Manika Agarwal
North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences
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Publication
Featured researches published by Manika Agarwal.
Journal of clinical and diagnostic research : JCDR | 2013
Rajlaxmi Mundhra; Manika Agarwal
OBJECTIVE To evaluate the foetal outcome in Meconium Stained Amniotic Fluid (MSAF). MATERIAL AND METHODS This prospective observational study was carried out in the Department of Obstetrics and Gynaecology, North Eastern Indira Gandhi Regional Institute of Health And Medical Sciences, Shillong, India, over a period of eighteen months, from January 2010 to June 2011. A total of 355 pregnant women who had completed more than 37 weeks of gestation, with singleton pregnancies and cephalic presentations were included in this study. One hundred and sixty five cases with MSAF, were thus selected and they were compared with 190 randomly selected controls. RESULTS Among 165 cases, 27.88 % of the cases had regular visits to the Institute at least 3 times previously, 72.12% cases had no previous visit at all. Primigravidas accounted for a majority of cases and approximately 50% cases had gestational ages of more than 40 weeks Pregnancies complicated with pregnancy induced hypertension had statistically significant higher rates of meconium staining among cases (16.97%), as compared to those among controls (7.89%). 21.81% cases had foetal heart rate abnormalities, as were detected by electronic foetal monitoring and presence of foetal bradycardia was statistically higher in cases compared to that in controls. Casearean section rates were nearly double in cases (49.09%). Neonatal outcome was poor in terms of low Apgar score at birth, birth asphyxia, Meconium Aspiration Syndrome (MAS) and increased neonatal admission among cases as compared to that among controls. CONCLUSION Meconium stained amniotic fluid is really worrisome from both, obstetricians and paediatricians points of view, as it increases the caesarean rates, causes birth asphyxia, MAS and increases neonatal intensive care unit admissions.
Nigerian Journal of Clinical Practice | 2011
Manika Agarwal; Ananya Das; Ahanthem Santa Singh
Müllerian duct anomalies may produce reproductive failure like abortion and preterm birth, or obstetric problems like malpresentation, retained placenta, etc., or they may be asymptomatic. Unicornuate uterus with a noncommunicating functional rudimentary horn is a type of müllerian anomaly that results in obstruction to menstrual blood flow, leading to endometriosis and dysmenorrhea. Though the majority of cases of dysmenorrhea in adolescents are primary in nature and require only reassurance and symptomatic management, it is important to be aware of rare causes such as müllerian anomalies so that these cases can be properly managed. Hence, we present this case report, with interesting illustrations, so as to increase awareness regarding these anomalies.
Journal of Human Reproductive Sciences | 2010
Manika Agarwal; Ananya Das; Santa Singh
Amenorrhea and infertility with an added feature of galactorrhea makes a provisional diagnosis of hyperprolactinemia. But again, normal serum prolactin with all clinical features of hyperprolactinemia might question the diagnosis and further management. The answer lies in the heterogeneity of the peptide hormone - the immunoactive and the bioactive forms. This has been further illustrated with the help of a case which had been treated with cabergoline.
Southern Medical Journal | 2011
Manika Agarwal; Ananya Das; Ahanthem Santa Singh
Pelvic tuberculosis (TB) in pregnancy and puerperium is rare. Its atypical presentation as puerperal shock is more rare. We describe a case of pelvic TB that manifested as shock in a teenager who was two weeks postpartum. She failed to respond to antibiotics. Ziehl-Neelsen staining of aspirated pus from the left fossa collection in the abdominal cavity was positive for mycobacterium TB. Prompt treatment with antitubercular therapy could save patients from this life-threatening condition.
Indian Journal of Palliative Care | 2016
Manika Agarwal; Ritesh Kumar; Noor Topno; Shweta Mishra; Ashish Dhirasaria; ASanta Singh
Advanced mucinous ovarian cancer is a separate entity and has different biological behaviour. There is a wide range of therapeutic challenges and dilemmas in the management of these patients. The authors present a case of advanced ovarian mucinous cystadenocarcinoma with pseudomyxoma peritonei who had poor response to standard neoadjuvant chemotherapy. This case is highlighted to emphasize the challenges in the decision making for the management of advanced mucinous ovarian cancer.
Journal of clinical and diagnostic research : JCDR | 2015
Manika Agarwal; Ritesh Kumar; Jupirika Pyrbot; Avtar Singh
Choriocarcinoma is a rare neoplasm and a malignant form of gestational trophoblastic disease. Choriocarcinoma is frequently preceded by a complete mole, ectopic pregnancy, nonmolar intrauterine abortion, and uncommonly by a partial mole. It is treated medically with chemotherapeutic drugs usually. However, we managed to save a life with appropriate and timely surgical intervention in a case of choriocarcinoma who presented with uterine rupture, haemoperitoneum, anaemia and hypovolemic shock. The patient underwent exploratory laparotomy and hysterectomy followed by systemic chemotherapy.
Journal of Human Reproductive Sciences | 2010
Manika Agarwal; Ananya Das; A. Santa Singh
International journal of reproduction, contraception, obstetrics and gynecology | 2013
Rajlaxmi Mundhra; Ahanthem Santa Singh; Manika Agarwal; Rakesh Kumar
Annals of International medical and Dental Research | 2018
Manika Agarwal; Jupirika Pyrbot; Wansalan Karu Shullai
International journal of reproduction, contraception, obstetrics and gynecology | 2017
Jupirika Pyrbot; Manika Agarwal
Collaboration
Dive into the Manika Agarwal's collaboration.
North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences
View shared research outputsNorth Eastern Indira Gandhi Regional Institute of Health and Medical Sciences
View shared research outputsNorth Eastern Indira Gandhi Regional Institute of Health and Medical Sciences
View shared research outputsNorth Eastern Indira Gandhi Regional Institute of Health and Medical Sciences
View shared research outputsNorth Eastern Indira Gandhi Regional Institute of Health and Medical Sciences
View shared research outputs