scholarly journals The effects of stillbirth and abortion on the next pregnancy: a longitudinal study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Berhanu Elfu Feleke ◽  
Teferi Elfu Feleke ◽  
Azezu Asres Nigussie ◽  
Eyaya Misgan
Keyword(s):  
Service Utilization ◽  
Tertiary Education ◽  
Past History ◽  
Pregnancy Induced Hypertension ◽  
Medical Disorders ◽  
Catchment Areas ◽  
Induced Hypertension ◽  
History Of ◽  
The Common ◽  
Pregnant Mothers

Abstract Background Abortion and stillbirths are the common obstetrics condition in Ethiopia and their effect on the next pregnancy was not well identified in resource limited settings. The aim of the study was to assess the effect of stillbirth and abortion on the next pregnancy. Methods A prospective cohort study design was implemented. The study was conducted in Mecha demographic surveillance and field research center catchment areas. The data were collected from January 2015 to March 2019. Epi-info software was used to calculate the sample size. The systematic random sampling technique was used to select stillbirth and abortion women. Poison regression was used to identify the predictors of MCH service utilization; descriptive statistics were used to identify the prevalence of blood borne pathogens. The Kaplan Meier survival curve was used to estimate survival to pregnancy and pregnancy related medical disorders. Results 1091 stillbirth and 3,026 abortion women were followed. Hepatitis B was present in 6% of abortion and 3.2% of stillbirth women. Hepatitis C was diagnosed in 4.7% of abortion and 0.3% of stillbirth women. HIV was detected in 3% of abortion and 0.8% of stillbirth women. MCH service utilization was determined by knowledge of contraceptives [IRR 1.29, 95% CI 1.18–1.42], tertiary education [IRR 4.29, 95% CI 3.72–4.96], secondary education. [IRR 3.14, 95% CI 2.73–3.61], married women [IRR 2.08, 95% CI 1.84–2.34], family size [IRR 0.67, 95% CI 1.001–1.01], the median time of pregnancy after stillbirth and abortion were 12 months. Ante-partum hemorrhage was observed in 23.1% of pregnant mothers with a past history of abortion cases and post-partum hemorrhage was observed in 25.6% of pregnant mothers with a past history of abortion. PREGNANCY INDUCED DIABETES MELLITUS was observed 14.3% of pregnant mothers with a past history of stillbirth and pregnancy-induced hypertension were observed in 9.2% of mothers with a past history of stillbirth. Conclusion Obstetric hemorrhage was the common complications of abortion women while Pregnancy-induced diabetic Mellitus and pregnancy-induced hypertension were the most common complications of stillbirth for the next pregnancy.

scholarly journals The effects of stillbirth and abortion on the next pregnancy: a longitudinal study

2021 ◽  
Author(s):  
Berhanu Elfu Feleke ◽  
Teferi Elfu Feleke ◽  
Azezu Nigussie ◽  
Eyaya Misgan
Keyword(s):  
Service Utilization ◽  
Tertiary Education ◽  
Past History ◽  
Survival Curve ◽  
Post Partum ◽  
Sampling Technique ◽  
Medical Disorders ◽  
Catchment Areas ◽  
History Of ◽  
Pregnant Mothers

Abstract Background: abortion and stillbirths are the common obstetrics condition in Ethiopia and their effect on the next pregnancy was not well identified in resource limited settings. The aim of the study was to assess the effect of stillbirth and abortion on the next pregnancy.Methods: A prospective cohort study design was implemented. The study was conducted in Mecha demographic surveillance and field research center catchment areas. The data were collected from January 2015 to March 2019. Epi-info software was used to calculate the sample size. The systematic random sampling technique was used to select stillbirth and abortion women. Poison regression was used to identify the predictors of MCH service utilization; descriptive statistics were used to identify the prevalence of blood borne pathogens. The Kaplan Meier survival curve was used to estimate survival to pregnancy and pregnancy related medical disorders.Results: 1091 stillbirth and 3,026 abortion women were followed. Hepatitis B was present in 6% of abortion and 3.2 % of stillbirth women. Hepatitis C was diagnosed in 4.7 % of abortion and 0.3 % of stillbirth women. HIV was detected in 3 % of abortion and 0.8 % of stillbirth women. MCH service utilization was determined by knowledge of contraceptives [IRR 1.29, 95% CI: 1.18-1.42], tertiary education [IRR 4.29, 95% CI: 3.72 -4.96], secondary education. [IRR 3.14, 95% CI: 2.73 -3.61], married women [IRR 2.08, 95% CI: 1.84 -2.34], family size women [IRR 0.67, 95% CI: 1.001 -1.01], the median time of pregnancy after stillbirth and abortion were 12 months. Ante-partum hemorrhage was observed in 23.1 % of pregnant mothers with a past history of abortion cases and post-partum hemorrhage was observed in 25.6 % of pregnant mothers with a past history of abortion.PIDM was observed 14.3 % of pregnant mothers with a past history of stillbirth and pregnancy-induced hypertension was observed in 9.2 % of mothers with a past history of stillbirth.

