scholarly journals Study of ANC and immediate PNC mothers admitted with severe anemia in GMC Chandrapur

2021 ◽  
Vol 9 (1) ◽  
pp. 41-45
Author(s):  
Dr. Deepti V Shrirame ◽  
◽  
Dr. M.R. Waikar ◽  
Keyword(s):  
Maternal Mortality ◽  
Gestational Age ◽  
Dietary Habits ◽  
Folic Acid Supplementation ◽  
Active Management ◽  
Severe Anemia ◽  
Major Health Problem ◽  
Major Health ◽  
Early Registration ◽  
Third Stage

Maternal mortality continues to be a major health problem in the developing world. About 20% ofcases of maternal mortality are due to anemia (preventable cause). Objectives: 1. To define thegeographical areas around Chandrapur from where the cases of anemia are referred. 2. To co-relatevariables like maternal age, gestational age, parity and the time elapsed between last childbirth andcurrent pregnancy. Materials and Methods: Hb of ANC and immediate PNC patients referred withsevere anemia was estimated with Sahli’s Haemoglobinometer. Inclusion criteria: 257 ANC andimmediate postpartum patients admitted between July 2016 to September 2016 with severe anemiaand transfused with blood. Exclusion criteria: anemia due to acute blood loss.Results: 77.8%severe anemia cases were between 21 to 30 years.22% were from Chandrapur taluka.12.8%casesfrom Rajura and10.12% from Korpana taluka,68.26% cases had gestational age more than 28weeks.59.92%cases were multipara. In 84.42% of cases last childbirth was less than 3years.20%cases were of sickle cell anemia patients. There were no cases of abruption placentae,surgical wound infection and maternal mortality. No patient had postpartum haemorrhage as weremanaged with active management of the third stage of labour and prophylactic 3 tablets ofmisoprostol per rectum. There were 12 preterm deliveries with no intrauterine deaths. Conclusion:Peripheral preventive services must be strengthened on a priority basis in Chandrapur, Ballarpur,Rajura and Korpana talukas which belong to south Chandrapur where the tribal area is predominant.Probable causes in these areas might be related to culture, ignorance, dietary habits and availabilityof medical staff which needs to be addressed. Effective counselling regarding early registration,restriction of parity, contraception for spacing births, diet and iron and folic acid supplementation isessential for preventing anemia.

scholarly journals STUDY OF COMPLICATIONS OF MALARIA IN ADULTS PATIENTS: A PROSPECTIVE STUDY FROM BHOPAL

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Nikhil Gupta ◽  
RS Maniram ◽  
Garima Vijayvergiya
Keyword(s):  
Leukocyte Count ◽  
Severe Anemia ◽  
Major Health Problem ◽  
Major Health ◽  
Medical College ◽  
Major Complications ◽  
Gandhi Medical College ◽  
A Prospective Study ◽  
Time Of Admission ◽  
Poor Population

Background: Malaria is a major health problem all over the globe. WHO recorded that 228 million people suffered and 405000 died due to malaria in 2018. Severity of malaria is known to be the cause of serious morbidity and mortality in poor population. Understanding of its current symptoms and associated complication can help in early diagnosis. Aims and objectives: To study the malarial complications among the adult patients. Materials and Methods: Hundred malaria patients were studied at Gandhi Medical College and associated with Hamidia Hospital from Jan 2019 to Dec 2019. For all the subjects’ medical history, demographic details and medical complications were recorded. Results: Major symptoms at the time of admission were fever, nausea and headache. Major complications in SM patients were severe anemia, prostration, hyperpyrexia (9%) respiratory distress in (6%), thrombocytopenia (70%), low leukocyte count (21%), and cerebral malaria was recorded in 4%. No mortality was recorded during this study. Conclusion: Severe anemia, prostration, hyperpyrexia, ARDS, thrombocytopenia and low leukocyte count are the major complications of SM. Keywords: nausea, anemia, prostration, hyperpyrexia, thrombocytopenia

scholarly journals Third stage of labour: expectant versus active management-a comparative study in local low risk population

