scholarly journals Contributing factors of fetal death following radiofrequency ablation in complicated monochorionic multiple pregnancies

2019 ◽  
Author(s):  
Fatemeh Rahimi-Sharbaf ◽  
Mansooreh Haghiri ◽  
Shirin Niromanesh ◽  
Mahboobeh Shirazi ◽  
Arezoo Arabipoor ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Fetal Death ◽  
Perinatal Outcomes ◽  
Treatment Method ◽  
Cross Sectional Study ◽  
Multiple Pregnancies ◽  
Medical Sciences ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Arterial Perfusion

Abstract Background Radiofrequency ablation is considered as an optional treatment method in complicated monochorionic (MC) twin pregnancies. The purpose of this study is to investigate the main factors of fetal death after such treatment procedure. The study also compares the perinatal outcomes among various groups of indication and gestational age (GA) at procedure.Methods This cross-sectional study considers 195 cases of MC multiple pregnancies including one twin with twin-twin transfusion syndrome, selective intrauterine growth restriction, sever anomaly and twin reversed arterial perfusion sequence(TRAP) which underwent selected reduction using RFA from 2016 to 2018 at Yas Hospital, related to Tehran University of Medical sciences. The GA at RFA categorized as 16- 19 +6 wks., 20-23 +6 wks., and 24-28 wks. The analysis of risk factors of fetal death after RFA is based on multivariable logistic regression model.Results The result of analysis reveals that the rate of co-twin anemia after RFA in anomaly indication was higher than the other indications significantly (p=0.038) while according to GA categories, it is significantly lower in 20-23 +6 wks. (p=0.016). Three independent significant factors contributing in fetal death after RFA were co-twin anemia after RFA, TRAP and anomaly indications of RFA and GA at RFA, respectively.Conclusions The co-twin anemia after RFA is found the most contributing factor of fetal death. As the results show that the rate of co-twin anemia after RFA is significantly low in 20-23 +6 weeks of GA, such GA is suggested for RFA procedure to reduce the fetal death.

A cross sectional study on prevalence of hypertension and its risk factors among the non-teaching staff of KBNIMS, Kalaburgi, Karnataka, India.

2016 ◽  
Vol 5 (07) ◽  
pp. 4699
Author(s):  
Mohin M. Sakre* ◽  
Swati I. A. ◽  
Syed Mustafa Al Hussaini ◽  
Sana Nizami
Keyword(s):  
Risk Factors ◽  
Alcohol Consumption ◽  
Smokeless Tobacco ◽  
Cross Sectional Study ◽  
Common Finding ◽  
Teaching Staff ◽  
Sectional Study ◽  
Medical Sciences ◽  
Contributing Factors ◽  
Cross Sectional

High blood pressure is one of the most important modifiable risk factors for CVS diseases. It is an extremely common finding in the community and the risk factor for MI, Stroke, end stage renal disease and peripheral vascular disease. To study the prevalence of Hypertension and its associated risk factors in the non-teaching staff of Khaja Bandanawaz Institute of Medical Sciences, Kalaburgi. A cross sectional study was conducted on the prevalence of hypertension among the non-teaching staff of Khaja Bandanawaz Institute of Medical Sciences, Kalaburgi, Karnataka from 26/07/2015 to 20/09/2015. Data was collected regarding their age, sex, smoking and alcohol consumption, smokeless tobacco usage, lifestyle, occupation, type of diet and family history. The age of the non-teaching staff was in the range of 25 to 60 years with 63% males and 37% females. Prevalence of Hypertension was 25%. A majority of 40% belonged to the age group of above 50 years. Maximum prevalence of Hypertension was found among the watchmen (50%). Hypertension was more prevalent among alcohol consumers (83%) followed by smokers (53%), smokeless tobacco users (49%), subjects living a sedentary lifestyle (41%) and study subjects who had a mixed die (27%). A statistically significant association was found between hypertension and smoking, alcohol consumption, life style and smokeless tobacco intake. The prevalence of Hypertension was 25% with many contributing factors. The results show the need for special programs for high risk groups. 

scholarly journals Selective termination of the fetus in multiple pregnancies using ultrasound-guided radiofrequency ablation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nan Li ◽  
Jimei Sun ◽  
Jiayan Wang ◽  
Wei Jian ◽  
Jing Lu ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Gestational Age ◽  
Loss Rate ◽  
Fetal Loss ◽  
Perinatal Outcomes ◽  
Multiple Pregnancies ◽  
Ultrasound Guided ◽  
Arterial Perfusion ◽  
Before And After ◽  
Gestational Age At Delivery

