Repeated adverse fetal outcome in pregnancy complicated by uncontrolled maternal phenylketonuria

Urinary tract infection—2 to 10% of pregnancies are complicated by asymptomatic bacteriuria, which progresses to symptomatic infection in 40% of cases and is associated with adverse fetal outcome. Antibiotic treatment reduces the chances of developing symptomatic infection and of infants being born with low birth weight....

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Aquatic-Aerobic Exercise as a Means of Stress Reduction during Pregnancy

The Journal of Perinatal Education ◽

10.1891/1058-1243.12.1.6 ◽

2003 ◽

Vol 12 (1) ◽

pp. 6-17 ◽

Cited By ~ 9

Author(s):

Kara Mallory Parker ◽

Sheila A. Smith

Keyword(s):

Aerobic Exercise ◽

Psychological Stress ◽

Stress Reduction ◽

Stress Reactivity ◽

Fetal Outcome ◽

Exercise Induced ◽

Exercise In Pregnancy ◽

Exercise Classes ◽

Adverse Fetal Outcome ◽

In Pregnancy

The goals of this research were to explore the current literature regarding associations between psychological stress and adverse fetal outcome, associations between aerobic exercise and psychological stress reduction, and associations between aerobic exercise and fetal outcome. The published studies that were located provide evidence of the following: 1) Stress reactivity increases physiologically during pregnancy, 2) pregnant women may experience additional stressors that are usually not experienced in a nonpregnant state, 3) psychological stress in pregnancy is associated with adverse fetal outcome, 4) exercise can be a method of stress reduction, 5) exercise in pregnancy is not associated with adverse fetal outcome, and 6) exercise in pregnancy may provide benefit to the fetus. Data were analyzed from an original study and associations were reported between psychological stress-management activities and participation in aquatic aerobic exercise classes. No reports were available investigating an exercise-induced reduction in psychological stress with fetal outcome.

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Vitamin D deficiency and adverse fetal outcome

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20202728 ◽

2020 ◽

Vol 9 (7) ◽

pp. 2891

Author(s):

Anu B. Chandel ◽

Anoop Sharma ◽

Rita Mittal ◽

Shivika Mittal

Keyword(s):

Vitamin D ◽

Vitamin D Deficiency ◽

Fetal Heart ◽

Birth Asphyxia ◽

Fetal Outcome ◽

Severe Vitamin ◽

Still Births ◽

The World ◽

Adverse Fetal Outcome ◽

In Pregnancy

Background: Vitamin D deficiency is recognized as the most untreated nutritional deficiency in the world. It is plausible that vitamin D deficiency could make the fetal heart more vulnerable to distress/birth asphyxia. Vitamin D deficiency has been hypothesized to be associated with low birth weight, low Apgar score at birth, higher rates of still births and admission to NICU. The aim of present study was to study prevalence of vitamin D deficiency in pregnancy and evaluate perinatal outcome.Methods: The study was conducted in the department of obstetrics and gynecology, Kamla Nehru Hospital, Shimla, India over a period of 12 months. Six hundred women were included in the study.Results: All the mothers who had still births suffered from vitamin D deficiency and the severe vitamin D deficiency was there in 90.91% (30) of these subjects. Severe vitamin D deficiency was seen in 78.95% (75) of the subjects having babies with birth weights <2.5 kg compared to 61.16% (288) subjects of the other group.Conclusions: Adverse fetal outcome are more common in vitamin D deficient group.

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Celiac Disease and Risk of Adverse Fetal Outcome: A Population-Based Cohort Study

Yearbook of Medicine ◽

10.1016/s0084-3873(08)70563-7 ◽

2006 ◽

Vol 2006 ◽

pp. 400-401 ◽

Cited By ~ 1

Author(s):

J.S. Barkin

Keyword(s):

Cohort Study ◽

Celiac Disease ◽

Population Based ◽

Fetal Outcome ◽

Adverse Fetal Outcome

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TO REVIEW THE TIMING OF INTERVENTION WHICH WILL PROVIDE THE BEST OUTCOME IN HYPOTHYROIDISM IN PREGNANCY

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v3i4.209 ◽

2019 ◽

Vol 3 (4) ◽

Author(s):

Dr. Archana Mohana ◽

Dr. Sujata Badoniya

Keyword(s):

Pregnant Women ◽

Thyroid Disease ◽

Fetal Outcome ◽

Thyroxine Therapy ◽

In Pregnancy

The Aim of this study is to Review the timing of intervention which will provide the Best Outcome in Hypothyroidism in Pregnancy. Hypothyroid pregnant women are appropriately managed with regular antenatal checkup and thyroxine therapy during pregnancy, a good maternal and fetal outcome can be achieved and congenital cretinism and other neuro developmental sequele in the offspring can be averted. Keywords: Intervention, Hyperthyroidism, Pregnancy & Thyroid disease.

