scholarly journals A study of haemoglobin percentage among pregnant woman at first visit in antenatal clinic in South Dumdum Municipal hospital, Kolkata

Author(s):  
Chaitali Mondal ◽  
Riyanka Panti

Background: Low maternal haemoglobin concentrations during pregnancy have been reported to increase risk of small for gestational age (SGA) birth, which is a predictor of stillbirth. The objective was to find out a study of Hb% among pregnant woman.Methods: All consenting of 200 pregnant woman attending antenatal clinic in the department of obstetrics and gynaecology at South Dumdum municipal hospital, Dumdum, Nager Bazar, Kolkata were included in the study.Results: Out of 200 pregnant woman, 75 woman were anaemic and there average Hb% was 10.10 and 125 mothers were non-anaemic and their average Hb% was 11.61. 39 mothers whose parity p0+0 and avg. Hb%-11.305 out of them 10 mothers are anaemic. In contrast 73 mothers whose parity P0+1 and average Hb% was 23.860, out of them 30 mothers were anaemic. In contrast 5 mothers whose parity P0+2 and average Hb% was 10.76, out of them 0 mother was anaemic. In contrast 22 mothers whose parity P1+0 and average Hb% was 10.31, out of them 13 mothers were anaemic. In contrast 56 mothers whose parity P1+1 and average Hb% was 11.31, out of them 19 mothers were anaemic. In contrast one mother whose parity P1+2 and average Hb% was 0.2 and she was anaemic. In contrast one mother whose parity P2+0 and Hb% was 10 and she was anaemic. In contrast two mothers whose parity were P2+1 and Hb% was 9.55 and out of them one mother was anaemic. In contrast one mother whose parity is p3+1 and Hb% was 12.Conclusions: Out of 200 pregnant woman 75 were anaemic and 125 woman were non-anaemic.

2020 ◽  
Vol 3 ◽  
pp. 76
Author(s):  
Giridhara R. Babu ◽  
G.V.S. Murthy ◽  
Yogesh Reddy ◽  
R. Deepa ◽  
A. Yamuna ◽  
...  

Background: Annually, more than a million low birthweight (LBW) is born in India, often afflicting disadvantaged families. Several studies have undertaken the association of poverty, nutritional status, and obstetric factors with LBW. Through our study, we aimed to examine the possibility of any relation between the Edinburgh Postnatal Depression Scale (EPDS) score measured during pregnancy with the incidence of babies born Small for Gestational Age (SGA). Methods: Pregnant women attending the antenatal clinic at a public hospital between 14 to 32 weeks were recruited from April 2016 to Oct 2017. The EPDS was administered to assess depression through face-to-face interviews. Newborn anthropometry was performed post-delivery. For analysis, birth weight <10 percentile was classified as SGA. Results: Prevalence of depressive symptoms (EPDS score >11) was 16.5% (n=108/654) in antenatal mothers. These women delivered a higher proportion of SGA babies (21.3 v/s 15.8) compared to women with no symptoms. The odds of women giving birth to a child with SGA were twice as high for women with EPDS scores >11 (adjusted OR = 2.03; 95% CI = 1.12 – 3.70) compared to the women with EPDS scores of ≤11, The EPDS 12 (Adjusted OR = 1.96; 95% CI = 1.04 – 3.69) and EPDS 13 (Adjusted OR = 2.42; 95% CI = 1.24 – 4.70) cut-off categories also proved to be a risk factor for SGA with significant p-value (0.0006 and 0.0003) and the individuals with more than 13 EPDS score is found to have the highest odds of SGA. Conclusions: We found a strong association of antenatal depressive symptoms during pregnancy with SGA measured by EPDS. Thus, we recommend the implementation of timely and effective screening, diagnostic services, and evidence-based antenatal mental health services to combat SGA and further associated-metabolic syndromes.


2019 ◽  
Vol 3 ◽  
pp. 76 ◽  
Author(s):  
Giridhara R. Babu ◽  
G.V.S. Murthy ◽  
Yogesh Reddy ◽  
R. Deepa ◽  
A. Yamuna ◽  
...  

Background: Annually, more than a million Low birthweight (LBW) are born in India, often afflicting disadvantaged families. Several studies have undertaken association of poverty, nutritional status, and obstetric factors with LBW. Through our study, we aimed to examine the possibility of any relation between Edinburgh Postnatal Depression Scale (EPDS) score measured during pregnancy with incidence of babies born Small for Gestational Age (SGA). Moreover, we explored if there is any utility for identifying a cut-off point of EPDS for predicting SGA. Methods: Pregnant women attending the antenatal clinic at a public hospital between 14 to 32 weeks were recruited from April 2016 to Oct 2017. The EPDS was administered to assess depression through face-to-face interviews. Newborn anthropometry was performed post-delivery. For analysis, birth weight <10 percentile was classified as SGA and >90th percentile as Large for Gestational Age (LGA). Results: Prevalence of depressive symptoms (EPDS score >11) was 16.5% (n=108/654) in antenatal mothers. These women delivered a higher proportion of SGA babies (21.3 v/s 15.8) and LGA (9.3 v/s 3.3) compared to women with no symptoms. The odds of women giving birth to a child with SGA were twice as high for women with EPDS scores >11 (adjusted OR = 2.03; 95% CI = 1.12 – 3.70) compared to the women with EPDS scores of ≤11. In terms of Area under curve (AUC), EPDS 11 cut off (AUC: 0.757, CI 0.707- 0.806) was same as EPDS 12 cut-off (AUC: 0.757, CI 0.708- 0.807), which was slightly lower than EPDS 13 cut off (AUC: 0.759 CI 0.709- 0.809). Conclusions: We found a strong association of antenatal depressive symptoms during pregnancy with SGA measured by EPDS. Thus, we recommend implementation of timely and effective screening, diagnostic services, and evidence-based antenatal mental health services in order to combat SGA, and further associated-metabolic syndromes.


