scholarly journals Prospective study to assess the obstetric and perinatal outcome in fibroid complicating pregnancy

2021 ◽  
Vol 10 (3) ◽  
pp. 1073
Author(s):  
Shalaka Dilip Mhatre ◽  
Ayushi Vazirani ◽  
Vidhya Selvam
Keyword(s):  
Prospective Study ◽  
Vaginal Delivery ◽  
Perinatal Outcome ◽  
Placenta Previa ◽  
Perinatal Outcomes ◽  
Medical College ◽  
Lower Segment Cesarean Section ◽  
Appropriate For Gestational Age ◽  
A Prospective Study ◽  
In Pregnancy

Background: Fibroids are the most common benign tumour of the uterus. Complications ranges from approximately 10-40% in fibroid complicating pregnancy. The objective of the study was to assess obstetric and perinatal outcomes in fibroid complicating pregnancy.Methods: A prospective study was carried out over a period of 01 June 2019-30 October 2020 on 42 women diagnosed with fibroid uterus in pregnancy. The study was conducted in the Obstetrics and Gynaecology department of Sree Balaji Medical College and Hospital, Chennai. Routine basic investigations were done. Ultrasonogram was done at booking visit and during subsequent visits to assess the increase in the size of the fibroid and degeneration and other obstetric complications such as malpresentation and placenta previa.Results: Major proportion was in the younger age group of 25-35 years. Fibroids were more frequent in multigravidae 34 (80.96%), and primigravidae were 8 (19.04%). The reported incidence of fibroid in pregnancy ranges from 0.01%-10.7%. 27 (64.28%) women were asymptomatic during pregnancy. Out of 42 women, 10 (23.80%) were known cases of fibroid became pregnant, remaining 32 (76.19%) were diagnosed as having fibroid during routine antenatal visits. 2 women (22.22%) had pain, 3 of them (7.14%) had preterm labor, 3 (7.14%) had spontaneous miscarriage, 6 (14.2) had threatened abortion, and 1(2.3%) had abruption placentae and 1(2.5%) had placenta previa. Out of 39, 27 (69.23%) women had vaginal delivery of which 2 (7.40%) women had assisted vaginal delivery. Lower segment cesarean section done in 12 women (30.76%). 32 babies delivered (82.05%) appropriate for gestational age infants, 3 (7.69%) had LBW, and 4 (10.25%) were IUGR.Conclusions: Fibroid complicating pregnancy are associated with complications during the antepartum, intrapartum, and postpartum period hence a regular follow up and evaluation is a must. Most pregnancies with fibroids are asymptomatic but may adversely affect the obstetric and perinatal outcome. 

scholarly journals Perinatal outcome associated with oligohydramnios at term

2020 ◽  
Vol 9 (9) ◽  
pp. 3576
Author(s):  
Nikita Gandotra ◽  
Neha Mahajan ◽  
Aakriti Manhas
Keyword(s):  
Birth Weight ◽  
Prospective Study ◽  
Amniotic Fluid ◽  
Perinatal Outcome ◽  
Common Complication ◽  
Amniotic Fluid Index ◽  
Fetal Surveillance ◽  
A Prospective Study ◽  
In Pregnancy

Background: Oligohydramnios is a severe and common complication of pregnancy and its incidence is reported to be around 1 to 5% of total pregnancies. The aim of this study was to perinatal outcome of oligohydramnios (AFI <5) at term.Methods: A prospective study was conducted in which 200 patients at term with oligohydramnios AFI <5 cm with intact membranes were analyzed for perinatal outcome.Results: There were increased chances of FHR decelerations, thick meconium, increased LSCS, low Apgar score at 5 minutes, birth weight <2.5 kg, admission to NICU in pregnancy with oligohydramnios.Conclusions: An amniotic fluid index (AFI) of <5 cm detected after 37 completed weeks of gestation is an indicator of poor perinatal outcome. Determination of AFI can be used as an adjunct to other fetal surveillance methods that helps to identify those infants at risk of poor perinatal outcome.

828: Perinatal outcomes associated with obstructive sleep apnea in pregnancy: a prospective study

2012 ◽  
Vol 206 (1) ◽  
pp. S363
Author(s):  
Judette Louis ◽  
Susan Redline ◽  
Dennis Auckley ◽  
Anna Shepherd ◽  
Patricia Mencin ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Prospective Study ◽  
Perinatal Outcomes ◽  
Obstructive Sleep ◽  
A Prospective Study ◽  
In Pregnancy

scholarly journals Thrombocytopenia during pregnancy and its outcome- A prospective study

2021 ◽  
Vol 8 (2) ◽  
pp. 212-216
Author(s):  
Parneet Kaur ◽  
Hargun Sahiwal ◽  
Rama Garg ◽  
Mohanvir Kaur
Keyword(s):  
Platelet Count ◽  
Perinatal Outcomes ◽  
Severe Thrombocytopenia ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Gestational Thrombocytopenia ◽  
A Prospective Study ◽  
Period Of Gestation ◽  
In Pregnancy ◽  
Haematological Finding

