 |
ANNUAL REPORT 2001-2002
| Professor and Head | D. Takkar (Upto 20.02.2002) |
| S. Mittal (From 01.03.2002) | |
| Professor | A. Kriplani |
| Additional Professors |
P.N. Anandalakshmy
(Statistics
& Demography) |
| S. Kumar | |
| D.Deka | |
| Associate Professors | Neerja Bhatla |
| K.K. Roy | |
| Renu Misra | |
| Assistant Professors (Adhoc) | Nutan Aggarwal |
| Neena Malhotra | |
| Vatsala Dadhwal |
|
Short Term Training Three WHO fellows received short term training for six months in Obstetrics and Gynaecology. Also three doctors from U.K. and one from U.S.A. completed three weeks elective training in the department. One month training in Obstetrics Ultrasonography was provided to two doctors and elaborate eight months training in operative Hysteroscopy and Laparoscopy was given to one doctor from Delhi. Long Term Training One doctor deputed for training in Endoscopy surgery for two years from July 2001 from Army Medical Services. Continuing Medical Education
The faculty of the department participated and
delivered 78 lectures in continuing Medical Education Programmes, Symposia,
National and International Conferences during the year. |
Funded Projects :
1.
Mifepristone
with three Regimens of Misoprostol for Termination of Early Pregnancy (Chief
Investigator – Prof. S. Mittal funded by WHO; Duration: 01.01.99 – June 2001).
2.
Levonorgestrel
and Mifepristone in Emergency Contraception (Chief Investigator – Prof. S.
Mittal funded by WHO; Duration of the project : May 1998 – May 2001).
3.
Screening
for Reproduction Tract Infections including Bacterial Vaginosis and their
Perinatal outcome (Chief Investigator – Prof. S. Mittal funded by MOHFW;
Duration : 19.09.01 – August 2004).
4.
Evaluation
of Antifertility and Safety of Pippalyadi Phase II Clinical Study (Chief
Investigator – Prof. S. Mittal funded by ICMR, New Delhi; Duration June 2201 –
July 2002).
5.
Centchroman
for Emergency Contraception (Chief Investigator – Prof. S. Mittal funded by
ICMR, New Delhi; Duration : June 2001 – July 2002)
6.
Role
of Assisted Conception in management of Infertile Couples (Chief Investigator :
Prof. S. Mittal funded by ICMR, New Delhi; Duration : June 2000 – May 2002).
7.
Phase
II Clinical Trial on Praneem Polyherbal Tablet for Assessment of its Efficacy
in Symptomatic Women with Abnormal Vaginal Discharge (Chief Investigator –
Prof. S. Mittal funded by ICMR, New Delhi; Duration : March 2002 – Dec. 2002)
8.
Phase
III ICMR Clinical Trial of Norplant I (6 Capsules) Contraception (Chief
Investigator – Prof. S. Mittal funded by ICMR, New Delhi; Duration : 1995 –
2003).
9.
Profile
of Women with Polycystic Ovaries (Chief Investigator – Prof. S. Mittal funded
by ICMR, New Delhi; Duration : 2001- June 2002).
10.
Comparison
of Timed Intercourse with Intrauterine Insemination in Superovulated cycles
with Clomiphene Citrate (Investigator – Dr. Sonika Agarwal funded by CSIR;
Duration : March 2000 – March 2003).
11.
Phase
I Clinical Trial of ‘Concept’ Neem based vaginal contraceptive (Chief
Investigator – Dr. Deepika Deka funded by DIPAS (Defence Institute of
Physiology and Allied Sc, New Delhi; Duration : Jan 2002 – June 2002.
12.
First
Trimester Ultrasonographic Screening for Fetal Chromosomal and Structural
Abnormalities (Investigator – Dr. Bhawna Malhotra funded by CSIR; Duration : 25th
July, 2001 – 24th July 2004).
13.
