 36 % had not undergone cervical cytology screening. There was a significant increase of overall knowledge with higher levels of educational (r2= 0.025, p=0.004).Conclusion: A vast majority of the PHMM had an above average overall knowledge and positive attitude towards cervical cytology screening and identified it as a screening method. Their awareness regarding HPV DNA as a screening tool for cervical carcinoma was not satisfactory. More than one third of PHMM had not undergone cervical cytology screening themselves. Published on 2017-04-19 00:00:00
       
  • Acceptability of Endometrial Polyp Resection under Local Anaesthesia

    • Abstract: Introduction: New evidence is emerging to suggest that outpatient endometrial polyp removal under hysteroscopic guidance by morcellation with local anaesthesia is non-inferior to in patient polypectomy under general anaesthesia. However, evidence on its acceptability warrants further evaluation. Objective: To assess the patient’s acceptability of endometrial polyp resection under local anesthesia in an outpatient setting. Methodology : A prospective cohort study was carried out for three months on all patients who underwent this procedure under local anaesthesia in a secondary care unit in the United Kingdom. Intra-operative and post-operative acceptability was assessed by a standard questionnaire filled immediately after the procedure and before discharge on the first post-operative day. Results : Fifty patients underwent this procedure. The mean age was 56.48(range36-83). Complete resection of the polyps was achieved in 94% of the patients, while 6% had partial resection without total failure. Average, intra operative, immediate post operative and day 1 post operative pain scores were 2.38, 1.44 and 1.38 respectively and were in the mild category of the Discrete Quantitative Pain Verbal Rating Scale. Seventy eight percent of the patients were totally satisfied with the procedure while 14% and 8% were generally and fairly satisfied. None expressed that the procedure was unacceptable. Ninety four percent opted to recommend the procedure to a friend while 96% of patients expressed their willingness to undergo the procedure under local anesthesia, if they were to have another resection of the polyp. Conclusion: Outpatient hysteroscopic polyp resection by morcellation under local anesthesia is well tolerated and accepted by patients in an outpatient setting. Published on 2017-04-19 00:00:00
       
  • Perinatal asphyxia and hypoxic ischemic encephalopathy – the current
           situation

    • Abstract: No abstract available Published on 2017-04-19 00:00:00
       
  • Presidential address – 2017

    • Abstract: No abstract available Published on 2017-04-19 00:00:00
       
  • A rare case of heterophagus twin presented as a footling breech

    • Abstract: No abstract available Published on 2017-04-19 00:00:00
       
  • Fetal scalp stimulation tests to improve the value of an admission
           cardiotocograph

    • 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
       
  • 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
       
  • Intra-partum fetal monitoring – cardiotocograph

    • Abstract: No abstract available Published on 2016-11-08 00:00:00
       
 
 
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