scholarly journals Fetomaternal outcome in pregnancies complicated by fibroid

2021 ◽  
Vol 10 (8) ◽  
pp. 3174
Author(s):  
Leimapokpam Roshan Singh ◽  
Kaushik Mahajan ◽  
Nandeibam Balchand Singh ◽  
Wairokpam Prabinkumar Singh ◽  
Kabita Athokpam ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Placenta Previa ◽  
Uterine Fibroids ◽  
Clinical History ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
General Physical Examination ◽  
Obstetrics And Gynaecology ◽  
Risk Pregnancy ◽  
General Physical

Background: Fibromyoma (leiomyoma) is the most common benign tumour of the uterus. Approximately 10% to 30% of women with uterine fibroids developed complications during pregnancy. The aim of the study was planned to ascertain the fetomaternal outcome in pregnancies complicated by fibroid.Methods: A hospital based cross-sectional study was conducted among pregnant women with documented uterine fibroid who was admitted for any complication or delivered in the department of obstetrics and gynaecology, RIMS, Imphal from September 2017 to August, 2019 in the department of obstetrics and gynaecology in collaboration with department of paediatrics, Regional institute of Medical Sciences, Imphal. Detailed clinical history and socio-demographic profile were recorded in pre-designed proforma. General physical examination and systemic examination and obstetrical examination was carried out for the participants.Results: Major proportions was in the age group of 30-39 years (73.9%). Fibroids were more frequent in primigravida (76.1%) followed by P1 (15.2%) and ≥P2 (8.7%). Out of 46 patients 43 (93.5%) delivered by CS (69.76%), NVD (25.58%) and instrumental delivery (4.65%) while 3 patients (6.5%) undergo spontaneous abortions. Most common myoma found in this study was intramural (47.8%) followed by submucous (34.8%) and subserosal (17.4%). Out of 43 deliveries most common complications found was atonic PPH (6.97%) and placenta previa (6.97%) followed by degenerations (2.32%), abruptio placentae (2.32%), malpresentations (2.32%). Out of 43 deliveries 6.9% baby born with low birth weight, IUGR (6.9%), IUFD (4.6%), NICU admission (4.65%) and early neonatal death (2.32%).Conclusions: Pregnancies with fibroids are considered as high-risk pregnancy associated with complications during the antepartum, intrapartum, postpartum period. Pregnant women with myoma can be advised for regular ANC along with TAS for early diagnosis and management of complication.

scholarly journals A study on otorhinolaryngological manifestations in pregnant women

2021 ◽  
Vol 7 (12) ◽  
pp. 1889
Author(s):  
Shallu Jamwal ◽  
Gopika Kalsotra ◽  
Monica Manhas ◽  
Apurva Raina ◽  
Parmod Kalsotra ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
Physiological Changes ◽  
Sectional Study ◽  
Main Condition ◽  
Cross Sectional ◽  
General Physical Examination ◽  
Nasal Symptoms ◽  
General Physical ◽  
Nose And Throat

<p><strong>Background: </strong>Pregnancy is characterized by various endocrinological and physiological changes affecting different organs including ear, nose and throat. Otorhinolaryngological manifestations in pregnant women are mainly due to changes in levels of sex hormones such as estrogen and progesterone. While majority of these conditions are benign and reverse after parturition, some do not. The study was conducted with an objective to find the incidence of various otorhinolaryngological manifestations among pregnant women and to create awareness among the medical professionals to diagnose these conditions.<strong></strong></p><p><strong>Methods</strong>: This is a hospital based cross sectional study of 240 pregnant women who presented to the department of otorhinolaryngology with ENT symptoms. Detailed history, general physical examination and complete ENT examination was done on all subjects.</p><p><strong>Results</strong>: 47.9% of the study cases had otological manifestations among which otitis media was the main finding.</p><p>16.7 % of the cases had nasal symptoms among which rhinits was the main condition predominantly observed in the 3<sup>rd</sup> trimester. 19.6% of the cases had oral cavity lesions with stomatitis being the most commonly found cause. 15.8% of the cases had throat complaints, among which gastroesophageal reflux disease (GERD) was the most common cause found during 2<sup>nd</sup> and 3<sup>rd</sup> trimester.</p><p><strong>Conclusions: </strong>Recognition and understanding of pregnancy related ear, nose throat complaints will allow otolaryngologist to reassure and manage these patients, improving their experience of the gestational period.</p>

scholarly journals Risk status of pregnant women in rural areas of Belagavi: a cross sectional study

