scholarly journals Analytical study of cause and risk factors of severe anemia in third trimester of pregnancy at tertiary care center

2018 ◽  
Vol 7 (10) ◽  
pp. 3975
Author(s):  
Juhi Agarwal ◽  
Archana Meravi ◽  
Poorva Badkur
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Tertiary Care ◽  
Early Marriage ◽  
Food Sources ◽  
Parasitic Infections ◽  
Third Trimester ◽  
Medical College ◽  
Gandhi Medical College ◽  
Prevalence Of Anemia

Background: Anemia during pregnancy is a global public health challenge facing the world today. Among the South Asian countries, WHO estimate that India has the highest prevalence of anemia in pregnancy. Prevalence of anemia in pregnant Indian women is 49.7%, against the global prevalence of 41.8% (WHO 2008). In India, the prevalence of anemia is high because of ignorance, poverty, fewer intakes of iron, folic acid and food sources and gender bias significantly contribute to this high prevalence. Hence, this study aims to identify the risk factors and red cell morphological pattern that contribute to the presence and severity of anemia among pregnant women at the Sultania Zanana hospital, Gandhi Medical College Bhopal.Methods: The present study was conducted in Department of Obstetrics and Gynaecology, Sultania Zanana Hospital, Gandhi Medical College, Bhopal, Madhya Pradesh, India. The study included all pregnant women at third trimester who was admitted at Sultania Zanana hospital, Bhopal from January 2016 to December 2016 having haemoglobin level < 7 gm /dl. This is a Hospital- based Observational study. The sample size was calculated to be 500.Results: The following conclusion were drawn from this study. Poverty, early marriage, multiparity, poor nutrition, parasitic infections and lack of antenatal visits and antenatal care due to illiteracy and ignorance are probably the most important features responsible for severity of anemia. Maximum patients of anemia were in the age group of 21-35 Years. The majority of patients (62.8%) were rural. Majority of cases (65.4) belongs to low-socioeconomic class followed by (29.8%) belongs to middle socio-economic category. Most of the patients were multigravida (68.6%) most of them came from poor and illiterate class of society (74.2%) followed by women less than 20-year-old (18.8%). Majority of patients had education level (43.0%) below 10th standard.Conclusions: This study was undertaken to find out the various risk factors that contribute to the severity of anemia.

scholarly journals Prevalence of anemia in pregnancy at booking: a retrospective study at a tertiary care centre in Lucknow India

2020 ◽  
Vol 9 (11) ◽  
pp. 4585
Author(s):  
Asma Nigar ◽  
Ausaf Ahmad
Keyword(s):  
Pregnant Women ◽  
Tertiary Care ◽  
Uttar Pradesh ◽  
Antenatal Clinic ◽  
Age Group ◽  
Third Trimester ◽  
Tertiary Care Centre ◽  
Anemia In Pregnancy ◽  
Prevalence Of Anemia ◽  
In Pregnancy

Background: Anemia in pregnancy is one of the most common nutritional deficiency disorders affecting the pregnant women in the developing countries. The aim of our study was to understand the prevalence of anemia among pregnant women, and factors associated with anemia.Methods: It was a retrospective record based study conducted in pregnant women, attending antenatal clinic and emergency in the Department of Obstetrics and Gynecology at Integral Institute of Medical Sciences and Research, Luck now, Uttar Pradesh, India. Data from 422 pregnant women regarding pregnancy were collected from 1st January 2018 to 30th June 2018 by referring the records.Results: Present study included 422 pregnant females in first, second and third trimester. In the present study, majority of the pregnant women belonged to the age group of 20-25 years (49.5%) followed by age group of 26-30 years (35.5%). The prevalence rate of anemia was found to be 57.6%, with moderate anemia being the most common (44.8%). Higher proportion of anemia was found in third trimester (75.3%) followed by second trimester (16.5%).Conclusions: High prevalence (57.6%) of anemia was observed in pregnant women. We are far away from achieving our target of Anemia Mukht Bharat by 2022. There is need to create awareness among females regarding ANC visits, birth spacing and iron and folic acid supplementation during pregnancy.