scholarly journals WOMEN WITH PREGNANCY INDUCED HYPERTENSION

2006 ◽  
Vol 13 (02) ◽  
pp. 310-312
Author(s):  
NOREEN AKMAL ◽  
GUL-E- RAANA
Keyword(s):  
Pregnant Women ◽  
Past History ◽  
Calcium Supplementation ◽  
Dietary Calcium ◽  
Pregnancy Induced Hypertension ◽  
Induced Hypertension ◽  
History Of ◽  
Study Setting ◽  
In Pregnancy

Objective: To identify the epidemiological differences betweennormotensive pregnant women and women in pregnancy induced hypertension. Designs: A descriptive analytical casecontrol study. Setting: Department of Obs and Gynae of Sir Ganga Ram Hospital Lahore. Period: From January toDecember 2004. Materials & Methods: 2 groups with 100 patients in each were studied. Results: PIH is morecommon in young, obese, primigravidas with a family or past history of PIH or hypertension and in those with poorsocioeconomic status and no regular dietary calcium supplementation.

scholarly journals Birth Outcomes among Diabetic Mothers Who Delivered in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Bajrond Eshetu ◽  
Yitagesu Sintayehu ◽  
Bazie Mekonnen ◽  
Woreknesh Daba
Keyword(s):  
Diabetes Mellitus ◽  
Preterm Delivery ◽  
Birth Outcomes ◽  
Fetal Outcome ◽  
Maternal Outcomes ◽  
Pregnancy Induced Hypertension ◽  
Class I Obesity ◽  
Induced Hypertension ◽  
History Of ◽  
Diabetic Mothers

Introduction. Diabetes develops in 4% of all the pregnancies worldwide, and its prevalence ranges from 1 to 14%, and 7% are complicated and results in prenatal morbidity and mortality. The disease affects women and their babies during pregnancy, labor, and delivery. However, little is known about its prevalence, birth outcomes, and associated factors in the study setting. Method. A facility-based retrospective cross-sectional study was done on all deliveries attended from January 1, 2015, to December 31, 2017, to determine the prevalence of diabetes and birth outcome. The mothers who had complete data record were identified and consecutively reviewed. The data were entered in EpiData Version 4.2 and exported to SPSS Version 23.0 for analysis. Results. Of the 14039 women who gave birth during the study period, 2.6% of them had diabetes mellitus, and from reviewed data, 54.6% had gestational diabetes and 45.4% had pregestational diabetes. Out of the diabetic mothers, 57.8% delivered by cesarean section, 39.9% by spontaneous vaginal delivery, and 26% of the pregnancies ended up with pregnancy-induced hypertension. Regarding the fetal outcome, 17.9% were preterm delivery, 17.6% macrocosmic, 9.2% respiratory distress, 10.1% low birth weight, and 65% admitted to neonatal intensive care unit. Class I obesity and history of PIH were associated with adverse maternal outcomes at aOR = 95%CI 3.8 (1.29, 8.319) and aOR = 95%CI 2.1 (1.03, 4.399), respectively. Being a house wife and preterm deliveries were associated with adverse fetal outcomes at aOR = 95%CI 2.117 (1.315, 3.405) and aOR = 95%CI 9.763 (4.560, 20.902), respectively. Conclusion. The prevalence of diabetes mellitus delivered in the hospital was 2.6%. Class I obesity and previous history of pregnancy-induced hypertension were significantly associated with adverse maternal outcomes, whereas preterm delivery and being housewife were associated with adverse fetal outcome.

scholarly journals Case control study to assess the determinants of pregnancy induced hypertension among the antenatal mothers in Rajiv Gandhi women and children hospital at Puducherry

2020 ◽  
Vol 3 (2) ◽  
pp. 9-14
Author(s):  
Margaret A ◽  
Manjubala Dash
Keyword(s):  
Family History ◽  
Case Control Study ◽  
Pregnancy Induced Hypertension ◽  
Family History Of Diabetes ◽  
Induced Hypertension ◽  
History Of ◽  
Women And Children ◽  
Family History Of Hypertension ◽  
Pedal Edema ◽  
Control Study

