scholarly journals Study of impact of anemia on pregnancy

2017 ◽  
Vol 6 (11) ◽  
pp. 4847
Author(s):  
Shradha S. Maka ◽  
Sangamesh B. Tondare ◽  
Mahesh B. Tondare
Keyword(s):  
Developing Countries ◽  
Neonatal Outcome ◽  
Fetal Outcome ◽  
Deficiency Anemia ◽  
Intrauterine Death ◽  
Maternal Complications ◽  
Medical College ◽  
Anemia During Pregnancy ◽  
Iron And Folic Acid ◽  
Nicu Admission

Background: Anemia during pregnancy is highly prevalent in developing countries like India. Mostly is nutritional, of which iron deficiency anemia is predominant. Pregnancy is a state of hemodilution, also there is increased requirement of iron and folic acid during pregnancy. The incidence varies with socioeconomic status, literacy. Anemia has adverse outcome on both mother and fetal health. Poor fetal outcome like increase in preterm deliveries, increase in intrauterine growth restriction, increase in NICU admission, intrauterine death is seen. Maternal complications increase with anemia. This study aims to study the prevalence, type of anemia and its effect on mother and fetus. Objective of present study were to investigate the type and degree of anemia and to study the maternal and perinatal outcome.Methods: This study was done in department of obstetrics and gynecology in M. R. Medical college kalaburagi for 1 year. Study was conducted on 100 pregnant women. Haemoglobin estimation was done for all woman in 3rd trimester. Severity of anemia was detected by ICMR (Indian Council of Medical Research) classification. Depending on degree and type of anemia all were treated and followed up for maternal and perinatal outcome.Results: The incidence of mild, moderate, severe anemia were 28%, 54%, 18% respectively. Most of the anemic woman belonged to low socioeceonomic status 84%. 16% had maternal complications. Poor perinatal outcome was seen in unbooked and referred cases.Conclusions: Anemia continues to be a major problem in developing countries with poor maternal and neonatal outcome. Early diagnosis and treatment can improve both maternal and neonatal outcome.

scholarly journals Anemia among Pregnant Women at Nepalgunj Medical College

2022 ◽  
Vol 19 (1) ◽  
pp. 81-83
Author(s):  
Durga BC
Keyword(s):  
Pregnant Women ◽  
Megaloblastic Anemia ◽  
First Trimester ◽  
Fetal Outcome ◽  
Hemoglobin Level ◽  
World Health ◽  
Deficiency Anemia ◽  
Medical College ◽  
Anemia During Pregnancy ◽  
Prevalence Of Anemia

Introduction: Anemia in pregnancy is major health issue of developing countries responsible for adverse maternal and fetal outcome. According to World health organization pregnant women with hemoglobin level less than 11 gm/dl in first trimester and less than 10.5gm/dl in second and third trimester are considered to be anemic. Iron deficiency anemia is common during pregnancy followed by megaloblastic anemia. Aims: To find out the prevalence of anemia during pregnancy. To correlate the maternal and fetal complications associated with anemia during pregnancy. Methods: This is a prospective hospital based study done at department of obstetrics and gynecology Nepalgunj Medical College from July 2020 to January 2021. All pregnant women with hemoglobin level <11 gm/dl were enrolled in the study. Data were collected from antenatal clinic and biochemistry laboratory. Results: In this study maximum participants were of age group 20-25 consisting of 38.5%. Anemia was more common in multiparous i.e. 60% as compared to primipara i.e. 40%. In this study maximum participant had vaginal delivery (57%) followed by LSCS (29%) then instrumental delivery (14%). These ladies had complications like postpartum hemorrhage (27.7%), preterm labor (16.9%), pregnancy induced hypertension (9.2%). similarly 10.8% had sepsis and 20% had no complications. About 23.1% babies delivered by anemic ladies required neonatal intensive care.  Intrauterine growth restriction was seen in 12.3%, preterm birth in 10.3% and 53.8% babies had no complications. Conclusion: The prevalence of anemia during pregnancy is high leading to adverse maternal and fetal outcome.

scholarly journals Pregnancy outcome in pre-gestational and gestational diabetic women: a prospective observational study

2021 ◽  
Vol 10 (8) ◽  
pp. 3040
Author(s):  
Mamta Mahajan ◽  
Amit Gupta ◽  
Anju Vij ◽  
Aanchal Gupta Sharma
Keyword(s):  
Disease Burden ◽  
Prospective Observational Study ◽  
Fetal Monitoring ◽  
Antenatal Clinic ◽  
Fetal Outcome ◽  
Maternal Complications ◽  
Missed Abortion ◽  
Patient Counselling ◽  
Medical College ◽  
Intrapartum Fetal Monitoring

