scholarly journals Foetal macrosomia: risk factors, maternal and foetal outcome in N’Djamena mother and child hospital, Chad

Author(s):  
Gabkika Bray Madoue ◽  
Souan Nguele Sile ◽  
Foumsou Lhagadang ◽  
Abdelsalam Saleh
Author(s):  
Fasiha Tasneem ◽  
Vijayalakshmi Shanbhag

Background: “Make every mother and child count”- the slogan for World health day 2005 reflects the reality and need of the society even today. In India, many women die due to pregnancy-related complications and those who survive suffer from severe maternal morbidity. Authors have been impressed that the same obstetric conditions that kill mothers are also responsible for most of the stillbirths and many of the neonatal deaths as well. This is the study to identify the risk factors that has an effect on the health of both mother and baby, to evaluate the complications leading to maternal and perinatal morbidity or mortality so that timely interventions to prevent maternal and perinatal morbidity and mortality can be made.Methods: All the cases getting admitted in Dr SCGMC Nanded are analysed for maternal and foetal outcome over the study period of 18 months. The cases with both maternal and perinatal morbidity or mortality are included in the study. The associating factors and comorbidities if associated with the cases of double mishap are studied.Results: During the study period of 18mths, there were 21905 deliveries conducted in the study hospital and 742 reffered cases of outside hospital deliveries, it was found that there were 204 cases of double mishap. Out of 204 cases of double mishap, 71.56% had preeclampsia, 29.41% were anaemic, 6.86% had febrile illness, 4.41% were of placenta praevia, 33.33% had abruptio placenta.Conclusions: Authors can conclude by stating that through better antenatal care, early detection and proper management of risk factors like pre-eclampsia, anaemia and active management of third stage of labour with careful feto maternal monitoring the absolute goal of Obstetrics of having a healthy mother and healthy baby at the end of delivery can be achieved.


Author(s):  
Maryuni Maryuni ◽  
Dedeh Kurniasih

Maternal mortality rate in Indonesia based on 2012 Indonesia Demographic and Health Survey is 359 per 100,000 live births. Causes of the maternal mortality are still dominated by bleeding, preeclampsia/eclampsia and infections. One of causes of infections is premature rupture of membrane (PROM). PROMmay increase morbidity and mortality among mothers and children. Incidence of PROM is amount 10.7% of all childbirths. This study aimed to analyze risk factors of PROM incidence at Mother and Child Hospital of ANNISACiteureup, Bogor District in 2014. This study was analytical study using case control design. Samples consisted of case as many as 114 mothers who suffered from PROM and control as many as 228 mothers who did not suffer from PROM. Results of study showed that risk factors of PROM were age, parity, education. Based on multivariate analysis, education was the most dominant risk factor toward PROM incidence.AbstrakAngka kematian ibu di Indonesia berdasarkan Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2012 sebanyak 359 per 100.000 kelahiran hidup. Penyebab kematian ibu tersebut masih didominasi oleh pendarahan, pre-eklampsia/eklampsia, dan infeksi. Salah satu penyebab infeksi adalah ketuban pecah dini (KPD). KPD dapat meningkatkan morbiditas dan mortalitas pada ibu dan anak. Insiden kejadian KPD sekitar 10,7% dari seluruh persalinan. Penelitian ini bertujuan untuk mengetahui faktor risiko kejadian KPD di Rumah Sakit Ibu dan Anak (RSIA) ANNISA Citeureup, Kabupaten Bogor tahun 2014. Penelitianini merupakan penelitian analitik dengan rancangan penelitian kasus kontrol. Sampel terdiri dari 114 orang kasus ibu yang mengalami KPD dan kontrol sebanyak 228 ibu bersalin yang tidak mengalami KPD. Hasil penelitian menunjukkan faktor risiko terhadap kejadian KPD yaitu usia, paritas, pendidikan.Berdasarkan analisis multivariat, didapatkan faktor yang paling dominan berisiko terhadap kejadian KPD yaitu pendidikan.