Background: Hypertensive disorders of pregnancy are a major health problem to the world and is found to be the major cause of maternal morbidity and mortality accounting for nearly 10-15% 0f maternal deaths. Objective:To assess the determinants of Pregnancy induced hypertension. Methods: A case control study was conducted among pregnant women at Rajiv Gandhi Women and Children Hospital, Puducherry. 63 women with PIH were selected as cases and 63 normotensive pregnant women were taken as controls. The cases were selected by purposive sampling and the controls by simple random sampling. The tool consists of a self structured questionnaire which consists of the socio demographic factors and various other determinants assumed as a risk factor for PIH and some required information was also obtained from the case records. Statistics: The odds ratio and Chi-square test was used to determine the risk and association between PIH and the determinants respectively.Results: Primigravida (OR=2.826), multiple pregnancy (OR=2.629), presence of pedal edema (OR=54.836), family history of diabetes (OR=2.969), family history of hypertension (OR=5.5) Overweight (OR=2.12) and obesity (OR=6.52) were found to be significant risk factors of PIH. There was statistically significant association with history of abortion, parity, presence of pedal edema, use of contraceptives, family history of diabetes, family history of hypertension, prepregnancy Body mass index and PIH.

scholarly journals Determinants of pregnancy-induced hypertension on maternal and foetal outcomes in Hossana town administration, Hadiya zone, Southern Ethiopia: Unmatched case-control study

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0250548
Author(s):  
Getachew Ossabo Babore ◽  
Tsegaye Gebre Aregago ◽  
Tadesse Lelago Ermolo ◽  
Mangistu Handiso Nunemo ◽  
Teshome Tesfaye Habebo
Keyword(s):  
Case Control Study ◽  
Previous History ◽  
Educational Status ◽  
Case Control ◽  
Health Facilities ◽  
Sub Saharan Africa ◽  
Pregnancy Induced Hypertension ◽  
Induced Hypertension ◽  
History Of ◽  
Control Study

Background Globally, 292,982 women die due to the complications of pregnancy and childbirth per year, out of those deaths 85% occurs in Sub Saharan Africa. In Ethiopia, pre-eclampsia accounts for 11% of direct maternal deaths. Objective To determine maternal and foetal outcomes of pregnancy-induced hypertension among women who gave birth at health facilities in Hossana town administration. Methods Institutional based unmatched case-control study was conducted among women, who gave birth at health facilities from May 20 to October 30, 2018. By using Epi-Info version 7; 207 sample size was estimated, for each case two controls were selected. Two health facilities were selected using a simple random sampling method. Sample sizes for each facility were allocated proportionally. All cleaned & coded data were entered into Epi-info version 3.5.1 and analysis was carried out using SPSS version 20. Multivariate analysis was performed to determine predictors of pregnancy-induced hypertension at a p-value of <0.05. Result Women between 18 to 41 years old had participated in the study with the mean age of 26.00(SD ±4.42), and 25.87(SD ±5.02) for cases and controls respectively. Out of participants 21(30.4%) among cases and 21(15.2%) among controls had developed at least one complication following delivery. 12 (17.4%) and 8 (5.7%) foetal deaths were found in cases and controls groups respectively whereas 15.6% from cases and 3.6% from controls groups women gave birth to the foetus with intra-uterine growth retardation. Women gravidity AOR = 0.32 [95% CI (0.12 0.86)], Previous history of pregnancy-induced hypertension AOR = 22.50 [95% CI (14.95 16.52)] and educational status AOR = 0.32[95% CI (0.12, 0.85)] were identified as predictor of pregnancy-induced hypertension. Conclusion Women with a previous history of pregnancy-induced hypertension had increased risk of developing pregnancy-induced hypertension, whilst ≥ 3 previous pregnancies and informal educational status decrease odds of developing pregnancy-induced hypertension.

scholarly journals TO ASSESS THE EFFECT OF PLANNED TEACHING IN RELATION TO SELECTED ASPECT OF PIH AMONG ANTENATAL MOTHERS

2020 ◽  
pp. 1-3
Author(s):  
Neha Rehalia ◽  
Vivek Chaudhary
Keyword(s):  
Knowledge Score ◽  
Demographic Variables ◽  
Pregnancy Induced Hypertension ◽  
Mortality And Morbidity ◽  
Knowledge Questionnaire ◽  
Induced Hypertension ◽  
Structured Knowledge ◽  
The Common ◽  
First Time ◽  
Underlying Pathology

Hypertension is one of the common complications and contributes significantly to perinatal mortality and morbidity. Hypertension is a sign of underlying pathology which may be pre-existing or appear for the first time during pregnancy. The identification of clinical entity and effective management plays a significant role in the outcome of pregnancy, both for the mother and the baby. The main aim of the study was to assess the effect of planned teaching on the knowledge regarding pregnancy induced hypertension among antenatal mothers. The study was conducted on conveniently selected 30 samples of antenatal mothers in Civil hospital, Shahpur. Data was collected by Socio-demographic variables and Self Structured Knowledge Questionnaire. Collected data was analyzed by descriptive and inferential statistics. Results indicated that the planned teaching had significant impact on knowledge regarding pregnancy induced hypertension among antenatal mothers. In this study, posttest knowledge score was associated with education and occupation.