scholarly journals Prevalence of anemia and factors associated with pregnant women in West Sumatra, Indonesia: Findings from VDPM Cohort Study

2020 ◽  
Vol 7 (3) ◽  
pp. 97
Author(s):  
Arif Sabta Aji ◽  
Yusrawati Yusrawati ◽  
Safarina G Malik ◽  
Nur Indrawaty Lipoeto
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Vitamin D ◽  
Cohort Study ◽  
Pregnant Women ◽  
Pregnant Mother ◽  
Third Trimester ◽  
The Third ◽  
West Sumatra ◽  
Prevalence Of Anemia

<p>ABSTRAK</p><p><br /><strong>Latar belakang:</strong> Anemia kehamilan masih menjadi masalah kesehatan masyarakat di negara berkembang yang berkontribusi terhadap risiko tinggi komplikasi kehamilan. Indonesia sebagai negara berkembang memiliki risiko anemia yang lebih tinggi yang bisa disebabkan oleh kekurangan asupan zat gizi mikro, infeksi, atau faktor sosial-demografis lainnya.<br /><strong>Tujuan:</strong> Identifikasi prevalensi dan faktor risiko anemia pada ibu hamil yang tinggal di Sumatera Barat, Indonesia.<br /><strong>Metode</strong>: Penelitian ini adalah analisis data sekunder dari studi kohort prospektif yaitu "“Vitamin D Pregnant Mother (VDPM) di Sumatera Barat". Subyek ibu hamil trimester diperoleh dari Puskesmas di Provinsi Sumatera Barat. Waktu penelitian dilakukan pada Januari-Maret 2017. Data demografi, sosial ekonomi, antropometri, dan Riwayat kesehatan ibu diteliti. Regresi logistik biner multivariatdigunakan untuk menentukan faktor-faktor terkait anemia. Dalam semua kasus, nilai p kurang dari 0,05 dianggap signifikan secara statistik.<br /><strong>Hasil:</strong> 176 ibu hamil yang memenuhi kriteria inklusi diambil dalam penelitian ini. Prevalensi anemia ditemukan sebesar 61,90%. Rerata konsentrasi hemoglobin adalah 10,56 ± 1,41 g / dL. Prevalensi anemia sedang dan ringan masing-masing adalah 34% dan 27%. Status anemia ibu hamil trimester ketiga berhubungan dengan wanita yang memiliki &lt;upah minimum/bulan (AOR: 5.15; 95% CI: 1.30-20.47), pengetahuan gizi ibu yang rendah (AOR: 15.88; 95% CI: 3.82- 66.02), IMT sebelum kehamilan &lt;25 kg/m2 (AOR: 11.82; 95% CI: 2.70-51.69), dan tidak patuh konsumsi suplemen zat besi (AOR: 29.69; 95% CI: 6.58-133.91).<br /><strong>Kesimpulan:</strong> Terdapat masih tingginya prevalensi anemia pada wanita hamil di Sumatera Barat. Oleh karena itu, meningkatkan kesadaran akan suplementasi zat besi dan kesehatan yang berkaitan dengan nutrisi selama kehamilan perlu dipertimbangkan untuk meningkatkan status kesehatan ibu untuk mengurangi anemia. Namun, penelitian lebih lanjut diperlukan dengan ukuran sampel yang besar untuk mengkonfirmasi temuan ini.</p><p><strong>KATA KUNCI:</strong> anemia; faktor risiko; kehamilan; trimester ketiga; Sumatra Barat</p><p> </p><p><strong>ABSTRACT</strong></p><p><strong></strong><br /><strong>Background:</strong> Anemia during pregnancy remain to be a public health problem in developing countries which contributes to the high risk of adverse pregnancy outcomes. Indonesia as developing country has a higher risk of anemia that could be due to high of deficiencies of micronutrients intake, infection, or other socio-demographic factors.<br /><strong>Objectives:</strong> The aim of this study was to determine the prevalence and risk factors anemia among pregnant women living in West Sumatra, Indonesia.<br /><strong>Methods:</strong> The study is a secondary data analysis of prospective cohort study named “Vitamin D Pregnant Mother (VDPM) study in West Sumatra”. The third trimester pregnant women were enrolled from the public health centers in West Sumatra Province from January to March 2017. Structured questionnaires were used to collect data of demographic, socio-economic, anthropometry, and maternal health from all the study subjects. A multivariate binary logistic regression had been used to determine the associated factors of anemia. In all cases, P value less than 0.05 was considered statistically significant.<br /><strong>Results:</strong> 176 pregnant women who fulfilled the inclusion criteria were enrolled this study. The prevalence of anemia was 61.90%. The mean of hemoglobin concentration was 10.56±1.41 g/dL. Moderate and mild anemia prevalence were 34% and 27%, respectively. The third trimester of pregnant women anemia status were associated with women who had &lt;minimum wage/month (AOR: 5.15; 95%CI: 1.30-20.47), low-moderate maternal nutrition knowledge (AOR: 15.88; 95%CI: 3.82-66.02), pre-pregnancy BMI &lt;25 kg/m2 (AOR: 11.82; 95%CI: 2.70-51.69), and no adherence iron supplement intake status (AOR: 29.69; 95%CI: 6.58-133.91).<br /><strong>Conclusions:</strong> There was a high prevalence of anemia status in the third pregnant women in West Sumatra. Therefore, raise awareness of iron supplementation and health related to nutrition during pregnancy need to be considered to improve maternal health status to reduce anemia. However, further studies required with large sample size to confirm this finding.</p><p><strong>KEYWORDS:</strong> anemia; risk factors; third trimester; pregnancy; West Sumatra</p>

