scholarly journals Risk Factors Affecting the Severity of Full-Term Neonatal Retinal Hemorrhage

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Zhang Yanli ◽  
Zhao Qi ◽  
Lin Yu ◽  
Guo Haike
Keyword(s):  
Risk Factors ◽  
Intracranial Hemorrhage ◽  
Maternal Age ◽  
Advanced Maternal Age ◽  
Retinal Hemorrhage ◽  
Full Term ◽  
Term Infants ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Prolonged Duration

Objective. The purpose of this study was to explore the underlying clinical factors associated with the degree of retinal hemorrhage (RH) in full-term newborns. Methods. A total of 3054 full-term infants were included in this study. Eye examinations were performed with RetCamIII within one week of birth for all infants. Maternal, obstetric, and neonatal parameters were compared between newborns with RH and controls. The RH group was divided into three sections (I, II, and III) based on the degree of RH. Results. RH was observed in 1202 of 3054 infants (39.36%) in this study. The quantity and proportion of newborns in groups I, II, and III were 408 (13.36%), 610 (19.97%), and 184 (6.03%), respectively. Spontaneous vaginal delivery (SVD), prolonged duration of second stage of labor, advanced maternal age, and neonatal intracranial hemorrhage positively correlated with aggravation of the degree of RH in newborns. Conversely, cesarean section was protective against the incidence of RH. Conclusions. SVD, prolonged duration of second stage of labor, advanced maternal age, and neonatal intracranial hemorrhage were potential risk factors for aggravation of the degree of RH in full-term infants. Accordingly, infants with these risk factors may require greater attention with respect to RH development.

scholarly journals Elective induction versus spontaneous labor at term: prospective study of outcome and complications

2017 ◽  
Vol 6 (11) ◽  
pp. 4899
Author(s):  
Sagarika Babu ◽  
Lakshmi Manjeera M.
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Caesarean Section ◽  
Cesarean Section ◽  
Maternal Age ◽  
Bishop Score ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Increased Risk ◽  
Elective Induction

Background: This study aims at identifying the association between inductions of labor in nullipara and multipara to caesarean delivery and other associated maternal and neonatal outcomes.Methods: The study subjects were divided into two groups, elective induction group and spontaneous labor group. They were matched for maternal age, parity and gestational age. Duration of first and second stage of labor, mode of delivery, if caesarean section, indication for caesarean section and its relation to Bishop score, maternal age, birth weight was analyzed. Maternal intrapartum and post-partum complications and fetal outcome were also analyzed.Results: Out of the 400 women in the study, 200 were induced and 200 were those who went into spontaneous labor. The rate of cesarean section rate among induced group is 31% and was statistically significant. But the analysis of the same after excluding risk factors like nulliparity, Bishop score <5 and birth weight >3.5 kg it was found that the rate of cesarean section is 37.1%, but was statistically not significant when compared to the spontaneous group.There was significant decrease in the duration of second stage of labor in the induced primipara group with p value of 0.038. There was no significant difference in the maternal and neonatal complications.Conclusions: This study concludes that elective induction in carefully selected low risk population, excluding the above-mentioned risk factors does not pose any increased risk of cesarean section. Elective induction does not cause any increased risk to mother and fetus.

scholarly journals Some Risk Factors for Low Birthweight Infants at Manado Hospital

2018 ◽  
Vol 35 (3-4) ◽  
pp. 94-100
Author(s):  
S. M. Salendu W. ◽  
Sutomo Raharjo ◽  
Immanuel Mustadjab ◽  
Nan Warouw
Keyword(s):  
Risk Factors ◽  
Maternal Age ◽  
Intrauterine Growth Retardation ◽  
Maternal Education ◽  
Low Birthweight ◽  
Term Infants ◽  
Intrauterine Growth ◽  
Hypertension In Pregnancy ◽  
History Of ◽  
In Pregnancy