Abstract Background To evaluate the perinatal outcomes in women with selective termination using ultrasound-guided radiofrequency ablation (RFA). Methods Complicated monochorionic (MC) twin pregnancies and multiple pregnancies with an indication for selective termination by ultrasound-guided coagulation of the umbilical cord with RFA under local anesthesia between July 2013 and Jan 2020 were reviewed. We analyzed the indications, gestational age at the time of the procedure, cycles of RFA, duration of the procedure, and perinatal outcome. Results Three hundred and thirteen patients were treated during this period. Seven of whom were lost of follow-up. The remaining 306 cases, including 266 pairs of monochorionic diamniotic (MCDA) twins (86.93%), two pairs of monoamniotic twins (0.65%), 30 dichorionic triamniotic (DCTA) triplets (1%), and three monochorionic triamniotic (MCTA) triplets (0.98%), were analyzed. Indications included twin-to-twin transfusion syndrome (TTTS) (n = 91), selective fetal growth restriction (sFGR) (n = 83), severe discordant structural malformation (n = 78), multifetal pregnancy reduction (MFPR) (n = 78), twin reverse arterial perfusion sequence (TRAPS) (n = 19), and twin anemia-polycythemia sequence (TAPS) (n = 3). Upon comparison of RFA performed before and after 20 weeks, the co-twin loss rate (20.9% vs. 21.5%), the incidence of preterm premature rupture of membranes (PPROM) within 24 h (1.5% vs. 1.2%), and the median gestational age at delivery [35.93 (28–38) weeks vs. 36 (28.54–38.14) weeks] were similar (p > 0.05). Conclusions RFA is a reasonable option when indicated in multiple pregnancies and complicated monochorionic pregnancies. In our experience, the overall survival rate was 78.76% with RFA in selective feticide, and early treatment increases the likelihood of survival for the remaining fetus because the fetal loss rate is similar before and after 20 weeks.

scholarly journals Maternal and perinatal outcomes in multiple versus singleton pregnancies in Dakar, Senegal: a cross sectional study over 10 years

2020 ◽  
Vol 9 (4) ◽  
pp. 1705
Author(s):  
Mame D. Ndiaye ◽  
Mamour Gueye ◽  
Ndèye Aissatou Diop ◽  
Simon B. Ndour ◽  
Ndama Niang ◽  
...  
Keyword(s):  
Perinatal Outcomes ◽  
Cross Sectional Study ◽  
Multiple Gestation ◽  
Multiple Pregnancies ◽  
Sectional Study ◽  
Cross Sectional ◽  
Neonatal Deaths ◽  
Increased Risk ◽  
Study Results ◽  
Perineal Injuries

Background: The birth of twins is a singular event in most societies, and even more when it comes to multiple births. The objective of this study was to investigate maternal and perinatal outcomes in multiple versus singleton pregnancies.Methods: Cross-sectional study carried out at Philippe Maguilen Senghor health center in Dakar, Senegal from January 1, 2011 to June 30, 2019. Data were extracted from this E-perinatal electronic database and then analyzed in statistical package for social science software (SPSS 24, Mac version).Results: A total 42,870 mothers delivered 44,149 newborns including 1250 twins (2.8%) and 29 triplets. The mean maternal age was 27 years. Mothers with multiple pregnancies had 3 times the odds of poor maternal outcome compared to mothers with single pregnancies (OR 2.42, 95% CI; 1.98-2.94, p <0.001, for high blood pressure; OR, 2.66; 95% CI, 2.11-3.32, p= <0.001, for severe pre-eclampsia; and OR, 3.04; 95% CI, 1.64-5.66, p <0.001, for postpartum hemorrhage). Likewise, women with multiple gestations had significantly higher rates of preterm birth (OR 5.62; 95% CI: 4.91-6.41, p <0.001), breech presentations (OR = 11.02; CI = 9.68-12.53, p <0.001) and neonatal deaths (OR = 2.94; CI = 9.6852-12.5328 p= 0.004) as compared to women with singleton gestations. Furthermore, women with multifetal gestations had increased risk for caesarean section (OR 2.14; 95% CI: 1.91-2.41, p <0.001) compared with their singleton counterparts. The risks for episiotomy and perineal injuries were higher for women with singleton gestations as compared to multiple gestation mothers.Conclusions: This study results are in line with previous findings and contradict others. Particular attention should always be paid to multiple pregnancies’ management. However, the pattern of certain complications traditionally correlated with multiple pregnancies is to be confirmed.

