scholarly journals Impact of oligohydramnios on maternal and perinatal outcome: a comparative study

2018 ◽  
Vol 7 (8) ◽  
pp. 3205
Author(s):  
Sreelakshmi U. ◽  
Tushara Bindu ◽  
Subhashini T.
Keyword(s):  
Early Detection ◽  
Intrauterine Growth Restriction ◽  
Perinatal Outcome ◽  
Control Group ◽  
Study Group ◽  
Amniotic Fluid Index ◽  
Appropriate Treatment ◽  
Umbilical Artery Doppler ◽  
And Control ◽  
The Impact

Background: Oligohydramnios has got significant impact on perinatal outcome and maternal morbidity. Therefore, early detection and its management will help in reduction of perinatal morbidity and mortality, decreased operative interventions. Hence, the present study is undertaken to study the impact of oligohydromnios on perinatal-maternal outcome.Methods: The present study was prospective comparative observational study conducted in the Department of Obstetrics and Gynaecology, Mallareddy Narayana Multispecialty Hospital, reputed teaching hospital from January 2015 to August 2017. The women were divided into study and control groups based on AFI, 100 cases were selected in each group.Results: Out of the 200 women, included in the present study, in study group AFI <5 cm was present in 51% of patients and AFI 5-8 cm in 49% of patients. Doppler abnormalities found in study group (n = 33). 32% of the patients in study group had non-reactive NST while in control group 8%. Caesarean section was performed in 70% of cases in study group as compared to 9% in control group. Foetal distress was the most common indication for LSCS. There were no perinatal deaths in this study.Conclusions: In this study amniotic fluid index of ≤5 cm was commonly associated with increased cesarean section rates, intrauterine growth restriction, Non-reactive NST and abnormal umbilical artery Doppler velocimetry studies. Hence, every case of oligohydramnios needs to be evaluated carefully, early detection and initiation of appropriate treatment and treat the cause if possible.

scholarly journals Study of effects of oligohydramnios on perinatal outcome

2020 ◽  
Vol 9 (6) ◽  
pp. 2525
Author(s):  
Aashka M. Mashkaria ◽  
Babulal S. Patel ◽  
Akshay C. Shah ◽  
Shashwat K. Jani ◽  
Vismay B. Patel ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Amniotic Fluid ◽  
Perinatal Outcome ◽  
Stress Test ◽  
Fetal Distress ◽  
Control Group ◽  
Study Group ◽  
Amniotic Fluid Index ◽  
Lower Segment Caesarean Section ◽  
And Control

Background: Oligohydramnios has got a noteworthy influence on perinatal outcome. Hence, early detection and its timely management will aid in curtailing of perinatal morbidity and mortality and leading to decreased operative interventions. Therefore, the present study is conducted to look for the effects of oligohydramnios.Methods: This comparative study was a prospective observational study conducted at study institution. The women were divided into study and control groups based on AFI (amniotic fluid index), 100 cases were selected in each group.Results: Out of the 200 women, included in the present study, 35% of the patients in the study group had non-reactive non-stress test (NST) while in the control group 7% had it. Caesarean section was performed in 58% of cases in the study group as compared to 30% in the control group. Amongst these, Fetal distress was the most common indication for LSCS (lower segment caesarean section). There were no perinatal deaths in this study.Conclusions: Based on this study it has been observed that, amniotic fluid index of ≤5 cm was commonly associated with increased LSCS rates, intrauterine growth restriction, non-reactive NST, and abnormal Doppler velocimetry studies. Therefore, every case of oligohydramnios requires to be assessed meticulously. Prompt detection; timely management and treating the underlying condition improve outcome.

scholarly journals The Incidence, Predisposing Factors, Complications and Outcome of Preeclampsia in Diabetic Pregnancy

2012 ◽  
Vol 1 (1) ◽  
pp. 10-14 ◽  
Author(s):  
S Jesmin ◽  
S Jahan ◽  
MI Khan ◽  
N Sultana ◽  
J Jerin ◽  
...  
Keyword(s):  
Perinatal Outcome ◽  
Predisposing Factors ◽  
Diabetic Pregnancy ◽  
Control Group ◽  
Case Group ◽  
Study Group ◽  
Intrauterine Death ◽  
And Control ◽  
The Impact ◽  
Pregnant Diabetic