The risk factors of low birthweight infants were assessed in a retrospective study covering 3607 singleton livebirth infants at Manado Hospital from January until December 1993. The analysis confirmed that patterns of risk birthweight hypertension in pregnancy (P<0.01), maternal education (P<0.01), maternal age (P<0.05), and parity (P<0.01), marital status (P<0.01), history of abortion (P<0.05), and parity (P<0.01). Anemia in pregnancy was also associated with birthweight in low birth weight (P<0.05). Asymetric intrauterine growth retardation (Ponderal Index below 2.32) was found both in premature and term infants.

scholarly journals Maternal Risk Factors of Placenta Praevia and Its Effects on Maternal and Fetal Outcome

2019 ◽  
Vol 48 (2) ◽  
pp. 7-12
Author(s):  
Alpana Adhikary ◽  
Anwara Begum ◽  
Fahmida Sharmin Joty ◽  
Nihar Ranjan Sarker ◽  
Rifat Sultana
Keyword(s):  
Risk Factors ◽  
Maternal Age ◽  
Advanced Maternal Age ◽  
Fetal Outcome ◽  
Placenta Praevia ◽  
Maternal Risk Factors ◽  
High Parity ◽  
Maternal Risk ◽  
Antepartum Haemorrhage ◽  
History Of

Placenta praevia is one of the most serious obstetric emergencies, which continues to be an important contributor to perinatal mortality and is responsible for leading maternal and infant morbidity. Very few data on etiology of placenta praevia are available till now. This study aims to explore the maternal risk factors related to occurrence of placenta praevia and its effects on maternal and fetal outcome. This cross-sectional observational study was carried out among 3279 obstetrics patients admitted in labour ward in the Department of Obstetrics and Gynecology, Sher-e-Bangla Medical College Hospital from January to December 2006. Out of 3279 obstetrics patients 93 placenta praevia cases were identified purposively as study subjects. The patients of placenta praevia were selected either diagnosed clinically by painless antepartum haemorrhage or asymptomatic placenta praevia diagnosed by ultrasonography irrespective of age, gestational age, parity, booking status. Pregnant woman admitted with painful antepartum haemorrhage were excluded from the study. With the ethical approval from the Institutional Ethical Committee (IEC), patients were selected after taking their written consent. A structured questionnaire and a chick list were designed with considering all the variables of interest. Out of 93 respondents, 73.88% were associated with risk factors in addition to advanced maternal age and high parity. Among them 24.73%, 33.33% and 7.52% had history of previous caesarean section (CS), MR and abortion and both CS & abortion previously. Patients aged above 30 years were 47% and 35.48% were in their 5th gravid and more; whereas, 31.18% patients were asymptomatic, 68.82% patients presented with varying degree of vaginal bleeding, among them 12.08% were in shock. Active management at presentation was done on 76.34% patients and 23.66% were managed expectantly. CS was done o 82.79% patients and only 17.2% were delivered vaginally. Case fatality rate was 1.07% and about 22% perinatal death was recorded, majority belonged to low birth weight (<1500 gm). About 10% patients required caesarean hysterectomy, 3.22% required bladder repair. Advanced maternal age, high parity, history of previous CS and abortion found to be common with the subsequent development of placenta praevia. Proper diagnosis, early referral and expectant management of patients will reduce prematurity, thereby improvised foetal outcome but to improve maternal outcome rate of primary CS have to be reduced and increase practice of contraception among women of reproductive age. Bangladesh Med J. 2019 May; 48 (2): 7-12

Obstetric risk factors for failure to progress in the first versus the second stage of labor

2002 ◽  
Vol 11 (6) ◽  
pp. 409-413 ◽  
Author(s):  
E. Sheiner ◽  
A. Levy ◽  
U. Feinstein ◽  
R. Hershkovitz ◽  
M. Hallak ◽  
...  
Keyword(s):  
Risk Factors ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Failure To Progress

