Assessment of socio-demographic and clinical factors associated with preeclampsia and eclampsia among primigravida attending tertiary care center in South India

Background: The objective of the study was to identify the socio demographic and clinical factors associated with preeclampsia and eclampsia among primigravida attending a tertiary care center in South India.Methods: A quantitative research approach with case control design was used. Non-probability convenience sampling was used to select two groups of primigravida mothers i.e. one group with 108 mothers having preeclampsia or eclampsia and one group with 108 mothers not having preeclampsia or eclampsia. A structured questionnaire was employed to collect the data.Results: The study found that preeclampsia and eclampsia was significantly associated with maternal age (p=0.026), hemoglobin level (p=0.003), body mass index (p=0.001), weeks of gestation (p=0.016), age at menarche (p=0.003), age at first pregnancy (p=0.007), nutritional education (p=0.001), history of thyroid disorder (p=0.025), family history of hypertension (p=0.016), salt consumption (p=0.001), consumption of fried fatty food (p=0.008) and processed sugar (p=0.045), and intake of green leafy vegetables (p=0.001), pulses and beans(p=0.031) and activity (p=0.015). In the multiple regression analysis, body mass index (Adjusted Odds Ratio [OR] 2.28 [1.40-3.71] p=0.001), thyroid disorder (adjusted OR 2.756 [1.135-6.645] p=0.025) and intake of green leafy vegetables (adjusted OR 1.69 [1.223-2.360] p=0.002) were found to be independent risk factors associated with preeclampsia and eclampsia.Conclusion: The study concluded that the risk factors should be identified and evaluated during the antenatal visits for early detection so as to reduce maternal and neonatal mortality.

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Risk factors associated with birth defects at a tertiary care center in Pakistan

Italian Journal of Pediatrics ◽

10.1186/1824-7288-38-68 ◽

2012 ◽

Vol 38 (1) ◽

pp. 68 ◽

Cited By ~ 2

Author(s):

Mohammad Zeeshan Raza ◽

Asfandyar Sheikh ◽

Syed Salman Ahmed ◽

Sajid Ali ◽

Syed Mumtaz Ali Naqvi

Keyword(s):

Risk Factors ◽

Birth Defects ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center ◽

Factors Associated

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Rates and Risk Factors Associated with Surgical Site Infections in a Tertiary Care Center in South-Western Nigeria

International Journal of TROPICAL DISEASE & Health ◽

10.9734/ijtdh/2013/1769 ◽

2014 ◽

Vol 3 (1) ◽

pp. 25-36 ◽

Cited By ~ 8

Author(s):

O. Amoran

Keyword(s):

Risk Factors ◽

Care Center ◽

Tertiary Care ◽

Surgical Site Infections ◽

Tertiary Care Center ◽

Factors Associated

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Incidence and risk factors associated with development of ventilator-associated pneumonia from a tertiary care center of northern India

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20161251 ◽

2016 ◽

pp. 1692-1697

Author(s):

Sanjay Masih ◽

Shewtank Goel ◽

Abhishek Singh ◽

Rakesh Tank ◽

Sanjeev Khichi ◽

...

Keyword(s):

Risk Factors ◽

Care Center ◽

Tertiary Care ◽

Ventilator Associated Pneumonia ◽

Tertiary Care Center ◽

Factors Associated ◽

Northern India

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1083: RISK FACTORS ASSOCIATED WITH UNPLANNED EXTUBATIONS: FIVE-YEAR EXPERIENCE OF A TERTIARY CARE CENTER

Critical Care Medicine ◽

10.1097/01.ccm.0000529088.26332.ee ◽

2018 ◽

Vol 46 (1) ◽

pp. 525-525

Author(s):

Sasa Ivanovic ◽

Lisa Shiels ◽

Alexander Zywot ◽

Nirav Mistry ◽

Kristin Fless ◽

...