2019 ◽  
Vol 8 (2) ◽  
pp. 641
Author(s):  
Kavita A. Chandnani ◽  
Deepti D. Sharma
Keyword(s):  
Blood Loss ◽  
Comparative Study ◽  
Maternal Mortality ◽  
Post Partum ◽  
Expectant Management ◽  
Active Management ◽  
Research Centre ◽  
Third Stage ◽  
Group A ◽  
Group B

Background: Postpartum haemorrhage (PPH) is the leading cause of maternal mortality, accounting for about 35% of all maternal deaths. These deaths have a major impact on the lives and health of the families affected. Thus, anticipation as well as proper management of 3rd stage of labour is mandatory. The objective of this study was to compare expectant and active management of third stage of labour in preventing post-partum blood loss and having impact on prevention of maternal mortality in local population. Advantages and disadvantages of both techniques might be over estimated.Methods: Prospective comparative study carried out in Obstetrics and Gynecology department of SBKSMIRC (Shrimati Bhikhiben Kanjibhai Shah Medical Institute and Research Centre), Dhiraj general hospital, comprising of 200 laboring women admitted directly or from OPD to labour room for expected vaginal delivery. They were randomly allocated to group A (expectant management) and group B (active management). Labour progress was charted on partograph and interventions recorded. Statistical analysis of data was done after compiling and tabulation of data. Mean±SD for descriptive variables were calculated and appropriate statistical tests applied to determine significance.Results: Average PPBL (post-partum blood loss) was 360.5ml in group A as compared to 290.6ml in group B. 12 patients in group A had blood loss more than 500ml while none in group B. 66% cases in group B had duration of third stage of labour less than 5 min as compared to only 22% in group A. the mean duration of third stage was 13.46±8.3 in group A while 5.32±3.05 in group B. these differences were statistically significant.Conclusions: Active management of the third stage of labour is associated with less blood loss as well as a shorter duration of third stage compared with expectant management. It is reasonable to advocate this regime.

scholarly journals Post-Partum Hemorrhage is Still Killing Mothers in Bangladesh: An Observation from the 2016 Bangladesh Maternal Mortality Survey (BMMS)

2020 ◽  
Author(s):  
Aminur Rahman ◽  
Anne Austin ◽  
Tahmina Begum ◽  
Iqbal Anwar
Keyword(s):  
Maternal Mortality ◽  
Universal Access ◽  
Post Partum ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Active Management ◽  
Director General ◽  
Public And Private ◽  
Third Stage ◽  
Mortality Survey

Abstract The main cause of maternal death in Bangladesh is postpartum hemorrhage (PPH). PPH accounts for 31%of maternal deaths. Proven interventions to prevent maternal mortality are active management of third stage of labour (AMTSL) and the availability of comprehensive emergency obstetric care (CEmOC). Both of these interventions mandate the administration of oxytocin. In Bangladesh there are nonfunctioning institutionalized guidelines from the Director General of Health Services on the storage of oxytocin, which may impact the potency of oxytocin used during labour. To reduce preventable PPH morbidity and mortality, Bangladesh needs to evaluate the potency of current stores of oxytocin used in both in public and private facilities, develop and enforce protocols to ensure the potency of oxytocin, and promote universal access to quality AMSTL and CEmOC services.

scholarly journals CONCEPTUAL STUDY OF MUSTADI KWATH IN STHOULYA (OBESITY)

2020 ◽  
Vol 08 (11) ◽  
pp. 5105-5110
Author(s):  
Kirti 1 ◽  
Singh O O. P ◽  
Tripathi S. K.
Keyword(s):  
Quality Of Life ◽  
Cardiac Disease ◽  
Dietary Habits ◽  
Behavioral Disorder ◽  
Modern World ◽  
Major Health Problem ◽  
Major Health ◽  
The Gift ◽  
Conceptual Study

