A retrospective study on maternal and perinatal outcome in pregnancy requiring DJ stent and PCN during pregnancy

Background: Gestational hydronephrosis (GH) is result of dilatation effect of the progesterone and mechanical compression of the gravid uterus. Management during pregnancy is challenging as routine radiological investigations and surgical treatments cannot be applied due to the potential harm to the fetus. Intervention is indicated in women who fail to respond to conservative management. Acute hydronephrosis and renal colic are common etiologies for loin pain, and can lead to severe form of urinary tract infection affecting perinatal outcome. Ureteric stenting and percutaneous nephrostomy (PCN) during pregnancy are safe, requiring no intra-operative imaging, and inserted under local anaesthesia. It provides good symptom relief, low complication rate, efficient and safe modality for women with refractory symptoms.Methods: A retrospective study of pregnant women admitted under obstetric units with acute hydronephrosis requiring DJ stenting and/or PCN. Aim was to evaluate the course and pregnancy outcomes in a tertiary center of Southern India over a period of five years.Results: Descriptive statistical analysis was done in 12 women with acute hydronephrosis in pregnancy. 66.7% were nulliparous and mean gestational age at admission was 31 weeks. Diagnosis was done by USG. One-fourth had pyelonephritis and calculus being the main pathology (n=9;75%).Women requiring DJ stent and PCN were 41.6% and 58.4% respectively. 41.7% had preterm labour. 66.7% delivered vaginally, birth weight was more than 2.5kg in 50%.Conclusions: Maternal and neonatal outcome mainly depends on the early diagnosis. In this study we emphasize on the importance of multidisciplinary team approach in the management of women with acute hydronephrosis. DJ stent and PCN are efficient and safe modalities in women with refractory symptoms.

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A rare case report on double J stenting in a rare case antepartum patient with right sided hydronephrosis and hydroureter

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20213877 ◽

2021 ◽

Vol 10 (10) ◽

pp. 3989

Author(s):

Niranjan N. Chavan ◽

Shikhanshi . ◽

Tulika Chouhan ◽

Shreya Kampoowale

Keyword(s):

Rare Case ◽

Multidisciplinary Approach ◽

Renal Colic ◽

Symptom Relief ◽

Severe Form ◽

Gravid Uterus ◽

Potential Harm ◽

Rare Case Report ◽

Loin Pain ◽

Surgical Treatments

Gestational hydronephrosis (GH) is caused due to dilatation effect of the progesterone as well as physical pressure of the gravid uterus. In pregnancy, its management is challenging as routine radiological investigations and surgical treatments cannot be performed due to the potential harm to the foetus. Women who fail to respond to conservative methods require intervention. Acute hydronephrosis and renal colic are common aetiologies for loin pain, and can lead to severe form of urinary tract infection affecting perinatal outcome. Double J (DJ) stenting during pregnancy is safe, requiring no intra-operative imaging, and inserted under local anaesthesia. It provides good symptom relief, low complication rate, efficient and safe modality for women with refractory symptoms. Multidisciplinary approach to this procedure is advised.

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Antenatal Spontaneous Renal Forniceal Rupture Presenting as an Acute Abdomen

Case Reports in Medicine ◽

10.1155/2018/8596491 ◽

2018 ◽

Vol 2018 ◽

pp. 1-3

Author(s):

Jennifer Travieso ◽

Omar M. Young

Keyword(s):

Acute Abdomen ◽

Delayed Diagnosis ◽

Kidney Injury ◽

Percutaneous Nephrostomy ◽

Gravid Uterus ◽

Intractable Pain ◽

Second Trimester ◽

Improved Outcomes ◽

Maternal And Neonatal Outcomes ◽

In Pregnancy

Background. Renal forniceal rupture is a lesser-known cause of acute abdomen in pregnancy. The ureteral compression by the gravid uterus places pregnant women at a higher risk. Sequelae in pregnancy could include intractable pain, acute kidney injury, and preterm birth.Case. A 22-year-old primigravida with no prior medical history presented with an acute abdomen in her second trimester. The diagnosis of renal forniceal rupture was made by a radiologist using MRI. A percutaneous nephrostomy catheter was placed, and the patient’s pain was relieved. She subsequently delivered at term.Conclusion. Upon presentation of an acute abdomen in pregnancy, providers may not include renal forniceal rupture in their differential as readily as obstetric or gynecologic causes, resulting in delayed diagnosis, unnecessary invasive interventions, and potentially adverse maternal and neonatal outcomes. Increasing provider awareness could result in improved outcomes.

