@article{Lakkireddy_2021,

title = {Biofabrication of allogenic bone grafts using cellularized amniotic scaffolds for application in efficient bone healing},

author = {Chandrakala Lakkireddy and Sandeep Kumar Vishwakarma and Avinash Bardia and Nagarapu Raju and Shaik Iqbal and Syeda Maliha Fathima and Sandhya Annamaneni and Aleem Ahmed Khan},

url = {https://www.sciencedirect.com/science/article/abs/pii/S0040816621001476?via%3Dihub},

doi = {10.1016/j.tice.2021.101631},

issn = {0040-8166},

year  = {2021},

date = {2021-12-31},

urldate = {2021-12-31},

journal = {Tissue and Cell},

volume = {73},

pages = {101631},

abstract = {Introduction: The reconstruction/regeneration of human bone injuries/defects represents a crucial challenge due to the lack of suitable bio/immune compatible and implantable biological grafts. The available strategies represent implications of several types of grafting materials in the form of metals, synthetic, and various kinds of biological scaffolds; however, the lack of appropriate biological components required for activating and enhancing repair mechanisms at the lesion-site limits their wider applicability. Methods: In this study, a unique approach for generating human osteogenic implantable grafts was developed using biofabrication technology. Using a gradient change of detergents and continuous agitation, developed a unique technique to generate completely cell-free amnion and chorion scaffolds. The absence of cellular components and integrity of biological and mechanical cues within decellularized human amnion (D-HAM) and chorion (D-HCM) were evaluated and compared with fresh membranes. Allogenic bone grafts were prepared through induction of human mesenchymal stem cells (hMSCs) into osteogenic cells on D-HAM and D-HCM and evaluated for their comparative behavior at the cellular, histological and molecular levels. Results: The common decellularization process resulted in an efficient way to generate D-HAM and D-HCM while retaining their intact gross-anatomical architecture, surface morphology, extracellular matrix components, and mechanical properties. Both these scaffolds supported better growth of human umbilical cord blood derived MSCs as well as osteogenic differentiation. Comparative investigation revealed better growth rate and differentiation on D-HCM compared to D-HAM and control conditions. Conclusion: D-HCM could be used as a better choice for producing suitable allogenic bone grafts for efficient bone healing applications. },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Tahseen_2020b,

title = {Maternal outcome of pregnancies in women at the extremes of maternal age},

author = {Surayya Tahseen and Syeda Maliha Fathima and Sowmya Sri Kondeti and Nabeeha Mujtaba Ali and Fatima Tahniyath},

url = {https://storage.googleapis.com/journal-uploads/ejbps/article_issue/volume_7_september_issue_9/1598754840.pdf

},

issn = {2349-8870},

year  = {2020},

date = {2020-09-30},

urldate = {2020-09-30},

journal = {European Journal of Biomedical and Pharmaceutical Sciences},

volume = {7},

issue = {9},

pages = {257},

abstract = {Background: Extremes of maternal age adversely affect pregnancy outcomes.Teenage pregnancy is regarded as

a serious public health problem and often occurs in the context of poor social support and maternal well-

being.Teenage pregnancy is known to be associated with adverse pregnancy outcomes such as preterm births, low birth weight deliveries and increased risk of caesarean delivery. Methods: A hospital based prospective study carried out in the Department of Obstetrics and Gynaecology from October 2013 to September 2015 at Owaisi hospital and research centre and Princess Esra Hospital, a tertiary care centre, Deccan College of medical

sciences,Hyderabad. Results: Among 8640 antenatal patients who delivered during the 24 months period i.e

