Genital tuberculosis in adolescent girls from low socioeconomic status with acute ectopic pregnancy presenting at a tertiary care hospital in urban Northern India: are we missing an opportunity to treat?

Background: Stillbirth is a matter of concern for mother and family as it leads to mental trauma and requires a supportive counselling about the cause of death, management of current pregnancy and future of next pregnancy.Methods: Present retrospective observational study was conducted at a tertiary care hospital over a period of 3 years which include 1765 females who had foetal death. Pregnancy of ≥28 week or fetal weight ≥1000 gram were taken as inclusion criteria.Results: Total number of births in above said period were 32085 and number of total stillbirth reported were 1765 that is 5.5% of total birth. Maximum cases had their first pregnancy (45.3%) and of were of 20 to 25-year age group (61.02%), and most of them were illiterate (63.96%) and belong to low socioeconomic status (95.8%). The causes for stillbirth were divided into four groups - medical, obstetrical, placental and unexplained causes which were 6.96%, 31.38%, 14.10%, and 47.53% respectively. Management of stillbirth was done as per standard protocol for the department and 90.9% cases had vaginal deliveries, 8.8% cases had caesarean section, and 0.16% had operative vaginal delivery.Conclusions: Stillbirth is a hidden component of new born health status which is often neglected when we talk about perinatal mortality and infant mortality. Majority of case had hypertensive disorders of pregnancy followed by antepartum haemorrhage, infection and congenital malformations.

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Association between sociodemographic status and pulmonary tuberculosis: a case control study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20184581 ◽

2018 ◽

Vol 5 (11) ◽

pp. 4840

Author(s):

Amandeep Kaur Ratta ◽

Sanjay S. Kubde ◽

Rupali Patle

Keyword(s):

Socioeconomic Status ◽

Pulmonary Tuberculosis ◽

Low Socioeconomic Status ◽

Case Control Study ◽

Tertiary Care ◽

Case Control ◽

Care Hospital ◽

Low Socioeconomic ◽

Community Controls ◽

Control Study

Background: The case control study, an analytical approach of epidemiology is a very important tool to detect the strength of association of risk factors with a disease. The objective of the study was to evaluate association between sociodemographic profile and pulmonary tuberculosis.Methods: This was case control study carried out in tertiary care hospital and urban field practice area from July 2010 to November 2012. Total 150 cases, 150 hospital control and 150 community controls were included in the study according to predefined inclusion and exclusion criteria. The study participants were interviewed and examined according to the preformed and pretested proforma in the respective OPDs.Results: Mean age of cases was found to be 35.94 years and those of hospital controls and community controls were 36.12 and 36.08 years respectively. Maximum cases and controls were Hindu, married, from urban area and belongs to upper lower socioeconomic class. Low socioeconomic status was found to be associated with risk of pulmonary tuberculosis and this association was statistically significant (OR=4.45, 95% CI 2.53–7.82, p<0.0001).Conclusions: Low socioeconomic status showed significant association with pulmonary TB with both the control groups.

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Prevalence of Stunting in Syrian Refugee Children With Cleft Lip and/or Cleft Palate in Time of Crisis: A Call for Intervention

The Cleft Palate-Craniofacial Journal ◽

10.1177/1055665620930450 ◽

2020 ◽

Vol 57 (10) ◽

pp. 1166-1170

Author(s):

Bachar F. Chaya ◽

Rawad Chalhoub ◽

Rola Jaafar ◽

Nour Nahhas ◽

Ghassan Abu-Sittah

Keyword(s):

Socioeconomic Status ◽

Low Socioeconomic Status ◽

Cleft Lip ◽

Tertiary Care ◽

Refugee Children ◽

Care Hospital ◽

Low Socioeconomic ◽

Stunted Growth ◽

Syrian Refugee ◽

Medical Chart Review

Objective: Our study aims to compare the prevalence of stunted growth in Syrian refugee children with cleft lip and/or palate (CL±CP) to other children with CL±CP of similar socioeconomic status. Design: A retrospective medical chart review. Setting: Center for Cleft and Craniofacial Surgery at a tertiary care hospital in Lebanon in the period between January 2013 and May 2019. Patients, Participants: One hundred three Syrian refugee children and 70 Lebanese children <18 years of low socioeconomic status who have CL, CP, or both. Interventions: These patients underwent cleft repair surgeries at our center. Main Outcome Measure(s): Stunted growth measured by calculating the height-for-age z-score (HAZ). Results: Using a confidence interval of 95%, the prevalence of stunting is significantly higher among Syrian refugees ( P < .003). The prevalence of stunting and age of presentation were positively correlated ( P < .02). There was no difference in stunting between patients with CP and CL ( P < .746). There was no difference in stunting between genders. Conclusions: The majority of Syrian refugee patients with CL±CP fall on the malnourished side of the nutritional spectrum as reflected by the high percentage of stunting as well as a mean of −1 for the HAZ.

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