Study on pyrexia in pregnancy and labour with special emphasis on fetomaternal outcome

Background: Pyrexia in pregnancy is a very common clinical problem worldwide. Fever during pregnancy causes significant maternal and fetal complications. Fetus being an integral part of the feto-maternal unit and pregnancy involving numerous physiological changes and adaptations, pyrexia during the pregnancy affects both the mother and her foetus adversely. Effect of pyrexia on pregnancy depends on the extent of the rise in the temperature.Methods: This is a prospective observational hospital-based study conducted over a period of 1 year from march 2018 to February 2019 Department of Obstetrics and Gynaecology, Sultania Zanana Hospital, Gandhi Medical College, Bhopal.Results: Total no. of antenatal admission in Hospital during study period were 15354. Total 306 cases of pyrexia in pregnancy were found during the study period. Incidence of pyrexia in pregnancy in our study during study period was found 2%.Conclusions: The present study has demonstrated a need for multidisciplinary approach in cases of pregnancy complicated with pyrexia and also higher risk of maternal morbidity and mortality in un-booked patients. We found that pregnancy outcomes were good in booked cases with regular checkup. Early detection and management of patients with pyrexia can certainly help to improve maternal and fetal outcome. This also shows that multidisciplinary approach should extent throughout antenatal, intra-partum and postpartum period.

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STUDY OF MATERNAL AND FETAL OUTCOME OF GRAND MULTIPARA.

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i9.1415 ◽

2020 ◽

Vol 4 (9) ◽

Author(s):

Payal Anandbhai Hadiya ◽

Dipti. C. Parmar

Keyword(s):

Perinatal Outcomes ◽

Fetal Outcome ◽

Caesarian Section ◽

Government Medical College ◽

Medical College ◽

Obstetrics And Gynaecology ◽

Grand Multiparity ◽

Fetal Complications ◽

The Common ◽

In Pregnancy

Background: Pregnancies in grand multipara have been considered risky for many decades as there are higher chances of complications during pregnancy, labour and puerperium in these women. This study aims to find out various maternal and fetal complications associated with grand multiparty during pregnancy and labour. Methods: A descriptive observational study was conducted in the department of obstetrics and gynaecology of Sir T General hospital and Government medical college and hospital, Bhavnagar, Gujarat, from May 2019 till April 2020. It includes 185 cases of grand multipara women. All the women who delivered had four or more previous viable pregnancies were included in the study. Results: In the total 185 cases that were included in the study, the common medical illnesses found in grand multipara were anemia (25.40%), preeclampsia/ eclampsia (4.86%) and gestational diabetics mellitus (1.86%). Other complications observed were malpresentations (2.70). Caesarian section was required in 16.21% of the cases. In perinatal outcomes, 9.72% births were still birth. 34.59% babies were of low birth weight. Conclusion: Grand multiparity remains a risk in pregnancy and is associated with an increased prevalence of maternal and neonatal complications but it might be unjustifiable to attribute all risk to parity alone, risk assessment should be based on age, past obstetric and medical history. Keywords: Grand Multipara, Maternal outcome, fetal outcome

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Study of Maternal and Fetal Outcome in Pregnancy with Heart Disease

Anwer Khan Modern Medical College Journal ◽

10.3329/akmmcj.v8i2.33666 ◽

2017 ◽

Vol 8 (2) ◽

pp. 112-116 ◽

Cited By ~ 2

Author(s):

Sharmin Abbasi ◽

Sehereen Farhad Siddiqua ◽

Shifin Rijvi ◽

Salma Akhtar ◽

Benozir Haque ◽

...