Maternal Age and the Duration of the Second Stage of Labor

2006 ◽  
Vol 1092 (1) ◽  
pp. 414-417 ◽  
Author(s):  
K. PAPADIAS ◽  
P. CHRISTOPOULOS ◽  
E. DELIGEOROGLOU ◽  
N. VITORATOS ◽  
E. MAKRAKIS ◽  
...  
Keyword(s):  
Maternal Age ◽  
Second Stage Of Labor ◽  
Second Stage

scholarly journals A study of birth defects in a tertiary care teaching hospital at Chennai, India

2017 ◽  
Vol 6 (7) ◽  
pp. 3067
Author(s):  
Mangalageetha Amirthalingam ◽  
Padmalatha Dakshnamurthy ◽  
Vinodhini Shanmugham
Keyword(s):  
Risk Factors ◽  
Birth Defects ◽  
Teaching Hospital ◽  
Congenital Anomalies ◽  
Maternal Age ◽  
Tertiary Care ◽  
Maternal Diabetes ◽  
Advanced Maternal Age ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching

Background: The Congenital anomalies were estimated to be the fifth largest cause of neonatal deaths in India. The purpose of our study was to determine the proportion and pattern of congenital anomalies and their association with risk factors like maternal diabetes, advanced maternal age and consanguinity among the babies born in a tertiary care teaching hospital in Chennai.Methods: This study is a cross sectional descriptive study where all the newborns including still born delivered with the presence of congenital anomalies and those fetuses terminated due to detection of presence of congenital anomalies were analyzed. The study was done at the OBG department in a tertiary care center for a period of one year 1st June 2015 to 31st May 2016.Results: The overall incidence of birth defects were 2.36%, of which musculo skeletal defects (18.88%) were commonly found. There was a definite correlation of risk factors with consanguinity showing an incidence of 1.5 times the overall incidence of birth defects (3.54%) and maternal diabetes mellitus was 6 times the total incidence (15.3%). The correlation between the incidence of birth defects and advanced maternal age was not statistically significant in our study.Conclusions: The study depicts the risk of occurrence of congenital anomalies in the presence of maternal diabetes and in consanguineous marriage and emphasizes on the necessity of adequate screening like first trimester and second trimester ultrasonogram for the early detection of anomalies in the fetus especially if these risk factors are present in the mother.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KALA II LAMA

2018 ◽  
Vol 9 (1) ◽  
pp. 01-05
Author(s):  
Elvi Destariyani
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Human Resources ◽  
Maternal Age ◽  
Care Delivery ◽  
Fetal Weight ◽  
Cross Sectional ◽  
Second Stage Of Labor ◽  
Factors Associated ◽  
Second Stage

Kalla II long is one of the direct causes of the high maternal mortality rate inthe world. In dr. M Yunus in 2011 of women giving birth in 1047 of 196 (18.72%) of themothers had prolonged second stage of labor, and in 2012 of 1060 women giving birth as215 (20.28%) mothers had prolonged second stage. The research objective is to determinewhat are the factors associated with the incidence of prolonged second stage of labor inthe CI Space Hospital Midwifery. Dr. M. Yunus Bengkulu city.This study design was adescriptive cross sectional analytic approach. The population is all women giving birth inhospitals M.Yunus Bengkulu in 2012 as many as 1060 people. 290 samples were taken bypurposive sampling. Collecting data using secondary data.The results show most womengiving birth (51.4%) multiparous, most maternal (54.1%) aged less than 20 years andmore than 35 years, almost half of women giving birth (42.8%) fetal weight more than4000 grams, and the maternal part (50%) experienced a prolonged second stage, and therewas a significant association between parity with prolonged second stage, there was asignificant association between maternal age with prolonged second stage, there was asignificant association between fetal weight with time II time.Under these conditions it isexpected that the hospitals Dr.M. Yunus care delivery can minimize the risk of morbidityand maternal and infant mortality by improving the quality and quantity of theproposition, infrastructure and human resources that are reliable and competent.

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