scholarly journals Prevalence and risk factors of anemia among pregnant women attending a high-volume tertiary care center for delivery

2015 ◽  
Vol 16 (4) ◽  
pp. 231-236 ◽  
Author(s):  
Cuneyt Eftal Taner ◽  
Atalay Ekin ◽  
Ulas Solmaz ◽  
Cenk Gezer ◽  
Birgul Cetin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Care Center ◽  
Tertiary Care ◽  
High Volume ◽  
Tertiary Care Center

scholarly journals Clinical and Etiological Profile of Mycotic Keratitis from a Tertiary Care Centre in South India

2021 ◽  
Vol 10 (27) ◽  
pp. 2001-2006
Author(s):  
John Britto Augustin ◽  
Sureshbaboo Variamkandi
Keyword(s):  
Risk Factors ◽  
Corneal Ulcer ◽  
Fusarium Species ◽  
Tertiary Care ◽  
Government Medical College ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Medical College ◽  
Corneal Ulcers ◽  
Prompt Treatment

BACKGROUND Corneal ulcer is the leading cause of ocular morbidity and monocular blindness worldwide. To effectively prevent blindness in patients with corneal ulcer, a proper understanding of the risk factors predisposing to ulceration, its clinical and microbiological characteristics are essential. Timely identification of aetiological agents causing corneal ulcers and their prompt treatment helps to save the vision. We wanted to detect aetiological agents of corneal ulcer with special references to fungal causes and characterize the fungal aetiological agents to species level. METHODS This is a cross sectional study, conducted in Government Medical college, Kozhikode, between January 2016 and June 2017. All patients who were clinically diagnosed as cases of infectious corneal ulcer in the Ophthalmology department, Government Medical College, Kozhikode were included in the study. Corneal scrapings collected from the infected eye were subjected to microbiological examination and culture. A total of 120 cases were analysed. Each patient was examined with the slit lamp bio microscope after staining with fluorescein. Scrapings from cornea at the site of corneal ulcer were collected by ophthalmologist after a detailed clinical history and examination of the affected eye. The laboratory procedures used in the diagnosis of infectious keratitis were based on direct visualization of organisms by subjecting corneal scrapings to Gram stain and KOH wet mount and inoculation of material on to blood agar and Sabouraud dextrose agar. RESULTS Among the 120 cases, a total of 49 cases were culture positive. Twenty-one [17.5 %] were bacterial, twenty-two [18.34 %] were fungal and six [5.0 %] were poly microbial [bacteria and fungus]. Among the fungal aetiology, fusarium species was most common [32.14 %], followed by aspergillus species - 25.0 %. Trauma was the major risk factor. Diabetes mellitus, exposure keratitis were the other comorbidities / risk factors. CONCLUSIONS This study shows majority of infected corneal ulcers are associated with risk factors and the aetiology are mainly fungi. Microscopy, culture, and clinical correlation helped in adequate management. Thus, prognosis and outcome of corneal ulcers rely on timely identification of their aetiology and prompt treatment. KEY WORDS Corneal ulcer, Fungal Keratitis

scholarly journals Study of aetiology and clinical spectrum of patients with acute undifferentiated fever, in a tertiary care setting: a descriptive cross-sectional study

2021 ◽  
Vol 8 (10) ◽  
pp. 1566
Author(s):  
Vinay Jishtu ◽  