Objective: Sthoulya is a major health problem affecting a high proportion of population in India. Ayurveda is the science of life with the aim of achieving health and curing diseases. (Obesity) Sthoulya is a burning problem in this world scenario and has acquired status of an epidemic. The sedentary lifestyles, stress and dietary habits etc., which are the gift of modern world, are primary predisposing factors for Sthoulya. Obe-sity is basically a behavioral disorder. Method: The major risk related with Sthoulya is that it favors com-plicated pathologies like hypertension, cardiac disease, diabetes mellitus, atherosclerosis, stroke, etc. Re-sult: Conservative management of Sthoulya according to Ayurvedic principles provides significant relief and improves quality of life. Mustadi Kwath is mentioned in Charak Samhinta in Santarpaniya Adhayaya (Chapter 23). Conclusion: Mustadi Kwath consists of Triphala, Haridra, Musta, Aarghawadha, Patha, Devadaru, Swadamshtra, Khadira, Nimba, Daruharidra, Kutaja, Twaka.

scholarly journals One-Hand Engineering Effectiveness to the Reduction of the Number of Bloodage in Third-Three Phase of Certificate Mother in Maulidya Husada Clinic, Karangploso Sub-District, Malang District

2021 ◽  
Vol 4 (2) ◽  
pp. 287-294
Author(s):  
Herwati Herwati ◽  
Rahmania Ambarika ◽  
Indasah Indasah
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Active Management ◽  
Inclusion Criteria ◽  
Live Births ◽  
Three Phase ◽  
Third Stage ◽  
The Republic ◽  
The One ◽  
Almost All

The maternal mortality rate in Indonesia in 2015 was 305 out of 100,000 live births according to the Ministry of Health of the Republic of Indonesia (Kemenkes). Based on data from the Ministry of Health's Center for Health and Information (2014), the main causes of maternal mortality from 2010-2013 were bleeding (30.3% in 2013) and hypertension (27.1% in 2013). Postpartum hemorrhage is bleeding that occurs after delivery (delivery), as much as 500 ml in vaginal delivery or more than 1000 ml in cesarean section. This study aims to determine the effectiveness of the one-hand technique in reducing the amount of bleeding compared to the two-hand technique that has been used in third-stage active management. This study is an experimental quantitative study to compare the one-hand technique in third-stage active management versus the two-hand technique. The population was taken from all pregnant women who gave birth in the delivery room of KRI Maulidya Husada within three months. The number of samples in this study were 36 people, namely: 18 people using the one-hand technique that met the inclusion criteria and 18 people using the two hand technique who met the inclusion criteria. In this study, it is known that almost all respondents with spontaneous labor who were given the one-hand technique experienced bleeding less than 250cc, namely 61% and the two-hand technique treatment experienced bleeding more than 250cc, namely 39%

scholarly journals Comparative study of various oxytocics in management of third stage of labour

2018 ◽  
Vol 7 (10) ◽  
pp. 4035
Author(s):  
Shrinivas N. Gadappa ◽  
Deepika Sharma ◽  
Yogita Gavit
Keyword(s):  
Side Effects ◽  
Blood Loss ◽  
Comparative Study ◽  
Maternal Mortality ◽  
Postpartum Haemorrhage ◽  
Active Management ◽  
Onset Of Action ◽  
Drug Of Choice ◽  
Significant Difference ◽  
Third Stage

