scholarly journals Preterm labour and its effect on perinatal morbidity and mortality

2018 ◽  
Vol 7 (5) ◽  
pp. 1993 ◽  
Author(s):  
Neetu Gupta ◽  
Pragati Divedi ◽  
Deepti Dwivedi
Keyword(s):  
Low Socioeconomic Status ◽  
Apgar Score ◽  
Preterm Labour ◽  
Preterm Births ◽  
Morbidity And Mortality ◽  
Care Hospital ◽  
Perinatal Morbidity ◽  
Low Socioeconomic ◽  
Spontaneous Labour ◽  
One Year

Background: This study was performed to find out the incidence and identification of risk factors of preterm labour and also to find out the incidence of perinatal outcome in the form of morbidity and mortality.Methods: Total 720 antenatal cases with preterm labour admitted and studied in total one-year duration in UPUMS Saifai, Etawah. Out of 720 cases, 692 pregnant patients underwent preterm birth. Thorough history taking, general, systemic and obstetrical examination was done for each patient. APGAR Score and birth weights of the new borns were noted at the time of birth and they were followed up throughout the hospital stay. Incidence and perinatal morbidity and mortality of preterm births were calculated.Results: Incidence of preterm labour and births were 28.5% and 27.9% respectively. Among various causes of pre-term birth, spontaneous labour with intact membranes is the most common cause. Lack of antenatal check-up was found to be most common risk factor of preterm labour followed by infection and low socioeconomic status. Majority of the new-borns had low APGAR score (<6) in the present study. Total perinatal morbidity in the present study group was 67.2%Conclusions: We concluded that higher incidence of perinatal morbidity and mortality may be due to that the study was conducted at tertiary health care hospital which mostly receive high risk cases and majority of cases belonged to low socioeconomic group and also that the incidence of perinatal morbidity and mortality may be more in this part of country.

Demographic Profile Associated With Malnutrition

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Adnan Khalil ◽  
Shahid Bashir ◽  
Morad Yaser Al Mostafa
Keyword(s):  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Health Problem ◽  
Rural Areas ◽  
Sampling Technique ◽  
Questionnaire Data ◽  
Low Socioeconomic ◽  
Demographic Profile ◽  
Malnourished Children ◽  
One Year

Worldwide, malnutrition is the severe most health problem leading to the highest rate of disease andmortality among children less than 5 years of age. Objective: To find out the association betweenmalnutrition and demographic profile. Methods: 350 malnourished children were chosen by nonprobabilityconvenient sampling technique from Sir Ganga Ram Hospital, Lahore. Children wereassessed through pre-tested questionnaire. Data were analyzed by SPSS version 21.0. Results: 45%malnourished children were 1-3 years of age, majority of the children were females (52%), 89% childrenwere from rural areas, 82.6% children were from low socioeconomic status, 54.6% mothers wereuneducated, 50% malnourished children were not having their own house, 115 malnourished childrenwere having 3 or more siblings and 89 mothers were having less than one year of pregnancy gap.Conclusions: Low socioeconomic status, illiteracy of mothers, rural area, gap between pregnancy andfemale gender has been found to be linked with malnutrition in children below 5 years of age.

scholarly journals Clinical Presentation of Preterm Neonates with Intraventricular Hemorrhage: Experience in a Tertiary Care Hospital in Dhaka

2017 ◽  
Vol 7 (3) ◽  
pp. 194-197
Author(s):  
Tasnima Ahmed ◽  
Abdul Baki ◽  
Tahmina Begum ◽  
Nazmun Nahar
Keyword(s):  
Clinical Features ◽  
Intraventricular Hemorrhage ◽  
Tertiary Care ◽  
Clinical Signs ◽  
Sudden Onset ◽  
Morbidity And Mortality ◽  
Preterm Neonates ◽  
Cranial Ultrasound ◽  
Care Hospital ◽  
One Year

Background: Intraventricular hemorrhage (IVH) is common among preterm infants as many of them survive with the advancements in neonatal care. Severe IVH may lead to significant morbidity and mortality. The objective of our study is to find out the significant clinical signs of IVH in preterm neonate for early detection by ultrasonography.Methods: This prospective observational study was done in special care baby unit (SCABU), Bangladesh Institute of Research & rehabilitation of Diabetic, Endocrine & metabolic Disorder (BIRDEM) for a period of one year. Eighty five preterm neonates were included in this study. Clinical features of IVH like- convulsion, lethargy, irritability, bulged fontanelle, recurrent apnea, sudden onset of respiratory distress, sudden pallor and bradycardia were observed. Cranial ultrasound studies were done within 7 days of life in all cases to identify IVH.Result: Mean gestational age of these neonates was 31.31(±2.2) weeks & mean birth weight was 1413.42 (±330.55) gm. Among 85 preterm neonates 21(24.7%) developed IVH, confirmed by ultrasonography of brain. Clinical features like convulsion, bulged fontanel, repeated apnea & sudden pallor were significantly present in IVH group.Conclusion: Intraventricular Hemorrhage constitutes an important cause of morbidity and mortality in neonate. This study showed that clinical features like convulsion, bulged fontanel and sudden pallor had a significant relationship with intraventricular hemorrhage which will help for its early detection.Birdem Med J 2017; 7(3): 194-197

scholarly journals THE ILLNESS EXPERIENCE IN HYPERTENSION PATIENTS WITH LOW SOCIOECONOMIC STATUS