Pramod K. Jaret ◽  
Prem Chand Machhan ◽  
Nidhi Chauhan
Keyword(s):  
Tertiary Care ◽  
Febrile Illness ◽  
Cross Sectional Study ◽  
Clinical Spectrum ◽  
Sectional Study ◽  
Hospital Data ◽  
Cross Sectional ◽  
Medical College ◽  
Gandhi Medical College ◽  
Study Participants

Background: Acute undifferentiated fever illness (AUFI) is a common cause of morbidity and mortality in developing countries, owing to its non-specific features. The aim of the study was to delineate the causes and clinical parameters associated with AUFI.Methods: A cross-sectional study was done among 156 patients of AUFI, admitted in the Department of Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India, from November 2018 to October 2019.Results: The mean age of the study participants was 37.37±14.2 years. The study participants admitted for acute undifferentiated febrile illness had fever with mean duration of 8.38±3.7 days before hospitalization. The most common aetiology of AUFI was found to be enteric fever (44%), followed by scrub typhus (35%). The majority of the cases presented from the month of September to December.Conclusions: The aetiology and clinical spectrum of AUFI is wide and variable. To outline a proper algorithm to contain it, meticulous analysis of the hospital data at each level is necessary.

scholarly journals Knowledge and attitude towards the practice of temporary contraceptive methods among pregnant women attending a teaching hospital in Puducherry

2020 ◽  
Vol 9 (12) ◽  
pp. 4845
Author(s):  
Ananthi Kasinathan ◽  
Himabindu Nagulapally
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
Contraceptive Methods ◽  
Cross Sectional ◽  
Medical College ◽  
National Family Planning ◽  
The Media ◽  
Knowledge And Attitude ◽  
The Government ◽  
Gandhi Medical College

Background: Knowledge and access to contraception is the basic right of every woman. This is one of the goals of National family planning programme. This study gauges the knowledge of antenatal women about temporary contraceptive methods available in our outpatient department and their attitude towards its practice.Methods: This is a descriptive cross-sectional study carried out at Indira Gandhi medical college and research institute, Puducherry, between March 2019 to May 2019. 270 pregnant women were chosen and with their consent, using a predesigned questionnaire, their awareness regarding contraception was assessed. Then each participant was counselled regarding the various methods and their attitude towards choosing a temporary contraceptive method was assessed using a questionnaire. The data was entered in SPSS software and analyzed.Results: In this study, 88.8% belonged to 20-30 years, 77% had received school education and 80.3% were home makers. 72.9% were primigravidas. 55.8% of primis and 95.8% of multis knew about spacing. In primis, 67.5% knew about IUCDs. In multis, 95.8% knew about condoms. Knowledge of depo provera was poor. The most preferred contraceptive was condom followed by CuT and pills.Conclusions: This study shows that it is important to create awareness about temporary contraceptive methods and its free availability in the hospitals. Further pregnant women need to be given more information about oral pills, emergency and injectable contraceptive methods. The Government has to work in unison with hospitals and its staff along with the media to achieve this goal.