Introduction: Preeclampsia is a serious complication of pregnancy and common cause of fetal and maternal morbidity as well as mortality worldwide. In diabetic women, the chance of preeclampsia is increased. The incidence of preeclampsia in diabetic pregnancy is approximately 10 to 15 percent, which is associated with poor glycaemic control. Aim: This study was carried out to find the predisposing factors related to preeclampsia and determine the complications of preeclampsia in diabetic pregnancy and also the impact of preeclampsia in infants born to diabetic mothers. Methods: This prospective study was carried out at the Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM), Dhaka. The Patient population consisted of 80 diabetic pregnant women who attended or admitted to BIRDEM hospital during the study period. The women were divided into groups: 50 pregnant diabetic women with preeclampsia were taken as case. 30 pregnant diabetic women without preeclampsia were taken as control. Diagnosis of preeclampsia was made on the basis of the criteria of the Committee on Terminology of the American College of Obstetrician and Gynecologist. Results: Preterm delivery (<37 weeks gestation) was higher among study group (64%) compared to control (33.3%) women. Term delivery was 36.0 vs 66.7 percent among case and control women, respectively. The distribution is statistically significant (P<0.01). 35 percent of Caesarean section was done due to fetal distress in the study group and in control group it was 20 percent. In study group, 22.5 percent Caesarean sections were done due to impending eclampsia and eclampsia, 705 percent due to accidental haemorrhage and 5 percent due to IUGR. Maternal complication in study and control subjects. In the case group, maximum number of the women (16%) showed signs of impending eclampsia, while among control women, maximum number (10%) developed postpartum haemorrhage (PPH). 48 percent neonates were of low birth weight and in controls it was 13.3 percent. Both hyperbilirubinaemia (40%) and hypoglycaemia (30%) were more in study group than controls (16.66% and 20%, respectively). Perinatal outcome among study group and controls. Neonatal survival was 82.0 percent in study group and 86.7 percent in control group. Comparison of Perinatal outcome between the groups is not statistically significant. Most of the perinatal mortality was due to prematurity (8%) and intrauterine death (6%). In control group, most of the perinatal deaths were due to congenital anomalies (6.6%). Conclusion: The higher incidence among study group may be, in part, the result of more preterm birth or shortened gestational duration because early delivery is a consequence of preeclampsia. The higher rate in associated with preeclampsia was due to increased incidence of IUD and prematurity. DOI: http://dx.doi.org/10.3329/birdem.v1i1.12379 Birdem Med J 2011; 1(1): 10-14

IMPACT OF ZINC SUPPLEMENTATION ON MORBIDITY FROM DIARRHEA NAD ACUTE RESPIRATORY INFECTIONS AMONG MALNOURISHED CHILDREN AGED UNDER 5 YEARS AT HUONG HO COMMUNNE, HUONG TRA DISTRICT, THUA THIEN HUE PROVINCE

2011 ◽  
pp. 91-98
Author(s):  
Thu Cu Nguyen
Keyword(s):  
Respiratory Infection ◽  
Acute Respiratory Infection ◽  
Respiratory Infections ◽  
Control Group ◽  
Study Group ◽  
Study Methods ◽  
Zinc Supplement ◽  
And Control ◽  
The Impact ◽  
Children Under 5

Tittle: study the impact of Zinc supplement on acute respiratory infection and diarrhea in children under 5 yrs at Huong ho commune, Huong tra district, Thua Thien Hue province. Background: diarhea and pneumonia are two common diseases in malnutrition children. The studies showed that zinc is a microsubstance to improve the immune capacicty of children. Many studies showed that malnutrition children gone with zinc deficiency. The study is aim to assess the impact of zinc supplement on malnutrition children with diarrhea and acute respiratory infection (ARI). Population and study methods: Population: 129 malnutrition children under 5 yrs living at Huong ho commune, Huong tra district, Thua Thien Hue province. Study methods: intervene at community with control group. 2 groups of children have the similarity of age, sex, level of malnutrition, avarage weight. Study group: supplement with Zinc 10 mg/day x 30 days. Control group: no zinc supplement. Both groups were followed up about diarrhea and ARI every week in 6 months. Result: In 6 months, there was 24,6% of children in study group has the diseases while in control group was 43,7% (p<0,05). Avarage time of diarrhea per period in study group was shorter significantly than in control group (4,1±0,8 vs 6,0±1,4) (p<0,01). There was no diferrence in average diarrhea period, incidence of diarrhea between study group and control group. There still did not find out the difference in ARI period, incidence of ARI between study group and control group. Conclusion: Zinc supplement for malnutrition children is to reduce the general acquired rate of diarrhea and ARI, especially to reduce the time of diarrhea period. This study did not find out the improvement of acquired ARI in study group with zince supplement. Keywords: Malnutrition, zinc, diarrhea