October 2013 to September 2015 at the hospital out of these 241(2.8%) were teenage primigravida aged 15 to 19 yrs. Conclusions: In India, 10.3% of the female population belongs to the age group of l5-19 years.In 1997, the age specific fertility rate was found to be 52.5 live births per 1000 rural women aged between 15-19 years. Over the years, there has not been much improvement in the country’s scenario as reported by the National Family Health Surveys.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Tahseen_2020c,

title = {Fetal and maternal outcomes of pregnancies in women at the extremes of maternal age- a review},

author = {Surayya Tahseen and Fatima Tahniyath},

url = {https://storage.googleapis.com/journal-uploads/ejbps/article_issue/volume_7_september_issue_9/1598701743.pdf},

issn = {2349-8870},

year  = {2020},

date = {2020-09-30},

urldate = {2020-09-30},

journal = {European Journal of Biomedical and Pharmaceutical Sciences},

volume = {7},

issue = {9},

pages = {115-123},

abstract = {Teenage pregnancy is a common public health and social problem with adverse medical consequences worldwide. WHO estimates that risk of death following pregnancy is twice as great for women between 15 to 19 years than those between 20 to 24 years.[1] The incidence of teenage pregnancy shows marked variation, in developed and developing countries .In India, incidence of teenage pregnancy varies from 3.2% to 18.6%.[2]

According to the UNICEF 2011 report, the adolescent population in India is 20% of the total population i.e. almost 243 million. 27% of girls aged 15 to 19 years are married with a birth rate of 45 per 1000 girls in this age group.[3] Early Marraiges are a long established custom in India resulting in the high incidence of teenage pregnancy. The rate is higher in the rural than in urbanized areas. Despite the law, the problems of teenage marraiges and subsequent pregnancies are widely prevalent in India. The highest rate of teenage pregnancy in the world \textemdash 143 per 1,000 girls aged 15\textendash19 years \textemdash is in sub-Saharan Africa.[4] In 2013, the teenage birth rate in the United States reached a historic low: 26.6 births per 1,000 women aged 15\textendash19. },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Arsheen_2020,

title = {Comparative study of progesterone and selective progesterone receptor modulator in treatment of fibroids},

author = {Ayesha Arsheen and Surayya Tahseen and Fatima Tahniyath},

url = {https://storage.googleapis.com/journal-uploads/ejbps/article_issue/volume_7_august_issue_8/1596618772.pdf},

issn = {2349-8870},

year  = {2020},

date = {2020-08-31},

urldate = {2020-08-31},

journal = {European Journal of Biomedical and Pharmaceutical Sciences},

volume = {7},

issue = {8},

pages = {649-656},

abstract = {Uterine fibroids (UF), also known as Leiomyoma, are the most common benign neoplasm in the female genital tract and originate from the myometrium (smooth muscle.)[1,2] The cause of the fibroids is unknown, but however, it is estimated to be caused by estrogens and progesterone which proliferate tumor growth.[3,4] Fibroids are seen to rarely occur before menarche and reduce after menopause. They may be single or multiple and have a negative impact on the reproductive system, and are capable of causing severe morbidity among the women with deterioration of quality of life.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Tahseen_2020,

title = {Fetal outcomes of pregnancies in women at the extremes of maternal age},

author = {Surayya Tahseen and Syeda Maliha Fathima and Sowmya Sri Kondeti and Nabeeha Mujtaba Ali and Fatima Tahniyath},

url = {https://storage.googleapis.com/journal-uploads/ejbps/article_issue/volume_7_july_issue_7/1593508177.pdf},

issn = {2349-8870},

year  = {2020},

date = {2020-07-31},

urldate = {2020-07-31},

journal = {European Journal of Biomedical and Pharmaceutical Sciences},

volume = {7},

issue = {7},

pages = {450-456},

abstract = {Background: Extremes of maternal age adversely affect pregnancy outcomes.Teenage pregnancy is regarded as a serious public health problem and often occurs in the context of poor social support and maternal well-being.