2019 ◽  
Vol 6 (6) ◽  
pp. 2350
Author(s):  
Katherine J. Bernard ◽  
Sulakshana Baliga
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
High Risk Pregnancy ◽  
Cross Sectional ◽  
Risk Status ◽  
Factors Associated ◽  
Risk Pregnancy ◽  
Status Assessment

Background: ‘High-risk’ pregnancies account for a significant proportion of perinatal morbidity and mortality worldwide. Simple prenatal scoring systems can be used to assess risk status of pregnancy and inform subsequent management. Their use in rural areas and low-resource settings could be of particular benefit. This study employed pregnancy risk status assessment in one such area of rural India. The objectives of the study were to estimate the prevalence of low, moderate and high-risk pregnancy among women in a rural area of Belagavi and to identify factors associated with high-risk pregnancy status.Methods: This community-based cross-sectional study was undertaken among 105 pregnant women of all trimesters presenting to antenatal clinics in the Kinaye area of Belagavi, Karnataka, during July 2018. Information on risk factors and socio-demographic details were collected using a questionnaire, and individual risk scores calculated through a scoring system. This was used to estimate prevalence of low, moderate and high-risk status among participants, and subsequently compared against selected variables to identify factors associated with high risk pregnancy status.Results: Prevalence of high-risk pregnancy among participants was 31.4%, moderate-risk 30.5%, low-risk 29.5% and ‘no risk’ 8.6%. Maternal undernutrition was an important factor associated with high-risk pregnancy.Conclusions: This study highlights the need for early identification and appropriate management of such cases, in order to prevent adverse perinatal outcomes. The prenatal scoring system used in this study offers a simple method for risk status assessment in pregnant women of all trimesters, suited for use in antenatal clinics in rural areas of India.

scholarly journals Prevalence of and factors associated with receipt of provider recommendation for influenza vaccination and uptake of influenza vaccination during pregnancy: cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alexandra Brixner ◽  
Susanne Brandstetter ◽  
Merle M. Böhmer ◽  
Birgit Seelbach-Göbel ◽  
Michael Melter ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
Vaccine Uptake ◽  
Health Study ◽  
Health Services Use ◽  
Cross Sectional ◽  
Vaccination Uptake ◽  
Risk Pregnancy ◽  
Vaccination Recommendation

