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Vulvovaginal Hygiene Practices Among Pregnant Ladies in Rural West Bengal: A Cross sectional Observational Study Mitra, Partha Sarathi; Ghosh, Nupur; De, Avik; Chatterjee, Monalisa; Khatua, Pamela; Ahmed, Khwaja Alim
Journal of Midwifery Vol 9, No 1 (2024): Published on June 2024
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.9.1.75-87.2024

Vulvovaginitis is very common in pregnancy in our country. Lactobacilli are the normal vaginal microflora which maintains acidic vaginal pH. Lack of hygiene may lead to colonisation of coliforms resulting in vulvovaginitis which in turn may cause serious health problems for the mother and the new-born. A cross-sectional observational study was conducted on pregnant women attending antenatal OPD of BMCH on every Wednesday between 1st July to 31st December, 2022 with a preformed questionnaire which dealt with different parameters to observe whether present pregnancy was complicated by any vulvovaginal ailments. Although they had little knowledge about vulvovaginal microbiota, pathogenesis and morbidity of vulvovaginitis during pregnancy, most had a practice of vulvovaginal cleaning with plain water and not commercial douching. Protection against vulvovaginal infection is particularly important for pregnant women as it increases the risk serious maternal and neonatal morbidities. Routine washing of the vulva with plain water is beneficial to maintain cleanliness and prevent vulvovaginal infection. Vulvar cleansing products does not treat infections rather disrupts normal vaginal microbiota thus promotes colonization of uropathogens. Prevention of vulvovaginal infection by simple hygiene maintenance can be achieved by educating antenatal mothers during their visits.

Screening accuracy of PAP and VIA in terms of Colposcopy guided cervical biopsy: A comparative study Mitra, Partha Sarathi; Na, Abhoy Chand; Barman, Medhatithi; Roy, Debobroto; Shankar, Tara; Naskar, Tapan Kumar
Journal of Midwifery Vol. 8 No. 2 (2023): Published on Desember 2023
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.8.2.81-93.2023

Introduction: Approximately 80% of cervical cancer occurs in developing countries of which India contributes about 20-30% of the global burden. WHO considers cervical cancer as a preventable disease because it can be diagnosed in its precancerous phase. Cytology and VIA for screening and colposcopy for directed biopsy jointly may achieve accuracy of approximately 90% to 99%.Methods: An observational cross sectional comparative study was performed to find accuracy of screening protocols of exfoliative cervical cell cytology and visual inspection under acetic acid in terms of the diagnostic test of Colposcopy guided biopsy on 300 symptomatic women of age 18-60 years over the period of one year.Result: Both PAP and VIA positivity increased with age, increasing parity, gynaecological symptoms. PAP and VIA positive results co related with Colposcopy directed biopsy histopatholgy reports in a statistically significant proportion.Discussion: VIA can screen out a large number of women suspected to have cervical cancer in an easy method done in OPD in naked eye and does not require any meticulous microscopic examination with a high degree of sensitivity and high false positivity but on the other hand PAP was less sensitive but more specific test when both combined with Colposcopy guided biopsy.Conclusion: The associations between distribution of women who were Pap +ve and histology +ve as well as VIA and histo +ve were statistically significant.

Vulvovaginal Hygiene Practices Among Pregnant Ladies in Rural West Bengal: A Cross sectional Observational Study Mitra, Partha Sarathi; Ghosh, Nupur; De, Avik; Chatterjee, Monalisa; Khatua, Pamela; Ahmed, Khwaja Alim
Journal of Midwifery Vol. 9 No. 1 (2024): Published on June 2024
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.9.1.75-87.2024

Vulvovaginitis is very common in pregnancy in our country. Lactobacilli are the normal vaginal microflora which maintains acidic vaginal pH. Lack of hygiene may lead to colonisation of coliforms resulting in vulvovaginitis which in turn may cause serious health problems for the mother and the new-born. A cross-sectional observational study was conducted on pregnant women attending antenatal OPD of BMCH on every Wednesday between 1st July to 31st December, 2022 with a preformed questionnaire which dealt with different parameters to observe whether present pregnancy was complicated by any vulvovaginal ailments. Although they had little knowledge about vulvovaginal microbiota, pathogenesis and morbidity of vulvovaginitis during pregnancy, most had a practice of vulvovaginal cleaning with plain water and not commercial douching. Protection against vulvovaginal infection is particularly important for pregnant women as it increases the risk serious maternal and neonatal morbidities. Routine washing of the vulva with plain water is beneficial to maintain cleanliness and prevent vulvovaginal infection. Vulvar cleansing products does not treat infections rather disrupts normal vaginal microbiota thus promotes colonization of uropathogens. Prevention of vulvovaginal infection by simple hygiene maintenance can be achieved by educating antenatal mothers during their visits.

Atypical presentation of leiomyomas: A case series report Mitra, Partha Sarathi; Kumari, Puja; Majhi, Dristy; Saha, Paramita; Saha, Amity; Mazumder, Ramakanta; Sanyal, Priyanka; Naskar, Tapan Kumar
Journal of Midwifery Vol. 10 No. 1 (2025): Published on June 2025
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.10.1.61-70.2025

Fibroids are the most common benign smooth muscle tumours of uterus. Some patients are asymptomatic whereas symptomatic patients may present with heavy menstrual bleeding, dysmenorrhoea and pressure symptoms. Case report: Six Atypical fibroid cases have been reported in this case series report because of their rarity, diagnostic dilemma and difficulty in surgical approach supplemented by photographical evidence against each case. In case of Atypical fibroids, symptoms depend on the site of involvement and they may mimic other pelvic organ involvement like ovarian malignancy. Fibroids are mainly diagnosed by ultrasonography (USG) and magnetic resonance imaging (MRI) but may be difficult because of its unusual findings on USG and MRI. Patients can be managed either conservatively or surgically depending on their response. Surgical options include conservative surgery like Myomectomy or Hysterectomy, which can be done by open surgery or by minimally invasive surgery (MIS). The case series report may highlight on surgeons’ approach in case of atypical fibroids

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