BACKGROUND The essence of training traditional birth attendants (TBAs) is to attend to women in uncomplicated labor and to refer them immediately to hospitals when complications develop. AIM The aim was to audit childbirth emergency referrals by trained TBAs to a specialist hospital in Enugu, Nigeria. SUBJECTS AND METHODS A retrospective study of 205 childbirth emergencies referred to Semin...

BACKGROUND Combined uterine and urinary bladder rupture following prolonged obstructed labor is indeed a momentous uro-obstetric emergency. The urinary bladder involvement is distinctly rare in the absence of factors that predispose the bladder to be adherent to the lower uterine segment and is quite unusual in a primigravida. OBJECTIVE To report a rare case of uterine rupture involving urina...

Abstract There has recently been a focus on the question of statue removalism. This concerns what to do with public history statues that honor or otherwise celebrate ethically bad historical figures. The specific wrongs these have understood in terms derogatory speech, inapt honors, supporting ideologies. In this paper I understand as and identify distinctive class history-specific wrongs. Spec...

Background. To assess fasting C-peptide and insulin indices using homeostatic model assessment (HOMA) in gestational diabetes mellitus (GDM). Methods. Gestational (n = 64, age: 27.02 ± 0.53 years, BMI: 26.3 0.5 kg/m2; mean SEM) normal glucose tolerance NGT 56, 26.11 0.55 24.4 0.4 screened according to WHO 2013 criteria. Glucose was measured by oxidase method whereas ELISA. HOMA-IR, HOMA-B HOMA-...

Department of Obstetric and Gynaecology, Himalayan Institute of Medical Science, Dehradun, Pin code248140 Associate Professor, Department of Obstetric and Gynaecology, Himalayan Institute of Medical Science, Dehradun Pin code248140 Associate Professor, Department of Microbiology, Himalayan Institute of Medical Science, Dehradun-Pin code248140 PG resident , Department of Obstetric and Gynaecolog...