Depression and Cognitive Impairment in Patients on Hemodialysis: A cross-sectional study

2020 ◽  
Vol 5 (15) ◽  
pp. 185-192
Author(s):  
Nor Jannah Nasution Raduan ◽  
Mohd Razali Salleh ◽  
Ghazali Ahmad ◽  
Zaleha Ismail
Keyword(s):  
Cognitive Impairment ◽  
Publishing House ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Education Level ◽  
Sectional Study ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Factors Associated ◽  
Low Education

Depression and cognitive impairment are the most common complications of patients on hemodialysis. The objective of this study is to identify contributing factors to depression and cognitive impairment in hemodialysis patients. This is a cross-sectional study involving 110 hemodialysis patients in Hospital Kuala Lumpur. The samples were recruited through universal sampling. Patients were assessed with the Beck Depression Inventory and Montreal Cognitive Assessment. This study found that 18.2% of patients had depression, and 48.2% had cognitive impairment. Factors associated with depression were unmarried status, low education level, and cognitive impairment. Factors associated with cognitive impairment were low education level, depression, and unemployment. Keywords: hemodialysis, depression, cognitive, ESRD eISSN: 2398-4287© 2020. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v5i15.2468.

Pathological Study of Stillbirths Placentas at Muhimbili National Hospital, Tanzania

2020 ◽  
Vol 154 (Supplement_1) ◽  
pp. S22-S23
Author(s):  
A E Malango
Keyword(s):  
Clinical Diagnosis ◽  
Clinical Assessment ◽  
Gestational Age ◽  
Fetal Death ◽  
Consensus Statement ◽  
Cross Sectional Study ◽  
Pathological Examination ◽  
Pathological Study ◽  
Cross Sectional ◽  
Placenta Pathology

Abstract Introduction/Objective Stillbirth is defined as fetal death that occurs at gestational age of ≥28 weeks. In our setting clinical assessment is the only method used to determine cause of stillbirths, with no reported proportion of unknown clinical diagnosis. Studies showed that unknown cause of stillbirths can be reduced by examination of placenta. Causal identification aids in the mourning process and identifying recurrence risks. The study aimed to describe pathological changes in the placentas of stillbirths which have risk to cause fetal death Methods A descriptive cross-sectional study done for the period of 6 months, it involved examination of 80 placentas of stillbirths born at gestational age of ≥ 28 weeks, placentas were fixed in 10% neutral buffered formalin for 8–12 hours. Grossing and interpretation of placenta pathology was according to Amsterdam Placental Workshop Group Consensus Statement. Results Out of 80 stillbirths, 32(40%) had unknown clinical diagnosis. Majority of stillbirth placentas 71(91%) found with either one or combined pathologies with the risk to cause stillbirth. Maternal vascular malperfusion was the commonest pathology and was significantly associated with preterm stillbirths. Maternal floor infarction, a placenta pathology with risk to cause fetal death and high risk of recurrence was among the pathologies found, was seen in 4(5%) of stillbirth placentas. Conclusion Findings in this study clearly indicated the importance of pathological examination of placenta in determining cause of stillbirth. Placenta examination in stillbirths can identify more pathology related to stillbirths than clinical assessment alone.

scholarly journals Depression and anxiety among pregnant mothers in the initial stage of the Coronavirus Disease (COVID-19) pandemic in the southwest of Iran

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Najmeh Maharlouei ◽  
Pedram Keshavarz ◽  
Niloufar Salemi ◽  
Kamran B. Lankarani
Keyword(s):  
Short Form ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Initial Stage ◽  
Medical Histories ◽  
Southwest Of Iran ◽  
Maternity Clinics ◽  
Abnormal Level ◽  
Pregnant Mothers

Abstract ‌Background Women are at a higher risk for depression progression, especially during pregnancy. The current study purposed to investigate depression, anxiety, and stress levels of pregnant mothers in the initial stage of the COVID-19 infection in the southwest of Iran. Methods This cross-sectional study was conducted during March and April, 2020, in Shiraz, Iran. Pregnant mothers registered in maternity clinics affiliated with Shiraz University of Medical Sciences were included. An online self-administered checklist was used. It included socio-demographic, obstetric and medical histories, and the short form of the Depression Anxiety Stress Scales (DASS-21) to evaluate depression, anxiety, and stress. A p-value < 0.05 was considered significant. Results In total, 540 pregnant mothers answered the questionnaire. 83.5% had no comorbidity. Abnormal depression scores were significantly higher in those who had no insurance (OR = 2.5) and in those with poor self-rated health (SRH) (OR = 27.8). Pregnant mothers with lower SRH and two or more comorbidities had a higher chance of having an abnormal level of anxiety subscale (6.9, 3.7 times, retrospectively). Conclusion The results revealed that an abnormal level of depression was associated with SRH and medical insurance status. Moreover, the number of comorbidities and poor SRH significantly increased the chance of achieving abnormal anxiety levels in pregnant mothers during the COVID-19 pandemic.