scholarly journals Maternal Attitude and Knowledge towards Modes of Delivery

2018 ◽  
Vol 16 (2) ◽  
pp. 209-214
Author(s):  
Anshumala Joshi ◽  
Meeta Thapa ◽  
Om Biju Panta
Keyword(s):  
Pregnant Women ◽  
Vaginal Delivery ◽  
Caesarean Delivery ◽  
Care Center ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
College Teaching ◽  
Cross Sectional ◽  
Medical College ◽  
Acceptable Method

Background: Whether a mother should be allowed to choose between the modes of delivery is a matter of concern among practicing obstetricians. This study aims to explore the knowledge of the Nepalese women attending a tertiary care center about the benefits and complications of vaginal and caesarean delivery and their attitude and preference for the method of delivery.Methods: The study was a hospital based cross sectional questionnaire survey conducted in Nepal Medical College teaching Hospital, Jorpati from 1stShrawan 2074 to 31st Ashoj 2074. All pregnant women who were 36 weeks or more in gestation attending the clinic during the study period were included in the study. A questionnaire was made of 10 questions for knowledge assessment regarding mode of delivery consisting of the indications, the possible complications and advantages of vaginal and caesarean delivery. Results: A total of 256 pregnant women participated in the study. The knowledge of the mode of delivery, their benefit and complications was medium to good in approximately 90% of the mothers attending the antenatal OPD. Overall attitude for vaginal delivery was positive in 93% of women and negative or neutral in 6.6%.Overall attitude for caesarean delivery was positive in 24% and negative or neutral in 75.8%.Conclusions: Women in our setup agree that vaginal delivery is a natural and acceptable method of delivery and would prefer to have a vaginal delivery. Keywords: Attitude; knowledge; modes of delivery; women.

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.

scholarly journals Studies on Serum Total Cholesterol, in Second and Third Trimester of Pregnancy

1970 ◽  
Vol 1 ◽  
pp. 1-4 ◽  
Author(s):  
F Husain ◽  
SA Latif ◽  
MM Uddin
Keyword(s):  
Pregnant Women ◽  
Total Cholesterol ◽  
Serum Total Cholesterol ◽  
Reproductive Age ◽  
Control Group ◽  
Serum Concentrations ◽  
Third Trimester ◽  
Medical College ◽  
Unpaired Student

Study was carried out in the department of physiology, Mymensingh Medical College, Mymensingh, Bangladesh during the period of July 2006 to June 2007 to investigate the effect of pregnancy on serum total cholesterol. The serum concentrations of total cholesterol was measured in 100 cases of 2nd and 3rd trimester of pregnancy and in a control group of 100 cases of non pregnant women which was matched on reproductive age. Data were analyzed by computer with SPSS program using unpaired student‘t’ test. The results showed that the pregnant women had significantly higher concentrations of serum total cholesterol. Higher concentration of total cholesterol was more common in pregnant than control and reaching maximum at 3rd trimester of pregnancy. This may be a purely physiological response to pregnancy or it may be indicative of pathology in some women. These results deserve a follow up study to investigative whether the hypercholesterolemia persists after parturition. Key Words: Total cholesterol, pregnancy, parturition, hypercholesterolemia J Bangladesh Soc Physiol. 2006 Dec;(1):1-4.

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