2021 ◽  
Author(s):  
Xi Wang ◽  
Nora L Lee ◽  
Igor Burstyn

AbstractWe aimed to estimate exposure-response associations between smoking or vaping, and preterm and small-for-gestational age (SGA) births. We included 99,201 mothers who delivered live singletons in 2016-2018 from the Pregnancy Risk Assessment Monitoring System. We created exposure categories based on participants’ self-reported average number of cigarettes smoked per day and vaping frequency. Dual users in late pregnancy were a heterogeneous group: 36% heavily smoked and occasionally vaped; 29% lightly smoked and frequently vaped; 19% lightly smoked and frequently vaped; and 15% both heavily smoked and frequently vaped. While dual users who heavily smoked and occasionally vaped had the highest adjusted OR for SGA (3.4, 95% CI 1.7-6.6), all the dual users were on average at about twice the odds of having SGA than non-users. While the risks of preterm birth were higher among sole light smokers (adjusted OR 1.3, 95% CI 1.1-1.5) and sole heavy smokers (adjusted OR 1.4. 95 CI 1.2-1.8) than non-users, the adjusted odds of preterm births for dual users were not noticeably higher than those of non-users, unless they were also heavy smokers. Excess of preterm births among heavy vapers was suggested. Among younger non-Hispanic white women (where vaping is most common), only excess risk of SGA, not preterm, with vaping was apparent. Relative to non-users, both smoking and vaping during pregnancy appear to increase risk of SGA, but excess risk of preterm births appears to be primarily attributable to smoking alone. Higher levels of exposure tended to confer more risk.HighlightsNo observable change in prevalence of vaping during pregnancy from 2016 to 2018Both smoking and vaping during pregnancy appear to increase risk of SGA birthsExcess risk of preterm births appears to be primarily attributable to smoking alone


2006 ◽  
Vol 13 (04) ◽  
pp. 705-709
Author(s):  
SYED MEHDI RAZA RIZVI ◽  
NASIR IQBAL ◽  
NAILA YASMEEN

Objective: To evaluate the role of Colour Doppler Ultrasound in the management of small forgestational age fetus. SGA or IUGR. Design: Descriptive study. Place & duration of study: Study performed in theDeptt. of Radiology & Deptt. of Gynae. & Obstetrics in Allied Hospital, Faisalabad from August 2005 to July 2006.Material & Methods: This study was carried out on 45 patients admitted through antenatal clinic having suspicion ofcarrying small for gestational age fetus. A brief clinical record including age, parity, nutritional status, intercurrent illness,per-vaginum bleeding, history of drug intake, smoking, past obstetrical history was recorded. Methods involved inscreening SGA fetuses were measurement of Symphyseal Fundal Height chart & Ultrasound biometry, Biophysicalprofile (BPP), Cardiotocography (CTG), Middle cerebral and Umbilical Arteries Doppler studies were performed afteradmission in the management of SGA fetuses. All these information were recorded in a specially designed Performa.Results: Out of 45 SGA fetuses 15(33.3%) were constitutionally small, 20(44.4%) had history of pre-eclampsia,2(4.4%) had cardiac disease, 3(6.6%) had placental abnormalities, 5(11.1%) had multiple gestations. Gestation ofpatients ranged between 30-36 weeks. Umbilical Artery Doppler was used as the primary surveillance tool. Smallfetuses with normal Doppler and anomaly scan were managed on out-patient basis with fortnightly Doppler ultrasound.15 patients (33.3%) with normal end-diastolic flow were delivered at 37 weeks. 20 patients (44.47%) with absent orreversed end-diastolic flow were delivered at 34-35 weeks. 10 patients (22.2%) at 30 weeks gestation with abnormalDoppler study were managed on CTG (Cardiotocography) & biophysical profile over a period ranging between 1-14days. Perinatal mortality was 8.8% (4 cases) mostly due to extreme prematurity. Conclusion: Doppler ultrasound isa very helpful tool in the management of small for gestational age fetuses & it reduces perinatal morbidity & Mortality.


2016 ◽  
Vol 33 (S 01) ◽  
Author(s):  
S. Fustolo-Gunnink ◽  
R. Vlug ◽  
V. Smits-Wintjens ◽  
E. Heckman ◽  
A. Te Pas ◽  
...  

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