Underuse of Injectable Penicillin in Secondary Prophylaxis of Rheumatic Heart Disease in Nepal

2020 ◽  
Vol 01 (01) ◽  
pp. 009-012
Author(s):  
Laudari S
Keyword(s):  
Heart Failure ◽  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
Cross Sectional Study ◽  
Secondary Prophylaxis ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Governmental Organizations ◽  
Non Governmental Organizations ◽  
Rheumatic Heart

Background and Aims: Secondary prophylaxis has remained the mainstay of rheumatic fever and rheumatic heart disease management. Despite the proven ef􀏐icacy and superiority of injectable penicillin in rheumatic heart disease patients, it has been underused in Nepal. Materials and Methods: This is a hospital based cross-sectional study during June 2014 to October 2018 over a period of 52 months at College of Medical Sciences-Bharatpur including 350 patients with clinical and/or echocardiographic evidence of de􀏐inite rheumatic heart disease. Data was collected from both cardiology outpatients and inpatients (admitted in cardioward/coronary care unit). Relevant data and information were entered into the pre-structured proforma and then analyzed by SPSS-16 software. Results: The age of the patients ranged from 6 to 80 years with mean age 36.76±4.6years with female preponderance (F:M=1.26:1). The predominantly involved isolated valve was mitral in 152 patients (44.43%) followed by aortic valve in 70 patients (20.00%) and rest 90 (25.71%) had dual valvular involvement. The common complications encountered were heart failure in 200(57.14%) and arrhythmias in 155(44.29%) patients. Two hundred ten (60.00%) of the patients received penicillin (oral and injectable) and erythromycin. Majority 180/210=85.71%) were prescribed on oral penicillin whereas only 46/210=21.90% received injectable penicillin; the ratio being 3.35:1. Conclusion: RHD is a leading cause of heart failure and death among young population. There is underuse of penicillin with very minimal focus on use of injectable penicillins currently. Hence, Nepal government and other non-governmental organizations should consider implementation of use of penicillin broadly and moreover focus on use and adherence of injectable penicillin. Keywords: Rheumatic Heart Disease, Penicillin, Underuse, Secondary Prophylaxis.

A cross-sectional study of facial index in Western Uttar Pradesh population between 18-25 years of age

2021 ◽  
Vol 12 (6) ◽  
pp. 75-80
Author(s):  
Shanmukha Varalakshmi Vangara ◽  
Dhananjay Kumar ◽  
Neel Kamal Arora
Keyword(s):  
Indian Population ◽  
Uttar Pradesh ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Anthropometric Data ◽  
Statistical Tool ◽  
Cross Sectional ◽  
Facial Height ◽  
Facial Phenotype ◽  
Facial Anthropometry

Background: Facial anthropometry is the scientific study of measurements and proportions of the human face. There is huge paucity in the metric measurements of face in Indian population. This study is involved in collecting facial anthropometric data of Western Uttar Pradesh population of age group between 18-25 years. Aims and Objectives: This study aims at evaluating predominant facial phenotype, using facial height and facial width of Western Uttar Pradesh population as study subjects. Materials and Methods: The study was conducted on 200 medical and paramedical students of Shri Ram Murti Smarak Institute of Medical Sciences (SRMS-IMS), Bareilly, Uttar Pradesh. The study subjects were of 18-25 year’s age, belonging to Western Uttar Pradesh region. Digital Vernier Caliper was used to measure the facial parameters. The data was analyzed using statistical tool SPSS 16.0 version. Results: In the present study it is found that facial height and width are more in males compared to females. This difference is statistically significant. On analyzing facial index, hyperleptoprosopic face is the predominant phenotype in males as well as in females, followed by leptoprosopic type in males and mesoprosopic type in females. However, gender differences in facial index are not statistically significant at p<0.05.  Conclusion: The current study reveals that facial parameters can be used to determine the gender of an individual on the basis of height and width.

Sign in / Sign up

Export Citation Format

Share Document