Teenage pregnancy is known to be associated with adverse pregnancy outcomes such as preterm births, low birth weight deliveries and increased risk of caesarean delivery. Methods: A hospital based prospective study carried out in the Department of Obstetrics and Gynaecology from October 2013 to September 2015 at Owaisi hospital and research centre and Princess Esra Hospital, a tertiary care centre, Deccan College of medical sciences, Hyderabad. Results: Among 8640 antenatal patients who delivered during the 24 months period i.e October 2013 to September 2015 at the hospital out of these 241(2.8%) were teenage primigravida aged 15 to 19 yrs. Conclusions: In India, 10.3% of the female population belongs to the age group of l5-19 years.[19] In 1997, the age specific fertility rate was found to be 52.5 live births per 1000 rural women aged between 15-19 years.[42] Over the years, there has not been much improvement in the country’s scenario as reported by the National Family Health Surveys. },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Kehkashan_2019,

title = {Use of various contraceptive methods in postpartum women- a prospective study in South Indian women},

author = {Anjum Kehkashan and G. Divya Chowdary},

url = {https://www.medpulse.in/Gynacology/Article/Volume11Issue3/OBGY_11_3_2.pdf},

doi = {10.26611/10121132},

issn = {2579-0870},

year  = {2019},

date = {2019-09-30},

urldate = {2019-09-30},

journal = {MedPulse \textendash International Journal of Gynaecology},

volume = {11},

issue = {3},

pages = {87-95},

abstract = {Background: Although most women would want to wait for more than two years before having another baby, their fertility behaviours during the first year following birth may decrease or increase the length of the birth interval. The purpose of this study is: 1. To study the most preferred contraception out of various contraceptive methods by the postpartum women. 2. To study the failure rates in the chosen method of contraception by the postpartum women. 3. To study the side effects and complications of the method chosen by the postpartum women. Materials and Methods: This prospective study is carried out at a tertiary care Centre in the Department of Obstetrics and Gynaecology at Owaisi Hospital and Research Centre and Princess Esra Hospital affiliated by Deccan College of medical sciences, Hyderabad. The study population included 400 pregnant women attending ANC’s also attending Family planning counselling clinic for a period of 2 years. Results: Out of 5328 antenatal patients who delivered, patient counselling was given for Postpartum Contraception, 3826 (71%) women delivered at our hospital, Out of which 1566 (29%) requested for postpartum contraception and 400 (7.5%) of them were enrolled for our study considering inclusion and exclusion criteria. Conclusion: IUCD is the most preferred reversible postpartum contraceptive method among various contraceptive methods in postpartum women for birth spacing in our study. It is a long-acting reversible contraceptive (LARC) method which is safe, cheap and highly effective in preventing unintended pregnancy and spacing births than with other reversible methods - Oral contraceptive pills or Injection DMPA. Sterilization was the second common method preferred by postpartum women who completed their family. The complications and failure rates are very low. So, it is the best method to be preferred if the family is completed.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Kehkashan_2019b,

title = {A study on postoperative complications following major obstetrics and gynaecological surgeries},