Thrombocytopenia is the second most common haematological finding in pregnancy after anaemia. Thrombocytopenia is defined as decrease in platelet count &#60; 1,50,000/µL. The physiological thrombocytopenia of pregnancy is mild and has no adverse effects on mother and foetus whereas thrombocytopenia associated with medical conditions can have serious maternal-foetal consequences and needs specific monitoring and appropriate management. : The aims of the study were to evaluate causes of thrombocytopenia in pregnancy and to study clinical profile, maternal and perinatal outcome in thrombocytopenic antenatal patients after 28 weeks.: Aprospective study was conducted in department of Obstetrics and Gynaecology and department of Pathology at Government Medical College and Rajendra Hospital, Patiala.100 antenatal females were included in the study with platelet count &#60;1,50,000/µL and period of gestation more than 28 weeks. The subjects were investigated after detailed history and examination. Maternal and foetal outcomes were observed in all cases.Out of 100 subjects with thrombocytopenia, 33% had gestational thrombocytopenia, which was the most common cause; followed by preeclampsia/eclampsia (24%). 18% subjects had severe thrombocytopenia. Complications were seen in the form of HELLP (6%), ICU admission (3%), PPH (3%), Puerperal sepsis (1%). Maternal thrombocytopenia due to medical causes needs strict observation and timely intervention for favourable maternal and perinatal outcomes.

scholarly journals A prospective study of fetomaternal outcome in cases of placenta previa

2019 ◽  
Vol 8 (4) ◽  
pp. 1403
Author(s):  
Gunvant K. Kadikar ◽  
Mayur R. Gandhi ◽  
Rakesh R. Kapadia
Keyword(s):  
Prospective Study ◽  
Placenta Previa ◽  
Mode Of Delivery ◽  
Previous History ◽  
Perinatal Complications ◽  
Medical College ◽  
Type Iv ◽  
Increased Risk ◽  
Multiparous Women ◽  
A Prospective Study

Background: The incidence of placenta previa ranges from 0.5-1% amongst hospital deliveries. Placenta previa is major cause of antepartum haemorrhage and is potentially devastating complication. Obstetric haemorrhage is most common cause for maternal and perinatal morbidity and mortality in India. This study aimed to determine frequency, type of placenta previa, risk factors and adverse fetomaternal outcomes of placenta previa.Methods: This was a prospective study carried out in Department of Obstetrics and Gynaecology, Government Medical College and Sir-T hospital, Bhavnagar from July 2007 to July 2009 to analyze fetomaternal outcome in cases of placenta previa. All patients of placenta previa with gestational age > 28 weeks up to full term were included in the study. All cases were confirmed by Ultrasound examination. All cases were carefully analyzed to find out the incidence, type of placenta previa, its clinical presentation and its outcome in relation to mode of delivery, birth weight, maternal and perinatal morbidity.Results: There was total 50 cases of placenta previa out of 5636 deliveries. The prevalence of placenta previa was 0.88% and was more commonly present among multiparous women (82%). Most common type was type IV placenta previa in 23 (46%) cases followed by type III in 11 (22%) cases. Out of 50 cases, 06 (12%) cases had atonic PPH and 02 (04%) cases underwent peripartum hysterectomy. Most common predisposing factors were age >35 years (04%), multiparity (50%), previous cesarean section (16%) and previous history of abortion (12%). All cases of perinatal mortality were between 28 to 30 weeks weighing between 1-1.5 kg. There was no maternal mortality in this study.Conclusions: Managing a case of placenta previa during pregnancy poses a great challenge to every obstetrician in present day obstetrics due to its increased risk of maternal and perinatal complications.

scholarly journals Maternal and perinatal morbidity and mortality in severe pre-eclampsia and eclampsia in a tertiary care hospital: a prospective study

2019 ◽  
Vol 8 (4) ◽  
pp. 1414
Author(s):  
Neeta Chaudhary ◽  
Natasha Tyagi ◽  
Smita Tyagi ◽  
Shivani Singhal
Keyword(s):  
Prospective Study ◽  
Perinatal Outcome ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Morbidity And Mortality ◽  
Care Hospital ◽  
Perinatal Morbidity ◽  
Function Tests ◽  
Lower Segment Cesarean Section ◽  
A Prospective Study

Background: Hypertensive disorders of pregnancy are a leading cause of maternal and perinatal morbidity and mortality worldwide. In India, they account for the third most important cause of maternal mortality. The objective of this study was to evaluate maternal and perinatal outcome and complications in cases with severe pre-eclampsia and eclampsia and measures to prevent them.Methods: A prospective study was carried out on 100 patients with severe pre-eclampsia and eclampsia in tertiary care referral hospital over a period of one year i.e. from November 2017 to October 2018. Only those cases with initial blood pressure reading of ≥160/110mmHg or presenting with eclampsia were in included in the study. Detailed history and examination was carried out. Investigations and management were carried out as per standardized department protocol and maternal and fetal outcomes were analyzed.Results: 48% of women were between 21-25 years age, 82% were from rural area, and 86% cases were unbooked, 68% cases were primigravida. Liver Function Tests were deranged in 18% of the patients and 19% had abnormal Renal Function Tests. Labetalol was the most commonly used antihypertensive. Lower segment cesarean section was the mode of delivery in 59% of the cases. Most common maternal complication was Eclampsia. There were 5 maternal deaths i.e. maternal death rate was 5%. 54.3% of live births needed NICU admission and out of these 50% were preterm deliveries.Conclusions: Accessible healthcare and health education and awareness regarding antenatal checkup for all women will lead to early detection of severe pre-eclampsia. Hence, early treatment and management of patient’s complications will certainly improve the maternal and perinatal outcome.

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