Publication:

Study of incidence and different aspects of cervical malignancy in tertiary centre of Jharkhand, India

ackground: Among the various killers of women of developing world, cervical cancer remains high in the list. Cervical cancer is the second most common cancer in women worldwide and the most common cancer in developing nations. The aim of the study was to determine the incidence of cervical cancer in post-menopausal women in Jharkhand and to determine various risk factors.

Methods The study was conducted on post-menopausal females presenting in outpatient department, emergency and indoor patients admitted in the department of Gynecology and Obstetrics at Rajendra Institute of Medical Sciences, Ranchi from March 2015 to September 2016. All post-menopausal women patients with suspected or proved cervical malignancy were included in the study.

Results The incidence of cervical cancer in this study was 16%. Maximum number of cases with cervical malignancy was in the age of 51-60 (45.83%). 45.83% of cases belonged to Hindu community. Maximum number of cases belonged to low socio-economic group (66.66%).  45.83% of cases were para 5 or more Most of the patient had more than one complains. Post-menopausal bleeding was commonest complain present in 66.66%, 77.08% came in advance stage (stage IIb+ III+ IV).

Conclusions This study showed UA-S/D ratio and UA-RI>2SD are significant predictors of perinatal deaths and immediate neonatal resuscitation in preeclampsia. Acute fetal distress in labour or neonatal nursery admission could not be predicted.