author = {Anjum Kehkashan and D. Sravani and Fawwad M. Shaikh},

url = {https://www.medpulse.in/Gynacology/html_11_2_8.php},

issn = {2579-0870},

year  = {2019},

date = {2019-08-31},

urldate = {2019-08-31},

journal = {MedPulse \textendash International Journal of Gynaecology},

volume = {11},

issue = {2},

pages = {76-81},

abstract = {Background: Any surgical procedure carries risks of complications. The risk of postoperative complications depends on individual characteristics, including: age, medical comorbidities, and functional status. They need to be reduced because they contribute to morbidity and mortality. Adverse events that are closely related to processes of care, such as postoperative complications, may be a better measure of quality than death rates or other intermediate out comes (1).Aim of The Study: To study incidence of post operative complications and surgical care following major obstetric and gynaecological surgeries. Objectives: 1. To know different types of post operative complications following major obstetric and gynaecological surgeries.2. To know the relative incidence of such post operative complication.3To Study factors that are associated with post operative complications such as obesity, blood loss and duration of surgery (more than or less than 02hours)Materials And Method: An observational study was conducted at Owaisi Hospital and Princess Esra hospital in the Department of Obstetrics and Gynecology from August 2016 to January 2018. The study included all the patients undergoing major surgeries for either obstetric or gynaecological indication. Results: The study focused on the post operative complications following major obstetric and gynaecological surgeries. The following are the complications observed in the present study. Overall the post operative complications observed are very low. 8.6% of total cases showed febrile morbidity, the highest recorded complication. Vault hemorrhage was 4.4% (4 of 84 patients of hysterectomy) followed by lap surgery converted to open surgery (2.3% of 129 lap surgeries). Surgical site infections are expected to be high in any surgeries but in the present study only 1.6% of the cases had developed this complication. Blood transfusion and blood loss more than 1000ml was in 1.8% of the cases. Urinary retention after open surgery and laparoscopic surgery occurred in 1.7% and 4.6%, respectively. Conclusion: The incidence of post operative complications can be reduced by 1.Proper selection of the patient2. Pre-operative evaluation of the patient3.Improve nutritional status and hygiene of the patient prior to surgery.4. Intra operatively - maintain sterility, good surgical technique, reducing blood loss and strict vigilance of unavoidable complications.5. Post operatively adequate analgesia, fulfillment of hydration, antibiotics, starting drugs for co-morbid conditions and monitoring of patient for development of any complications.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Kehkashan_2019c,

title = {Comparison of efficacy and safety of intravaginal dinoprostone (PGE2) gel and intracervical dinoprostone (PGE2) gel for cervical ripening and induction of labour at term},

author = {Anjum Kehkashan and Ismath Fatima},

url = {https://www.medpulse.in/Gynacology/Article/Volume10Issue2/OBGY_10_2_5.pdf},

doi = {10.26611/10121025},

issn = {2579-0870},

year  = {2019},

date = {2019-05-31},

urldate = {2019-05-31},

journal = {MedPulse \textendash International Journal of Gynaecology},

volume = {10},

issue = {2},

pages = {34-41},

abstract = {Background: Induction of labor is the stimulation of uterine contractions before the spontaneous onset of labor, with or without rupture membranes. Invention of prostaglandin preparation have revolutionized the methods of induction especially in unripe cervix and today, prostaglandins in various forms are used mainly for induction of labour with low Bishop’s score. Different preparations and different routes of administration of dinoprostone are used, for e.g. gels, tablets, pessaries, sustained release inserts. Material and methods: This prospective randomized control trial was carried out in the Department of Obstetrics and Gynecology at Princess Esra Hospital from 1/02/2017 till 30/07/2018 after obtaining permission from Institutional Ethics Committee. Accordingly 200 women who fulfilled inclusion/exclusion criteria and for induction of labour were enrolled in the study. These women were randomized into two groups, Group A and Group B. Observation and Results: With intracervical dinoprostone, early onset of labour pain was observed as compared to intravaginal dinoprostone gel. But at the end of 24 hours 99% in group A, 100% patients in group B started uterine contractions. With intracervical dinoprostone gel, active phase of labour was attained earlier as compared

intravaginal route but, it was seen that at the end of 24 hours 88% in group A and 93% patient in group B went into active phase. The induction delivery interval was less with intracervical dinoprostone as compared to intravaginal dinoprostone. 63% women in group A and 61 % in group B delivered vaginally indicating effectivity of dinoprostone in vaginal delivery by both the groups. Conclusion: Intravaginal dinoprostone in the dose of 0.5 mg 8 hourly for induction of labour in unripe cervix should be considered as safe and effective method which is free of complication and has high success rate with minimal maternal and fetal morbidity. },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Siddiqui_2017b,

title = {A retrospective study on prescribing pattern of drugs in female infertility at a tertiary care center in South India},

author = {Shaheda Siddiqui and Fatima Tahniyath and Ayesha Butool and Kauser Fatima and Raga Reddy and Roya Rozati},