Assessment of Prevalence of Hypertension in pregnant women with its Complications: A Cross Sectional Study

2021 ◽  
pp. 3805-3808
Author(s):  
Hemalatha S. ◽  
S. M. Shaheedha ◽  
Ramakrishna Borra
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
World Health ◽  
Chronic Hypertension ◽  
Pregnancy Induced Hypertension ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Gynecology And Obstetrics ◽  
Induced Hypertension ◽  
History Of

Introduction: World Health Organization has reported that pregnancy induced hypertension is one of the main causes for mortality and morbidity in maternal and fetal deaths. About 60% of deaths accounted of eclampsia. Aims and Objectives: To diagnose for hypertension in pregnant women. To evaluate the knowledge of pregnancy induced hypertension among the pregnant women. To investigate the complications reported in Pregnancy induced hypertension (PIH) women, during and after labor. Study area and period: The present study was conducted in Chittoor government hospital, Chittoor, during the period of Jan 2016 and Dec 2017. The information and materials required for the study have been collected from the gynecology and obstetrics departments of the respective hospital. Results: During the study period of Jan 2016 and Dec 2017, about 2234 number of pregnant women have visited the obstetrics and gynecology department. All the 2234 pregnant women were tested for blood pressure. Among which 198 women were found to have hypertension, which may be of early onset PIH or chronic hypertension (HTN). Different variables of the study population like period of gestation [<20 weeks, ≥20 weeks], previous cesarean section if present, previous preterm delivery if present, hypertension in previous pregnancy, history of paternal hypertension, history of abortions if have been, history of any still births, family history of PIH have been noted and reported in table 2. More than 8% of women were found to been falling in <20 weeks of gestational age (GA). Conclusion: The study included 2234 pregnant women, in which 198 women were diagnosed with hypertension. Thus, prior investigation and identification hypertension in pregnant women helps in better management of PIH and to overcome the complications that are reported due to PIH during and after labor. Better knowledge and treatment is required for managing hypertension in maternal women in gynecology and obstetrics department for maternal and fetal care.

Clinical Significance, Prevalence, and Natural History of Thrombocytopenia in Pregnancy-Induced Hypertension

1989 ◽  
Vol 6 (01) ◽  
pp. 32-38 ◽  
Author(s):  
Roberto Romero ◽  
Moshe Mazor ◽  
Charles Lockwood ◽  
Mohamed Emamian ◽  
Kathy Belanger ◽  
...  
Keyword(s):  
Natural History ◽  
Clinical Significance ◽  
Pregnancy Induced Hypertension ◽  
Induced Hypertension ◽  
History Of ◽  
In Pregnancy

scholarly journals The Relationship of Restless Legs Syndrome to History of Pregnancy-Induced Hypertension

2016 ◽  
Vol 25 (4) ◽  
pp. 397-408 ◽  
Author(s):  
Kim E. Innes ◽  
Sahiti Kandati ◽  
Kathryn L. Flack ◽  
Parul Agarwal ◽  
Terry Kit Selfe
Keyword(s):  
Restless Legs Syndrome ◽  
Pregnancy Induced Hypertension ◽  
Restless Legs ◽  
Induced Hypertension ◽  
History Of ◽  
Relationship Of ◽  
The Relationship

The Common Fossils of The British Rocks

The Geologist ◽  
1858 ◽  
Vol 1 (1) ◽  
pp. 18-29
Author(s):  
S. J. Mackie
Keyword(s):  
Past History ◽  
Time And Space ◽  
The Road ◽  
The Past ◽  
The Earth ◽  
The World ◽  
History Of ◽  
The Common

In a magazine devoted especially to the propagation of Geological knowledge, it seems no infringement of its space, no deterioration of its value, tha t some pains should be taken to aid the student in his early efforts, and to disperse broadcast some useful elementary information, which may prove to the mass at once a source of instruction and of enjoyment, and so, by clearing the road to future and higher studies, may foster a dawning taste, and ultimately prove the means of adding many volunteers, and not unlikely even some brilliant master-minds to the ranks of Geologists, that otherwise, deterred at the outset, might perhaps have turned their attention and talents to some more accessible, if not more congenial study.Who does not feel some interest in the past history of this beautiful world—the scene of our labours and of our loves—of our successes and of our failures—the stage of our existence and the tomb of our dust ? If the animated creations of the past were dumb brute animals, still the earth was green and gay with trees, and plants and flowers—the hu m of insects vibrated on the summer's air, and the snows of winter covered the ancient lands with their hyemal mantle—the tides of ocean rose and fell, and the world went rolling on through time and space, through years and seasons. There were earthquakes the n and blazing volcanos—and winds and storms—great waves and merry dancing ripples on the sea.

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