2020 ◽  
Vol 19 (4) ◽  
pp. 357-372
Author(s):  
Imam Faisal Hamzah ◽  
Subandi Subandi
Keyword(s):  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Interpretative Phenomenological Analysis ◽  
Qualitative Method ◽  
Social Resources ◽  
Structured Interviews ◽  
Excessive Pressure ◽  
Low Socioeconomic ◽  
Unpleasant Feeling ◽  
One Year

Hypertension is one type of disease that is usually experienced by adults, where arteries have excessive pressure, which is above 140 mm Hg for systolic and diastolic 90 mm Hg. Hypertension is not only a physical experience, but also needs to be understood as a psychological and social experience. Health is a social problem because it is related to how a person finances his health and access appropriate health facilities. The purpose of this study was to obtain psychosocial dynamics in the experience of hypertension in patients with low socioeconomic status. This study used a qualitative method with an Interpretative Phenomenological Analysis (IPA) approach through semi-structured interviews. Three participants involved were female, aged 30 to 45 years, and had more than one year suffered from hypertension. This study found six superordinate themes that focused on perceptions of causes, perceptions of hypertension, unpleasant feeling, social resources, improvement efforts, and health development.  

scholarly journals High rate of stroke and low rate of atrial fibrillation in low socioeconomic strata and blacks: the atrial fibrillation paradox

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
J.B Kostis ◽  
S Zinonos ◽  
J Cabrera ◽  
W.J Kostis
Keyword(s):  
Atrial Fibrillation ◽  
Low Socioeconomic Status ◽  
Proportional Hazards ◽  
Cox Proportional Hazards ◽  
High Rate ◽  
Low Ses ◽  
Low Socioeconomic ◽  
Socioeconomic Strata ◽  
One Year

Abstract Background and introduction Persons living in areas of low socioeconomic status (SES) usually have higher rates of adverse cardiovascular events (CVE) including stroke. Also, atrial fibrillation (AF) is associated with higher rate of CVEs. One would expect that both the rate of stroke and the occurrence of AF would be higher in areas of low SES. Purpose and methods Using MIDAS, a validated statewide data base of all hospitalizations for cardiovascular disease in NJ with follow up of more than 25 years, we examined the rate of hospitalization for AF by SES in patients with history of myocardial infarction for the years 1995 to 2015 (n=258,339). Zip codes in New Jersey were aggregated into 4 categories representing quarters of the distribution of SES areas. Results At one-year follow-up, patients in the lowest SES (lowest 25th percentile) and Blacks were more likely to suffer a stroke (p&lt;0.0001). During one-year follow-up, patients in the lowest 25th percentile (Figure) were significantly less likely (p&lt;0.0001) to be readmitted with a diagnosis of AF. Blacks had lower rate of admission with a diagnosis AF compared to Whites (p&lt;0.0001) (Figure). Cox proportional hazards regression adjusting for demographics and co-morbidities confirmed the validity of these differences. In this analysis patients in the lowest SES quartile and Blacks were less likely to be admitted with AF than those in the highest quartile (HR 0.95, 95% CI 0.92–0.99). Also, Blacks were less likely to be admitted with AF than Whites (HR 0.76, 95% CI 0.71–0.82). This phenomenon (AF paradox) of lower incidence of AF in low SES and in Blacks has been attributed to under-ascertainment of AF in these groups, that may lead to underuse of anticoagulation and result in the occurrence of stroke. Conclusion Atrial fibrillation is underdiagnosed in patients at low socioeconomic strata and in Blacks and may lead to underuse of anticoagulation and the occurrence of stroke. Special efforts are warranted in detecting AF in these groups. Funding Acknowledgement Type of funding source: None

A STUDY ON TINEA CORPORIS INFECTION IN PATIENTS ATTENDING A TERTIARY CARE HOSPITAL, TIRUPATI

2021 ◽  
pp. 35-37
Author(s):  
V. Pavani Sai Mounika ◽  
B. Mahalakshmi ◽  
CH. Srinivasa Rao ◽  
C. Naresh Kumar
Keyword(s):  
Low Socioeconomic Status ◽  
Tertiary Care ◽  
Trichophyton Mentagrophytes ◽  
Tinea Corporis ◽  
Lower Limbs ◽  
Care Hospital ◽  
Recurrence Rates ◽  
Dermatology Department ◽  
Low Socioeconomic ◽  
Male Predominance