url = {https://zenodo.org/record/2384633},

doi = {10.5281/zenodo.2384633},

issn = {2231-6876},

year  = {2017},

date = {2017-03-31},

urldate = {2017-03-31},

journal = {Indo American Journal of Pharmaceutical Research},

volume = {7},

issue = {3},

pages = {7861-7868},

abstract = {ntroduction: A disease of the reproductive system defined by the failure to achieve a clinical pregnancy after12 months or more of regular unprotected sexual intercourse. The demand for overcoming infertility is increasing year by year. Hence there is a quantum jump in the technology used in the diagnosis and therapy of infertility. Aim/ Objective: To observe the rationality among the prescriptions with principle aim to study the efficacy, tolerability, safety and cost-effectiveness of the drugs used in infertility cases and to evaluate the prescribing

pattern and criteria for selection of drugs for infertility. Methodology: A retrospective, observational study was conducted in the department of Obstetrics and Gynecology at Owaisi Hospital and Research Centre, Hyderabad, India. The duration of the study was 15 month period from September 2015 to Dec 2016 on 300 consenting female infertility patients. Results: In our study 43% of patients belonged to age group 26-30. 45% were newly diagnosed patients,65.3 % of patients had primary infertility and whereas 34.6% had secondary infertility. Menstrual irregularity were the most common cause of infertility (36%). The patients were treated with drug alone depending on their age and cause of infertility. Clomiphene Citrate (12.76%) was the most common drug prescribed for ovulation induction.55.3 % of patients conceived during our study, women who failed to achieve pregnancy needed Assisted Reproductive Technology. The PDD and DDD was calculated to

achieve rationality of prescriptions. Conclusion: Infertility is a critical component of reproductive health which is a global public health challenge. The use of pharmacoepidemological data can help in designing, delivering and evaluating many interventions to improve the use of fertility drugs and outcome of patients as Infertility is a global health issue.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Rozati_2016b,

title = {Role of anti-mullerian hormone in women with polycystic ovarian syndrome on metformin therapy},

author = {Roya Rozatti and Surayya Tahseen and Akhila Reddy and Nazima Allaudin and Fatima Tahniyath and Fatima Hafeez and A. G. Mehdi},

url = {https://storage.googleapis.com/journal-uploads/ejbps/article_issue/volume_3_march_issue_3/1456733725.pdf},

issn = {2349-8870},

year  = {2016},

date = {2016-03-31},

urldate = {2016-03-31},

journal = {European Journal of Biomedical and Pharmaceutical Sciences},

volume = {3},

issue = {3},

pages = {180-183},

abstract = {Background: AMH production by granulosa cells in the polycystic ovary is 2-3 fold increase compared to healthy women. Purpose of the study: Anti-Mullerian hormone (AMH) is produced by the granulosa cells surrounding prenatal and antral follicles and has an important role in the development and maturation of follicles. Several studies have suggested that AMH serum levels may be a marker for polycystic ovary syndrome (PCOS). Methods: Prospective study was conducted in the Department of Obstetrics and Gynaecology, Owaisi Hospital and Research Centre and Princess Esra Hospital, Deccan College of Medical Sciences, Hyderabad from March 2014- April 2015. Results: A total of 34 patients diagnosed cases of PCOS. Mean serum Anti Mullerian hormone levels were significantly decreased in PCOS population on metformin therapy as compared to PCOS population not on metformin therapy. Conclusion : Serum AMH is a useful prognostic biochemical marker for metformin therapy in PCOS. },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Rozati_2016c,

title = {The impact of body mass index in pregnant women and their obstetric outcomes in a tertiary care hospital of South India from August 2013-2015},

author = {Roya Rozati and Akhila Reddy and Surayya Tahseen and Nazima Allaudin and Fatima Tahniyath and Fatima Hafeez and A. G. Mehdi},

url = {https://storage.googleapis.com/journal-uploads/ejbps/article_issue/volume_3_march_issue_3/1456731137.pdf},