scholarly journals Study of role of Magnesium sulfate in prevention of eclampsia

2017 ◽  
Vol 6 (12) ◽  
pp. 5497
Author(s):  
Srinivas N. Gadappa ◽  
Pratibha Dixit
Keyword(s):  
Magnesium Sulfate ◽  
Disease Progression ◽  
Perinatal Outcome ◽  
Severe Preeclampsia ◽  
Control Group ◽  
Study Group ◽  
Severity Of Disease ◽  
Drug Of Choice ◽  
Significant Difference ◽  
And Control

Background: Hypertensive disorders of pregnancy have a clinical spectrum ranging from non-severe to severe preeclampsia and then potentially to eclampsia. Magnesium sulfate is drug of choice for women with eclampsia and now adapted for prophylaxis of seizures in women with preeclampsia.Methods: It is randomized clinical trial, including 876 patients with preeclampsia fulfilling inclusion criteria. Patients with severe preeclampsia received anticonvulsant prophylaxis with magnesium sulfate. Patients with non-severe preeclampsia were randomized in two groups study group and control group. Patients in study group had received anticonvulsant prophylaxis with magnesium sulfate. The data obtained was analyzed with respect to maternal and perinatal outcome, severity of disease progression and adverse reactions of magnesium sulphate in each group.Results: In this study statistically, significant difference was seen with respect to severity of disease progression and incidence of eclampsia among study and control group.Conclusions: Administration of Magnesium sulfate in patients with non-severe preeclampsia does not affect the progress of labour or perinatal outcome, on contrary it improves maternal outcome by reducing incidence of eclampsia and progression of disease, without significant side effect of drug. 

scholarly journals The association between isolated oligohydramnios at term and pregnancy outcome and perinatal outcome in case of isolated oligohydramnosis: a retrospective analysis

2021 ◽  
Vol 11 (1) ◽  
pp. 136
Author(s):  
Vijay M. Kansara ◽  
Kunal D. Kadakar ◽  
Akash S. Chikani ◽  
Pinal A. Pateliya
Keyword(s):  
Amniotic Fluid ◽  
Perinatal Outcome ◽  
Mode Of Delivery ◽  
Perinatal Outcomes ◽  
Labour Induction ◽  
Control Group ◽  
Amniotic Fluid Index ◽  
Observational Cohort ◽  
Adverse Perinatal Outcomes ◽  
The Impact

Background: Current study was carried out to assess the impact of isolated oligohydramnios on perinatal outcomes and mode of delivery.Methods: A retrospective observational cohort study was conducted at term pregnancy with sonographic finding of isolated oligohydramnios (AFI <5 cm) were recruited for the study. Uterine anomaly and high risk pregnancies were excluded from the study. The mode of delivery and perinatal outcome were compared with control group of pregnancy with normal amniotic fluid (AFI >5-25 cm).Results: When compared to the normal AFI, women with oligohydramnios had significantly lower birth weight babies and were delivered at a significantly earlier gestational age. However there was no difference in the APGAR scores at birth and NICU admissions between the two groups. Reactive NST had more chances of good APGAR score at 1 and 5 minute and that lower the AFI more the probability of nonreactive NST and abnormal Doppler. The number of inductions and caesareans done for foetal reasons were significantly higher in the exposed group.Conclusions: Obstetric and perinatal outcome remains similar in both isolated oligohydramnios with reactive NST as well as in patients with normal amniotic fluid index. Isolated oligohydramnios is not associated with adverse perinatal outcomes. However, it increases the risk for labour induction and caesarean section.

scholarly journals A study of post-dated pregnancy with special reference to maternal and perinatal outcome in nulliparous women

