scholarly journals Abruptio placenta and its maternal and fetal outcome

2019 ◽  
Vol 8 (8) ◽  
pp. 3323
Author(s):  
Ritu Mishra ◽  
Aditya Prakash Misra
Keyword(s):  
Neonatal Morbidity ◽  
Fetal Outcome ◽  
Age Group ◽  
College Hospital ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Maternal Mortality And Morbidity ◽  
Life Threatening ◽  
Abruptio Placenta ◽  
The Common

Background: Abruptio placenta is one of the common cause of antepartum haemorrhage and is defined as premature separation of normally implanted placenta. It is more common in second half of pregnancy. Abruptio placenta is serious complication of pregnancy and causes high maternal and neonatal morbidity and mortality.Methods: This retrospective study of abruptio and its maternal and perinatal outcome was carried out between July 2016 and October 2017 at Rama Medical College Hospital and research centre.Results: Incidence of Abruptio placenta is 1.6%. It is most common in the women of age group 30-35 years. 75% of cases were associated with severe pre-eclampsia. Live births were 75% while stillbirths were 25%. PPH occurred in 30% of cases. DIC accounts for 25% of the complication.Conclusions: Abruptio placenta is life threatening complication of pregnancy and it is associated with poor maternal and fetal outcome if not managed appropriately. Hence early diagnosis and prompt resuscitative measures would prevent both perinatal and maternal mortality and morbidity.

scholarly journals Abruptio placenta: a retrospective study on maternal and perinatal outcome

2017 ◽  
Vol 6 (10) ◽  
pp. 4389
Author(s):  
Subha Sivagami Sengodan ◽  
Mohana Dhanapal
Keyword(s):  
Retrospective Study ◽  
Fetal Outcome ◽  
Age Group ◽  
Third Trimester ◽  
College Hospital ◽  
Maternal Deaths ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Maternal Mortality And Morbidity ◽  
Abruptio Placenta

Background: Abruptio placenta is separation of a normally situated placenta after 20 weeks of gestation and prior to the birth of the fetus. It is an important cause of antepartum haemorrhage and presents as an acute abdomen in the third trimester of pregnancy. Obstetrical haemorrhage is one of the triad (Haemorrhage hypertension and infection) of causes of maternal deaths in both developed and underdeveloped countries.Methods: This is a retrospective study of Abruptio Placenta cases carried out between January 2015 and December 2015 at Government Mohan Kumaramangalam Medical College Hospital, Salem and about its perinatal and maternal outcome.Results: Incidence of Abruptio placenta is 0.5%. It is most common in the women of age group 26-30yrs. 67% of cases were associated with severe pre-eclampsia. Live births were 69.8% while stillbirths were 30.2%. PPH occurred in 19.6% of cases. DIC accounts for 16.7% of the complication.Conclusions: Abruptio placenta is associated with poor maternal and fetal outcome. Hence early diagnosis and prompt resuscitative measures would prevent both perinatal and maternal mortality and morbidity.

scholarly journals Causes and management of secondary postpartum haemorrhage in a tertiary medical college hospital in Bangladesh

2017 ◽  
Vol 6 (7) ◽  
pp. 2694
Author(s):  
Kamrun Nessa ◽  
Sumia Bari ◽  
Sanjida Khan ◽  
Ferdowsi Sultana ◽  
Tania Akbar
Keyword(s):  
Maternal Morbidity ◽  
Postpartum Haemorrhage ◽  
Mode Of Delivery ◽  
Wound Dehiscence ◽  
College Hospital ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Maternal Mortality And Morbidity ◽  
Postnatal Women ◽  
Low Incidence

Background: Globally postpartum haemorrhage remains a leading cause of maternal death. It affects only 1-2% of postnatal women. This low incidence of secondary PPH and linkage to maternal morbidity rather than mortality was the reason for the little attention among obstetricians, but it is recently gaining importance and interest with the increase morbidity and mortality related to secondary PPH.Methods: A retrospective study was conducted on the diagnosed patients of secondary PPH admitted in Enam Medical College and Hospital, Dhaka, Bangladesh, from January 2015 to December 2016. Among 33 cases of secondary PPH age of the patients, parity, mode of delivery, causes and management were noted from medical records. All data was analyzed by SPSS16.Results: Among 33 patients 14 (42.4%) were primi and 19 (57.6%) were multipara, age between 18 to 38 years, majority admitted 2nd and 3rd week after delivery. Among 33 patients 12% delivered vaginally at home and 30% vaginally at hospital and 58% undergone LUCS. We found 34% retained bits of placenta, 27% uterine wound dehiscence, 24% retained clots and 15% endometritis as causes. Less than 3 units blood needed in 22 (66.7%) patients and 11 (33.3%) needed more than 3 units. About 6 (18%) patients were treated conservatively, MVA were needed in 18 (55%) patients, repair of wound in 4 (12%) and TAH was in 5 (15%).Conclusions: Secondary PPH is increasing may result in significant maternal morbidity as well as mortality. More study needed to identify the risk factors and causes to reduce maternal mortality and morbidity.