Background: India is considered the world capital of diabetes, proper care and management of the same is the demand of society. The present study is carried out to identify the disease burden of GDM/ overt DM among antenatal cases. The main objective was to study the maternal and fetal outcome of diabetes complicating pregnancy.Methods: The present study was conducted at Dr. Rajendra Prasad Government Medical College at Tanda, District KangraHP from October 2015 to September 2016. All antenatal cases were screened for diabetes by OGTT 75 gm, 2-hour blood glucose level as per DIPSI guidelines and labelled as GDM/ overt DM. Those who fulfilled selection criteria were enrolled in the study. A total of 6452 cases who attended antenatal clinic during the study duration and were screened were selected for the study. 116 cases were found to have GDM / overt DM. Seventy-nine had GDM with OGTT>140 mg/dl (DIPSI guidelines) and 37 had overt DM with 2 hours PP >200 mg/dl (WHO criteria). Total 100 cases comprised of study group were followed till delivery to study maternal and fetal outcome.Results: The prevalence of diabetes in pregnancy was found to be low 1.79%. GDM was found to be more prevalent than overt diabetes in pregnant women (66% versus 34%). Among the antenatal maternal complications observed missed abortion (11.8% versus 1.55; p=0.026), polyhydraminos (26.4% versus 10.6%; p=0.04) and preterm labour (17.6% versus 4.5%; p=0.003) were significantly more common in overt diabetics than GDM cases. IUFD (8.8% versus 0; p=0.014) was also significantly more common in overt diabetics than GDM case. RDS was found significantly higher in neonates of overt diabetics as compared to GDM mothers (14.7 % versus 1.5%; p=0.009).Conclusions: Early detection and good glycemia control by MNT and insulin, regular antenatal check-ups, patient counselling and compliance, intrapartum fetal monitoring and early neonatal care are keys to improved outcome. 

scholarly journals Severe anemia in late pregnancy: a retrospective study at a tertiary care rural medical college in Gujarat, India

2018 ◽  
Vol 7 (3) ◽  
pp. 1112
Author(s):  
Shilpa A. Sapre ◽  
Nitin S. Raithatha ◽  
Rumi S. Bhattacharjee
Keyword(s):  
Pregnant Women ◽  
Perinatal Outcome ◽  
Tertiary Care ◽  
Late Pregnancy ◽  
Severe Anaemia ◽  
Maternal Complications ◽  
Medical College ◽  
Grass Root Level ◽  
Nicu Admission ◽  
Labour Room

Background: Anaemia in pregnancy is the commonest medical disorder in developing countries like India. It has multifactorial etiology and is associated with increased maternal and perinatal morbidity and mortality. The study aimed at analyzing the socio-demographic variables and also the maternal and perinatal outcome of pregnant women admitted to labour room with severe anaemia (Hb <7 gm%) late in pregnancy.Methods: This is a retrospective observational study done at a tertiary care rural medical college in Gujarat over a 3 year period from January 2014 to December 2016.Results: Results of the study were analyzed. Out of 3963 deliveries during the study period 225 (5.6%) patients were severely anaemic. There were 177 (78.6%) unbooked patients and 169 (75.1%) were multigravidas. Majority of patients belonged to under 24 yr age group. Maternal complications were in form of preterm labour (44%), pre-eclampsia-ecclampsia (24.8%), cardiac failure (2.2%), PPH (2.2%) maternal death (0.4%). Neonatal outcome was analyzed in terms of prematurity (44%), LBW (24.8%), NICU admission (15.1%), still birth (4.4%), neonatal death (11.5%).Conclusions: Severe anaemia during pregnancy is associated with adverse maternal and perinatal outcome. It is also one of the preventable indirect cause of maternal mortality. Imparting health education to adolescent girls, regular antenatal check-ups, early diagnosis and treatment along with active participation of ASHA workers at grass-root level might help in bringing down the prevalence. A more focused approach is warranted towards pregnant women in rural and underdeveloped areas of India.