Detection
of Fetomaternal Haemorrhage Following 1st and 2nd
Trimester Abortions by Klcihauer Betke Test and Rise in MSAFP (Investigator –
Dr. Kaberi Banerjee funded by ICMR, New Delhi; Duration : 31.10.2001 –
30.10.2002).
Departmental
Projects :
1.
Evaluation
of Intrapartum Fetal Pulse Oximetry for Fetal Monitoring in Labour.
2.
Evaluation
of Uterine Artery Embolization in the management of Uterine Fibroids in
comparison with Medical (GnRH Agonist) and Surgical (Hysterectomy) treatment.
3.
Evaluation
of Transdermal Nitroglycerene as a Tocolytic Agent in Preterm Labour.
4.
Role
of Hormone Replacement Therapy and Antioxidants on Levels of Lipid Proxidation
in Postmenopausal Women.
5.
To
evaluate the effects of Metformin in terms of Clinical, Biochemical, Hormonal
Radiological Profile in Women with Polycystic Ovary syndrome.
6.
The
effect of Nitroglycerine Patch in Lowering Blood Pressure in women with PIH.
7.
Visualization
of Fetal Anatomy in first Trimester of Pregnancy by Different Modes of
Ultrasonography.
8.
The
Haematological and bacteriological Assessment of Umbilical Cord Blood for use
of Autologous Neonatal Transfusion.
9.
Evaluate
of the Immune Status of Rubella in Adolescent Unmarried Girls and Pregnant
Women.
10.
Screening
for Rh Negative Blood Group and Rh Isoimmunization in Indian Population,
Critical Evaluation of the Practice of Anti D Prophylaxis and Cause of Sensitization
in Rh Isoimmunization Women.
11.
Clinical
and Biochemical Changes after Bipolar Vs Unipolar Laparoscopic Ovarian Electro
Cautery in Cases of Polycystic Ovary Syndrome.
12.
Detection
of Feto Maternal Haemorrhage Following Chorionic Villus Sampling by Kleihanser
Betke and Rise in maternal serum Alpha Protein.
13.
Vulvar
Vestibulitis : A Study of the Magnitude of the Problem and Management Outcome.
14.
A
Comparative Study of Daily Vs Weekly Iron Therapy in Pregnant women.
15.
Assessment
of Fimbro – Ovarian Relation by Laparoscopy in Case of Unexplained Infertility.
16.
Evaluation
of Serum CA-125 and Sr Estradiol Levels after conservative Surgical management
of Advanced (Moderate and Severe) Endometrium in Infertility.
17.
Assessment
p53 and Telomerase as Prognostic Factors in carcinoma Ovary Stage III and IV.
1.
Agarwal
N, Kriplani A. Medical management of
dysfunctional uterine bleeding. Int J
Gyne Obs 2001; 75(2): 199-201.
2.
Agrawal
R, Aggarwal R, Kriplani A, Bhatla N.
Primary fetal hydrothorax.
Indian Pediatr. 2002; 39(1):
92-95.
3.
Amini
AC, Gupta R, Kapoor A, Karak A, Kriplani A, Gupta DK, Kucheria K. Etiology, clinical profile, gender identity
and long term follow up of patients with ambiguous genitalia in India. J Pediatr endocrinol Metab. 2002; 15:423-430.
4.
Arora
S, Kabra M, Maheshwari M, Shastri S, Kaur D, Deka D, Kriplani A, Menon
PSN. Prenatal diagnosis of
haemoglobinopathies. Natl Med J India. 2001; 14(6): 340-2.
5.
Banerjee
N, Kriplani A, Takkar D. Influence of
place of delivery on immediate perinatal outcome: a study from Northern
India. Trop Doct, 2001; 31:71-3.
6.
Banerjee
N, Sinha A, Kriplani A, Roy KK, Takkar D.
Factors determining the occurrence of unwanted pregnanncies. Natl Med J India. 2001; 14(4):211-4.
7.