2020 ◽  
Vol 9 (11) ◽  
pp. 4574
Author(s):  
Shreyasi Karmakar ◽  
Sabyasachi Bid ◽  
Tapan Kumar Maiti
Keyword(s):  
Birth Weight ◽  
Caesarean Section ◽  
Perinatal Outcome ◽  
Mode Of Delivery ◽  
Fetal Distress ◽  
Induction Of Labour ◽  
Control Group ◽  
Study Group ◽  
Nulliparous Women ◽  
And Control

Background: The study was aimed to determine the mode of delivery, maternal outcome and perinatal outcome in prolonged pregnancy.Methods: It was a prospective observational study. Uncomplicated nulliparous singleton pregnancies who have completed 37 weeks of gestation were included in the study. Inclusion and exclusion criteria were strictly followed. Total 200 cases were divided into study group and control group. Those who have crossed their Estimated date of delivery (EDD) were compared with term pregnancies (not crossed their EDD).Results: The study group and control group consist of 114 and 86 women respectively. The incidence of caesarean section (64.04%), induction of labour (50.88%) is significantly higher in the study group. It also shows that the occurrence of caesarean section (63.79%) is more in post-dated pregnant women who underwent induction of labour. The most common indication for caesarean section was fetal distress in both groups. The commonest maternal complication was prolonged labour and perinatal complication was fetal distress in both groups. The incidence of low birth weight was significantly less in post-dated pregnancy.Conclusions: Our study suggests that the incidence of induction of labour and caesarean section is significantly higher in post-dated pregnancy. Although the mean birth weight baby is more in them, a definite policy should be recommended for optimum timing of intervention to avoid maternal and perinatal complications.

scholarly journals Isolated oligohydramnios: effects on obstetric and perinatal outcome

2018 ◽  
Vol 7 (2) ◽  
pp. 635
Author(s):  
Ashwini Vishalakshi L. ◽  
Reddi Rani P.
Keyword(s):  
Caesarean Section ◽  
Perinatal Outcome ◽  
Mode Of Delivery ◽  
Perinatal Outcomes ◽  
Controlled Study ◽  
Control Group ◽  
Study Group ◽  
Significant Difference ◽  
Nicu Admission ◽  
And Control

Background: Outcome of oligohydramnios has been studied at a large. Varying results have been projected in each study. This study has been done to establish the obstetric and perinatal outcome in pregnancy associated with oligohydramnios as compared to women with normal liquor.Methods: This was a prospective case controlled study done which included 100 women with oligohydramnios who were compared with 100 women with normal liquor. Maternal and perinatal outcome was compared between the two groups.Results: There was a significant difference in the obstetric and perinatal outcomes among the study and control groups. Significant variation was seen in the obstetric outcome with regards to the incidence of induction of labor and mode of delivery (by caesarean section). Both were increased among the study group as compared to the control group. CTG changes, meconium stained liquor, neonatal admissions and observations were more among the study group as compared to control group.Conclusions: Athough there is an increased rate of caesarean section, NICU admission and observation, thick meconium stained liquor and NST changes there is no significant increase in the perinatal morbidity and mortality.

scholarly journals Model Self Management Education (SME) Dalam Meningkatkan Kemampuan Deteksi Dini Hipoglikemia Pada Diabetesi Di RSUD Dr Moewardi Surakarta

2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Siti Lestari ◽  
Tri Sunaryo
Keyword(s):  
Early Detection ◽  
Management Education ◽  
Self Management ◽  
Control Group ◽  
P Value ◽  
Patients With Diabetes ◽  
Long Time ◽  
Quasi Experimental ◽  
And Control ◽  
The Impact

Abstract: Self-Management Education, Hypoglycemia. Diabetes Mellitus is a metabolic disease that needs attention and care for a long time in order to prevent complications. People with DM must have good knowledge, skill, and behavior so they can manage their life by themselves. Research showed that 50–80%, people with DM have not enough knowledge to manage their disease. Through the self-management, people with diabetes can improve their competence in early detection of hypoglycemia so it would increase the quality of life and reduce the risk of developing complications. The purpose of this study was to investigate the impact of diabetes self-management education toward early detection of hypoglycemia among patients with diabetes. A quasi-experimental pre and post design with a control group was used to investigate the impact of using education on self-management. The participants were 40 that divided into intervention and control group. Purposive sampling was used to take the samples. T-Test was used to analyze the data. The competence of diabetes in early detection of hypoglycemia was an increase, from 6,1 with SD 13.7 to 71,7 with SD 19.2. Then, the model of Self Management education influenced the competence of people with diabetes in the early detection of hypoglycemia, P value 0,011 (α = 0,05). The findings demonstrate that self-management education could improve the competence of diabetes in the early detection of hypoglycemia.