Keyword(s):

Heart Disease ◽

Cardiac Disease ◽

Nyha Class ◽

Mode Of Delivery ◽

Fetal Outcome ◽

Functional Class ◽

Maternal Complications ◽

College Hospital ◽

Medical College ◽

In Pregnancy

Background: Heart disease complicating pregnancy is an important indirect cause of maternal mortality and morbidity. Maternal heart disease comprises .2%-2% of pregnancies and responsible for 10%-20% of maternal deaths1. Our study was done to evaluate fetomaternal outcomes in pregnancy with heart disease.Objectives: Evaluation of fetomaternal outcome in pregnant patients with cardiac disease. Materials andMethods: This observational study was done in Bangabandhu Sheikh Mujib Medical University and Anwer Khan Modern Medical College Hospital among 51 pregnant women with known or newly diagnosed heart disease from January 2013-january 2015. Baseline data recorded demographic character, NYHA functional class, maternal complications, mode of delivery and neonatal outcome.Results: Among 51 cardiac patients, 32 (63%) were primigravida. Mostly 46 (90.6%) belonging to NYHA Class I and II. Rheumatic heart disease seen in 45 (87%) and congenital heart disease in 10% subjects. Mitral stenosis was the most common, seen in 22 (41%) cases. 47.33% patients were delivered vaginally and LSCS done in 41% patients. The fetal outcome were live births in (96.6%) cases, (27.4%) babies required NICU admission.Conclusion: An improvement in modern techniques of monitoring, better understanding of pathophysiology of cardiac disease and multi disciplinary care can lead to substantial improvement in the feto maternal outcome.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 112-116

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Evaluation of maternal and fetal outcome in corona positive pregnant women

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20205244 ◽

2020 ◽

Vol 9 (12) ◽

pp. 5037

Author(s):

Bharti Maheshwari ◽

Preeti Sharma ◽

Kamini Pawar ◽

Kirti Goswami

Keyword(s):

Pregnant Women ◽

Viral Infections ◽

Mode Of Delivery ◽

Fetal Distress ◽

Fetal Outcome ◽

Normal Delivery ◽

Medical College ◽

Cell Immunity ◽

Term Delivery ◽

Fetal Complications

Background: COVID-19 has spread globally at an accelerated rate with rapid increases in cases and mortality. Viral pneumonia is one of the leading causes of pregnancy deaths worldwide. Physiological changes during pregnancy, such as reduced functional residual volumes, diaphragm elevation, and oedema of respiratory tract mucosa, as well as changes in cell immunity can lead to increased susceptibility to viral infections and can have worsened outcomes.Methods: The study was conducted after clearance from Board of Studies and Ethical committee in the Department of obstetrics and gynaecology, Muzaffarnagar medical college, Muzaffarnagar. It was a retrospective study. Out of total 1500 covid positive patients admitted in 3 months, 33 pregnant women were included which were covid positive.Results: The study population consisted of 16 (48.5%) women from 20-25 years, 12 (36.4%) women from 26-30 years and 5 (15.2%) women from above 30 years. There was history of exposure among all (100.0%) pregnant women with only 2 (6.1%) having symptoms of COVID-19.Out of 33, 8 patients were severelyanemic, 4 had preeclampsia, 2 cases had previous 2 LSCS, 5 previous 1 LSCS, 1 leaking pervaginum, 3 cases had fetal distress at admission. As per gestational age, 9 (27.3%) women had pre-term delivery, 21 (63.6%) had normal term delivery and 3 (9.1%) had post-term delivery. 13 women were primigravida and 20 were multigravida. The mode of delivery was LSCS among 24 (73%) and normal delivery among 1 (3.0%) women.Conclusions: In our study, there were no maternal and fetal complications among pregnant women with COVID-19.