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A five year retrospective study on maternal and perinatal outcome in pregnancy after cardiac surgery

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20181935 ◽

2018 ◽

Vol 7 (5) ◽

pp. 1949

Author(s):

Swati Rathore ◽

Ravi Shankar ◽

Annie P. Vijjeswarapu ◽

Anuja Abraham ◽

Bijesh Yadav

Keyword(s):

Cardiac Surgery ◽

Retrospective Study ◽

Nyha Class ◽

Progressive Increase ◽

Prior History ◽

Team Approach ◽

Atrial Septal Defect Closure ◽

Tertiary Center ◽

Neonatal Icu ◽

Cardiac Status

Background: Pregnancy is a hypercoaguable state with physiological haemodynamic changes occurring during pregnancy. There is a progressive increase in intravascular volume in second trimester of pregnancy and increase in cardiac output. Pregnancy makes a significant impact on cardiovascular system. It is important to evaluate and study the effect of pregnancy on women with surgically corrected heart conditions so as to preempt potential complications.Methods: This is a retrospective study of patients with prior history of cardiac surgery and their pregnancy outcomes in a tertiary center of Southern India over a period of five years from January 2011 to December 2016.Results: In this study, descriptive statistical analysis was done in 87 women with pregnancy following cardiac surgery. 58.6% were nulliparous. Around 52% had associated obstetric risk factors. The most common cardiac surgery in this population was Mitral valve replacement (40.2%) and Atrial septal defect closure (37.9%). Women belonged to NYHA class I in 90.8% of cases. 58.6% had vaginal delivery and 36.8% had caesarean section. 6 women had postpartum haemorrhage which was medically managed, and 6 women needed ICU care.74.7% women had term deliveries. 18.4 % of the babies were less than 2.5 kg weight at birth. 13 babies required Neonatal ICU care.Conclusions: Maternal and neonatal outcome mainly depends on the functional cardiac status of women before conception. In this study we emphasize on the importance of multidisciplinary team approach involving cardiologist, obstetrician and neonatologist in the management of women with prior cardiac surgery.

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Maternal and perinatal outcome in pregnancy with epilepsy: A five year retrospective study

International Journal of Clinical Obstetrics and Gynaecology ◽

10.33545/gynae.2020.v4.i5e.719 ◽

2020 ◽

Vol 4 (5) ◽

pp. 289-291

Author(s):

Dr. Rajasri G Yaliwal ◽

Dr. Shreedevi S Kori ◽

Dr. Sangamesh B Bhagavati ◽

Dr. Subhashchandra R Mudanur ◽

Dr. Shivakumar U Pujeri ◽

...

Keyword(s):

Retrospective Study ◽

Perinatal Outcome ◽

In Pregnancy

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Antisynthetase Syndrome with Severe Interstitial Lung Disease in Pregnancy

Case Reports in Anesthesiology ◽

10.1155/2021/1150394 ◽

2021 ◽

Vol 2021 ◽

pp. 1-4

Author(s):

Catalina I. Dumitrascu ◽

David A. Olsen ◽

Katherine W. Arendt ◽

Carl H. Rose ◽

Emily E. Sharpe

Keyword(s):

Interstitial Lung Disease ◽

Lung Disease ◽

Autoimmune Disorder ◽

Severe Form ◽

Team Approach ◽

Antisynthetase Syndrome ◽

Raynaud Phenomenon ◽

Pregnancy And Delivery ◽

Anesthetic Considerations ◽

In Pregnancy

Antisynthetase syndrome is a rare multisystem autoimmune disorder which clinically manifests with myositis, arthritis, interstitial lung disease, Raynaud phenomenon, and skin hyperkeratosis. Lung involvement represents the most severe form of disease and has rarely been reported in pregnancy. We present the case of a 22-year-old woman with antisynthetase syndrome and severe restrictive pulmonary disease who experienced a successful pregnancy and delivery. We discuss anesthetic considerations and highlight the importance of a multidisciplinary team approach in caring for parturients with multifactorial medical conditions.

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EVALUATION OF TEMPERAMENT IN PREGNANCY INDUCED HYPERTENSION CASES

Indian Journal of Unani Medicine ◽

10.53390/ijum.v14i1.4 ◽

2021 ◽

Vol 14 (1) ◽

Author(s):

Rahnuma Sayed ◽

Naeela Ansari ◽

Shaikh Ejaz Parvez ◽

Farha Rizwan ◽

Rehan Safee ◽

...

