Publications by authors named "Nutan Jain"

Article Synopsis
  • The study focuses on the use of maternal healthcare services among tribal communities in nine districts in India, highlighting the prevalence of adequate antenatal care and institutional childbirth setups.
  • Data from 2636 tribal women indicated that only 23% received adequate antenatal care, while 82% delivered in healthcare facilities; factors influencing these outcomes included access to roads and maternal education.
  • The findings suggest that vulnerable tribal groups are at a higher risk for inadequate care, indicating the need for enhanced health outreach and investment in education and infrastructure to improve maternal healthcare access.
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Objective: To report on vaccination status by 12 months of age among tribal children from nine districts of India.

Methods: Cross-sectional study of 2631 tribal women having a child aged 12 months or below from nine Indian districts with a considerable proportion of the tribal population. Socio-demographic details, reception of various vaccines by 12 months of age, mother's antenatal care utilisation and health system-related details were collected through a pre-tested, interviewer-administered questionnaire from mothers.

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Background: This study was conducted to assess the efficacy of the Jain point to overcome the contraindications of Palmer's point. The Jain point lies on the left side of the abdomen at the L4 level, 10-13 cm lateral to the umbilicus. Due to its anatomical location, the Jain point is free from adhesions because postsurgical adhesions are encountered usually in the midline or the right side.

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The Jain point entry is based on the concept of non-umbilical entry to avoid sudden catastrophic injury to major retroperitoneal vessels, viscera, adhesions and bowel which could happen before the start of procedure by blind umbilical entry. To study the safety and efficacy of a novel first non-umbilical blind entry port. Tertiary referral centre for advanced laparoscopic surgeries with active training and fellowship programs.

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The first port entry in patient who underwent previous abdominal surgery. Palmer's point can be used in patients with suspected periumbilical adhesions, a history of an umbilical hernia, or multiple failed attempts of insufflations at the umbilicus. Palmer's point has its limitations in cases of left upper quadrant surgery, splenomegaly, portal hypertension, and improper nasogastric tube placement giving rise to a bloated stomach.

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Introduction: The present study was performed to assess the safety and feasibility of a new laparoscopic entry site in cases suspected of adhesions due to previous surgery.

Materials And Methods: It is a retrospective study undertaken at a tertiary care referral center for advanced gynecological laparoscopic surgery from January 2011 to December 2014.

Results: In 624 patients with a history of previous abdominal surgeries, the laparoscopic entry site was through a newly devised point.

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The isolated, complete, transverse vaginal septum is one of the most infrequent anomalies of the female genital tract, and when it coexists with a septate uterus, it is even rarer. This report describes a case of transverse vaginal septum with septate uterus. A 12-year-old girl sought medical assessment because of severe cyclic lower abdominal cramping and pelvic pain.

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Cystic adenomyosis is a rare form of adenomyosis mostly seen in middle aged women.We report two cases of cystic adenomyosis in juvenile patients, which simulate uterine malformation and presented as a diagnostic dilemma. The first patient initially was diagnosed as uterus bicornis with a hematometra in obstructed rudimentary horn while the second patient was diagnosed as broad ligament fibroid.

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We report a case of cervical agenesis or lack of uterine cervix. It is a rare mullerian anomaly and occurs in 1 in 80,000-100,000 births. The patient presented to us with primary amenorrhea and cyclical left lower abdominal pain.

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Objective: To assess the feasibility and outcome of laparoscopic Myomectomy and multiple layer closure of myoma bed for management of myomas at a tertiary care hospital.

Materials And Methods: Four hundred and seventeen patients from September 2005 to September 2010 with large and moderate size myomas were managed by laparoscopic Myomectomy. Indications were subfertility, menorrhagia and abdominal mass.

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Objective: To assess the feasibility and outcome of laparoscopic myomectomy and multiple layer closure of the myoma bed, for management of myomas, at a tertiary care hospital.

Materials And Methods: From September 2005 to September 2010, 417 patients, with large and moderate size myomas, were managed by laparoscopic myomectomy. Indications were subfertility, menorrhagia, and abdominal mass.

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