Keyword(s):

Risk Factors ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center ◽

Factors Associated ◽

Unplanned Extubations

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A retrospective analysis on placenta previa in a tertiary care center of Jharkhand

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20213456 ◽

2021 ◽

Vol 10 (9) ◽

pp. 3389

Author(s):

Tanu Sharma

Keyword(s):

Risk Factors ◽

Perinatal Outcome ◽

Maternal Morbidity ◽

Placenta Previa ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center ◽

Adherent Placenta ◽

History Of ◽

Nicu Admission

Background: When the placenta is implanted partially or completely in the lower uterine segment, it is called placenta previa. Previa is a Latin word means going before. About one-third of APH belongs to placenta previa and now a day’s incidence is increasing in primigravida patients. The objective of this study was to analyze the incidence, risk factors, maternal morbidity, mortality and perinatal outcome in women with placenta previa in a tertiary care center of Jharkhand.Methods: Total 193 cases of placenta previa were studied between September 2018 to August 2019 in the department of obstetrics and gynecology, RIMS, Ranchi with respect to their age, parity, gestational age, clinical presentation, previous history of curettage/hysterotomy/caesarean, ICU admission, need for NICU admission, maternal morbidity and mortality and perinatal outcome.Results: In this study, 1.94% of the deliveries were complicated with placenta previa. 31.6% were above 30 years, 87% were multigravida, 122, i.e.; 62.7% were having history of curettage or previous caesarean or hysterotomy. 49.7% had prior caesarean deliveries, 21.5% had prior abortion with history of D and C. 49.2% had true placenta previa. 68.4% had preterm delivery. 11.9% patients presented in shock and maximum i.e.; 184 (95.3%) out of 193 presented with painless bleeding per vaginum and 9 cases with no complaints. Malpresentation seen in 16.6% cases and 8.3% had adherent placenta previa. There were 45.6% ICU admission and 54.9% NICU admission, 2.5% maternal mortality and 32.6% perinatal mortality.Conclusions: Advanced maternal age, multiparty, scarred uterus as in prior CS or D and C are independent risk factors for placenta previa. Also, it remains a risk factor for adverse maternal and perinatal outcome. The detection of placenta previa and associated adherent placenta should encourage a careful evaluation, timely diagnosis and delivery to reduce associated maternal and perinatal complications.

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Risk Factors Predicting Mortality in Patients with Lung Abscess in a Public Tertiary Care Center in Karachi, Pakistan

Journal of Nepal Medical Association ◽

10.31729/jnma.2428 ◽

2013 ◽

Vol 52 (192) ◽

Author(s):

Shaista Ghazal ◽

Ashok Kumar ◽

Binav Shrestha ◽

Sana Sajid ◽

Maria Malik ◽

...

Keyword(s):

Risk Factors ◽

Pseudomonas Aeruginosa ◽

Blood Sugar ◽

Alcohol Intake ◽

Care Center ◽

Tertiary Care ◽

Lung Abscess ◽

Tertiary Care Center ◽

History Of ◽

Sugar Levels

Introduction: Lung abscess is a commonly encountered entity in South-East Asia but not much data regarding its outcome is available. The objective of this study was to identify the factors associated with increased mortality in patients diagnosed with lung abscess in a tertiary care center of Karachi, Pakistan. Methods: A retrospective case analysis was performed via hospital records, on patients admitted with lung abscess between January 2009 and January 2011 at the largest state-owned tertiary care centre in Karachi, Pakistan. Out of the 41 patients hospitalized, 17 could not survive and were evaluated for clinical, radiological and microbiological factors to determine association with heightened mortality. Results: Mortality due to lung abscess stood at 41.4% (17 of 41 cases). Adult male patients were found to have higher mortality with 13 out of 17 (43%) dead patients being male. A majority (21/41, 51.2%) of the cases belonged to the 41-60 year old age group. Highest mortality was seen in patients <20 years of age (3/4, 75%). Patients with blood sugar levels of >200 mg/dL (56%) succumb to disease. Patients with a positive history of smoking, diabetes mellitus, and alcohol intake expressed mortality rates of 44%, 56%, and 50% respectively; while 29.4% of the mortalities were positive for Pseudomonas aeruginosa on sputum culture. A significant association was found with elevated mortality and low haemoglobin levels at time of admission; mortality was 58% ( p=0.005) in patients with Hb less than or equal to 10 mg/dL. Conclusions: The risk factors involved with heightened mortality included male gender and history of smoking, diabetes and alcohol intake. High blood sugar levels and detection of Pseudomonas aeruginosa on sputum cultures were also implicated. Anemia (Hb level less than or equal to 10mg/dl) was statistically significant predictive factor for increased mortality. Keywords: lung abscess; mortality; risk factors.

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