Pregnancy outcome in women with previous preeclampsia versus women normotensive in previous pregnancy

Background: Women with history of preeclampsia have reportedly higher risk of development of preeclampsia in subsequent pregnancies, along with other adverse pregnancy outcomes. Authors aimed to study the incidence of recurrent preeclampsia and compare the pregnancy outcome in women with history of preeclampsia in previous pregnancy with those who were normotensive in previous pregnancy and further compare outcomes in women with recurrent preeclampsia between their previous and index pregnancy.Methods: Pregnancy outcome was studied in women with preeclampsia in previous pregnancy (cases) and compared with women normotensive in previous pregnancy (controls). Further analysis of cases was done by dividing them into subgroups: those with recurrent preeclampsia in index pregnancy (A1) and those normotensive in index pregnancy despite being pre-eclamptic in previous pregnancy (A2). Total 100 cases and 100 controls were enrolled in the study, which was conducted at present tertiary care centre from January 2012 to June 2013.Results: Out of total 200 participants (100 cases, 100 controls) enrolled in the study; 58 out of 100 cases had recurrent preeclampsia and remaining 42 remained normo-tensive in index pregnancy. Among 100 controls, 93 were normotensive in index pregnancy.Conclusions: Women with history of preeclampsia in previous pregnancy had adverse maternal and perinatal outcome in subsequent pregnancy when compared to the women who were normotensive in the previous pregnancy. But when compared with their own previous preeclamptic pregnancy, they had better pregnancy outcome with good perinatal outcome in their index pregnancy.

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Study to assess the prevalence of antiphospholipid syndrome (APS) among women with adverse pregnancy outcome in a tertiary care centre

Obsgyne Review: Journal of Obstetric and Gynecology ◽

10.17511/joog.2016.i02.02 ◽

2016 ◽

Vol 2 (2) ◽

pp. 3-7

Author(s):

Ajitha Ravindran R K ◽

◽

Dr. Jayshree V Vaman ◽

Dr. Nirmala C ◽

Dr. Sujatha T L ◽

...

Keyword(s):

Pregnancy Outcome ◽

Antiphospholipid Syndrome ◽

Adverse Pregnancy Outcome ◽

Tertiary Care ◽

Care Centre ◽

Tertiary Care Centre ◽

Adverse Pregnancy

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Risk factor and perinatal outcome of preterm delivery in a tertiary care centre in rural Haryana

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20204311 ◽

2020 ◽

Vol 9 (10) ◽

pp. 4187

Author(s):

Sunaina Singla ◽

Banashree Das

Keyword(s):

Risk Factors ◽

Risk Factor ◽

Preterm Delivery ◽

Perinatal Outcome ◽

Neonatal Intensive Care ◽

Tertiary Care ◽

Preterm Births ◽

Care Centre ◽

Tertiary Care Centre ◽

History Of

Background: Aim of the study was to identify risk factors and to assess neonatal mortality and morbidity associated with preterm delivery in patient attending a tertiary care centre in rural Haryana.Methods: This retrospective cohort study was conducted in Shree Guru Gobind Singh Tricentenary Medical College, over a period of one year (January to December). All pre-term deliveries were included in the study. They were followed up from admission till delivery and till discharge from hospital. Various, parameters like maternal age, associated medical disorder, obstetric complications, gestational age, neonatal mortality, need of neonatal intensive care and condition of baby at discharge were analyzed.Results: In the present study, incidence of preterm deliveries was 16.1%. The most common risk factor found to be history of previous abortion (23.6%), preterm premature rupture of membrane (17.1%), Intra-uterine growth restriction (IUGR) with oligohydramnios (10.5%), hypertensive disorder during pregnancy (5.9%), and antepartum hemorrhage (4.6%). But majority of the patient (56.5%) no cause could be identify. Out of total 160 preterm births 3 were still born and 157 live preterm births, and out of which total Neonatal intensive care (NICU) admission were 60. Mortality rate was 100% in neonate weighing less than 1000 gm and 18% in babies weighing less than 2000 gm.Conclusions: The commonest risk factor for preterm delivery is previous history of abortion and adverse perinatal outcome is inversely proportionate to the period of gestation at the time of delivery. All efforts should be made to prolong the pregnancy beyond 34 weeks by identifying and actively managing the risk factors for better neonatal outcome.