Abstract Background Seasonal influenza vaccination has been recommended for pregnant women in Germany since 2010. The aim of this study was to examine prevalence and determinants of receipt of provider recommendation for influenza vaccination as well as influenza vaccination uptake during pregnancy. Methods We analysed data from the “KUNO Kids Health Study”, a prospective birth cohort. During the study period (5th July 2015 to 27th June 2018) data were collected from participating mothers by interview and questionnaire. According to Andersen’s behavioural model of health services use potential influencing factors describing the circumstances and characteristics of the mothers and their pregnancies which are potentially affecting whether women receive a recommendation for a vaccination or whether they utilize influenza vaccination were classified into three domains: ‘predisposing characteristics’, ‘enabling resources’ and ‘need’. Using multivariable logistic regression models odds ratios (OR) and corresponding 95% confidence intervals (95% CI) were calculated. Results As a combined result across three flu seasons, 368 of 1814 (20.3%) women received an influenza vaccination recommendation during pregnancy. Having had a high-risk pregnancy increased the odds of receiving a vaccination recommendation (OR = 1.3; 95% CI = 1.0–1.6; p = 0.045). In contrast, pregnancy onset in summer (OR = 0.7; 95% CI = 0.5–1.0; p = 0.027), autumn (OR = 0.4; 95% CI = 0.3–0.5; p < =0.001) or winter (OR = 0.5; 95% CI = 0.3–0.6; p < =0.001) (compared to spring) as well as mother’s birthplace outside Germany (OR = 0.6; 95% CI = 0.4–0.9; p = 0.023) reduced the chance of getting a vaccination recommendation. Two hundred forty-two of one thousand eight hundred sixty-five (13%) women were vaccinated against influenza during pregnancy. Having received a vaccination recommendation was strongly associated with vaccination uptake (OR = 37.8; 95% CI = 25.5–55.9; p < =0.001). Higher health literacy status was also associated with a higher chance of vaccination uptake (OR = 1.7; 95% CI = 1.2–2.6; p = 0.008), whereas pregnancy onset in autumn (compared to spring) reduced the chance (OR = 0.5; 95% CI = 0.3–0.8; p = 0.008). Conclusions At 13% the uptake rate of influenza vaccination is low. Having received a recommendation to vaccinate was strongly associated with uptake but only one fifth of all mothers report such a recommendation. Raising awareness in physicians regarding vaccinating during pregnancy seems to be of essential importance to increase vaccine uptake and to prevent influenza-related complications in pregnant women.

scholarly journals Dietary patterns and significance of nutrition for women with low-risk pregnancy

2017 ◽  
Vol 30 (2) ◽  
pp. 219-231 ◽  
Author(s):  
Natália Sales de CARVALHO ◽  
Soraia Pinheiro Machado ARRUDA ◽  
Letícia Maria Rodrigues RAMOS ◽  
Marcia Maria Tavares MACHADO ◽  
Daniela Vasconcelos de AZEVEDO
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Dietary Patterns ◽  
Word Association ◽  
Eating Habits ◽  
Soft Drink ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Significance Level ◽  
Risk Pregnancy

ABSTRACT Objective: To evaluate dietary patterns and significance of diet for pregnant women. Methods: Cross-sectional study carried out in eight health units in Fortaleza, Ceará, Brazil, with 201 pregnant women. The following instruments were used: a socio-economic and health questionnaire, the Free-Word Association Test, and a Food Frequency Questionnaire. Dietary patterns were identified using principal components and factor analysis. Poisson regression with 5% significance level was used. Results: Three dietary patterns were identified: current Brazilian pattern (beans, rice, processed meats, fats, refined grains, pasta and pastries, soft drink, sugar and sweets, cookies and crackers); healthy pattern (fruits and fruit juices, vegetables, whole grains, seafood, dairy products); and energy-rich pattern (salty deep-fried snacks, popcorn, packaged snacks, instant noodles, tubers, and chicken). Women who did not receive nutrition guidance during prenatal care showed less chance of adherence to the current Brazilian dietary pattern (PR=0.87), and therefore their level of consumption of foods commonly present in Brazilian diets was low. For most women, the significance of diet was reported as important and healthy, but it was not associated with any of the diet patterns identified. However, the women who did not consider that during pregnancy diet should be healthy showed greater chance of adherence to the energy-rich pattern (PR=1.18). This finding deserves special attention since excessive weight gain can have a negative effect on pregnancy. Conclusion: Nutrition guidance during prenatal care and the way pregnant women perceive their eating habits can influence their food choices during pregnancy.

scholarly journals High-risk pregnancy: clinical-epidemiological profile of pregnant women attended at the prenatal service of the Public Maternity Hospital of Rio Branco, Acre

2018 ◽  
Vol 18 (3) ◽  
pp. 559-566
Author(s):  
Aline Fernanda Silva Sampaio ◽  
Maria José Francalino da Rocha ◽  
Elaine Azevedo Soares Leal
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Gestational Hypertension ◽  
Maternity Hospital ◽  
Cross Sectional Study ◽  
Chronic Hypertension ◽  
Cross Sectional ◽  
The Public ◽  
Risk Pregnancy ◽  
Epidemiological Profile