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Overt and subclinical hypothyroidism among Bangladeshi pregnant women and its effect on fetomaternal outcome

Bangladesh Medical Research Council Bulletin ◽

10.3329/bmrcb.v40i2.25183 ◽

2015 ◽

Vol 40 (2) ◽

pp. 52-57 ◽

Cited By ~ 5

Author(s):

M Sharmeen ◽

PA Shamsunnahar ◽

TR Laita ◽

SB Chowdhury

Keyword(s):

Adverse Effects ◽

Pregnant Women ◽

Subclinical Hypothyroidism ◽

Thyroid Dysfunction ◽

Perinatal Outcomes ◽

Fetal Outcome ◽

Thyroid Stimulating Hormone ◽

Overt Hypothyroidism ◽

Adequate Treatment ◽

In Pregnancy

Objectives: Thyroid disorders are among the common endocrine problems in pregnant women. It is now well established that not only overt but subclinical thyroid dysfunction also has adverse effects on maternal and fetal outcome. There are few data from Bangladesh about the prevalence of thyroid dysfunction in pregnancy. With this background, this study aims to find out thyroid dysfunction (both overt and subclinical hypothyroidism) in pregnancy and its impact on obstetrical outcome.Methods: We studied the evaluation of 50 admitted pregnancies corresponding to 29 women with subclinical hypothyroidism and rest 21 was overt hypothyroidism. Detailed history and examination were performed. Apart from routine obstetrical investigations, Thyroid Stimulating Hormone (TSH) estimation was done. Their obstetrical and perinatal outcomes were noted.Results: Overt hypothyroidism was significantly (p<0.05) higher in 25 to 44 years age group. However two and three abortions were significantly (p<0.05) higher in overt hypothyroidism patients. In sub clinical hypothyroidism 86.2% conceived firstly within 2 years and 66.7% in overt hypothyroidism patients conceived firstly in between 3 to 5 years after marriage. Overt hypothyroids were prone to have pregnancy-induced hypertension 42.9%, intrauterine growth restriction (P=0.001) and gestational diabetes (38.1%) as compared to subclinical cases. Neonatal complications were significantly more in overt hypothyroidism group. Mean TSH level was significantly (p<0.05) higher in overt hypothyroidism patients but mean FT4 level was almost similar in both groups. Majority of the patient underwent caesarean section in both groups due to associated medical and obstetrical complications. None of the babies showed hypothyroidism by cord blood tests. In this analysis our results showed that overt hypothyroidism among Bangladeshi pregnant women are associated with more maternal complication & adverse parental outcome than subclinical hypothyroidism. The adequate treatment of hypothyroidism during gestation minimizes risks and generally, makes it possible for pregnancies to be carried to term without complications. Significant adverse effects on maternal and fetal outcome were seen emphasizing the importance of routine antenatal thyroid screening.Bangladesh Med Res Counc Bull 2014; 40 (2): 52-57

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An Increased Adverse Fetal Outcome Has Been Observed among Teen Pregnant Women in Rural Eastern Ethiopia: A Comparative Cross-Sectional Study

Global Pediatric Health ◽

10.1177/2333794x21999154 ◽

2021 ◽

Vol 8 ◽

pp. 2333794X2199915

Author(s):

Haymanot Mezmur ◽

Nega Assefa ◽

Tadesse Alemayehu

Keyword(s):

Pregnant Women ◽

Fetal Outcome ◽

Cross Sectional Study ◽

World Health ◽

Adult Women ◽

Sectional Study ◽

Fetal Outcomes ◽

Cross Sectional ◽

Eastern Ethiopia ◽

Adverse Fetal Outcome

Background: According to the World Health Organization, teenage pregnancies are high-risk due to increased risks of fetal and infant morbidity and mortality. This study compares adverse fetal outcomes between teen and adult pregnant women from rural Eastern Ethiopia. Methods: Institutional-based cross-sectional study was conducted among women visiting maternity units from surrounding rural areas. A total of 481 teenagers (13-19 years old) and 481 adults (20-34 years old) women with a singleton pregnancy were included in the study. Two hospitals and 3 health centers were selected in Eastern Hararghe Zone, Eastern Ethiopia. Comparative analysis was carried out using the log-binomial regression model to identify factors associated with adverse fetal outcomes in both categories. The results are reported in adjusted prevalence ratios with 95% confidence intervals. Results: High proportion of adverse fetal outcome was observed among teenage women than adult (34.9% vs 21%). Statistically significant difference ( P < .05) in the proportion of low birth weight (21.1% vs 9.3%), preterm birth (18.7% vs 10.6%), APGAR score at 5th minute (9.3% vs 4%) were found in teenagers compared to adult women. Antenatal care attendance (APR = 0.44; 95% CI: 0.23, 0.86); eclampsia (APR = 1.96; 95% CI: 1.26, 3.06); pre-eclampsia (APR = 1.73; 95% CI: 1.12, 2.67); and wealth index (rich) (APR = 0.55; 95% CI: 0.32, 0.94) were significantly associated with adverse fetal outcomes among the teenage women. Whereas intimate partner violence (APR = 2.22; 95% CI: 1.26, 3.90); preeclampsia (APR = 3.05; 95% CI: 1.61, 5.69); antepartum hemorrhage (APR = 2.77; 95% CI: 1.73, 4.46); and hyperemesis gravderm (APR = 1.75; 95% CI: 1.09, 2.79) were significantly associated with adverse fatal outcomes among the adult women. Conclusion: teenage pregnancy is associated with a high rate of adverse fetal outcomes. Early identification and treatment of problems during antenatal follow-up should be the mainstay to avert the massive adverse fetal effects.

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Meconium Stained Liquor: A View from a District Hospital

Tropical Doctor ◽

10.1177/004947559602600107 ◽

1996 ◽

Vol 26 (1) ◽

pp. 14-17

Author(s):

Ludwig M Apers

Keyword(s):

Recent Literature ◽

District Hospital ◽

Current Knowledge ◽

Fetal Outcome ◽

District Level ◽

Adverse Fetal Outcome

Meconium stained liquor (MSL) is a common problem in obstetrics, but its management at district level causes some specific questions. Recent literature was reviewed to obtain an insight in the current knowledge about the significance, the related pathology and the possible strategies to prevent adverse fetal outcome. The acquired data were used to propose some recommendations to tackle this problem at district level.

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