scholarly journals The obstetric factors and outcome of adolescent pregnancy having IUGR babies

2021 ◽  
Vol 10 (6) ◽  
pp. 2157
Author(s):  
Eshrat Jahan ◽  
Rafiul Alam
Keyword(s):  
Adolescent Pregnancy ◽  
Adolescent Mothers ◽  
Birth Asphyxia ◽  
Health Concern ◽  
Severe Anemia ◽  
Maternal Complications ◽  
College Hospital ◽  
Cross Sectional ◽  
Neonatal Complications ◽  
Obstetric Factors

Introduction: Adolescent childbearing is still a common social and health concern in Bangladesh. Adolescent maternity is causally associated with many poor obstetric complications. Low birth weight is one of the most common problems in adolescent pregnancy and majority of these LBW babies is due to intrauterine growth retardation (IUGR). The aim of the study was to evaluate the obstetric factors and outcomes of adolescent pregnancy having IUGR babies.Methods: This cross-sectional descriptive type of study was conducted at the Department of Obstetrics and Gynaecology, Dhaka Medical College Hospital from the period of January 2012 to June 2012. In this present study, 150 adolescent mothers selected. Sample technique was purposive sampling. Detailed medical, obstetric and neonatal information recorded on a designed data sheet. Data were analyzed using statistical program SPSS.Results: The mean age of all adolescent mothers was 18.14±0.85, while mean age at marriage found 16.24. All the adolescent respondents were married and 9 out of 10 were living with husband (91%). Higher proportion (70%) of Hindu respondents delivered IUGR babies. 60% pregnancies were unplanned, of them, 36% developed IUGR. High proportion of maternal and neonatal complications found among the mothers having IUGR babies. More common maternal complication were severe anemia (65%), fetal distress (56.2%), oligohydramnios (43.8%), pre-¬eclampsia (35.4%), eclampsia (33.3%), PPH (23%), puerperal sepsis (14.6%) and more common neonatal complications were birth asphyxia (96%), hypoglycemia (83%), hyperbilirubinemia (8.3%) and sepsis (8.3%).Conclusions: Adolescent pregnancy complicated with IUGR demonstrated higher proportion of maternal complications like severe anemia, pre-¬eclampsia, eclampsia, oligohydramnios, PPH, and adverse perinatal outcome.

scholarly journals Pregnancy Outcome of Twin Pregnancy at Gandaki Medical College Teaching Hospital, Pokhara, Nepal

2018 ◽  
Vol 11 (02) ◽  
pp. 1-4
Author(s):  
M Tripathi ◽  
R Shrestha
Keyword(s):  
Preterm Delivery ◽  
Teaching Hospital ◽  
Gestational Age ◽  
Twin Pregnancy ◽  
College Teaching ◽  
Neonatal Morbidity ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Neonatal Complications ◽  
Twin Pregnancies

Objectives: To evaluate maternal and neonatal complications and pregnancy outcomes of twin pregnancies. Methods: The cross sectional study was conducted using retrospective data on the twin pregnancies with more than 28 weeks of gestational age. The study used data over a period of five years, from March 10, 2010 to March 9, 2015 in the Department of Obstetrics and Gynecology, GMC Teaching Hospital Pokhara. Results: Of the 50 twin pregnancies, the most common maternal complication was preterm delivery (40%). Other maternal complications were anemia (36%), pregnancy induced hypertension (14%), premature rupture of membranes (14%), postpartum hemorrhage (12%) and antepartum hemorrhage (6%). Median gestational age at delivery was 37 weeks. Most common route of delivery was cesarean section (66%). Most common neonatal complication was low birth weight (48%) births first twin and second twin 56%. Conclusion: Twin pregnancy has high maternal and neonatal complications, especially preterm delivery that increases the risk of significant neonatal morbidity and mortality.

scholarly journals Adolescent pregnancy and current contraceptive use among adolescent and young women aged 16-24 years in Durban and Soweto, South Africa