2018 ◽  
Vol 6 (1) ◽  
pp. 27
Author(s):  
Nadhifa Anwar Maulinda ◽  
Tutik Rusdyati

Background: Postterm birth is one of the causes of death of babies (0-6 years old) in Indonesia by 2,80%. There were risk factors for postterm birth, namely age and maternity parity. Purpose: This study aimed to investigate the relationship between age, maternity parity with the postterm birth in mother and child hospital (RSIA) Arafah Anwar Medika Sukodono Sidoarjo district. Methods: The design of this observational study was cross-sectional. Data were obtained from medical record of 218 women delivering baby RSIA Arafah Anwar Medika in 2013. Respondents were selected through random sampling. Data were analyzed through fisher exact statistical analysis. Results: The most of the respondents were aged 20-35 years old (86,70%), with the risk of parity (91,70%), and without posterm (85,32%). However, the post-term pregnancy was found in respondents aged below 20 and above 35 years old (2,75%) also in respondents with parity risk (3,21%). Conclusion: There was no correlation between mother’s age and post-term pregnancy (p = 0,23; RR = 1,50; 95% CI = 0,68 < RR < 3,34). Meanwhile, the parity risk was correlate to post-term pregnancy (p = 0,01; RR = 3,11; 95% CI = 1,57 < RR < 6,17).


2021 ◽  
Author(s):  
Patrizia Moretti ◽  
Giulia Menculini ◽  
Lucia Gonfia

Sleep disturbances and changes in circadian rhythms are commonly observed in pregnant women. These disorders can result from anatomical, physiological, psychological, and hormonal alterations that can influence sleeping during this phase. Sleep disorders during pregnancy can be responsible for detrimental effects on both mother and foetus. In this chapter we will focus on the epidemiology of sleep disorders, physiological sleep mechanisms and their alterations during pregnancy, as well as on risk factors for sleep disorders in pregnancy. We will then focus of the most frequent sleep disorders during pregnancy, also considering eventual adverse implications for both mother and child, prognosis, and possible pharmacological and non-pharmacological treatments.


2017 ◽  
Vol 07 (04) ◽  
pp. 220-228
Author(s):  
Boniface Moifo ◽  
Rosine Azegha Jiotsa ◽  
Seraphin Nguefack ◽  
Sandra Tatah ◽  
Evelyne Mah ◽  
...  

2021 ◽  
Vol 1 (2) ◽  
pp. 499-515
Author(s):  
Hayatul Husna Hayatul Husna ◽  
Yesica Devis ◽  
Arief Wahyudi

Pelayanan kefarmasian merupakan pelayanan penunjang serta pusat pendapatan utama bagi rumah sakit. Instalasi farmasi merupakan salah satu unit pelaksanaan fungsional yang menyelenggarakan seluruh kegiatan pelayanan kefarmasian. Di instalasi farmasi Rumah Sakit Ibu dan Anak Eria Bunda Pekanbaru berpotensi menghasilkan obat kadaluarsa yang dapat menimbulkan kerugian bagi rumah sakit. Tujuan dari penelitian ini adalah untuk mengetahui penyebab obat kadaluarsa di instalasi farmasi Rumah Sakit Ibu dan Anak Eria Bunda Pekanbaru. Penelitian ini merupakan penelitian kualitatif deskriptif. Subjek penelitian ini terdiri dari Kepala Instalasi Farmasi, Penanggung Jawab Farmasi Rawat Inap, Koordinator Perbekalan Farmasi dan Alkes, Staf Farmasi Rawat Jalan, dan Staf Gudang Farmasi. Dengan metode pengumpulan data menggunakan observasi dan wawancara. Dari hasil penelitian dapat disimpulkan bahwa penyebab obat kadaluarsa di instalasi farmasi Rumah Sakit Ibu dan Anak Eria Bunda Pekanbaru disebabkan oleh perencanaan obat yang terlalu berlebih dari konsumsi pemakaian rata-rata rumah sakit, pengadaan obat yang tidak memperkirakan berapa banyak obat yang mau dipesan, serta penyimpanan obat dikarenakan human error dimana kesalahan pada saat penyimpanan yang tidak FIFO dan FEFO. Saran bagi instlasi farmasi Rumah Sakit Ibu dan Anak Eria Bunda Pekanbaru yaitu dengan mengadakan pelatihan dan sosialisasi terhadap perencanaan dan pengadaan obat, serta meningkatkan pengawasan dalam melakukan penyimpanan obat.   Pharmaceutical services are support services as well as the main revenue center for hospitals. The pharmacy installation is one of the functional implementation units that organize all pharmaceutical service activities. The pharmacy installation at the Eria Bunda Mother and Child Hospital in Pekanbaru has the potential to produce expired drugs that can cause harm to the hospital. The purpose of this study was to determine the causes of drug expiration in the pharmacy installation of Eria Bunda Mother and Child Hospital Pekanbaru. This research is descriptive qualitative research. The subjects of this study consisted of the Head of the Pharmacy Installation, the Person in Charge of Inpatient Pharmacy, the Coordinator of Pharmacy and Medical Devices, the Outpatient Pharmacy Staff, and the Pharmacy Warehouse Staff. With the data collection method using observation and interviews. From the results of the study, it can be concluded that the cause of expired drugs in the pharmacy installation of Eria Bunda Mother and Child Hospital Pekanbaru is caused by excessive drug planning than the average hospital consumption, drug procurement that does not predict how many drugs to order, and storage. medicine due to human error where the error during storage is not FIFO and FEFO. Suggestions for the pharmacy installation of Eria Bunda Mother and Child Hospital Pekanbaru, namely by holding training and socialization of drug planning and procurement, as well as increasing supervision in carrying out drug storage.