Abstract Objectives: to describe the clinical and epidemiological profile of the pregnant women treated at the high-risk prenatal service of the Public Maternity Hospital of Rio Branco, Acre Methods: a cross-sectional study of326pregnant women attended at the Rio Branco high risk prenatal outpatient clinic from April to May 2016. Interviews were conducted with a structured questionnaire. Results: the results showed that the mean age of women was 28 years old, schooling equal to or higher than high school (58.8%), married / stable union (81.7%), unemployed (50%); (26.4%), four or more pregnancies (32.8%), prenatal start with gestational age <12 weeks (69.3%), and 3 to 5 prenatal consultations (58%). The most frequent clinical antecedents were obesity (35%) and chronic hypertension (8%). The most frequent clinical and obstetric complications were urinary tract infection (39.9%), weight gain (30.4%), anemia (14%), threat of abortion (11%) and gestational hypertension (10.4%) Conclusions: knowledge about the clinical-epidemiological profile of high-risk pregnant women helps to create strategic health services instruments and, consequently, to reduce maternal mortality.

scholarly journals Fetomaternal outcome in preterm labour

2021 ◽  
Vol 10 (6) ◽  
pp. 2362
Author(s):  
Nungsangtemjen . ◽  
Kaushik Mahajan ◽  
M. Rameswar Singh ◽  
Yaruiyam Mahongnao ◽  
Dylan G. Momin ◽  
...  
Keyword(s):  
Preterm Labor ◽  
Preterm Labour ◽  
Preterm Births ◽  
Clinical History ◽  
Hyaline Membrane Disease ◽  
Cross Sectional Study ◽  
Morbidity And Mortality ◽  
Term Infants ◽  
Cross Sectional ◽  
General Physical Examination

Background: Preterm birth is the leading cause of infant morbidity and mortality in the world. It affects not only the immediate neonatal period but also affects infancy, childhood and even adulthood. The aim of the study was to ascertain the causes and outcome of preterm labor and delivery and also the neonatal outcome.Methods: A hospital based cross-sectional study was conducted among patients who entered the third trimester of pregnancy and diagnosed as a case of threatened preterm labor or preterm labor from September 2017 to August 2019 in the department of obstetrics & gynaecology in collaboration with department of paediatrics, Regional institute of Medical Sciences, Imphal. Detailed clinical history and socio-demographic profile were recorded in pre-designed proforma. General physical examination and systemic examination and obstetrical examination was carried out for the participants.Results: Out of 918 preterm births 88.9% of neonates between the gestation period 28 weeks and <32 weeks were admitted to NICU. 48.8% of the neonates were having low birth weight. 23.8% of neonates required NICU admission and the most common neonatal complications were sepsis (5.2%), asphyxia (4%), jaundice (4%) and hyaline membrane disease (1.7%). Apgar score significantly improved as the period of gestation increased at 5 minute and 10 minutes (p=0.006 and p<0.001 respectively). The overall mortality among preterm births was 8.1% and only 3.7% neonatal deaths were seen in gestational age 34 weeks to <37 weeks, whereas 24.1% and 22.2% mortality were seen in 32 weeks to <34 weeks and 28 weeks to <32 weeks of gestation (p=<0.001).Conclusions: Preterm infants are at high risk for overall morbidity and mortality compared with term infants. Proper antenatal care, clinical suspicion, early detection and correction of risk factors, institutional delivery and good neonatal care facilities can improve the outcome of preterm labour.