2021 ◽  
Author(s):  
Malgorzata Beksinska ◽  
Kalysha Closson ◽  
Jenni Smit ◽  
Janan Dietrich ◽  
Stefanie Hornschuh ◽  
...  
Keyword(s):  
South Africa ◽  
Adolescent Pregnancy ◽  
Contraceptive Use ◽  
Health Concern ◽  
Cross Sectional ◽  
Pregnant Females ◽  
Contraception Use ◽  
History Of ◽  
Effective Contraception ◽  
Effective Contraceptive

Abstract Background High rates of adolescent pregnancies in South Africa continues to be a pressing public health concern. This study examines (1) the prevalence of current contraceptive use; and (2) the independent association between adolescent pregnancy and effective contraception use. Methods This study uses baseline cross-sectional data from a youth-centered sexual and reproductive health (SRH) cohort study among youth (aged 16–24) in Soweto and Durban (2011–2017). Among 207/253 females reporting consensual sexual activity, crude and adjusted logistic regression examine associations between ever having an adolescent pregnancy (aged 15–19) or pregnancy at age 20–24 (ref no pregnancy) and effective contraception use (barrier and/or hormonal methods) in the last 6 months. Results Over one-third (34.3%, n = 71) of females reported a history of adolescent pregnancy and 13.0% (n = 27) had a pregnancy at age 20–24. Nearly all (95.9%, n = 94) first pregnancies were unintentional. Current effective contraceptive use was reported by 74.6% (n = 53) with an adolescent pregnancy, 66.6% (n = 18) of those pregnant at 20–24 years, and 46.8% (n = 51) of never pregnant females (p < 0.001). All effective contraceptive users pregnant at 20–24 years and 83% (n = 44) of the adolescent pregnancy group reported using hormonal methods vs. 52.9% (n = 27) of never pregnant females. In the adjusted model, a history of adolescent pregnancy was associated with 3.45 (95%CI = 1.75–6.82) times greater odds of effective contraceptive use (vs. no pregnancy). Conclusion suggest that adolescent females are accessing effective methods of contraception including hormonal methods only after a pregnancy event, highlighting the need for earlier provision of youth-friendly SRH services.

scholarly journals Obstetric and Neonatal Outcome in Second-Pregnancy Patients with One Prior Cesarean Section at A Costarican Hospital 2006-2007

2011 ◽  
Vol 52 (1) ◽  
Author(s):  
Manrique Leal Mateos ◽  
Loretta Giacomin Carmiol ◽  
Rafael A Moya Sibaja
Keyword(s):  
Cesarean Section ◽  
Vaginal Delivery ◽  
Neonatal Resuscitation ◽  
Obstetric Complications ◽  
Obstetric Outcomes ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Neonatal Complications ◽  
Vaginal Deliveries ◽  
Prior Cesarean Section

Aim: To analyze neonatal and obstetric outcomes in second-pregnancy patients with 1 prior cesarean section.Materials and methods: This study is a cross-sectional observational study. We analyzed 306 medical records of patients treated at the Dr. Rafael A. Calderón Guardia Hospital (HCG), from January 1st 2006 to December 31st of 2007. Maternal variables associated to prenatal control were age and obstetrical indication of the previous cesarean delivery. Variables associated to delivery were gestational age, type of delivery, obstetric complications, and length of hospital stay. The neonatal variables were weight at birth, 5 minute Apgar score, neonatal complications, need for neonatal resuscitation or newborn hospitalization and length of hospital stay.Results: 59, 1% of the patients with 1 prior cesarean section had successful vaginal delivery. The percentage of maternal complications was significantly higher for those who underwent a cesarean section during labor.Uterine rupture occurred in 1,3% of the cases and no maternal or neonatal deaths were found as a consequence of such complication. The percentage of neonatal complications was similar for both groups. The need for neonatal resuscitation was significantly higher in the group that underwent an elective caesarean delivery.Conclusion: Our results show that at the HCG from January 1st 2006 to December 31st of 2007, a vaginal delivery in second-pregnancy patients with 1 prior caesarean delivery appears to be safe. The percentage of successful vaginal deliveries, obstetric complications and uterine rupture were similar to those reported in international literature. 