Bhatla
N, Bhownik D, Kriplani A, Agarwal N, Gupta A, Dash SC. Successful pregnancy outcome in advanced
chronic renal failure. JAPI 2001;
49:845-847.
8.
Bhatla
N, Lal S, Behera G, Kriplani A, Agarwal N, Takkar D et al. Cardiac disease in pregnancy – AIIMS
experience. J. Mol. Cell. Cardiol. 2001; 33:A12.
9.
Dadhwal
V, Kochar S, Mittal S, Kumar S, Agarwal S, Arora V, Barua A. fetal Gastrointestinal Malformations. Indian j Pediatr 2001; 68(1):27-30.
10.
Dadhwal
V, Kocher S, Vimla N, Singh MK, Mittal S.
An unusual cyst of Broad Ligament.
Trop Doctor, 32; 6-0:1-2, 2002.
11.
Deka
D, Malhotra B. Role of maternal oral
hydration in increasing amniotic fluid volume in pregnant women with
oligohydramnios. International J. Gyne
Obst. 2001; 73:155-156.
12.
Deka D, Banerjee N, Roy KK, Choudhury VP,
Kashyap R, Takkr D. Aplastic anemia
during pregnancy : variable clinical course and outcome. European J of Obst
Gyne Reprod. Biol. 2001; 94:152-154.
13.
Ghai
B, Mohan V, Khetrapal M, Malhotra N. Epidermal anaesthesia for cesarean section
in patient with Eissenmenger’s syndrome.
Int. J Obst Anaesth 2002; 11:44-47.
14.
Jobanputra
V, Roy KK, Kriplani A, Kucheria K.
Prenatal diagnosis of chromosomal abnormalities in women with high risk
pregnancies. Indian J Med Res. 2001; 114:148-155.
15.
Jobanputra
V, Kriplani A, Aggarwal N, Kucheria K.
Prenatal diagnosis in a twin pregnancy with a hydatidiform mole and a
normal fetus. Frontiers in fetal
health, TM. 2001; 3:251-254.
16.
Kriplani
A, Manchanda R, Agarwal N, Nayar B.
Laparoscopic ovarian drilling in clomiphene citrate-resistant women with
polycystic ovary syndrome. J Am Assoc
Gynecol Laparosc. 2001; 8(4):511-518.
17.
Kriplani
A, Basu SP, Bhatla N, Agarwal,
Manchanda R, Vasisht S. Comparison of
the effects of estrogen progestogen replacement therapy versus estrogen alone
therapy on lipoprotein (a) and other lipoproteins, Gynaecol Endocronol. 2001; 15(5): 115.
18.
Kriplani
A, Manchanda R, Monga D, Takkar D.
Depot medroxy progesterone acetate: a poor preparatory agent for
endometrial resection. Gynaecol Obstet
Invest. 2001: 52(3): 180-3.
19.
Kriplani
A, Manchanda R, Nath J, Takkar D. A
randomized trial of danazol pretreatment prior to endometrial resection. Eur J Obstet Gynecol Reprod. Biol 2002; 103:
68-71.
20.
Kriplani
A, Agarwal N. Hysteroscopic and
laparoscopic guided mini access henihysterectomy for non-communicating uterine
horn. Arch Gynaecol Obstet 2001;
265(3): 162-4.
21.
Kriplani
A, Agarwal N, Roy KK, Manchanda R, Singh MK.
Laparoscopic management of Sertol: Leydig cell tumors of the ovary. A report of two cases. J Reprod. Med. 2001; 46:493-6.
22.
Kumar
S, Suneeta PV, Dadhwal V, Mittal S.
Endometrial cryoblation in the treatment of dysfunctional uterine
bleeding. Internat J Obstet Gynaecol
76, 2002; 189-190.
23.
Malhotra
N, Deka D, Takkar D. Uretric calculi
masquerading as metastatic lymph nodes in a case of endometrial cancer. Europ J Obstet Gynbaeco Rep Bio. 2001; 98(1): 133-4.