To Determine the Frequency of Common Site of Lodgment of Foreign Body in Respiratory Tract of Children

2021 ◽  
Vol 15 (8) ◽  
pp. 1823-1824
Author(s):  
Maimoona Saeed ◽  
Syed Sajid Munir ◽  
Sami Ul Haq
Keyword(s):  
Foreign Body ◽  
Oral Cavity ◽  
Respiratory Tract ◽  
Nasal Cavity ◽  
Cross Sectional Study ◽  
Common Site ◽  
Cross Sectional ◽  
General Physical Examination ◽  
Left Bronchus ◽  
General Physical

Aim: To determine the frequency of common site of lodgment of foreign body in respiratory tract of children. Setting: Pediatric and ENT Departments, Khyber Teaching Hospital, Peshawar. Study Design: Descriptive cross-sectional study. Duration of Study: six months i.e. 30/6/2018 to 30/12/2018 Methodology: 300 cases were included. Demographic characteristics like, name, age, gender and address was recorded. H/O inhaling a specific foreign body and time elapsed was noted. General physical examination for signs of respiratory distress was noted. Chest X ray was performed. Examination of oral cavity and nostrils was performed for a suspected foreign body. If nothing found, the patient was immediately shifted to ENT department for emergency bronchoscopy to remove the suspected foreign body. The type of foreign body recovered and the site of respiratory tree from where it is removed were noted. Results: Mean age was 12 years with SD ± 2.16. 51% children were male while 49% children were female. Site of lodgment of foreign body among 300 patients was analyzed i.e. 1% patients had oral cavity, 7% had nasal cavity, 1% patients had oro-pharynx, 3% patients had larynx, 13% patients had main trachea, 30% had right bronchus, 15% patients had left bronchus, 1% patients had right bronchiole, 1% patients had left bronchiole in respiratory tract of children. Conclusion: Frequency of site of lodgment of foreign body was i.e. oral cavity 1%, nasal cavity 7%, oro-pharynx 1%, larynx 3%, main trachea 13%, right bronchus 30%, left bronchus 15%, right bronchiole 1% and left bronchiole 1%. Keywords: Lodgment, foreign body, respiratory tract, children.

A Cross-Sectional Study of Clinical Profiles and Complications Associated with Fever with Thrombocytopenia

2021 ◽  
Vol 8 (8) ◽  
pp. 445-449
Author(s):  
Melvin Dominic ◽  
Hari Hara C. Sudhan ◽  
Karthik Narayan ◽  
Ram Kirubakar Thangaraj ◽  
Abdussamad M ◽  
...  
Keyword(s):  
Platelet Count ◽  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Spontaneous Bleeding ◽  
Cross Sectional ◽  
General Physical Examination ◽  
The Mean ◽  
General Physical

BACKGROUND Fever is the commonest cause of thrombocytopenia that narrows the differential diagnosis and management of fever. The complexity of thrombocytopenia and its control can also be determined through fever. Lack of proper surveillance system and limited laboratory services pose a definite challenge for a perfect diagnosis leading to case management primarily based on clinical manifestations. METHODS A cross-sectional study was conducted on 90 patients attending outpatient department of Vinayaka Missions Kirupananda Variyar Medical College & Hospitals, during the period of April 2017 to September 2017 (6 months). In patients with fever with thrombocytopenia, a careful history was recorded, general physical examination, laboratory and technical investigation reports were noted down from regular investigations. Culture sensitivity and serology were considered as primary outcome variables. The continuous data was expressed as mean ± standard deviation (SD) and for independent sample “t” test was used to compare the data. A probability value (“P” value) of ≤ 0.05 at 95 % confidence interval was considered as statistically significant using Statistical Package for the Social Sciences (SPSS). RESULTS The mean age was 44.73 ± 21.18 years in the study population. 39 (43.33 %) were males and 51 (56.67 %) were females. The average period of stay in the hospital was 8.84 ± 5.73 days; the most common chief complaint was chills & rigors seen in 65 (72.22 %) patients. The most commonly observed comorbidity in the patients was diabetes mellitus. The mean and SD of platelet count was 91522.22 ± 32265.13 per µL. 21 (23.33 %) people had dengue. The mean platelet count at discharge was 192215.19 ± 49481.85 per µL. CONCLUSIONS The commonest cause is infection, for fever with decreased platelet count. A significant number of cases of febrile thrombocytopenia were diagnosed as sepsis in the present study. KEYWORDS Infection, Dengue, Septicaemia, Petechiae / Purpura, Spontaneous Bleeding, Fever