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

scholarly journals Study on drug profile used in diabetic foot ulcer

2020 ◽  
Vol 9 (7) ◽  
pp. 1095
Author(s):  
Rajalakshmi Ramesh ◽  
Kowsalya Moorthi ◽  
Saravanan Kunchithapatham ◽  
Prema Mariappan
Keyword(s):  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Base Line ◽  
Age Group ◽  
College Hospital ◽  
Medical College ◽  
The Common ◽  
Using Data ◽  
Collection Form

Background: The objective was to study about the drugs used in management of diabetic foot ulcer (DFU) and to grade the wounds using Wagner’s scale.Methods: An observational study was conducted at Department of Pharmacy, Rajah Muthiah Medical College Hospital over a period of six months from November 2018 to April 2019. The data was collected from 85 patients using data collection form. The patients were selected based on inclusion and exclusion criteria.Results: Overall 85 patients were enrolled in this study. The prevalence of DFU found to be 36% more in males 58 (68%) than in females 27 (32%). Considering the age group, higher prevalence was reported in patients among the age group of 60-70. This study shows, patients were found commonly to have habits of alcohol 18 (21%), smoking 11 (13%) and both 22 (26%). Overall, 23 classes of drugs were used in this study. Among these, mostly were antibiotics 12 (52%) then hypoglycemic drugs 5 (21%) and others are analgesics (9%), anti-ulcerant and vitamins. This study shows that the common antibiotics prescribed are metronidazole 39 (24%), cefotaxime 36 (22.7%), ciprofloxacin 25 (15.8%) and piperacillin 21 (13.2%). The common hypoglycemic drug used were of insulin 63 (74%), metformin 43 (77%), glimepiride 12 (14%) and metformin and glimepiride 12 (14%). By using Wagner’s scale, out of 85 patients, most of the ulcer were predominantly between grade IV and V.Conclusions: Targeting range of glycaemic levels and proper antibiotics is the best way of treating DFU. This study has provided the base line data regarding management of DFU which helps to improve therapeutic outcome.

scholarly journals Status of common disease profile and death records among admitted child patients in medical college hospital

2020 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Md. Shahariar Khan ◽  
Md. Rahimullah Miah ◽  
Tania Hussain ◽  
Syed Moosa M.A. Quaium ◽  
Azizur Rahman
Keyword(s):  
Protein Energy Malnutrition ◽  
Febrile Convulsion ◽  
Medical College Hospital ◽  
Common Disease ◽  
College Hospital ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Common Diseases ◽  
Child Patients ◽  
The Common

Background: The study assesses the common disease profile and death records among admitted child patients at the department of Paediatrics in Northeast Medical College Hospital (NEMCH) of Bangladesh.Methodology: This was an observational study conducted in the department of Paediatrics in Medical College Hospital over a period of three years. The patients of common diseases were hundred in number surveyed through primary questionnaire in respect to their profile, diagnosis and death records. The selected common diseases were ARI, diarrhoea, protein energy malnutrition and febrile convulsion.Results: The numbers of total admitted child patients with common diseases were 10737 for three years with the ratio of 1: 0.93 between the male and female. Out of them neonatal and general patients were 3622 and 7115 respectively. In 2018 child patients were less in numbers other than two years. ARI is more common in the end of year but diarrhoea in same added the beginning of following year. The study also represents the febrile convulsion and malnutrition are more in middle and round the year successively.From 2017 to 2019 the death records of neonate and general at the department of NEMCH are 101 and 84 respectively. Indeed, it is a good sign to reducing the unwanted death in common disease through the consecutive year. A systematic control model is developed to recover from the common diseases associated with hospital admitted child patients’ management.Conclusion: If the medical authority can take advances in preventive measures through health awareness, quality training, safe health care with equipment, facilities and trained-up personnel, then the mortality and morbidity can be reduced suggestively in connection with dynamic National Health Policy and Sustainable Development Goals 2030.  

scholarly journals Uterine Rupture - Experience of 30 Cases at Faridpur Medical College Hospital