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Maternal Outcome of Anemic Pregnant Mother at Private Hospitals in Dhaka City

Medicine Today ◽

10.3329/medtoday.v33i2.56053 ◽

2021 ◽

Vol 33 (2) ◽

pp. 102-107

Author(s):

Muhammad Zahangir

Keyword(s):

Pregnant Women ◽

Total Sample ◽

Fetal Outcome ◽

Maternal Outcome ◽

Dhaka City ◽

College Hospital ◽

Private Hospitals ◽

Medical College ◽

Medicine Today ◽

In Pregnancy

Introduction: The study carried out among the pregnant women who had anemia during pregnancy with the objectives to determine their maternal outcome at private hospitals in Dhaka city. Materials and Methods: The total sample size was 110. Data was collected by interviewing the respondents with a structured pre-tested questionnaire. The study was conducted in pregnant women with anemia at or after 28 weeks of gestation and had delivered at Obstetrics Department of Ad-Din Barrister Rafique ul-Huq Hospital, Jurain and Bashundhara Ad-Din Medical College Hospital South Keranigonj. Results: Most of the respondents (38.2%) belonged to the age group between 16-20 years. The mean age was 23.74±5.127 years. Almost (49.1%) up to primary & (38.2%) were up to secondary/higher secondary level. Most of the respondents were homemaker (87.3%); Monthly income means was 19340.91±12459.647. Most (90.9%) of the respondents had received ANC and 79.1% respondent’s hemoglobin level was below 10 gm. /dl. Among them 90.9% of the respondent’s fetal outcome were healthy & alive baby. More than half (51.8%) of the respondent’s baby were _ 2.5 kg birth weight. Study also shows that 55.5% respondents had anemia after delivery, 28.2% had sickness and 22.7% were sulfured with complications after delivery. There was a significant relationship with low birth weights (LBW) to less high education. Conclusion: All women should be given advice regarding diet in pregnancy with details of foods rich in iron. Dietary changes alone are not sufficient to correct an existing iron deficiency in pregnancy and iron supplements are necessary. Medicine Today 2021 Vol.33(2): 102-107

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The Effect of Lupus Nephritis on Pregnancy Outcome and Fetal and Maternal Complications

The Journal of Rheumatology ◽

10.3899/jrheum.090872 ◽

2010 ◽

Vol 37 (4) ◽

pp. 754-758 ◽

Cited By ~ 81

Author(s):

DAFNA D. GLADMAN ◽

ANU TANDON ◽

DOMINIQUE IBAÑEZ ◽

MURRAY B. UROWITZ

Keyword(s):

Lupus Nephritis ◽

Renal Disease ◽

Pregnancy Outcome ◽

Repeated Measures ◽

Fetal Outcome ◽

Pregnancy Induced Hypertension ◽

Maternal Complications ◽

Induced Hypertension ◽

Fetal Complications ◽

In Pregnancy

Objective.To evaluate the effect of lupus nephritis on pregnancy with respect to fetal outcome, maternal complications, and lupus activity.Methods.All pregnancies seen between 1970 and 2003 in the Lupus Clinic were evaluated for the 3 outcomes. Renal disease was defined as the presence of nephrotic syndrome, dialysis, renal transplant, serum creatinine > 120 mmol/l, proteinuria, sterile hematuria and pyuria, or the presence of casts. Fetal complications were evaluated in pregnancies resulting in either live births or stillbirths. Generalized estimating equations were used to test for differences in outcomes between pregnancies with and without the presence of active renal disease. Repeated measures adjustments were made in the model for multiple pregnancies in the same mother.Results.There were 193 pregnancies in 104 women. Of these, 81 occurred in the presence of active renal disease during the study period, defined as 6 months prior to conception until the date of pregnancy outcome. One hundred twelve pregnancies were defined as nonrenal. No statistical difference was found in pregnancy outcome. Fetal complications were not different between the 2 groups with the exception of low birth weight and congenital malformations, which were observed more frequently in the renal group. Pregnancy-induced hypertension was more frequent in pregnancies with renal disease. Lupus flares were also more likely to occur in pregnancies with renal disease compared to those without.Conclusion.Lupus nephritis in pregnancy does not lead to worsened pregnancy or fetal outcomes. Active renal disease, however, is associated with pregnancy-induced hypertension, as well as a flare of lupus activity during pregnancy.

