scholarly journals ASSESSMENT OF TWIN PREGNANCY AND NEONATAL OUTCOME IN TERTIARY CARE CENTER, KIMS, KARAD

2014 ◽  
Vol 3 (74) ◽  
pp. 15492-15496
Author(s):  
Yamini S Patil ◽  
Rita G Nayak ◽  
Sanjay Kumar Patil
Keyword(s):  
Twin Pregnancy ◽  
Neonatal Outcome ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center

Scenario of General Anesthesia for Cesarean Section in Rural Tertiary Care Center in High Altitude Karnali Academy of Health Sciences

2020 ◽  
Vol 16 (3) ◽  
Author(s):  
Ramesh Bhattarai ◽  
Rajiv Shah ◽  
Sita Dhakal ◽  
Pragya Malla ◽  
Srijana Sapkota
Keyword(s):  
Cesarean Section ◽  
General Anesthesia ◽  
High Altitude ◽  
Spinal Anesthesia ◽  
Neonatal Outcome ◽  
Care Center ◽  
Tertiary Care ◽  
Health Sciences ◽  
Tertiary Care Center ◽  
Cord Prolapse

Background: General anesthesia for cesarean section is being less popular for cesarean section in present days but sometime general anesthesia is inevitable. The aim of the study is to assess the trends of general anesthesia, indications, clinical outcome in mother and fetus in high altitude setting of tertiary care center of Nepal. Methods: We conducted descriptive cross-sectional study all cases of cesarean section in Karnali Academy of health Sciences (KAHS) located at high altitude over three years period   in our institute. Data were retrieved from the hospital records during three fiscal year (Jan 1st 2017 to Jan Dec 31st 2019). The record of all the patients who underwent cesarean section under general anesthesia was reviewed for demographic details, indication of general anesthesia, trends for general and spinal anesthesia and maternal and neonatal outcome. Results: Out of total deliveries 2175, 309 (14.2%) cases account for cesarean section. Among them, 52 (17%) required general anesthesia . Eclampsia 19(36%) remain the major indication for General Anesthesia in cesarean section followed by failure of spinal anesthesia number 14 (26%) , cord prolapse six (12%), antepartam haemorrhage five (10%), spinal site infection four (8%), Khiphoscoliosis two(4%), Patients request  two (4%). Use for general anesthesia technique was consistent for three years with slow rise in use of spinal anesthesia . There was no any anesthesia related maternal mortality and nine intraoperative neonatal   Conclusions:  General anesthesia practices are consistently required in rural high-altitude setup. Eclampsia is the commonest indication followed by failure of spinal anesthesia and cord prolapse. Neonatal outcome is still not good.  

scholarly journals Fetal brain MRI findings and neonatal outcome of common diagnosis at a tertiary care center

2019 ◽  
Vol 39 (8) ◽  
pp. 1072-1077 ◽  
Author(s):  
Monica S. Arroyo ◽  
Robert J. Hopkin ◽  
Usha D. Nagaraj ◽  
Beth Kline-Fath ◽  
Charu Venkatesan
Keyword(s):  
Neonatal Outcome ◽  
Care Center ◽  
Brain Mri ◽  
Tertiary Care ◽  
Fetal Brain ◽  
Tertiary Care Center ◽  
Mri Findings ◽  
Common Diagnosis

scholarly journals Maternal hypothyroidism and neonatal outcome

2018 ◽  
Vol 5 (2) ◽  
pp. 600
Author(s):  
Shravani M. R. ◽  
Tharashree C. D. ◽  
Yashodha H. T.
Keyword(s):  
Early Diagnosis ◽  
Universal Screening ◽  
Prospective Observational Study ◽  
Neonatal Outcome ◽  
Care Center ◽  
Tertiary Care ◽  
Overt Hypothyroidism ◽  
Tertiary Care Center ◽  
Timely Initiation ◽  
Targeted Screening

Background: Hypothyroidism is widely prevalent in pregnant women and the rate of detection, especially in a developing country like India, has not kept pace with the magnitude of the problem. The present study was conducted to evaluate thyroid function in neonates born to mothers with hypothyroidism.Methods: A prospective observational study was conducted in KIMS Hospital Tertiary care center for 6 months. A total of 106 neonates born to mothers with hypothyroidism were included in the study. Thyroid functions of these babies were assessed at 72 hours of life.Results: In present study, 11.8 % of mothers were hypothyroid of which 87 % were subclinical hypothyroidism and 13 % of overt hypothyroidism due to adaptation of universal screening rather than targeted screening for hypothyroidism which would otherwise go unrecognised and untreated.Conclusions: All the babies had normal TSH and T4 levels which was probably due to early diagnosis and timely initiation of treatment to the mothers with hypothyroidism. 

