Vulvar Paget's Disease

Vulvar Paget's disease appears as a red (sometimes pink) velvety area with white islands of tissue on the vulva. Occasionally, there are moist oozing ulcerations that bleed easily. Almost all the patients affected are postmenopausal women; around half have itching symptoms. Vulvar Paget's disease...

The Endometriosis Association - India Network

If you would like to help women with endometriosis, please contact the Endometriosis Association with your ideas, questions, or purely for support. Doctors, women's health groups, women with endometriosis, and any other interested party are very welcome to contact the Endometriosis Association for...

Obstetrics and Gynaecology Communications - Index

Obstetrics and Gynaecology Communications is a new bimonthly journal for healthcare professionals working in the field of obstetrics and gynaecology. The journal specialises in practical, up-to-date information together with the latest news and views from India and the Asia-Pacific region. The...

Obstetrics and Gynaecology Communications

Should Ultrasound Scanning in Pregnancy be Performed by Indication Only?

Key Points There is little scientific support for routine foetal anomaly scanning using ultrasound. Detection of foetal abnormalities during the second trimester depends in part on the sonographer having sufficient time (and skill) to examine the foetus in detail. Compared with routine scanning,...

Vaginal Infections - A Pathological Appraisal

Summary Cytology plays a major role in screening for vaginal infections. In addition to the Papanicolaou (Pap) stain, Gram's stain, periodic acid-Schiff (PAS) stain, acid-fast bacilli (AFB) stain, and fungus stain are helpful in identifying the aetiologic agent. When the patient does not respond to...

HIV Screening in a Rural Antenatal Clinic

Introduction The acquired immunodeficiency syndrome (AIDS) epidemic has proved to be a major stumbling block in achieving health improvements in many regions. In the developing world, it is estimated that 2.5 million HIV-infected women give birth each year1 with the risk of maternal-child...

Postpartum Pulmonary Embolism

Department of Cardiology, I.G. Medical College, Shimla, India Summary Women have a higher risk of pulmonary embolism (PE) in comparison to men. Thrombolytic therapy is more effective than heparin in producing rapid lysis of emboli, but is less cost-effective. Heparin is more effective as a...

TOC - Volume 2, Issue 5

Editorial HIV/AIDS and the Asian woman Dr Manju Purohit Feature Articles Bacterial vaginosis Dadhawal V Prevention of maternal-child HIV transmission Patel AK Vaginal infections a pathological appraisal Kumar KR Clinical Communiques HIV screening in a rural antenatal clinic Doshi S Three-pronged...

HIV/AIDS and the Asian Woman

Introduction AIDS is a dreaded disease because it is a life-long infection for which there is curently no cure or vaccine. The virus which causes AIDS can be spread by asymptomatic 'carriers', of which there are an estimated 50-100 for every known AIDS patient. Thus, this 'hidden epidemic' puts...

Constipation and Vomiting in Pregnancy

Introduction Constipation is a normal physiological change occurring in pregnancy, presumably as a result of altered progesterone and oestrogen levels which decrease intestinal transit. Nausea and vomiting are prominent symptoms in patients with disordered gastrointestinal motility. Patients and...

Prevention of Maternal-Child HIV Transmission

Summary Acquired immune deficiency syndrome (AIDS) has already doubled infant mortality in countries worst affected and is a growing problem in India and south-east Asia. Human immunodeficiency virus type 1 (HIV-1) the aetiological agent of AIDS can be vertically transmitted during pregnancy,...

Bacterial Vaginosis

Summary Bacterial vaginosis (BV) is characterised by anaerobic bacterial overgrowth of the vaginal flora, but the exact aetiology and pathogenesis remain unclear. BV is associated with complications during pregnancy including chorioamnionitis, premature rupture of the membranes (PROM), and preterm...

Acute Respiratory Failure in Pregnancy

Key Points Acute respiratory failure (ARF) is an important cause of maternal and foetal morbidity and mortality. Knowledge of normal maternal-foetal physiology and determinants of foetal oxygen delivery (i.e. uterine blood flow, placental transfer, foetal circulation) can help sustain normal...

Endosonography in Obstetrics and Gynaecology

It may be time to consider routine use of endovaginal ultrasonography, as this diagnostic tool picks up many abnormalities the bimanual exam misses. In her study of 633 premenopausal women, Dr M. Lynee Reuss of Bellvue Women's Hospital in Niskayuna, New York, reported that bimanual exams missed 36...

Surgery for Recurrent Cervical Carcinoma

Andreas J. Papadopoulos (Subspecialty Fellow) Omer Devaja (Subspecialty Fellow) Rahul Nath (Research Registrar) George D. Wilbanks (Visiting Professor) K. Shanti Raju (Consultant and Director of Department) Department of Gynaecological Oncology, Guy's and St Thomas' Hospital NHS Trust, London,...

TOC - Volume 2, Issue 6

Editorial Should ultrasound scanning in pregnancy be performed by indication only? Chitty L Feature Articles Surgery for recurrent cervical carcinoma Papadopoulos AJ, Devaja O, Nath R, Wilbanks GD, Shanti Raju K Contraceptive knowledge and use: a survey of New Delhi women Mittal S, Anandalakshmy PN...

Contraceptive Knowledge and Use: A Survey of New Delhi Women

Suneeta Mittal (Professor) P. N. Anandalakshmy (Additional Professor) M. Lakhatia (Research Officer) Department of Obstetrics and Gynaecology*, Department of Statistics and Demography**, All India Institute of Medical Sciences (AIIMS), New Delhi, India. Summary Two thousand women of reproductive...

Three-pronged Strategy to Prevent MTCT of HIV

Introduction Prior to the present study1 being undertaken, the usefulness of zidovudine (AZT) in reducing mother-to-child transmission (MTCT) of HIV had already been proven in the ACTG 076 trial. There also existed circumstantial evidence subsequently substantiated for the benefit of elective...