24.
Malhotra
N, Malhotra B, Deka D, Takkar D. Broad
ligament hematomia causing fetal death in a case of fractue pelvis. Eur J Obstet Gynaecol Reprod Biol 2001; 98(1):131-2.
25.
Malhotra
B, Malhotra N, Deka D. Autoimmune
hepatitis in pregnancy. Eur J Obstet Gynaecol Reprod Biol 2002; 101(1):91-2.
26.
Malhotra
N, Roy KK, Garg PK, Takkar D. Ectopic
hydronephrotic kidney masquerading as an ovarian cyst during pregnancy. Euro J Obstet Gynaecol Reprod Biol 2001;
97(2):239-40.
27.
Malhotra
N, Deka D, Takkar D, Malhotra B. Port
site metastasis in a woman with chronic pelvis pain Indian J of Cancer 2001;
38:17-18.
28.
Mathur
R, Dubey S, Hamilton, Sing G, Deka D, Kriplani A, Kabra M, Menon PSN. Rapid prenatal karyotyping using fetal blood
obtained by cordocentesis. Natl Med J
India. 2002; 15:75-7.
29.
Mishra
R, Rashid N, Grundsell H, Sedagathian MR.
Diabetes mellitus in pregnancy: The United Arab Emirates
Experience. Int J Diabetes and Metabolism. Aug 2001; 9:32-37.
30.
Reddy
VG, Khanna N, Jain SL. Das BC, Singh N.
Telomerase – A molecular marker for cervical cancer screening. Int J Gynaecol Cancer 2001; 11:100-106.
31.
Roy
KK, Sinha A. Banerjee N, Takkar D. Diffuse Peritoneal Calcification in tuberculosis
– A rare manifestation. Int J Gynaecol
Obstet 2001; 73(3):269-270.
32.
Roy
KK, Malhotra N, Banerjee K. Recurrent
eclampsia in a woman with chronic pyelonephritis. Euro J Obstet Gynaecol Reprod. Biol. 2001; 94:304-306.
33.
Srivastava
DN, Saxena AK, Kriplani A, Agarwal N.
Angioembolization in vaginal vascular malformation. J Post Grad Med 2001; 47:33-4.
Chapter in Books
1.
Bhatla
N, Bhownik D, Malhotra B. Acute Renal
Failure in Pregnancy, in Common Clinical Problems in Obstetrics and
Gynaecology: A Practical Approach (Tripathi R, Rathore AM, Batra S, eds) Jaypee
Brothers, New Delhi, 1:54-56, 2001.
2.
Mishra
R. Laparoscopic Surgery for Stress
Urinary Incontinence. In : Hemal AK Ed.
Contemporary Trends in Laparoscopic Urologic Surgery. B.I. Churchill
Livingstone, New Delhi 2002: 209-216.
3.
Mishra
R. Thromboembolism in Pregnancy. In : Bhattacharya, Ahuja S, Saxena AK
Eds. Principles and Practice of
Critical Care in Obstetrics. B.I.
Chruchill Livingstone, New Delhi, 2001:309-316.
4.
Mittal
S. Overview of Methods of Emergency
Contraception – Textbook of Family Medicine, Pushpanjali Medical Publication,
2001.
5.
Mittal
S. Medical Abortion – Textbook of Family Medicine, Pushpanjali Medical
Publication, 2001.
6.
Mittal
S. Gestational Trophoblastic Diseases –
Management in the book by FOGSI on Early Pregnancy Haemorrhage, Dutta DK(Ed),
FOGSI publication, 2001.
7.
Mittal
S. ‘Contraception – unmet need’,
FOGSI-RCH Training Manual, Tank DK, Rao KA (Eds), FOGSI publication,
2002:32-37.
8.
Mittal
S. Obstetrics and Gynaecology in a CD :
Comprehensive Desktop Medical Reference Guide, Publisher Chilta – Chit
Awareness in Consciousness, Canada, 2002.