MID-ARM CIRCUMFERENCE AT BIRTH AS PREDICTOR OF LOW BIRTH WEIGHT AND NEONATAL MORTALITY

2000 ◽  
Vol 32 (4) ◽  
pp. 487-493 ◽  
Author(s):  
FARID UDDIN AHMED ◽  
ENAMUL KARIM ◽  
SYEDA NURJAHAN BHUIYAN
Keyword(s):  
Developing Countries ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Mortality ◽  
Neonatal Outcome ◽  
College Hospital ◽  
Medical Practitioners ◽  
Neonatal Deaths ◽  
Medical College ◽  
Arm Circumference

In Bangladesh, like other developing countries, most births occur at home or in the community, so logistic problems and taboos prevent the weighing of every newborn child. This study was performed to see whether other simpler measurements could be substituted for weight to identify neonates of low birth weight. A total of 1676 live births at the Chittagong Medical College Hospital constituted the study sample, and this showed a high correlation between mid-arm circumference and birth weight (r=0.792, p<0·000). A mid-arm circumference of <9·0 cm had the best sensitivity and specificity for identifying newborns with a birth weight of less than 2500 g. These neonates were followed up to record neonatal deaths. Neonatal mortality showed an inverse relation with mid-arm circumference. A mid-arm circumference of <9·0 cm and a birth weight of <2500 g were equally useful in predicting neonatal outcome. Mid-arm circumference is a simple, quick and reliable indicator for predicting low birth weight and neonatal outcome, and can be easily measured by medical practitioners and traditional birth attendants (TBAs) in the community of developing countries like Bangladesh.

scholarly journals Study of Maternal and Fetal Outcome in Pregnancy with Heart Disease

2017 ◽  
Vol 8 (2) ◽  
pp. 112-116 ◽  
Author(s):  
Sharmin Abbasi ◽  
Sehereen Farhad Siddiqua ◽  
Shifin Rijvi ◽  
Salma Akhtar ◽  
Benozir Haque ◽  
...  
Keyword(s):  
Heart Disease ◽  
Cardiac Disease ◽  
Nyha Class ◽  
Mode Of Delivery ◽  
Fetal Outcome ◽  
Functional Class ◽  
Maternal Complications ◽  
College Hospital ◽  
Medical College ◽  
In Pregnancy

Background: Heart disease complicating pregnancy is an important indirect cause of maternal mortality and morbidity. Maternal heart disease comprises .2%-2% of pregnancies and responsible for 10%-20% of maternal deaths1. Our study was done to evaluate fetomaternal outcomes in pregnancy with heart disease.Objectives: Evaluation of fetomaternal outcome in pregnant patients with cardiac disease. Materials andMethods: This observational study was done in Bangabandhu Sheikh Mujib Medical University and Anwer Khan Modern Medical College Hospital among 51 pregnant women with known or newly diagnosed heart disease from January 2013-january 2015. Baseline data recorded demographic character, NYHA functional class, maternal complications, mode of delivery and neonatal outcome.Results: Among 51 cardiac patients, 32 (63%) were primigravida. Mostly 46 (90.6%) belonging to NYHA Class I and II. Rheumatic heart disease seen in 45 (87%) and congenital heart disease in 10% subjects. Mitral stenosis was the most common, seen in 22 (41%) cases. 47.33% patients were delivered vaginally and LSCS done in 41% patients. The fetal outcome were live births in (96.6%) cases, (27.4%) babies required NICU admission.Conclusion: An improvement in modern techniques of monitoring, better understanding of pathophysiology of cardiac disease and multi disciplinary care can lead to substantial improvement in the feto maternal outcome.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 112-116

scholarly journals Foetomaternal outcome in multifoetal pregnancy in a tertiary rural teaching hospital

2021 ◽  
Vol 10 (2) ◽  
pp. 614
Author(s):  
Sneha Gond ◽  
Partha Pratim Sharma ◽  
Narra Madhuri ◽  
Kasturi Barman
Keyword(s):  
Prospective Observational Study ◽  
Statistical Significance ◽  
P Value ◽  
Statistical Association ◽  
Maternal Complications ◽  
Chi Square ◽  
Medical College ◽  
Chi Square Test ◽  
Nicu Admission ◽  
Rural Teaching

