Browsing by Author "Ghosh, T.S."
Now showing 1 - 3 of 3
Results Per Page
Sort Options
Item Delivery of Impacted Fetal Head at Caesarean Section - Surgical Technique(Ghana Medical Journal, 1992) Ghosh, T.S.; Kwawukume, E.Y.A type of U-shaped incision with a broad base to deliver the impacted fetal head or the neglected shoulder at cesarean Section is presented. This incision combined with an assistant dislodging the wedged fetal head upwards before incising the lower segment of the uterus prevented lateral extension into the uterine arteries in 56 patients at the Korle Bu Teaching Hospital. The surgical technique is described.Item Oral nifedipine therapy in the management of severe preeclampsia.(International Journal of Gynecology and Obstetrics, 1995) Kwawukume, E.Y.; Ghosh, T.S.OBJECTIVE: The purpose of this study was to compare the efficacy of nifedipine (Cordipin) and hydralazine in lowering blood pressure in severe preeclampsia. METHOD: A randomized, prospective study of 104 patients with severe preeclampsia in the Department of Obstetrics and Gynecology, Korle-Bu Teaching Hospital, Accra, Ghana, was conducted between January 1992 and June 1994. RESULTS: Of the 104 patients recruited into the study, six did not deliver at our hospital and were thus excluded from the study. Nifedipine and hydralazine as first-line drugs controlled the blood pressure in 44 and 35 patients, respectively, but failed in 5 and 14, respectively. This was statistically significant (P < 0.05). The mean birth weight was higher in the nifedipine group (2500+/-800 g vs. 2400+/-800 g). There were 11 admissions to the neonatal intensive care unit in the nifedipine group and 13 in the hydralazine group but the difference was not statistically significant. CONCLUSION: Nifedipine and hydralazine could both be used effectively to control blood pressure in severe preeclampsia in our subregion. While hydralazine is administered intravenously and needs strict monitoring, nifedipine is more effective, is easy to administer orally, less demanding on hospital staff, convenient and more predictable.Item Technique of Delivery of the After Coming Head in Breech Presentation.(Ghana Medical Journal, 1992) Ghosh, T.S.; Kwawukume, E.Y.Between January 1989 and December 1992. fifteen cases of difficult breech deliveries were done with the bead arrested at the pelvic brim in anterior-posterior position. There was one perinatal mortality. Ten premature dead babies were also delivered with an average time of 6.2 ± 2 hours. Cervical dilatation at the time of the procedure ranged between 4 to 6cm. All the deliveries were done in Karle-Bu Teaching Hospital, Accra. Ghana. The technique of delivery is described.