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Study of maternal and fetal outcome in pregnancy beyond 40 weeks: a prospective observational study at a tertiary institute

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20203993 ◽

2020 ◽

Vol 9 (10) ◽

pp. 3959

Author(s):

Shreedevi Kori ◽

Dayanand Biradar ◽

Aruna Biradar ◽

Rajasri Yaliwal ◽

Subhashchandra R. Mudanur ◽

...

Keyword(s):

Observational Study ◽

Prospective Observational Study ◽

Mode Of Delivery ◽

Fetal Monitoring ◽

Fetal Outcome ◽

Medical College ◽

Study Results ◽

Fetal Complications ◽

Prolonged Pregnancy ◽

Failure Of Induction

Background: Prolonged pregnancy is one that exceeds 42 0/7weeks. Management of prolonged pregnancy is very challenging in modern obstetrics.Methods: It is prospective observational study in department of Obstetrics and Gynecology, Shri B.M Patil medical college and Research center, deemed to be University, Vijayapur, North karnataka. Study period was from January 2018 to January 2019.Results: Total of 186 pregnant women were included in the study. Results in terms of age, gravidity, gestational age, time of induction, mode of delivery, neonatal outcome and maternal complications.Conclusion: Pregnancies beyond 40 weeks require early detection, effective fetal monitoring and proper planning of labour. In pregnancies beyond 40 weeks, decision of induction should be taken cautiously as early induction leads to failure of induction and increased rates of lower (uterine) segment Caesarean section (LSCS), while delayed induction leads to increased fetal complications.

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Nephrotic syndrome in pregnancy: a case report

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20205278 ◽

2020 ◽

Vol 9 (12) ◽

pp. 5190

Author(s):

Ipsita Mohapatra ◽

Subha R. Samantaray

Keyword(s):

Nephrotic Syndrome ◽

Case Report ◽

Birth Weight ◽

Multidisciplinary Approach ◽

Fetal Outcome ◽

Successful Outcome ◽

Low Birth Weight Babies ◽

Intrauterine Fetal Growth Restriction ◽

Severity Of The Disease ◽

In Pregnancy

Nephrotic syndrome is a spectrum of renal disorders in which proteinuria is a hallmark. When pregnancy is affected by nephrotic syndrome, the maternal and fetal outcome, as well as the required treatment, depends on the underlying cause and severity of the disease. Pregnant patients with nephrotic syndrome are more prone to develop pre-eclampsia, preterm birth, low birth weight babies and intrauterine fetal growth restriction. Here we are presenting a case report on pregnancy with nephrotic syndrome which was managed by multidisciplinary approach with successful outcome.

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Impact of chronic kidney disease on fetomaternal outcome: a case report

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20210766 ◽

2021 ◽

Vol 10 (3) ◽

pp. 1216

Author(s):

Neha Khairnar ◽

Ananya Bora ◽

Amarjeet Kaur Bava

Keyword(s):

Chronic Kidney Disease ◽

Renal Failure ◽

Kidney Disease ◽

Supportive Therapy ◽

Kidney Injury ◽

Fetal Outcome ◽

Growth Restriction ◽

Fetal Complications ◽

Maternal Hypertension ◽

In Pregnancy

Chronic kidney disease is a heterogenous group of disorders resulting from anatomical and physiological alterations in the kidney. Pregnancy might accelerate the renal disease-causing progression of renal failure, development of preeclampsia, anemia. This increases the risk of adverse fetomaternal outcomes including prematurity, fetal growth restriction, fetal deaths and development of hypertension, nephrotic syndrome, renal failure in the mother. Chronic kidney disease affects approximately 3% of pregnant women. This study was carried out to assess the course of chronic kidney disease in pregnancy and the effect it has on the fetal outcome. A case of chronic kidney disease presenting to the OBGY emergency unit was studied. a detail history was taken and examination was done. Baseline antenatal investigations were carried out. Special tests including renal Doppler, ophthalmoscopic examination, ECG, were done to assess the renal function. Treatment was started for control of hypertension and further progression of the disease. Pregnancy has adverse outcome when associated with acute kidney injury. Maternal hypertension and proteinuria are the major predisposing factors. Prematurity is one of the commonest fetal complications apart from growth restriction. Chronic kidney disease in pregnancy requires a multidisciplinary approach involving experienced obstetricians, nephrologists, radiologists, intensivists and neonatologists. The etiology, degree of renal dysfunction, development of additional obstetric complications determines the prognosis. Supportive therapy in the early course of the disease and timely definitive management as per the etiology is found to improve the feto-maternal outcome.