2013 ◽  
Vol 7 (2) ◽  
pp. 79-81 ◽  
Author(s):  
Dr Mahbuba ◽  
Irin Parveen Alam
Keyword(s):  
Uterine Rupture ◽  
Skilled Birth Attendant ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
Medical College Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Ruptured Uterus

Rupture uterus is a rare and often catastrophic condition. It is associated with a high incidence of fetal and maternal mortality and morbidity. Our objective in this study is to determine incidence, etiology, trend, management, maternal and fetal outcome of uterine rupture in Faridpur Medical College Hospital. This is a prospective cross-sectional study  of patients with ruptured uterus from the period of January 2011 to December 2011 admitted at Faridpur Medical College Hospital. All the cases of ruptured uterus who were either admitted with uterine rupture or who developed it  in hospital were included in the study. Patients having ruptured uterus due to congenital anomaly were excluded from  the study. Patients were initially assessed in labour ward, relevant sociodemographic data, previous antenatal and  surgical history recorded. Ways of management, maternal and fetal outcome were taken for analysis. There were 30 cases of ruptured uterus out of total 3606 deliveries (including 1809 caesarian sections) over a one year time period, with a prevalence of 0.83%. The most common age group was 21-30 years. A majority of patients 16(53.3%) were cases of unscarred uterus presenting with rupture; the common cause of rupture in scarred uterus was injudicious use of oxytocin (13,43.33%). Proper antenatal care, appropriate counseling of patients with history of previous caesarian section for hospital delivery, training of skilled birth attendant can reduce mortality and morbidity due to rupture uterus. DOI: http://dx.doi.org/10.3329/fmcj.v7i2.13504 Faridpur Med. Coll. J. 2012;7(2):79-81

scholarly journals A CLINICAL STUDY OF RISK FACTORS AND MATERNAL OUTCOME IN INTRA-UTERINE FETAL DEATH

2021 ◽  
Vol 5 (8) ◽  
Author(s):  
Anubha Manu Prasad ◽  
. Manju Agrawal ◽  
Ankit Laddha
Keyword(s):  
Risk Factors ◽  
Prospective Observational Study ◽  
Fetal Death ◽  
Chronic Hypertension ◽  
Age Group ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Maternal Mortality And Morbidity ◽  
Timely Referral

Background: The objective of the present study was to examine the etiological factors, both maternal and fetal, that caused IUFD. Methods: It was a hospital based prospective observational study conducted in the Department of Obstetrics and Gynaecology at Jhalawar Medical College from January 2020 to December 2020. 120 cases of IUFD of ?24 weeks of gestation or foetuses weighing ?500 gramswere included in the study. Results: The incidence of IUFD was 37.8/1000 total birth. IUFD occurredmainly in 25-35yrs age group (55%), unbooked cases (70%),multigravida (59.2%), preterm (<37 weeks of gestation). The risk factors were PIH (49.2%), infections (9.2%), hypothyroidism (5%), Rh negative with hydrops fetalis (5%),GDM (4.2%), chronic hypertension (2.5%), previous H/O LBW (2.5%), H/O prior stillbirth (5%), hyperthyroidism (1.7%), oligohydramnios (46.7%), APH (20.8%) and congenital fetal anomalies (19.2%). Conclusion: IUFD rate still remains high. Therefore, regular ANC check up and early identification of risk factors like PIH, anaemia, infections, genetic counselling and timely referral to well equipped centre may help prevent IUFD and maternal mortality and morbidity. Keywords: IUFD, ANC, Preterm

scholarly journals Ectopic pregnancy: Interventional Outcome at Tertiary Hospital

2017 ◽  
Vol 27 (Number 2) ◽  
pp. 7-12
Author(s):  
S Sultana ◽  
S Yesmin ◽  
A N Noor ◽  
S Dewan ◽  
N F Aman
Keyword(s):  
Ectopic Pregnancy ◽  
Tertiary Hospital ◽  
Pelvic Surgery ◽  
College Hospital ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Life Threatening ◽  
A Prospective Study ◽  
To Receive

The aim of this study is to determine the incidence and to evaluate and analyse the clinical presentation, risk factor and treatment of ectopic pregnancy in Holy Family Red Crescent Medical College Hospital, Dhaka. A prospective study was conducted in Department of Obstetrics and Gynaecology from August 2016 to December 2017. The study subjects included 50 women diagnosed with ectopic pregnancy (EP) to receive the treatment of medical and surgical procedure. In this study group the incidence was 4.7% among total gynecological admitted patient (2017) and the risk were within the age group 27-35 years. Majority of patients were having triad of symptom such as abdominal pain, secondary amenorrhoea and vaginal bleeding. Past NO abortion and abdomino-pelvic surgery were 66%. The commonest modality of treatment was Laparotomy (41 of 50, 86%), others were conservative with Inj. Methotrexate, failed conservative followed by Laparotomy (4%) and Laparoscopy (2%). EP is a common and life threatening entity. Women with infertility and past abdomino-pelvic surgery, MR, abortion are particularly at risk. Early diagnosis and intervention can reduce the mortality and morbidity of women having EP.