issn = {2349-8870},

year  = {2016},

date = {2016-03-31},

urldate = {2016-03-31},

journal = {European Journal of Biomedical and Pharmaceutical Sciences},

volume = {3},

issue = {3},

pages = {173-179},

abstract = {OBJECTIVE To assess the prevalence of overweight and obesity, and the impact of body mass index (BMI) on

maternal and neonatal outcomes, in a UK obstetric population. STUDY DESIGN: A retrospective study was

conducted and data was collected from births between August 2013 to August 2015 within a tertiary referral unit, with over 3600 births per year. STUDY PERIOD: August 2013 \textendash August 2015 STUDY SITE: This study was

carried out in OWAISI HOSPITAL AND RESEARCH CENTRE as a clinical audit and therefore did not require

approval from a Research Ethics Committee. Women were categorised according to World Health Organization

classification: underweight (BMI < 18.50 kg/m2); normal weight (BMI 18.50\textendash24.99 kg/m2; reference group);

Over weight (BMI 25.00\textendash29.99 kg/m2); obese class I (BMI 30.00\textendash 34.99 kg/m2); obese class II (BMI 35\textendash39.99

kg/m2); and obese class III (BMI _ 40 kg/m2). Maternal and neonatal outcomes were examined using logistic

regression, adjusted for confounding variables. RESULTS : The study highlights a relationship between increasing BMI (from overweight to obese class III) and increasing risk of adverse outcomes, including gestational diabetes mellitus (GDM), hypertensive disorders of pregnancy, caesarean section, macrosomia, and neonatal unit admission, with women in the highest obesity group at risk of additional adverse out-comes, including stillbirth, a longer postnatal stay, and wound problems following caesarean section.By categorising women into overweight and obesity sub classifications (classes I \textendashIII), this study clearly demonstrates an increasing risk of adverse outcomes across BMI categories, with women who are overweight also at significant risk both in terms of maternal and neonatal outcomes. },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Rozati_2016,

title = {History of gestational diabetes mellitus leading to type 2 diabetes mellitus in Hyderabad population},

author = {Roya Rozati and A. G. Mehdi and Akila Ch. and Surayya Tahseen and Avinash Bardia and Aleem Ahmed Khan},

url = {https://www.ommegaonline.org/articles/publishimages/10691_History-of-Gestational-Diabetes-Mellitus-Leading-to-Type-2-Diabetes-Mellitus-in-Hyderabad-Population.pdf},

doi = {10.15436/2380-5595.15.720},

issn = {2380-5595},

year  = {2016},

date = {2016-01-04},

urldate = {2016-01-04},

journal = {Journal of Gynecology and Neonatal Biology},

volume = {2},

issue = {1},

pages = {1-4},

abstract = {Background: Women having gestational diabetes mellitus are at greater risk of effecting type 2 diabetes mellitus. Particularly because of the scarcity of data in India, there is requirement for understanding the distribution and possibility factors of dysglycaemia (types 2 diabetes mellitus and prediabetes) in women having affected earlier with gestational diabetes mellitus. Methods: All women (n = 751) with past history of GDM attending two obstetric units in Hyderabad were invited to participate in the study. Among them 279 (37.15%) accepted to take part in the present study. Socio-demographic, medical and anthropometric information were collected; and 75gm OGTT performed. Results: 213 (76.34%) women were found dysglycaemic within 5 year (median 14 months) of the pregnancy. Age was found to be 1.27 fold increase risk of having dys-

glycaemia (OR 1.27, 95% CI 1.03 - 1.35 p = 0.03). Presence of acanthosis nigricans (OR 2.09, 95% CI 1.89 - 6.56 p = 0.002), postpartum screening interval (OR 1.41, 95% CI 1.15 - 1.92 p = 0.02) were found to be risk factors to have dysglycaemia. The ADA suggested threshold HbA1c value of >39 mmol/mol (5.6%) have a sensitivity and specificity of 72.3% and 67.3% respectively for detecting the occurrence of T2DM postpartum. Conclusion: In conclusion, this study found a high possibility of development of t2dm among with a history of gdm and there is an immediate need to improve post-partum screening rates.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Kehkashan_2015,