9.
Deka
D. “Controversies in the management of
Rh-isoimmunisation”. In The Rhesus
Factor. FOGSI Publication. Ed. Shah D,
2001; ch.
10.
Deka
D. Diagnosis and Management of Preterm
Labour. In Common Clinical Problems in
Obstetrics and Gynaecology. A Practical
Approach. Jaypee Publishers, New Delhi
.Ed. Tripathi R, 2001;(1):32-43.
1.
Bhatla
N. Updated and revised “Jeffcoate’s
Principles of Gynaecology”, International edition, Arnold Publishers (London,
New Delhi), 2001.
2.
Mittal
S. Consortium for National Consensus on
Emergency Contraception, Report and Recommendations, 2001.
3.
Mittal
S. Consortium for National Consensus on
Emergency Contraception, Consensus Statements and Guidelines, 2001.
4.
Mittal
S. Manual for Health Care Providers for Training in Emergency Contraception,
2002.
Dr.
S. Mittal contributed to following WHO monograms.
1.
Expanding
Global, Access to Emergency Contraception : A collaborative approach to meeting
women’s needs.
2.
Medical
and Service delivery Guidelines for Effective use of Emergency Contraception.
3.
Improving
Access to Quality Care in Family Planning – Medically Eligibility Criteria for
Contraceptive Use – Second Edition.
4.
RHL
Commentary on Emergency Contraception.
5.
Tailoring
Clinical Management Practices to Meet the Special Needs of Adolescents :
Pregnancy Prevention and Fertility.
Hospital care : Facilities available with department (including special clinic and special laboratory facilities) besides the regular Gynaecology outdoor which is held everyday, the following special clinics are held.
1. General antenatal clinic 3/
week 18428
2. High risk pregnancy clinic 3/week 9987
3. Fetal medicine clinic 1/week 528
4.
IVF
clinic 1/week
108
5.
Infertility
clinic 3/week
8428
6.
Gynae
Endocrine clinic 3/week
678
7.
Adolescent
clinic 1/week 83
8.
Menopause
clinic 2/week
478
9.
Gynaecological
cancer clinic 2/week 978
10.
Post
natal clinic 3/week
419
11.
Medical
termination of 6/week 1416
pregnancy clinic
12.
Family
Welfare clinic 6/week
6044
Gynaecological
Major 956
Minor 5050
Obstetrics
Major 2597
Minor 4075
Cordocentesis 33
Chorionic
Villus Sampling 158
Amniocentesis 107
Cyst
Aspiration 79
Intra
Utero Infusion 23
Hysteroscopies 280
Laparoscopies 201
Infertility
Surgery 356
Plastic
Reconstructive Surgery 145
High
Risk Obstetrics 870
Gynae
Oncology 116
Colposcopy 162
Interventional
Ultrasound 7525
Non
Stress Test 3654
Manning
Score 1908
Urine
Albumin 1400
Urine
Sugar 1400
Urine
Pregnancy Test 100
Blood
Haemogram 1470
Blood
Groups 450
The Post Partum Programme (PPP) is a maternity centred hospital based approach to family welfare programme by providing a package of RCH and family welfare services with vicinity of the hospital as well as in the field practice areas. It is run as an integrated multidisciplinary exercise where the department of Obstetrics and Gynaecology coordinates with departments of Paediatrics, Community Medicine, Surgery and Anaesthesiolotgy.
Achievement of
different Family Planning Methods, Post Partum Programme
(2001-2002)
Methods Achievement
CuT 717
Oral
Pills (13 cycles=1 user) 422
cycles
Conventional
Contraceptives (72 pieces=1 user) 54,790 PIECES
Sterilisation 1427
(a)
Tubectomy 1380
(b)
Vasectomy 47
Note
: Family Planning Methods are free of target.
