reklama
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Unexplained infertility is a challenging problem for treating doctor. The apparent normal semen analysis does not rule out the functional abnormalities of sperms. The role of sperm function by H.O.S. test [Hypoosmotic swelling test] in unexplained infertility has been studied and analyzed here. 35 patients of unexplained infertility were screened for sperm function test by H.O.S. We observed that 20% of patients had abrtormal H.O.S. test and the results correlated well with morphological abnormalities. Abnormal HOS indicates poor membrane integrity. Thus it may adversely affect the results of
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various ARTS.
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Patients were monitored antenatally for fetal well being at the Grant Medical College, J. J. Hospital, Bombay for 2 years from Jan. 90 to Dec. 91. The purpose of this study was to study the perinatal outcome of high risk cases which were monitored by N. S. T. and especially to co-relate the results of non-reactive NST group with amniotic fluid volume studied ultra-sonographically.A total of 902 recordings were made in 650 patients for various high risk indications like post-maturity, PIH, IUGR, BOH etc. 65% of nonreactive cases required LS CS, 20% were delivered with vaccum or forceps and 15%
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had normal vaginal delivery. The Incidence of meconium was 34% and fetal distress 20% in non-reactive cases, there were 3 still births and 2 neonatal deaths in the non-reactive group. The incidence of neonatal morbidity was 44% as compared to 1.8% in the reactive group. Screening patients with USG, for non-reactive NST cases, decreases incidence of false positive tests to 7.2% and decreases perinatal morbidity and mortality.
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To study the pattern of tubercular desease (TB) over a span of 10 years with a special reference to the pregnancy outcome in women with tuberculosis and also to make an attempt to understand whether pregnancy alters the course of tuberculosis.

This is a prospective observational study analyzing 10years experience of pregnancies complicated by tuberculosis. The patients were studied over two phases: phase I:Jan 1991 to Dec. 1995, [n=76] and phase II: Jan 1996 to Dec. 2000, [n=77]. Pregnancy outcome and course of the disease in these 153 pregnant women with tuberculosis were studied.

Fifte
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en percent of women had reactivation of tuberculosis. Pulmonary tuberculosis was by far the most common in both the phases. Cough and low grade fever were commonest symptoms. Severity of the disease reduced over the years and was found mainly in seropositive patients in phase II. Pregnancy outcome was not adversely affected except for a very high incidence of low birth weight babies. There were two maternal mortalities in phase I and one mortality in phase II.

The incidence of TB has remained steady in spite of improved treatment strategies. Perinatal mortality decreased with time but the incidence of low birth weight babies remained quite high. The differences in the observations in phase I and II were not significant by Z test. Since high index of suspicion helps early diagnosis and treatment there is a strong need for health education, antenatal counseling and combined TB and AIDS awareness campaign.
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The current awareness of cervical incompetence as a Potential cause for recurrent pregnancy losses dates to 1940's, though the problem was merely rediscovered and publicised in that decade.Diagnosis can be made only by exclusion, as there is no certain method to diagnose incompetent os. During pregnancy, ultrasonography is one of the most important investigative method for diagnosis of the condition. The diagnostic and prognostic system of Block and Rahhal is another valuable tool in the diagnosis of incompetent os. In this study 100 cases of cervical encerclage operations were analysed.
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