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 TO DETERMINE THE FREQUENCY OF FETAL COMPLICATIONS IN PRETERM LABOR

1969 ◽  
Vol 6 (2) ◽  
pp. 832-836
Author(s):  
MAIMOONA QADIR ◽  
SOHAIL AMIR ◽  
AMIKA KUMARI
Keyword(s):  
Birth Weight ◽  
Sample Size ◽  
Preterm Labor ◽  
Birth Asphyxia ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Physical Burden ◽  
Fetal Complications

BACKGROUND: Preterm birth is the major cause of perinatal mortality and morbidity and animportant public health concern. Keeping in view the complications involved, preterm babies are asource of financial, psychological and physical burden on their families.OBJECTIVE: To determine the frequency of fetal complications in preterm labor.MATERIALS AND METHODS: This descriptive (cross sectional) study was conducted atDepartment of Gynaecology and Obstetrics, Khyber Teaching Hospital, Peshawar from August 2015 toJanuary 2016.Sample size was 147,using 10.7% proportion of birth asphyxia,95% confidence intervaland 5% margin of error, under WHO software for sample size calculation.RESULTS: In this study mean maternal age was 30years with standard deviation + 1.63.Frequency oflow birth weight was analyzed as 113(77%),birth asphyxia was found in 34(23%) patients, hypothermiawas found in 90(61%) and hypoglycemia in 71(48%) patients.CONCLUSION: All the four parameters (Birth weight, hypothermia ,hypoglycemia, birth asphyxia)were found to be significantly effected by the gestational age at which the baby was born.The lower thegestational age,the worst is the outcome and vice versa.KEY WORDS: Preterm labor, fetal complications, birth asphyxia .hypothermia .hypoglycemia.

scholarly journals Teenage Pregnancy Outcome in Rapti Sub Regional Hospital

2019 ◽  
Vol 14 (1) ◽  
pp. 52-55
Author(s):  
Sandesh Poudel ◽  
Snigdha Rai ◽  
Kirtipal Subedi
Keyword(s):  
Teenage Pregnancy ◽  
Very Low Birth Weight ◽  
Regional Hospital ◽  
Age Group ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Normal Delivery ◽  
Neonatal Complications ◽  
Increased Risk ◽  
Adverse Pregnancy

Aim: To determine the maternal and perinatal outcome in teenage pregnancies.  Methods: A hospital based descriptive cross sectional study conducted from April 2017 to April 2018, among the pregnant women of age group≤19 years, admitted to the labour ward  atRapti Sub regional Hospital, Dang. Results: The total of 853 pregnant adolescent women were admitted during the study period, most of which belonged to 19 years of age (38.6%) and were primipara (93.3%) and 42.1% belonged to janjati group. 79.6% had normal delivery, while 14.1% of the cases underwent caesarean section, 5.9% had instrumental delivery and in 0.5% had perineal injury. Anaemia complicated 63% of teenage mothers, more in age group of ≤ 18yrs than in > 18years (61.4%vs 38.6%) and 4.6% had maternal complications, the majority being PPH (2.9%) followed by oligohydraminos, eclampsia, wound infection and vulvar haematoma. Preterm delivery occurred in 15.5% of the cases (≤ 18yrs vs>18yrs being 9.8% vs 5.7%), other neonatal complications included respiratory distress (1.5%), intrauterine growth retardation (4.5%), intrauterine foetal death (0.4%) and very low birth weight (1.2%). Conclusions: Teenage pregnancy has increased risk of adverse pregnancy outcomes leading to various adverse maternal, fetal and neonatal complications. Keywords: outcome, pregnancy, teenage.

scholarly journals Repeat Caesarean Sections: Complications and Outcomes

2019 ◽  
Vol 10 (2) ◽  
pp. 74-79
Author(s):  
Aforza Ghani ◽  
Israt Jahan Ila ◽  
Jannat Ara Ferdouse ◽  
Nasrin Sultana ◽  
Jesmin Sultana
Keyword(s):  
Caesarean Section ◽  
Placenta Praevia ◽  
Abdominal Adhesions ◽  
Maternal Complications ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
History Of ◽  
Study Population ◽  
Caesarean Hysterectomy