scholarly journals Maternal and neonatal outcome in placenta praevia and adherent placenta: A retrospective study in a tertiary care center

2018 ◽  
Vol 4 (2) ◽  
pp. 150-153
Author(s):  
Chaitra Shivananjaiah ◽  
Preeti Malapure ◽  
Esha Shanbhag ◽  
Satish Kumar ◽  
Satiah Satiah ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Neonatal Outcome ◽  
Care Center ◽  
Tertiary Care ◽  
Placenta Praevia ◽  
Tertiary Care Center ◽  
Adherent Placenta

Cardiac Disease complicating Pregnancy: A Tertiary Care Center Experience

2017 ◽  
Vol 3 (2) ◽  
pp. 41-44
Author(s):  
R Nagarathnamma ◽  
C Sarojamma ◽  
P Sneha
Keyword(s):  
Cardiac Disease ◽  
Intrauterine Growth Restriction ◽  
Neonatal Outcome ◽  
Care Center ◽  
Tertiary Care ◽  
Fetal Outcome ◽  
Adverse Outcomes ◽  
Tertiary Care Center ◽  
Maternal Complications ◽  
Intrauterine Growth

ABSTRACT Introduction Cardiac disease in pregnancy is a major problem worldwide, particularly in developing countries. It often poses a difficult clinical scenario with the responsibility of the treating obstetrician also extending to the unborn fetus. In the present study, we aim to know the maternal and fetal outcomes in pregnancies complicated by cardiac disease. Materials and methods All pregnant patients with cardiac disease who delivered at our institution during 2014 to 2016 were evaluated to look for the final pregnancy outcomes. Results Out of 36 study cases, 44.44% had no maternal complications, while 88.89% had good fetal/neonatal outcome. The commonest maternal cardiac complication was sustained tachyarrhythmia/bradycardia followed by pulmonary edema, while intrauterine growth restriction was encountered in fetal outcome. Conclusion Multidisciplinary team management of cardiac disease, led by an experienced obstetrician and cardiologist, reduces the adverse outcomes in pregnancies complicated by cardiac diseases. How to cite this article Sneha P, Sarojamma C, Nagarathnamma R. Cardiac Disease complicating Pregnancy: A Tertiary Care Center Experience. J Med Sci 2017;3(2):41-44.

scholarly journals Neonatal Outcome of Infants Born at 500 to 800 Grams From 1990 Through 1998 in a Tertiary Care Center

2002 ◽  
Vol 22 (7) ◽  
pp. 555-562 ◽  
Author(s):  
Rita G Harper ◽  
Khalil U Rehman ◽  
Concepcion Sia ◽  
Sharon Buckwald ◽  
Regina Spinazzola ◽  
...  
Keyword(s):  
Neonatal Outcome ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center

scholarly journals Maternal and neonatal outcome of twin pregnancy at a tertiary care center

2021 ◽  
Vol 10 (12) ◽  
pp. 4545
Author(s):  
Vaishali Chaudhary ◽  
Kamalpriya Thiyagarajan ◽  
Yogini Patil ◽  
Vijaykumar Gawali
Keyword(s):  
High Risk ◽  
Gestational Age ◽  
Twin Pregnancy ◽  
Care Center ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
World Health ◽  
Tertiary Care Center ◽  
Lower Segment Cesarean Section ◽  
Twin Pregnancies

Background: Twin pregnancies occurs in 2 to 4% of the total number of births. Also the perinatal mortality and morbidity associated with it is five to six times higher in comparison with singleton pregnancy. In developing countries, 287,000 annual maternal deaths and 3 million neonatal deaths contributes to 99% of such mortality as per records of the World Health Organization (WHO) estimates that 99% of the world's annual occur in developing countries.Methods: This observational study included 50 women with twin pregnancy with gestational age of 26 weeks or more. Maternal and neonatal characteristics in twin deliveries at a tertiary care center were analyzed. High risk factors and it’s association with maternal and perinatal outcomes was analyzed.Results: Pregnancy induced hypertension (32%) was the commonest, Preterm rupture of membranes (PROM, 22%) was in the next order. Invitro fertilization (44%), malpresentation (26%) main indicators for lower segment cesarean section. Mean weight of first twin was 1.9±0.43 kg and for second twin it was 1.89±0.47kg (Table 1). Most of twins were diamniotic dichorionic (78%).Conclusions: Twin pregnancies are hazardous to both for the mother and the neonate. It is certainly high risk factor which needs early identifications of complications and timely management. Perinatal outcome largely depends on gestational age, birth weight, presentation, mode of delivery.

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