Browsing by Author "Singh, Meeta"
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Publication Advanced secondary abdominal pregnancy(Institute of Medicine, 1998) Rana, Ashma; Singh, MeetaAbstract In secondary abdominal pregnancy, due to poor placentation and poor decidual reaction, the placenta may invade and erode maternal vessels. Pregnancy may terminate at any time resulting in massive intraperitoneal bleeding. Clinical findings were bulky uterus at 6 months of gestation with enlarged abdomen and haemoperitoneum; possible diagnosis of secondary abdominal pregnancy was confirmed by ultrasound. We were able to prevent maternal loss by prompt diagnosis and management. Keywords: haemoperitoneum, Secondary abdominal pregnancyPublication Recent advances in hormonal replacement therapy(Institute of Medicine, 1998) Singh, Meeta; Jha, RajshreeAbstract There are various methods of hormonal replacement therapy (HRT). The oral route has been used for over 3 decades. Despite its proven efficacy by this route, dose related adverse effects is a major drawback due to hepatic first pass metabolism. In recent years, a number of non oral-routes which avoid hepatic first pass metabolism, have been used in hormonal replacement therapy (H.R.T.). These include intramuscular depot injections, subcutaneous implants, vaginal creams and pessaries. Recently transdermal patches known as the transdermal therapeutic system (T.T.S.) contains estradiol known as Estraderm and Systen; this contains micronized 17ß estradiol, which is an outgrowth of the ongoing evolution of transdermal delivery system. Keywords: Hormonal replacement therapy (H.R.T.), Transdermal therapeutic system (T.T.S.) Estraderm, SystenPublication Screening test for Gestational Diabetes(Institute of Medicine, 1998) Rana, Ashma; Pradhan, Neelam; Gurung, Geeta; Singh, MeetaAbstract Three hundred pregnant women attending the antenatal out-patient clinic of TU Teaching Hospital between 24-28 weeks of gestation were screened for gestational diabetes using 50 g of oral glucose; venous blood plasma was drawn 1 hour later. Screening test value of >140 mg/dl was taken as cut off for performing the 3-hour diagnostic oral glucose tolerance test, OGTT. Eleven [3.67%] pregnant women had their screening test value of >140 mg/dl and were again subjected to the 3-hour oral GTT, out of which two of the cases (0.66%) were diagnosed as diabetic. Because of low prevalence of diabetes, we recommended only to screen women at high risk for gestational diabetes with 50 g oral glucose and a value of >140 mg/dl taken as cut off for performing the 3-hour oral GTT. Keywords: GDM (gestational diabetes mellitus), GTT (Glucose Tolerance Test), Screening Test for diabetesPublication Successful hymenectomy in a young girl in imperforate hymen(Institute of Medicine, 1998) Singh, Meeta; Rana, Asma; Jha, Rajshree; Gurung, Geeta; Thapa, BimalAbstract An imperforate hymen may exist at the lower end of the vagina. This is due to failure in breakdown of the partition between the mullerian and sinovaginal bulb, contributing to the formation of vagina. We are presenting a case of a fourteen-year girl who was diagnosed as haematocolpus with imperforate hymen from history and clinical examination. Diagnosis was reconfirmed with abdominal ultrasonogram after evacuation of bladder, who had urgent surgical treatment (incision and excision) and relief of symptoms of lower abdominal pain and inability to pass urine. Keywords: Imperforate hymen, haematocolpus, surgical treatment