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A study of spectrum and outcome of liver diseases in pregnant women at BRD medical college

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20173501 ◽

2017 ◽

Vol 6 (8) ◽

pp. 3641

Author(s):

Amrita Tiwari ◽

Vani Aditya ◽

Reena Srivastava ◽

Geeta Gupta

Keyword(s):

Liver Disease ◽

Pregnant Women ◽

Hyperemesis Gravidarum ◽

Antenatal Clinic ◽

Fetal Outcome ◽

Medical College ◽

Acute Fatty Liver ◽

One Year ◽

Labour Room ◽

In Pregnancy

Background: Different spectrum of liver disease can affect outcome of pregnancy. The incidence of liver disorders in pregnancy varies in different parts of the world. The present study was designed to see the incidence, spectrum, and outcome of liver disease in pregnancy.Methods: All pregnant women with deranged liver profile, attending antenatal clinic and labour room in the department of Obstetrics and Gynecology of BRD Medical College over the period of one year (August 2015 to July 2016) were included in the study. Enrolled cases were followed up till discharge in respect to maternal and fetal outcome.Results: Liver disease was found in 214 (2.37%) cases out of 9011 pregnancies. Pregnancy specific liver disease was the most common type (85.98%). Among pregnancy specific liver disease Hypertensive disorders of pregnancy was the commonest abnormality (66.35%). Rest were Cholestasis, Acute viral hepatitis, Chronic liver disease, Hyperemesis gravidarum, Acute fatty liver of pregnancy. Out of 214, 22 patients dropped out. Overall maternal and perinatal mortality were 13.02% and 29.17% respectively.Conclusions: Liver disease in pregnancy is not uncommon and it can seriously affect pregnancy outcome if not treated properly on time. Early diagnosis (by clinical suspicion and blood investigation) and timely intervention can improve maternal and fetal outcome in pregnancy with liver disease.

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Clinical evaluation of pathological dermatoses induced in pregnancy

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20200506 ◽

2020 ◽

Vol 6 (2) ◽

pp. 132

Author(s):

Anshul Choudhary ◽

Kshitij Saxena ◽

Venket Rao Koti ◽

Amir Shahid Ansari ◽

Shivani Yadav ◽

...

Keyword(s):

Social Sciences ◽

Clinical Evaluation ◽

Preventive Measures ◽

Detailed History ◽

Medical College ◽

Pregnant Females ◽

Obstetrics And Gynaecology ◽

In Pregnancy ◽

Patient Department

Background: Pregnancy can present with various dermatoses which is divided into physiological and pathological dermatoses. These dermatoses have various effects on pregnancy and patient’s life. The objective was to study the various pathological dermatoses.Methods: A total of 1425 pregnant females attending dermatology, obstetrics and gynaecology Out Patient Department of Era’s Lucknow Medical College and Hospital were included, out of this 275 presented with pathological dermatoses. Detailed history, examination and investigations were done. Data was analysed using Statistical Package for Social Sciences version 21.0 (test).Results: Pathological dermatoses was seen in 275 pregnant females ranged between 18 to 45 years. Infections or infestations and STDs (53.5%) were the most common dermatological conditions followed by pregnancy specific dermatoses (24.7%), acne and folliculitis (7.6%), non-specific itching (5.8%) and other conditions (10.9%).Conclusions: Pregnant females suffer from number of pregnancy dermatoses. A knowledge of the profile of dermatoses during pregnancy is essential to plan preventive measures, care of the mother and the child.

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