Author(s):  
Bandaru Sailaja ◽  
Vijayalakshmi Cooly ◽  
Bhuvaneswari Sailcheemala ◽  
Surayapalem Sailaja

Background: Hypertension in pregnancy remains still a major health issue for women and their descendants throughout the world but remains a major issue in developing countries rather than developed countries. Eclampsia accounts for 24% of maternal deaths during pregnancy in India according to FOGSI study in India. Changing trends in pregnancy globally with increased maternal age of conception, assisted reproductive technologies has contributed a significant impact in the risk factors for PE and eclampsia. The present study was aimed to investigate and determine the related risk factors in cases of PE and eclampsia. The maternal and foetal outcomes with major complications of the women with PE and eclampsia were also studied.Methods: A prospective cross sectional study for a period of two years was conducted at a tertiary care hospital among antenatal cases and all cases of PIH were recorded and studied. Cases were managed as per the existing obstetric protocol after clinical examination and investigations. Detailed socio demographic data and history of risk factors were collected and entered into Microsoft excel sheet and analyzed. Maternal and foetal outcome were noted in the cases of the study.Results: The incidence of PE and eclampsia in the study was 43.3% and 10.8%, 25-35 years age group being the most common. PE and eclampsia was associated with BMI>30, parous women with previous history of PE, diabetes mellitus and more in unregistered cases. PE and eclampsia were more in Illiterates and socio economic class 2 &3. The incidence of maternal complications was 32.99% with premature labour being the common and in case of foetal complications prematurity was the commonest with 16 cases. The maternal mortality was very less with only 4.64% in the study.Conclusions: Pregnancy induced hypertension with PE and eclampsia still remains a major problem in developed countries. Good antenatal care with increased awareness and increased antenatal visits may help in reducing the incidence and maternal and foetal complications. Increased incidence among illiterates and low socio economic status group provides the target group to be directed against any medical measures and national health programmes.


Author(s):  
Imac Maria Zambrana ◽  
Margarete E. Vollrath ◽  
Bo Jacobsson ◽  
Verena Sengpiel ◽  
Eivind Ystrom

Abstract We investigated whether children born preterm are at risk for language delay using a sibling-control design in the Norwegian Mother and Child Cohort Study (MoBa), conducted by the Norwegian Institute of Public Health. Participants included 26,769 siblings born between gestational weeks 23 and 42. Language delay was assessed when the children were 1.5, 3, and 5 years old. To adjust for familial risk factors, comparisons were conducted between preterm and full-term siblings. Pregnancy-specific risk factors were controlled for by means of observed variables. Findings showed that preterm children born before week 37 had increased risk for language delays at 1.5 years. At 3 and 5 years, only children born before week 34 had increased risk for language delay. Children born weeks 29–33 and before week 29 had increased risk for language delay at 1.5 years (RR = 4.51, 95% CI [3.45, 5.88]; RR = 10.32, 95% CI [6.7, 15.80]), 3 years (RR = 1.50, 95% CI [1.02, 2.21]; RR = 2.78, 95% CI [1.09, 7.07]), and 5 years (RR = 1.63, 95% CI [1.06, 2.51]; RR = 2.98, 95% CI [0.87, 10.26]), respectively. In conclusion, children born preterm are at risk for language delays, with familial confounders only explaining a moderate share of the association. This suggests a cause-effect relationship between early preterm birth and risk for language delay in preschool children.


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