Keyword(s):

Retrospective Study ◽

Maternal Death ◽

Pregnancy Induced Hypertension ◽

Exclusion Criteria ◽

Mortality And Morbidity ◽

The Third ◽

Tertiary Center ◽

The World ◽

Induced Hypertension ◽

In Pregnancy

Pregnancy induced hypertension (PIH) is a worldwide concern; 22 may is remembered every year as the world preeclampsia day. According to the WHO, PIH is one of the main causes of maternal, fetal and neonatal mortality and morbidity. In a retrospective study over the period 2000-2009 in a tertiary center in India, PIH was the third cause of maternal death. Material and Methods: One time observational hospital based study Patients as per inclusion and exclusion criteria were selected for the study. Consent of the patient recorded.

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Does Placental Weight Affects Perinatal Outcome? A Prospective Case-control Study

Current Women s Health Reviews ◽

10.2174/1573404815666191113111447 ◽

2020 ◽

Vol 16 (1) ◽

pp. 52-59

Author(s):

Naina Kumar ◽

Himani Agarwal

Keyword(s):

Birth Weight ◽

High Risk ◽

Perinatal Outcome ◽

Case Control Study ◽

Neonatal Outcome ◽

Case Control ◽

Placental Weight ◽

Tertiary Center ◽

Control Study ◽

Prospective Case Control Study

Background: Placenta plays a very important role in the growth and development of fetus. Objective: To know the correlation between placental weight and perinatal outcome in term antenatal women. Methods: Present prospective case-control study was conducted in the rural tertiary center of Northern India over one year (January-December 2018) on 1,118 term (≥37-≤42 weeks) antenatal women with singleton pregnancy fulfilling inclusion criteria with 559 women with high-risk pregnancy as cases and 559 low-risk pregnant women as controls. Placental weight, birth weight was measured immediately after delivery and compared between the two groups along with gestation, parity, fetal gender, and neonatal outcome. Statistical analysis was done using SPSS 22 version. Results: Mean placental weight [481.98±67.83 gm vs. 499.47±59.59 gm (p=.000)] and birth weight [2.68±0.53 Kg vs. 2.88±0.4 Kg (p=.000)] was significantly lower in high risk as compared to lowrisk participants, whereas placental birth weight ratio was higher in high-risk cases [18.35±2.37 vs. 17.41±1.38 (p=.000)] respectively. Placental weight was positively correlated with birth weight and placental weight and birth weight increased with increasing gestation in both cases and controls. Male neonates had higher placental weight [492.74±68.24 gm vs. 488±58.8 gm (p=0.224)] and birth weight [2.81±0.5 Kg vs. 2.74±0.45 Kg (p=0.033)] as compared to females. Neonatal Intensive Care Unit admission was significantly associated with low placental and birth weight (p=.000). Conclusion: There is a significant correlation between placental weight, birth weight and neonatal outcome, hence placental weight can be used as an indirect indicator of intrauterine fetal growth.

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A retrospective study of the health profile of neonates of mothers with anemia in pregnancy and pregnancy induced hypertension in Lagos, Nigeria

Journal of Public Health in Africa ◽

10.4081/jphia.2014.286 ◽

2014 ◽

Vol 5 (2) ◽

Cited By ~ 1

Author(s):

Olusola Funmilayo Sotunde ◽

Silifat Ajoke Sanni ◽

Oluseye Olusegun Onabanjo ◽

Ibiyemi O. Olayiwola ◽

Mure Agbonlahor

Keyword(s):

Retrospective Study ◽

Birth Weight ◽

Sampling Technique ◽

Neonatal Health ◽

Pregnancy Induced Hypertension ◽

Health Profile ◽

Maternal Complications ◽

Induced Hypertension ◽

Anemia In Pregnancy ◽

In Pregnancy

Our study assessed the health profile of neonates in relation to anemia in pregnancy and pregnancy induced hypertension (PIH). This was a retrospective study where a systematic random sampling technique was used to select a total of 1046 case records of pregnant women registered for ante-natal care at Lagos Island Maternity Hospital, Lagos, Nigeria, between 2005 and 2009. Socio-demographic characteristics of the mothers, prevalence of anemia and PIH, and neonatal health profile were obtained from the case records and were analyzed using both descriptive and inferential statistics. Pearson product moment correlation was used to show the relationship (P≤0.05) between maternal complications and neonatal health profile. Majority (68.8%) of the mothers had anemia and 6.7 % had PIH. Majority (97.12%) of the neonates were live births and 2.88% of the neonates were still births, 65.4% of the women with still birth pregnancy outcome had anemia, and 34.6% had PIH. Majority (74%) of the neonates had birth weight within normal range (2.5-4.0 kg) and majority (68%) had normal Apgar score at 5 min of birth (7- 10). A positive correlation existed between the packed cell volume of the mother and the birth weight of the neonates (r=0.740, P≤0.05). A negative correlation existed between the incidence of PIH and the birth weight of the neonates (r=

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