Fetomaternal Outcome of Eclampsia

KYAMC Journal ◽  
2018 ◽  
Vol 9 (3) ◽  
pp. 120-124
Author(s):  
Fatema Begum ◽  
Bedoura Sharmin ◽  
Umme Hafsa Zakia ◽  
Farhana Dewan ◽  
SM Asaduzzaman
Keyword(s):  
Maternal Mortality ◽  
Neonatal Intensive Care ◽  
Test Statistics ◽  
College Hospital ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Maternal Mortality And Morbidity ◽  
Risk Patients ◽  
The Mean

Background: Eclampsia is a leading cause of maternal mortality and morbidity and adverse neonatal outcome. Healthcare system must be enhance to improve fetomaternal outcome.Objective: To find out the proportion and fetomaternal outcome of eclampsia.Materials and Methods: A cross sectional descriptive study was conducted to assess the fetomaternal outcome of eclampsia. The study was carried out at the Eclampsia unit, Dhaka Medical College Hospital, Dhaka over aperiod of six months from 1st July 2008 to 31st December 2008. A total of 48 patients with diagnosis of antepartum and intrapartum eclampsia were consecutively taken in the study. The test statistics used to analyse the data were descriptive statistics.Results: About 7% of patients developed acute renal failure,16.7% CVA,14.6% HELLP syndrome and 39.6% pulmonary oedema. The mean hospital stay was 9.5 ± 3.3 days. Majority (93.8%) of the patients recovered while 6.3% died. Twenty-seven (54.2%) neonates had to be referred to neonatal intensive care unit for better management. Of them 24 recovered following resuscitation. The mean weight of baby was 2.2±0.3 kg.Conclusion: Eclampsia is still a major cause of maternal mortality and morbidity in Bangladesh. Monitoring of high-risk patients may reduce the complication rate.KYAMC Journal Vol. 9, No.-3, October 2018, Page 120-124

Epidemiology of Eclampsia in Bangladesh

KYAMC Journal ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 189-192
Author(s):  
Fatema Begum ◽  
Arshad Jahan ◽  
Sheuly Akter ◽  
Farhana Dewan ◽  
Sinthia Tabassum
Keyword(s):  
Test Statistics ◽  
College Hospital ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Prenatal Consultation ◽  
Community Monitoring ◽  
Maternal Mortality And Morbidity ◽  
Risk Patients ◽  
The Mean

Background: The purpose of these study was to find out the risk of eclampsia in relation to several demographic and anthropometric factor and to find out a way to prevent eclampsia. Objective: To find out the epidemiology of eclampsia and to reduce maternal and neonatal mortality and morbidity due to eclampsia. Materials and Methods: A cross sectional descriptive study was conducted to assess the fetomaternal outcome of eclampsia. The study was carried out at the Eclampsia unit, Dhaka Medical College Hospital, Dhaka over a period of six months from 1st July 2008 to 31st December 2008. A total of 48 patients with diagnosis of antepartum and intrapartum eclampsia were consecutively taken in the study. The test statistics used to analyse the data were descriptive statistics. Results: About 39.6% of the patients was under the age of 20 years, 43. 7% patient was between the age of 20-25 years. By occupation 77.1% patient was housewife, 17.9% patient was Garments worker and 4.1% patient was day labour. By level of education about 56.3% patient was illiterate, 29.2% patient was of primary level. About 57% of patients remained unconscious. About 7% of patients developed acute renal failure,16.7% CVA,14.6% HELLP syndrome and 39.6% pulmonary oedema. The mean hospital stay was 9.5 ± 3.3 days. Majority (93.8%) of the patients recovered while 6.3% died. Conclusion: Eclampsia is still a major cause of maternal mortality and morbidity in Bangladesh. A qualitative and quantitative improvement in prenatal consultation should make it possible to reduce incidence of eclampsia in our community. Monitoring of high-risk patients may reduce the complication rate. KYAMC Journal Vol. 11, No.-4, January 2021, Page 189-192

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