Background: Causes of maternal mortality are haemorrhages, infections, unsafe abortions, and obstructed labour. 25% of these are caused by haemorrhages and are preventable, one of the measures is active management of third stage of labour (AMTSL). For prevention, treatment of postpartum haemorrhage oxytocics are available oxytocin, methylergometrine, misoprostol, prostaglandin F2α.Methods: Study was conducted, 160 patients were randomly given one of following oxytocics a) tablet misoprostol 600 µg per rectal b) Inj. Oxytocin 10 IU IM c) Inj. Methylergometrine 0.2 mg IM d) Inj. PGF2α. Duration for the delivery of placenta and amount of blood loss was measured, side effects were noted, and comparison of haemoglobin and blood loss done.Results: No significant difference in mean blood loss in all group with respect to parity and type of labour. In present study it seems that no oxytocic is superior to other in reducing the blood loss. Misoprostol has variable onset of action. Mean duration of 3rd stage in various groups is same. In respect to side effects HTN is common with methylergometrine, shivering and fever with misoprostol and diarrhoea with PGF2α.Conclusions: Study concluded that all uterotonics have some advantages, oxytocin is ultimate drug of choice in skilled hand due to its definite onset of action while Tab misoprostol in unskilled hands, other oxytocin are reserved for complementary usage and treatment of PPH but Misoprostol has variable onset of action.

Detection of Mycobacterium tuberculosis in smear negative sputum by PCR

2012 ◽  
Vol 6 (2) ◽  
pp. 2-6 ◽  
Author(s):  
Mohammad Jobayer ◽  
SM Shamsuzzaman ◽  
Kazi Zulfiquer Mamun
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Pulmonary Tuberculosis ◽  
Accurate Method ◽  
Major Health Problem ◽  
Major Health ◽  
Tuberculosis Patients ◽  
Diagnostic Potential ◽  
Total Death ◽  
Smear Negative ◽  
Negative Sputum

Pulmonary tuberculosis is a major health problem in Bangladesh that is responsible for about 7% of total death in a year. This study was conducted to isolate and identify Mycobacterium tuberculosis from sputum and to evaluate the efficacy of PCR as a modern diagnostic tool, for diagnosis of pulmonary tuberculosis, especially in the smear negative cases. One hundred and fifty suspected pulmonary TB patients (male/ female: 97/53) were included in this study. Single morning sputum was collected from each patient and diagnostic potential of PCR was compared with staining and culture. Twenty five (16.7%) sputum were positive by ZN stained smear. Among 125 smear negative samples, 13 (10.4%) yielded growth in culture in LJ media and 21 (16.8%) samples were positive by PCR. The sensitivity and specificity of PCR in smear negative cases was 100% and 92.9% respectively. Mean detection time in PCR was 24 hours. PCR detected M. tuberculosis in 21 smear negative and 9 culture negative samples. For diagnosis of tuberculosis in smear negative cases, PCR directly from sputum was a very sensitive and accurate method. In conclusion, PCR may be done, especially in clinically suspected pulmonary tuberculosis patients who remain negative by conventional methods.DOI: http://dx.doi.org/10.3329/bjmm.v6i2.19368 Bangladesh J Med Microbiol 2012; 06(02): 2-6

Prevention and Treatment of Early Childhood Caries (ECC)

2016 ◽  
Vol 1 (3) ◽  
Author(s):  
Jeffrey .
Keyword(s):  
Early Childhood ◽  
Health Problem ◽  
Early Childhood Caries ◽  
Health Providers ◽  
Missing Teeth ◽  
Optimal Basis ◽  
Major Health Problem ◽  
Major Health ◽  
Childhood Caries

Early Childhood Caries (ECC) is a chronic disease that can be prevented. It commonlyaffects children involving in one or more decayed (with lesions or not) teeth, missing teeth (dueto caries), or teeth with fillings in children aged under 71 months. The disease is sometimesoverlooked, but this condition usually affects the general health of children. Early detection ofEarly Childhood Caries (ECC) can prevent problems which are harmful to children. Therefore,the ECC must be prevented and for teeth that have had dental caries they should be givenproper treatment so as not to worsen and affect the quality of life in children. Prevention of thisdisease is a significant component in any health program to prepare for the optimal basis forthe oral health of children. This condition will become a serious health problem if not handledproperly, and it is a major health problem for health providers throughout the world.Primarypreventive must be initiated since a woman getting pregnant.Keywords: Early Childhood Caries (ECC), prevention, treatment

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