Purpose: Tinea corporis (Ringworm) is a form of Dermatophytosis, which is a supercial fungal infection involving the trunk, legs, arms, commonly seen in countries like India. Although it is non-invasive and curable, its widespread nature and recurrence rates impose an economic burden on society in developing countries like India. This study aims at isolating different species causing this infection and studying their clinical patterns. Method: The study included the samples from the outpatients attending the Dermatology department of SVRRGGH, Tirupati, who were suspected of having Tinea corporis based on the clinical details, during the period from August 2018 to August 2019. The scrapings are examined by KOH mount and inoculated on Sabouraud's Dextrose agar and Dermatophyte test medium. The species are identied by colony morphology, Lactophenol cotton blue mount, biochemical reactions and standard procedures. Results: Out of 110 samples, overall positivity on direct microscopy is 78.2% (82), for Culture is 38.2%(42) and positive for both KOH and Culture are 38(34%). Out of 7 species isolated, the commonest isolate is Trichophyton mentagrophytes 19(45%), followed by Trichophyton rubrum 12(28%). Conclusion: Tinea corporis infections are more common in the 16-30 years age group, most of the patients belonging to low socioeconomic status with male predominance. Trichophyton species are commonly isolated from lesions in the waist and lower limbs, while Microsporum species from lesions on lower limbs. T. mentagrophytes was found to be the most common isolate and T. rubrum in case of extensive lesions.

scholarly journals Evaluation of molar pregnancy in Rajshahi Medical College Hospital

KYAMC Journal ◽  
2018 ◽  
Vol 9 (1) ◽  
pp. 24-27
Author(s):  
Mosammat Nargis Shamima ◽  
Rubayet Zereen ◽  
Mohd Alamgir Hossain ◽  
Nargis Zahan ◽  
Nurjahan Akter ◽  
...  
Keyword(s):  
Low Socioeconomic Status ◽  
Hydatidiform Mole ◽  
Treatment Protocol ◽  
Medical College Hospital ◽  
Molar Pregnancy ◽  
College Hospital ◽  
Low Socioeconomic ◽  
Medical College ◽  
One Year ◽  
Abnormal Vaginal Bleeding

Background: A molar pregnancy is also known as hydatidiform mole which is a benign tumour that develops in the uterus. It begins when an egg is fertilized but normal viable pregnancy not occurs, rather than the placenta develops into an abnormal mass of cyst. In all cases of molar pregnancy observation is essential to detect the reawakening of chorionic activity.Objectives: The aim of the study was to explore the incidence, clinical presentation, management and outcome of the molar pregnancy in our hospital.Materials & Methods: This prospective study was conducted in Rajshahi Medical College Hospital, Rajshahi, Bangladesh over a period of one year from July 2016 to June 2017. All pregnant women who were diagnosed as molar pregnancy were included in the study.Results: In this study the incidence of molar pregnancy was 5.3 per 1,000 deliveries that was 1 in 188 deliveries. Among the patients 54.7% were between (23 - 27 years) age group, 81.2% cases were multiparous and 58.4% patients belonged to low socioeconomic status. The prevalent blood group was A and constitute 56.6%. About 62.2% patient presented with amenorrhoea and abnormal vaginal bleeding. 45.3% admitted between (12-16) weeks of gestation. Most of the patients 58.4% were managed by suction and evacuation. Among all the cases 92.4% were complete mole and only 16.9% came for follow up.Conclusion: Results from this study showed that a small portion of patient of molar pregnancy came for routine follow up. To achieve high cure rate and low chemotherapy rate an effective registration programme and treatment protocol should be established.KYAMC Journal Vol. 9, No.-1, April 2018, Page 24-27

scholarly journals Maternal outcome in cases of severe anaemia in labour

2018 ◽  
Vol 7 (3) ◽  
pp. 1201
Author(s):  
Shalini Singh ◽  
Khushpreet Kaur
Keyword(s):  
Pregnant Women ◽  
Postpartum Haemorrhage ◽  
Severe Anaemia ◽  
Maternal Outcome ◽  
Perinatal Morbidity ◽  
Maternal Complications ◽  
Abruptio Placentae ◽  
Low Socioeconomic ◽  
One Year ◽  
A Prospective Study

Background: Anaemia is the commonest medical disorder in pregnancy and severe anaemia is associated with poor maternal and perinatal outcome.Methods: The study was done to analyse the characteristics of hospitalized pregnant women with severe anaemia (Haemoglobin < 7gms %) at the time of delivery and to find out maternal outcome. It was a prospective study done at Rajindra hospital, Patiala, Punjab, India over a period of one year from February 2016 to January 2017.Results: Results were analysed; out of 3784 deliveries 210 (5.54%) cases were severely anaemic at the time of delivery. Out of 210 women with severe anaemia 184(87.6%) patients belonged to low socioeconomic category, 177 (84.2%) were unbooked cases, 152 (72.4%) cases from rural area and 119 (57.6%) cases were multi gravidas. The maternal complications were Pre-eclampsia and eclampsia (16.1%), intercurrent infections (3%), abruptio placentae (3.3%), heart failure (1.4%), preterm labours (42.8%), intrauterine deaths (10.9%) and postpartum haemorrhage (10.4%).Conclusions: Severe anaemia during pregnancy is associated with maternal and perinatal morbidity and mortality so effective preventive measures in the form of regular antenatal check-ups and iron supplementation will prevent complications of anaemia in pregnant women.

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