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MATERNAL AND PERINATAL OUTCOME IN PREECLAMPSIA AT A TERTIARY CARE CENTRE VIJAYAWADA, ANDHRA PRADESH, INDIA

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2017/1430 ◽

2017 ◽

Vol 6 (92) ◽

pp. 6598-6601

Author(s):

Potharaju Jayanthi ◽

Prasad Usha

Keyword(s):

Perinatal Outcome ◽

Andhra Pradesh ◽

Tertiary Care ◽

Care Centre ◽

Tertiary Care Centre

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EVALUATION OF DIFFERENT MODES OF DIAGNOSIS OF FOETAL DISTRESS AND EARLY PERINATAL OUTCOME IN A TERTIARY CARE CENTRE, SOUTH KERALA

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2018/547 ◽

2018 ◽

Vol 5 (37) ◽

pp. 2665-2668

Author(s):

Kitty Elizabeth Mammen ◽

Heera Shenoy T

Keyword(s):

Perinatal Outcome ◽

Tertiary Care ◽

Care Centre ◽

Foetal Distress ◽

Tertiary Care Centre

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Incidence of steroid modified tinea in tertiary care centre Lucknow

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20184465 ◽

2018 ◽

Vol 4 (4) ◽

pp. 579

Author(s):

Savita Chaudhary ◽

Priyanka Shukla ◽

Khushboo Gupta ◽

Gaurav Paliwal

Keyword(s):

Tertiary Care ◽

Common Species ◽

Topical Steroids ◽

Age Group ◽

Care Centre ◽

Tertiary Care Centre ◽

Detailed History ◽

Microbiological Profile ◽

History Of ◽

Common Variety

Background: Rampant use and abuse of topical steroids has led to increase in number of cases of superficial dermatophytosis of skin, nail and hair. In most of the cases they are resistant to topical as well as oral antifungals even after prolong course of treatment. Our study aims to analyse epidemiological and microbiological profile of steroid modified tinea (SMT).Methods: Clinically diagnosed tinea patients with history of usage of topical steroids were included in our study. Detailed history was taken and clinical examination along with KOH mount and culture was done.Results: 980 patients were screened of which 550 patients with history of using topical steroids were included in our study. Most common age group was 20 to 29 years with male: female of ratio approximately 3:1 and disseminated form was the most common variety. KOH mount was positive in 76% cases and culture was positive in 72% cases. Most common species came out to be T. Mentagrophytes followed by T. rubrum. Among non-dermatophyte group, Candida was the commonest.Conclusions: There is rise in incidence of dermatophytosis, especially steroid modified one and cases of disseminated tinea are rising.

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Effect of treatment on the quality of life of cervical cancer patients: a prospective study from a tertiary care centre of West Bengal

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20195871 ◽

2019 ◽

Vol 7 (1) ◽

pp. 300

Author(s):

Manisha Sarkar

Keyword(s):

Quality Of Life ◽

Cervical Cancer ◽

Cancer Patients ◽

West Bengal ◽

Tertiary Care ◽

Care Centre ◽

Tertiary Care Centre ◽

Financial Difficulties ◽

History Of

Background: Cervical cancer is one of many health care ironies. Better survival rates demand better quality of life (QoL). The aim of present study was to determine the change in QoL of cervical cancer patients due to treatment.Methods: An observational prospective study was conducted from July 2017 to June 2018 among 80 new cervical cancer patients without any prior history of treatment for cervical cancer, attending radiotherapy department of a tertiary care centre of West Bengal using a semi-structured schedule and European Organization for Research and Treatment of Cancer (EORTC) quality of life questionnaire (QLQ). Information was collected on socio-demographic and clinical aspects and QoL domains. Those with history of surgery for cervical cancer, advanced stage of disease were excluded. EORTC QLQ was administered at baseline and one month after completion of treatment. Data was analysed by percentage, means±standard deviation, range and Wilcoxon signed rank test etc. using SPSS-16.Results: Only 60 patients could be analysed as 10 patients died and 10 lost to follow-up. After treatment there was a significant improvement in global health, physical, emotional and cognitive functioning as well as decrease in symptoms like fatigue, pain, insomnia, appetite loss and constipation along with worsening of financial difficulties. There was significant improvement in body image, decrease in problems of symptom experience, peripheral neuropathy and menopausal symptoms after treatment.Conclusions: The cervical cancer patients show an overall improvement in their QoL in most of the domains after one month of treatment except worsening of financial difficulties.

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