scholarly journals Study of amniotic fluid and its co-relation with pregnancy outcome in high risk pregnancies

2017 ◽  
Vol 6 (3) ◽  
pp. 819
Author(s):  
Shazia Rashid ◽  
Shivani Abrol ◽  
Farhat Jabeen ◽  
Perveen Fareed
Keyword(s):  
High Risk ◽  
Caesarean Section ◽  
Amniotic Fluid ◽  
Perinatal Outcome ◽  
Control Group ◽  
Study Group ◽  
Amniotic Fluid Index ◽  
High Risk Patients ◽  
Adverse Perinatal Outcome ◽  
Risk Patients

Background: Amniotic fluid is an important part of pregnancy sac and helps in fetal development. There is a consistent association between low AFI and conditions like pregnancy induced hypertension, postdated pregnancy and IUGR resulting in poor fetal outcome. In fact, high risk patients with low amniotic fluid index need to deliver quickly. So, an assessment of amniotic fluid volume has become an important component of antenatal testing for the high risk pregnancy. The objective was to study the correlation between Amniotic fluid index less than 5 cm (AFI˂5) and adverse perinatal outcome in high risk pregnancies.Methods: It was a hospital based prospective, comparative study. 150 high risk patients were selected from inpatient department of obstetrics and Gynecology Government Medical College Srinagar, Jammu and Kashmir, India over a period of one and half year. High risk pregnancies belonging to study group with AFI˂5 were demographically matched with high risk pregnancies with AFI >5 serving as comparison group. Perinatal outcome, rate of caesarean section and early intervention need were compared between the two groups.Results: 77.3% women in study group underwent caesarean section as compared to 28% in control group to prevent adverse perinatal outcome. 60% babies in study group had APGAR score less than 6 at 1 minute compared to only 8% in control group. 61.4% babies in study group needed NICU admission compared to 10.7% in study group.Conclusions: AFI is predictor of adverse outcome for high risk pregnancies. The early recognition alerts an obstetrician to prevent perinatal catastrophe if timely intervention is done along with antepartum and intrapartum fetal monitoring.

scholarly journals How Did Prenatal Education Impact Women’s Perception of Pregnancy and Postnatal Life in a Romanian Population

Medicina ◽  
2021 ◽  
Vol 57 (6) ◽  
pp. 581
Author(s):  
Anca Maria Balasoiu ◽  
Octavian Gabriel Olaru ◽  
Romina Marina Sima ◽  
Liana Ples
Keyword(s):  
Prenatal Care ◽  
Newborn Care ◽  
Control Group ◽  
Postnatal Life ◽  
Study Group ◽  
Prenatal Education ◽  
Questionnaire Online ◽  
A Prospective Study ◽  
The Impact ◽  
Official Information

Background and Objectives: Prenatal education represents an important part of maternal prenatal care in Western countries. In Romania, prenatal education is of recent interest but there is no official information about prenatal courses and their impact on prenatal care and patients in Romania. Material and methods: A prospective study based on the STROBE statement was designed in order to assess the prenatal education delivered in our unit. The study group included women who gave birth at Bucur Maternity, “Saint. John” Hospital, Bucharest, Romania and attended the prenatal courses, compared with a control group (women who gave birth in our unit but did not attend the prenatal lecture). Patients’ perception about the impact of prenatal education was collected by applying a questionnaire. Results: The analysis included 89 women who fulfilled the questionnaire online. In our study, 62 women (69.7%) attended the prenatal education classes and represented the study group while 27 women (30.3%) constituted the control group. Women who attended the prenatal lecture recognized the utility of the topic regarding newborn care (90.3%), while women from the control group did not consider it useful (n = 55.6%), χ2 = 18.412, p < 0.001. Patients from the study group admitted the importance of the topics (93.5%) from the lectures about breast feeding, while the percentage of these women from the control group is significantly lower (55.6%) χ2 = 27.867, p < 0.001. Conclusions: The benefits of prenatal education were recognized by women who attended the prenatal lecture, while women who did not participate underestimated the utility of the topics. Further actions are required to inform mothers about the necessity of antenatal education.

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