Arati Mahishale

Comparison of level of depression among mothers with lower segment cesarean section and vaginal delivery: A cross-sectional study

Background and Objective: Postpartum depression (PPD) is very common among women and is a major public health problem. However, there is a wide range of the prevalence of postnatal depression among women from different countries. Women with lower segment cesarean section (LSCS) or vaginal delivery both undergo depression. However, no studies have compared the level of depression among LSCS and vaginal delivery in Indian as well Western scenario. Hence, the objective of the present study was to compare the level of depression among mothers with LSCS and vaginal delivery. Methodology: A total of 170 females were screened using Edinburgh Postnatal Depression Scale (EPDS) on the 7th day postpartum for PPD, of which 85 females had undergone LSCS and 85 females had undergone vaginal delivery. The EPDS consists of 10 items and each item is rated on a four-point scale, giving maximum scores of 30. Mothers who scored above 13 were likely to be suffering from a depressive illness of varying severity. Results: The results of the present study showed that 8.23% women with vaginal delivery had depression whereas 21.17% LSCS women showed significant depression. Conclusion: PPD was found to be higher among mothers with LSCS as compared to mothers with vaginal delivery.

Endobronchial pulmonary mucormycosis diagnosed by fiberoptic bronchoscope: A rare case report

Pulmonary mucormycosis is relatively uncommon, but a life-threatening infection affecting mostly individuals with diabetes mellitus, hematological malignancies, chronic renal failure, posttransplantation and other immunocompromised states. Mucormycosis of the lung has a wide range of clinical and radiological manifestations. Very few cases of pulmonary mucormycosis presenting as a fungal ball, cavity resembling tuberculosis, nonresolving, and recurrent pneumonia in patients with diabetes mellitus or other immunosuppressive conditions, were reported from India. We report a case of pulmonary mucormycosis in an adult male patient with uncontrolled diabetes.

Determining the prevalence of patterns of pregnancy-induced pelvic girdle pain and low back pain in urban and rural populations: A cross-sectional study

Background: Biomechanical changes during pregnancy impose postural deviations, leading to various musculoskeletal pain syndromes. Commonly noted pain syndromes are the pelvic girdle pain (PGP) and low back pain (LBP), which were experienced by pregnant women globally. There is a prevalence of pregnancy-related PGP (PPGP) and pregnancy-related LBP (PLBP) in Western population. Data of the same in Indian pregnant population lack evidence. Objective: To find the rates of incidence and prevalence of different patterns of PPGP and PLBP in the urban and rural pregnant women. Materials and Methods: A total of 580 pregnant women were screened for inclusion criteria. Confirmation of diagnosis of PGP and LBP was done for 457 subjects using Modified Oswestry Disability Index (MODI) questionnaire and the pelvic girdle questionnaire (PGQ). Once diagnosed, all participants were subjected to nine clinical tests to differentiate the site of pain and to classify them accordingly into three different groups, namely group A (LBP), group B [posterior pelvic pain (PPP)], and group C [anterior pelvic pain (APP)]. Results: The point prevalence of pain in group A (LBP) was 31%, in group B (PPP) was 65%, and in group C (APP) was 15%. The prevalence of PGP and LBP was 75% in the urban pregnant population and 25% in the rural pregnant population. Conclusion: The prevalence rate of PPP (65%) is higher than that of LBP (31%) and APP (15%). Also PPP is reported to be highest in primiparous with gestational age of 38 weeks. The urban population showed 75% and rural population showed 25% of PGP and LBP.

A rare case of lymphangioleiomyomatosis with recurrent pneumothorax

Lymphangioleiomyomatosis (LAM) is a rare disease of unknown etiology that traditionally affects young women of childbearing or premenopausal age. It is characterized by proliferation of atypical smooth muscle cells, preferentially along bronchovascular structures that cause progressive respiratory failure. Owing to its unusual and nonspecific presenting symptoms, patients often receive missed or delayed diagnosis. This disease occurs sporadically or in association with the genetic disease-tuberous sclerosis complex. Recurrent pneumothorax is the hallmark of LAM. We present a 16-year-old young female having recurrent pneumothorax with LAM.

Effectiveness of Tailor Made Exercise Intervention for Low Back Pain and Pelvic Pain during Pregnancy - A Randomized Controlled Trial

Background and objectives: The incidence of low back pain & pelvic pain during pregnancy is about 55% and can occur at any time during the gestational period. Several biomechanical and physiologic changes during pregnancy contribute to pain which can manifest as lumbopelvic pain. The present study aimed to evaluate the effect of a tailor made physiotherapy intervention for lumbar pain & pelvic pain during pregnancy.