Publications by authors named "Ashwini Yadav"

4 Publications

  • Page 1 of 1

Epidemiological factors influencing gender preference among mothers attending under-five immunization clinic: A cross-sectional comparative study.

J Educ Health Promot 2021 31;10(1):190. Epub 2021 May 31.

Department of Community Medicine, Seth G.S. Medical College and KEM Hospital, Mumbai, Maharashtra, India.

Background: Sex ratio is an important social indicator measuring the status and equality of female in society. The falling sex ratio of our country is a demographic disaster that is waiting to happen and is a matter of grave concern. Perception of gender by mothers or families has long-term implications on how children are nurtured during their lives. This study was done to understand mother's preference for the gender of the child and their concerns about the same.

Materials And Methods: An observational cross-sectional study was carried out using a semi-structured questionnaire. Two hundred and thirty-four mothers were interviewed. Frequencies and percentages were calculated. Pearson's Chi-square test was used to check the significance of the association.

Results: Study results depict that 26.47% of the mothers who were already having a male child still preferred son. Preference for son was 24.52% and 48.61% among earning mothers and nonearning mothers, respectively. Out of 206 mothers said that they would prefer male child. Reasons cited were as follows: sons carry family name forward (30.6%), having daughters leads to increased expenditure (20.9%), daughters are subjected to different problem in their lifetime mainly violence (11.7%), and sons supported their parents in old age (10.7%).

Conclusion: Preference for male child was found to be equally prevalent in both urban and rural areas. Mothers should be educated about the effect of declining sex ratio along with financial capacity building of women and providing social security to senior citizens which was the main reason for son preference. The impact of gender imbalance on individuals, families, and on society has to be emphasized at every possible point of contact with health-care delivery system.
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http://dx.doi.org/10.4103/jehp.jehp_1219_20DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8249987PMC
May 2021

"Silent sufferers: A study of domestic violence among pregnant women attending the ANC OPD at a Primary Health Care Centre".

J Family Med Prim Care 2021 Jan 30;10(1):232-236. Epub 2021 Jan 30.

Department of Community Medicine, Seth G.S. Medical College & KEM Hospital, Parel, Mumbai, Maharashtra, India.

Introduction: Domestic violence against women is one of the most pervasive abuses of human rights in the world. Violence during pregnancy leads to both acute injuries and profound long-term challenges to health and wellbeing. Pregnancy provides a good opportunity for healthcare personal to screen women for domestic violence.

Aim: To identify the pattern of domestic violence amongst pregnant women and to plan appropriate interventions.

Settings And Design: This cross-sectional study was carried out at Primary Health Care Centre.

Methods And Material: 90 pregnant women attending the ANC OPD and fulfilling the inclusion criteria were interviewed using a semi-structured questionnaire. Data were compiled and analyzed using SPSS version 24. Percentages were calculated and Chi-square test was used wherever applicable.

Results: Violence was mostly seen in the women who were married for five years (47.36%) and many among them experienced it within one year of marriage (34.28%). The most common violence faced by the women was verbal violence (44.73%), followed by financial violence (27.63%). Physical violence was experienced by 22.36% women. The Perceived risk factor for violence was mostly addiction of spouse in 26.31% of women and insufficient dowry and demand for male child in 19.73%.

Conclusions: As occurrence of violence was found to be significantly associated with duration of marriage, educational status, and earning status of women asking about intimate partner violence should be a part of routine antenatal care for early detection and identification of cases, their counseling, and appropriate interventions.
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http://dx.doi.org/10.4103/jfmpc.jfmpc_1157_20DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8132773PMC
January 2021

Primary ileal volvulus: a rare twist in an elderly patient-case report.

BMC Surg 2020 Oct 14;20(1):237. Epub 2020 Oct 14.

Department of General Surgery, Bir Hospital, National Academy of Medical Sciences, Kathmandu, Nepal.

Background: Small bowel volvulus is a rare entity and it is even rarer for the ileum to undergo torsion without any known predisposing factors. It presents as acute abdomen with features of intestinal obstruction. As it is a life-threatening condition, it should be kept as a differential for small bowel obstruction despite its rarity. Therefore, we report this case.

Case Report: A 60-year-old gentleman presented to our emergency department with a 2-day history of worsening abdominal pain, vomiting, abdominal distension and obstipation. Exploratory laparotomy was done which revealed ileal volvulus with no predisposing factors. Derotation of the segment was done. The postoperative period was uneventful and on follow up after a month, he had a satisfying recovery.

Conclusion: Though primary ileal volvulus is a rare diagnosis, it should be kept in mind in any patient with small bowel obstruction with pain out of proportion and resistant to opioid management. Early diagnosis and urgent surgical intervention is the key to prevent bowel necrosis and associated morbidity and mortality.
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http://dx.doi.org/10.1186/s12893-020-00901-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7556909PMC
October 2020

Gas chromatography/mass spectrometry-based urine metabolome study in children for inborn errors of metabolism: An Indian experience.

Clin Biochem 2017 Feb 23;50(3):121-126. Epub 2016 Oct 23.

PreventiNe Life Care, Navi Mumbai, Maharashtra, India.

Objective: The present study highlights the feasibility of gas chromatography/mass spectrometry (GC/MS)-based analysis for simultaneous detection of >200 marker metabolites in urine found in characteristic pattern in inborn errors of metabolism (IEM) in India.

Design And Methods: During this retrospective study conducted from July 2013 to January 2016, we collected urine specimens on filter papers from Indian children across the country along with relevant demographic and clinical data. The laboratory technique involved urease pretreatment followed by deproteinization, derivatization, and subsequent computer-aided analysis of organic acids, amino acids, fatty acids, and sugars by GC/MS, which enable chemical diagnosis of IEM.

Results: Totally 23,140 patients were investigated for IEM with an estimated frequency of about 1.40%, that is, 323 positive cases. Most frequent disorders observed were of primary lactic acidemia (27.2%) and organic acidemia (methylmalonic aciduria, glutaric acidemia type I, propionic aciduria, etc.) followed by aminoacidopathies (maple syrup urine disease, phenylketonuria, tyrosinemia, etc.). Furthermore, alkaptonuria, canavan disease, and 4-hydroxybutyric aciduria were also diagnosed. Prompt treatment following diagnosis led to a better outcome in a considerable number of patients.

Conclusions: GC/MS with one-step metabolomics enables quick detection, accurate identification, and precise quantification of a wide range of urinary markers that may not be discovered using existing newborn screening programs. The technique is effective as a second-tier test to other established screening technologies, as well as one-step primary screening tool for a wide spectrum of IEM.
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http://dx.doi.org/10.1016/j.clinbiochem.2016.10.015DOI Listing
February 2017
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