Services Annual Achievement Percent
Target Achievement
(2001-2002)
Pregnant
Women
TT(Mothers)(2nd
or Booster) 6250 1382
22.1
Iron
& Folic Acid Tablets 6250 21995 351.9
Children
(0-1) Year
DPT
(3rd Dose) 6150 1212 19.7
Polio
(3rd Dose) 6150 1212
19.7
BCG 6150 2778
45.2
Measles 6150 1081
17.6
Vit
‘A’ (1st Dose) 6150 575 9.3
Children
(1-2) years
DPT
Booster Dose 6000 965 16.1
Vit
‘A’ (2nd Dose) 6000 131
2.2
Vit
‘A’ (3rd Dose) 6000 45 0.8
Vit
‘A’ (4th dose)
- 12 -
Vit
‘A’ (5th Dose)
- - -
Children
under five years 4500 625 13.9
DT
Note : Vit ‘A’ was not available
for quite some time in this year.
The Faculty of the department
participated in community awareness programmes through public education talks
in radio, phone-in programmes and panel discussions of AIR and allied T.V.
channels.
Prof. Suneeta Mittal : Awarded Millenium Fellowship of Indian College of Obstetrics and Gynaecology; Fellowship of International Society of Medical Sciences. Member : FOGSI Committee on Reproductive Endocrinology; Executive Committee – Indian society for the Study of Reproduction & Fertility; Editorial Board of “RCH Samachar”, “Asian Journal of Obstetrics and Gynaecology”, “Obstetrics and Gynaecology Communications” and “Obstetrics & Gynaecology today”; Executive Committee – LHMC Alumni Association; Task Force for Evaluation of Specifications in respect of Contraceptive Devices and Appliances by Ministry of Health & Family Welfare; Advisory Board, Delhi Post Graduate Forum; Scientific Committee, Indo-US Workshop on Reproductive Tract Infections – Role of Reproductive Track. Reviewer : Indian Journal of Medical Research for the year 2001. Panel of Experts : Health and Population Perspectives and Issues, published by NIHFW. Chairperson : Delhi Postgraduate Forum – Teaching activity being conducted every month for postgraduates from all institutions of Delhi as well as neighboring cities, working on Dean’s Committee, Staff council, Gita Mittal Award Committee, DMA Award Committee, Convocation Committee, Clinic Committee and Committee for Prevention of Sexual Harassment at work.
Prof. Alka Kriplani : Editor, Asian Journal of Obstetrics and Gynaecology Practice, Editorial Board Member of the Journals Indian Journal of Clinical Practice, Indian Journal of Gynaecological Endoscopy and Journal of postgraduate Medicine. Vice President of Association of Obstetricians and Gynaecologists of Delhi.
Dr. Sunesh Kumar : Resource person for ‘WHO/GOI/ICMR Collaborative Project on Capacity Building among Primitive Tribes in Various Districts in India.
Dr. Deepika Deka : Awarded Fellowship of International Medical Sciences Academy (FIMSA); Elected Chairperson (North Zone) of Indian Society for Perinatology and Reproductive Biology (ISOPARB). Elected Executive Member (a) International exchange Committee and (b) Imaging Sciences Committee of FOGSI (Federation of Obstetrics and Gynaecolgical Society of India).
Dr. Neerja Bhatla : Fellow of Indian College of Obstetricians and Gynaecologists; Member, Speciality Board, National Board of Examinations, Dr. B.S. Jirge Memorial Oration on Hormone Replacement Therapy.
SIGNIFICANT EVENTS
Organisations of
Workshops/Conferences :
Organised a Workshop on “Practical Training in Reproductive Health Research Methods” hands on training Workshopo in reproductive Research Methods in collaboration with WHO, MOHFW, ICMR and key centre for Women’s Health in Society, Melbourne and held a first orientation Training in Emergency Contraception for Healthcare Providers in Delhi under Prof. Suneeta Mittal as Chief Coordinator.
VISITING SCIENTISTS
Dr. Martho Morrow form key centre for Women’s Health in Society, Melbourne, Australia.
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