Background: The rising incidence of caesarean section all over the world has been of great concern both to the patients and obstetrician.1 Repeat caesarean section is one of the major reasons which have contributed greatly to high caesarean section (CS) rate.1,2 Although maternal death as a result of CS is now rare, reports of the short-and long-term consequences of the rising CS rate on the childbearing population are conflicting.3 Available data show that repeat caesarean section is associated with many maternal complications, specially intra-abdominal adhesions, central placenta praevia, uterine rupture, caesarean scar pregnancy, caesarean hysterectomy etc.4 Objective: To evaluate outcome and complications of multiple repeat caesarean section. Methodology: This was a cross sectional prospective study conducted in Shaheed Suhrawardy Medical College Hospital (ShSMCH) from 1st June’2016 to 30th November’2016 for a period of six months. The study population were 102 patients, selected randomly who were admitted in ShSMCH for repeat caesarean section. Results: Out of 102 patients admitted with history of previous caesarean section, maternal morbidity was 26 (25.49%), which includes intra-abdominal adhesions 19 (18.62%), excessive blood loss 6(5.88%), placenta praevia 4 (3.94%), placenta accreta 1 (.98%), postpartum haemorrhage 11 (10.78%), wound infection 12 (11.76%) etc. Conclusion: As the rate of repeat caesarean section continue to rise, surgeons should be more judgemental in doing caesarean section. J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 74-79

scholarly journals Risk Factors and Short-Term Outcome of Birth Asphyxiated Babies in Dhaka Medical College Hospital

1970 ◽  
Vol 33 (3) ◽  
pp. 83-89 ◽  
Author(s):  
Nilufar Shireen ◽  
Nazmun Nahar ◽  
AH Mollah
Keyword(s):  
Risk Factors ◽  
Birth Asphyxia ◽  
Medical College Hospital ◽  
Short Term ◽  
College Hospital ◽  
Term Outcome ◽  
Female Ratio ◽  
Neonatal Complications ◽  
Medical College ◽  
Short Term Outcome

Background: Perinatal asphyxia is the most important preventable cause of cerebralinjury in the neonatal period leading to very high neonatal mortality and morbidity indeveloping countries. Little can be done for a baby affected by severe perinatalasphyxia. So, prevention is unquestionably desired.Objective: To identify the maternal and fetal risk factors for the development of birthasphyxiated babies and to see the short term outcome of the affected babies.Methods: An analytical type of or observational study was done in the Special CareBaby Unit (SCBU) of Dhaka Medical College Hospital from October 2003 to March2004. Identification of the risk factors was done by retrospective comparison of thecases and controls. Outcome was analyzed by cross sectional comparative study.One hundred consecutive cases of birth asphyxia, admitted in SCBU, were enrolledin the study. Another 30 neonates admitted during this period for other reasons (i.e.,jaundice, septicemia, low birth weight) were taken as control. Necessary informationwere collected by detailed history taking, clinical examination and close follow up ofthe hospital course, using pre-designed questionnaire and recording form.Results: Male: female ratio 3:2 both in the cases and controls. Mean age on admissionwas 13.8 hours and 2.6 days for case and control respectively. Identified importantmaternal risk factors were primiparity (57% in cases vs. 33.3% in control), hypertension(16.6% vs. 3.3%), pre-eclamptic toxemia of pregnancy (24% vs. 13.3%), prolongedrupture of membrane (33.3% vs. 6.7%), prolonged labour (34% vs. 3.3%) and useof oxytocin during labour (16% vs. none). All these were statistically significant (p<0.05).Serious neonatal complications noted among the asphyxiated babies were convulsion,hypoxic ishchemic encephalopathy and necrotizing enterocolitis. These were not seenamong the control group. Mortality among the asphyxiated babies was 16% duringhospital stay, whereas no fatality was recorded among the control. Neurologicalsequelae was observed in 28% of asphyxiated babies but was absent in controls.Conclusion: All the identified risk factors as well as neonatal complications weresignificantly higher in asphyxiated babies. Most of these could have been preventedeven with our limited resources.Key words: Birth Asphyxia; risk factors; immediate outcome.DOI: 10.3329/bjch.v33i3.5688Bangladesh Journal of Child Health 2009; Vol.33(3): 83-89

scholarly journals Adolescent pregnancy and its outcomes: a cross-sectional study