A CROSS-SECTIONAL STUDY OF PREVALENCE OF RISK FACTORS FOR UTERINE FIBROIDS AT SKMCH, MUZAFFARPUR, BIHAR

2021 ◽  
pp. 24-26
Author(s):  
Chetna Chetna ◽  
Kumari Kanak Lata ◽  
[Prof.] Abha Rani Sinha ◽  
Debarshi Jana
Keyword(s):  
Risk Factors ◽  
Uterine Fibroids ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Reduced Body ◽  
Obstetrics And Gynaecology ◽  
Statistical Program ◽  
Average Body Mass ◽  
Average Body

Objectives: To examine the prevalence of risk factors in patients suffering from uterine broid at Obstetrics and Gynaecology Department of SKMCH, Muzaffarpur, Bihar Methods:Across-sectional study carried out between January 2020 to December 2020 includes patients who were diagnosed with uterine broids. The position and number of the broids were counted and noted by the reports of Ultrasound examinations. Especially we assessed the prevalence of risk factors for uterine broids based on the questionnaire lled by the patients. The data were processed with the statistical program SPSS 25 and Pvalue less than 0.05 were considered to be statically signicant. Results: A total of 137 patients was studied, the majority of subjects were below the age group of 36-50 years (63.5%) followed by 21-35 years 2 (24.08%) and 51-65 years (12.4%). The average age of the participants was 42.08 ± 8.89 years. BMI showed that women with 25 kg/m to 29.9 2 2 2 kg/m (54.74%) and ≥30 kg/m (8.75%) experienced a higher prevalence of broids (χ2 =11.55, P =0.003) than women with 18.5 kg/m to 24.9 2 kg/m (36.49%). The average body mass index (BMI) of women with broids that were detected in our study was 27.5kg/m2. Other risk factors were not signicantly linked with uterine broids. Conclusion: Fibroid prevalence had a signicant correlation with age and BMI. Early detection and reduced body weight may bring down the occurrence of uterine broids.

scholarly journals Occupational and social hazards among domestic solid waste collectors: a cross sectional study

2020 ◽  
Vol 7 (2) ◽  
pp. 625
Author(s):  
Tanvi Patil ◽  
Swati S. Raje
Keyword(s):  
Solid Waste ◽  
Clinical History ◽  
Cross Sectional Study ◽  
Leg Pain ◽  
Sectional Study ◽  
Cross Sectional ◽  
Study Population ◽  
To Come ◽  
Domestic Solid Waste ◽  
General Physical

Background: Domestic solid waste collectors play important role in maintain hygiene of a community, especially in developing countries. Yet not many efforts are done to identify their health needs. The main objective of this study is to identify the morbidity pattern and social problems of solid waste collectors in urban Maharashtra.Methods: It was a cross sectional study.  Study population consisted of domestic solid waste collectors who are registered under municipal corporation. Sampling was purposive. All the domestic solid waste collectors who came for specially arranged health check-up were included in the sample. Social and demographic information along with clinical history was collected using a structured questionnaire. General physical exam, eye checkup, skin examination and lab investigations were done in a specially organized camp, after obtaining prior consent of the participants. Data was analyzed using SPSS 19 software.Results: More than 90% of 98 solid waste collectors, who participated in the study had frequent cough, fever and diarrhea. Over 85% had back or/and leg pain. More than half of the study population had dryness of skin and 47% of them complained of itching. 15 solid waste collectors were discriminated in marriages.Conclusions: High prevalence of common frequent symptoms such as fever, cough and diarrhea can be controlled by conducting regular health checkups for this community. The need is to reach them rather than waiting for them to come to health facility. Sensitization of community towards importance of work done by the solid waste collectors is also required. 

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