title = {Spontaneous rupture of right uterine artery in a pregnant women- a rare entity},

author = {Anjum Kehkashan and Shanti Sree and Khaja Ali Hassan},

url = {https://www.jemds.com/data_pdf/Anjun%20kekhashan.pdf},

doi = {10.14260/jemds/2015/1116},

issn = {2278-4748},

year  = {2015},

date = {2015-06-01},

urldate = {2015-06-01},

journal = {Journal of Evidence Based Medicine and Healthcare},

volume = {4},

issue = {44},

pages = {7684-7688},

abstract = {CASE: A 30 years old female G4P2L2A1 at 34 wks of pregnancy with complains of acute pain abdomen more on right side and constipation, fever on \& off \& vomiting. After through investigations exploratory laparotomy was done which reveled spontaneous rupture right sided uterine artery with 1000ml of haemoperitoneum. Hysterectomy was performed after delivering the baby due to uncontrolled bleeding \& difficult homeostasis. Because of maternal vital signs become unstable \& homeostasis was difficult hysterectomy was performed \& blood transfusion administered. Although very rare, hemoperitoneum should be included in the differential diagnosis when a pregnant women experiences acute onset, severe abdominal pain, even without an episode of abdominal trauma. BACKGROUND: Spontaneous rupture of uterine artery during pregnancy is rare,

presenting symptom include acute onset abdominal pain \& maternal hypovolemic collapse due to

hemoperitoneum. A typical case of subculture uterine artery rupture @ 34wks. of gestation occurred in a women. CONCLUSION: Spontaneous rupture of the uterine vessels during pregnancy is a rare complication \& may lead to maternal \& fetal morbidity \& mortality. Diagnosis and treatment are based on the clinical symptoms of actuate abdominal pain \& laboratory test of hypovolemic shock signs.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Ahmed_2014b,

title = {Psychological evaluation of couples attending the infertility clinic in a tertiary care, teaching hospital},

author = {Arifuddin Ahmed and Nusrath Fathima and Sandeep Kumar Vishwakarma and Aleem Ahmed Khan and Ramakrishna Podaralla and Rene De Souza and Roya Rozati},

url = {http://www.ijcrar.com/vol-2-2/Arifuddin%20Ahmed,%20et%20al.pdf},

issn = {2347-3215},

year  = {2014},

date = {2014-02-01},

urldate = {2014-02-01},

journal = {International Journal of Current Research and Academic Review},

volume = {2},

issue = {2},

pages = {133-147},

abstract = {Psychological evaluation of couples attending the infertility clinic in a tertiary care, teaching hospital were used to study the prevalence of anxiety, depression and the effect of infertility on the quality of life of infertile couples. Reproductive failure or involuntary childlessness is a significant loss for men and women worldwide.

Psychopathological response is not a universal consequence in infertile couples. The data from India is very sparse and far. Although infertility is primarily a medical condition its diagnosis can greatly impact the emotional functioning of the couples and/or individuals dealing with the problem. The study was conducted from among the couples attending the infertility counseling clinic from August 2006 to October 2008 in Hyderabad. 50 couples were recruited into the study according to the inclusion and exclusion criteria and were administered after a diagnosis of anxiety and/or depression by the attending psychiatrist. The prevalence of mild to moderate anxiety was 76% in the recruited females suggesting that the prevalence of anxiety is

higher in infertile couples and more so in the female groups who attempted infertility treatment at least once. The prevalence of mild to moderate depression was about 66% and for moderate to severe was about 37% in the recruited males as opposed to 26% and 74% in the recruited females. The prevalence of severe anxiety and

depression was higher in infertile couples and more so in the female spouse (upto 4 years of marriage). },

keywords = {},

pubstate = {published},

tppubtype = {article}

}