Background: Aim of the study was to find out foeto-maternal outcome of multifoetal pregnancy in relation to chorionicity and to analyse the associated risk factors.Methods: This study was a prospective observational study on multifoetal pregnancy conducted at Midnapore medical college and hospital. Statistical analysis was done by chi-square test and statistical significance was set at p-value<0.05.Results: Incidence of multifoetal pregnancy was 1.7%. Modal age group was 20-24 years age and 82% conceived spontaneously. Among chorionicity, Dichorionic diamniotic (DCDA) were 60% followed by 34% Monochorionic diamniotic (MCDA), 4% Monochorionic monoamniotic (MCMA) and 2% Trichorionic triamniotic (TCTA). Among maternal complications preterm labour were present in both twins and triplets followed by anemia. LSCS was required in 60.8 % of twins and common indication was malpresentation. Majority of MC and TC were delivered at gestational age of 31-33 weeks (47.1% MCDA, 50% MCMA and 60% TCTA) and dichorionic delivered at 34-36 week (48.7%). Statistical association between neonatal outcomes and chorionicity were significant in IUGR (p=<0.0001), stillbirth (p=0.0356), congenital anomalies (p=0.0017), discordant growth (p<0.0001), Apgar score <7 (p<0.0001), low birth weight (p=0.014), live birth (p≤0.0001) and NICU admission (p<0.0001).Conclusions: Maternal and perinatal outcome was significant in monochorionic and trichorionic pregnancies compared to dichorionic pregnancies with increased NICU admissions required in monochorionic and trichorionic gestations.

scholarly journals Management and Outcome of Postdated Pregnancy at Rajshahi Medical College Hospital

2019 ◽  
Vol 31 (2) ◽  
pp. 50-53
Author(s):  
Most Merina Akhter ◽  
Mst Shaheen Nawrozy ◽  
Abu Hena Mostafa Kamal ◽  
Sahela Jesmin
Keyword(s):  
Perinatal Mortality ◽  
Mode Of Delivery ◽  
Birth Asphyxia ◽  
Fetal Distress ◽  
Fetal Outcome ◽  
Medical College Hospital ◽  
Maternal Complications ◽  
College Hospital ◽  
Mortality And Morbidity ◽  
Medical College

Background: Postdated pregnancy complicates about 10% of all gestation and is associated with an increase in perinatal mortality and morbidity. This study was designed to observe fetal as well as maternal outcome in the management of postdated pregnancies admitted into Rajshahi Medical College Hospital. Methods: The study was carried out from July 2008 to June 2010. 100 cases of postdated pregnancies were included. Patients’ age, occupation, parity, mode of delivery, the indication of LUCS, fetal & maternal outcomes were recorded in a predesigned questionnaire. Results were expressed as Mean± SD, actual number and percentage of total where applicable. Results: Mean age (±SD) was 21.3 (±5.32) years. 90% were housewives, 5% were in service and 5% were in other occupations. 53% were nullipara, 21% para-2, 18% were para-3, 8% were para-4.57% of the study patients underwent caesarean section and 43% underwent vaginal delivery. Fetal distress (n=34), non-progression of labour (n=19), cord prolapse (n=1) & CPD (n=3) were the causes of LUCS. Regarding fetal outcome, healthy babies were 76%, meconium aspiration 13%, birth asphyxia 11%. Among birth asphyxia, neonatal death was 1% & still born was 2%. Maternal complications at delivery were tear in the genital tract 8%, PPH 5% & wound infection in 4% cases. Conclusion: Here, still-birth rate was 2% (normally about 1 in 3000 deliveries) and perinatal mortality rate is 3% (normally about 2-3 in 1000 deliveries). So, patients should be encouraged to attend regular antenatal check up to prevent postdated pregnancy and its complications. TAJ 2018; 31(2): 50-53

FETO -MATERNAL OUTCOME IN POST DATED PREGNANCY

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Shruti Maheshwari ◽  
Lata Rajoria ◽  
Sunita Hemani ◽  
Chelsea Kuntal
Keyword(s):  
Cord Compression ◽  
Fetal Outcome ◽  
Point Of View ◽  
Cross Sectional ◽  
Placental Function ◽  
Medical College ◽  
Successful Induction ◽  
High Risk Factor ◽  
Prolonged Pregnancy ◽  
Nicu Admission

Background: The risk to the fetus increases after term (>42 weeks) of gestation mainly due to increasing fetal weight, decline in placental function, oligohydraminos which increases the chances of cord compression, and me conium aspiration.Perinatal mortality after 42 weeks is twice as compared to the perinatal mortality at 40 weeks and by 44 weeks the rate is increased up to threefold. In cases of prolonged pregnancy, fetus is more at risk of hypoxia during labor than a fetus at term Methods: This cross-sectional observational study of fetomaternal outcome in post dated pregnancy(Women beyond 40 weeks of gestation) was carried in department of obstetrics and gynecology SMS medical college jaipur in 40 patients from October 2019 to January 2020. Results: Majority patients required cesarean section (52%).Among patients who were given induction 48% had successful induction, maximum were induced by dinoprostone gel (50%).15% of babies delivered required NICU admission. Conclusion: The present study, we conclude that, the post dated pregnancy can be considered as a high risk factor from the point of view of maternal and fetal outcome as there is more fetal and maternal morbidity Keywords: Morbidity, Fetomaternal, NICU

scholarly journals A RANDOMIZED COMPARATIVE STUDY OF PROGRESS OF LABOUR AND FETAL OUTCOME OF DELIVERY AMONGST SPONTANEOUS VERSUS INDUCED LABOUR IN TERM PREGNANCY PRIMI GRAVIDA OF USING MODIFIED WHO PARTOGRAPH IN THE DEPARTMENT OF OBSTETRICS AND GYNECOLOGY SMS MEDICAL COLLEG