2018 ◽  
Vol 5 (10) ◽  
pp. 4408
Author(s):  
Radha Kumari Paladugu ◽  
Pavan Chand Donipudi ◽  
Divya Chimata ◽  
Manasa Jasti
Keyword(s):  
Adolescent Pregnancy ◽  
Adolescent Mothers ◽  
Rural Areas ◽  
Teenage Pregnancy ◽  
Public Health Problem ◽  
Teenage Mothers ◽  
Major Public Health Problem ◽  
Cross Sectional ◽  
Demographic Profile ◽  
Under Nutrition

Background: Teenage or adolescent pregnancy is a major public health problem worldwide. Studies show that teenage mothers are more likely to experience pregnancy-related complications and maternal death compared to adult mothers. Hence, this study was conducted to study the socio-demographic profile and the maternal and fetal outcomes associated with teenage pregnancy and compare it with those of mothers aged 20-30 years.Methods: A cross-sectional comparative study was conducted in Government General Hospital, Guntur from April 2016 to October 2016. 50 adolescent mothers aged <19 years and 50 mothers aged 20-30 years were respectively selected as cases and controls. Data on socio-demographic profile, obstetric complications and fetal outcome was collected using a pre-designed, pre-tested, semi-structured questionnaire by face-to-face interview. Data was analysed by entering it in MS Excel worksheet.Results: Mean age was 18.2 years in adolescent mothers and 23.2 years in controls. Mean age at marriage was 17.3 years in adolescent mothers and 19.9 years in adults. Among teenage mothers 48% were Hindus, 72% upper lower socio-economic class, 88% from rural areas, 32% illiterates, 72% housewives and 32% had consanguineous marriages. Prevalence of under-nutrition (36% vs 14%, p<0.05), PROM (20% vs 4%, p<0.05), PPH (20% vs 4%, p<0.05) was significantly higher in adolescent mothers compared to adults. Prevalence of PIH was significantly lower in adolescent mothers compared to adults (8% vs 28%, p<0.05).Conclusions: Complications like maternal under-nutrition, PROM, PPH, preterm delivery and low birth weight babies were higher in teenage mothers compared to adult mothers. PIH was higher in adult mothers compared to adolescent mothers.

scholarly journals Study on knowledge, attitude and practice about breast feeding and complementary feeding among the mothers attending health camp

2020 ◽  
Vol 7 (5) ◽  
pp. 1779
Author(s):  
Vidya Mallesh ◽  
Rekha S. Udgiri ◽  
Shailaja S. Patil
Keyword(s):  
Complementary Feeding ◽  
Health Concern ◽  
Feeding Practice ◽  
Child Feeding ◽  
College Hospital ◽  
Cross Sectional ◽  
Timely Initiation ◽  
Attitude And Practice ◽  
Inadequate Knowledge ◽  
Knowledge Attitude And Practice

Background: Malnutrition among under 5 children is a major public health concern in India, sub-optimal feeding and inadequate knowledge of mothers on optimal child feeding practice not only increases the risk of infections and malnutrition but also considered as an important determinant of under-5 children mortality. Objective: Assess knowledge, attitude and practice on breastfeeding, and complementary feeding among mothers with the children under-2 years of age attending the health camp.Methods: This cross-sectional study was conducted on all the mothers with the children under 2 years of age attending the health camp at Shri B. M. Patil Medical College Hospital and Research Center, Vijayapura. A verbal consent was taken and pre structured questionnaire was used to assess knowledge, attitude and practice on breastfeeding and complementary feeding in the mother attending the health camp.Results: In the present study, only 42.1% of the mothers had practiced early initiation breastfeeding and only 38.3% of mothers had practice exclusive breastfeeding for the first 6 months. 36% of the mothers had given prelactial feeds, 62.8% of mothers had fed their children with colostrum and timely initiation of complementary feeding was practiced only among 18.2% of mothers.Conclusions: This study shows inadequate knowledge among mothers regarding infant and young child feeding methods and faulty child feeding practices were followed by mothers. 

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