2019 ◽  
Vol 3 (12) ◽  
Author(s):  
Yeshwant Singh Chouhan ◽  
Anju Sharma ◽  
Megha Agrawal
Keyword(s):  
Apgar Score ◽  
Uterine Contraction ◽  
Neonatal Outcome ◽  
Perinatal Outcomes ◽  
Fetal Outcome ◽  
Labour Induction ◽  
Intrauterine Death ◽  
Cross Sectional ◽  
Weight Category ◽  
Significant Difference

Background: Childbirth is the period from the onset of regular uterine contraction until expulsion of placenta. The process by which this normally occurs is called labour. Induction of labour is the artificial initiation of uterine contraction prior to their spontaneous onset, leading to progressive dilatation and effacement of the cervix and delivery of the baby. Labour induction is indicated where the benefits to either the mother or the fetus outweighs the benefit of continuing pregnancy. Methods: Hospital based Prospective type of cross sectional study conducted at Department of Obstetrics and Gynaecology, S.M.S Medical College, Jaipur, Rajasthan. We assessed the following perinatal outcomes: at 1st and 5th minute APGAR score; birth weight; birth injuries; respiratory distress syndrome; admission to the  NICU; number of days in NICU; neonatal deaths taking place in hospital within the first week of life; stillbirth or intrauterine death. Results: The highest percentage of babies were in the weight category of 2500 to 3499 grams in both groups, 83.3% in spontaneous and 76.7% in induced group, followed by ≥3500 gram and <2500 gram  respectively. There is no statistical significant difference in weight of babies between the groups (P=0.64). In induced group ≤7 APGAR Score at 1 minute is 1.1%, and 7.8% in spontaneous group. There is statistically significant increase in Spontaneous group (P < 0.05). In induced group ≤7 Apgar score at 5 minutes is 0%, and 5.6% in spontaneous group. ≤7 APGAR score at 5minutes is significantly higher in Spontaneous group (P < 0.05). 3.3% of Induced group babies needed Admission to NICU compared to 2.2% in Spontaneous group, there is no statistically significant difference between groups (P = 0.684) Conclusion: We conclude from this study that though requirement of Augmentation for progress of Labour was more in induced group and Instrumentation rate of Caesarean section was also high in induced group. But the Neonatal outcome of Labour if monitored with modified WHO Partograph is less than Spontaneous group and also duration of labour is shorter in induced labour. Keywords: WHO Partograph, Induction, Neonatal outcome.

scholarly journals Study of maternal and fetal outcome in postdate pregnancy in tertiary care hospital

2020 ◽  
Vol 9 (9) ◽  
pp. 3585
Author(s):  
Patel Yogeshkumar Pransukhbhai ◽  
Poonam Londhe
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Medical College ◽  
Vaginal Deliveries

Background: Fetal, neonatal and maternal complications associated with pregnancy beyond 40 weeks have always been underestimated. However emerging evidence demonstrates that the incidence of complications increases after 40 weeks of gestation. The present study was conducted to find out the fetomaternal outcome of such prolonged pregnancy.Methods: This was a prospective cross-sectional study of 70 patients with uncomplicated prolonged pregnancy fulfilling the inclusion and exclusion criteria and admitted in department of obstetrics and gynecology at a tertiary care hospital B. J. Medical College, Ahmedabad, Gujarat, India.Results: Out of 70 patients, majority of the subjects belongs to 26-30 years of age (50%). The gestational age of 90% of patients were between 40-42 weeks. About 42-44% of the foetus had a birth weight of 2.5-3.5 kgs. Maximum patients underwent vaginal deliveries in spontaneous group (57%) and 64% underwent LSCS in induced group. Mode of delivery is significantly associated with presence of adequate liquor.Conclusions: With regular antenatal check-up, incidence of postdate pregnancy can be decreased and it is important because of definite risk to fetus as pregnancy continuing beyond 40 weeks of gestation is associated with increased perinatal morbidity and mortality especially those who do not come for regular antenatal check-up.

Sign in / Sign up

Export Citation Format

Share Document