scholarly journals Umbilical Cord Changes in Anemia, Gestational Diabetes and Pregnancy Induced Hypertension

2020 ◽  
Vol 6 (2) ◽  
pp. 35-40
Author(s):  
Mithil Potuganti ◽  
B. R. Zambare
Keyword(s):  
Gestational Diabetes ◽  
Umbilical Cord ◽  
Cross Sectional Study ◽  
Pregnancy Induced Hypertension ◽  
Cross Sectional ◽  
Medical College ◽  
Induced Hypertension ◽  
Awareness Programs ◽  
Anemia Group ◽  
External Forces

Background: The Umbilical cord (UC) structure is designed in such a way that it provides uninterrupted blood flow to the developing fetus even though it is influenced by uterine conditions and external forces throughout the pregnancy period. UC and placenta are the only structures, which nourish the fetus until term. Subjects and Methods: This cross-sectional study was carried out in the department of Obstetrics and Gynaecology, DVVPF’S Medical college and hospital. Results: In the GDM group without treatment, eccentric insertion is seen in 249 placentae and central insertion in 76 placentae. In the GDM group with treatment, central insertion is seen in 236 placentae and eccentric is seen in 89 patients. In the PIH group, without treatment, 22 central insertions and 68 eccentric insertions were observed. With treatment, PIH patients central insertions are seen in 76 and eccentric in 14. In the anemia group without treatment, 24 central insertions and 76 eccentric insertions are observed. Conclusion: On a concluding note, we observed in our study that, the pathological features observed in anemia, pregnancy induced hypertension and gestational diabetes mellitus are on a minimal note in treated patients after their onset, than in untreated patients. Various awareness programs constitutionalized by Governments and various NGO’s are bringing upon a desired change, but at the same time, intensity and frequency are to be increased.

scholarly journals Maternal and neonatal outcomes among pregnant women with different polycystic ovary syndrome phenotypes: A cross-sectional study

2020 ◽  
Author(s):  
Akramsadat Dehghani Firoozabadi ◽  
Razieh Dehghani Firouzabadi ◽  
Maryam Eftekhar ◽  
Afsar Sadat Tabatabaei Bafghi ◽  
Farimah Shamsi
Keyword(s):  
Gestational Diabetes ◽  
Polycystic Ovary Syndrome ◽  
Pregnant Women ◽  
Polycystic Ovary ◽  
Cross Sectional Study ◽  
Neonatal Outcomes ◽  
Pregnancy Induced Hypertension ◽  
Ovary Syndrome ◽  
Cross Sectional ◽  
Induced Hypertension

Background: Pregnancy is a process associated with various metabolic and hormonal changes, and polycystic ovary syndrome (PCOS) can affect this process. Objective: This study aimed to evaluate and compare the maternal and neonatal outcomes among pregnant women with different polycystic ovary syndrome phenotypes. Materials and Methods: In this cross-sectional study, 200 pregnant women with PCOS according to the 2003 ESHRE/ASRM criteria were categorized into four phenotype groups (A-D). The maternal outcomes include gestational diabetes mellitus, pregnancy-induced hypertension, premature rupture of membranes, preterm labor, small-for-gestational age birth, intrauterine growth restriction, intrauterine mortality, preeclampsia, abortion, amniotic fluid disorders, delivery method, and cause of cesarean section were studied between groups. Additionally, neonatal outcomes such as neonatal weight, neonatal recovery, 5-min Apgar score, neonatal icter, the need for NICU admission, the cause of hospitalization, and infant mortality rate were investigated and compared among the groups. Results: According to the results, phenotype D (37%) was the most common phenotype among the participants. The risk of gestational diabetes was more common in phenotype A than in the other phenotypes, whereas pregnancy-induced hypertension was most common in phenotype B. No significant differences were observed in the neonatal complications among the PCOS phenotypes. Conclusion: Considering the higher risk of gestational diabetes mellitus and pregnancy-induced hypertension in PCOS phenotypes A and B, women with these phenotypes need more precise prenatal care. Key words: Pregnancy outcome, Polycystic ovary syndrome, Phenotype, Pregnancy.

Incidence of Pregnancy Induced Hypertensive Women and its Associated Factors

2021 ◽  
Vol 15 (12) ◽  
pp. 3307-3309
Author(s):  
Samia Saifullah ◽  
Maryam Shoaib ◽  
Muhammad Sohail Tareen ◽  
Nosheen Sikander Baloch
Keyword(s):  
Blood Pressure ◽  
Family History ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
Mean Value ◽  
Renal Diseases ◽  
Pregnancy Induced Hypertension ◽  
Cross Sectional ◽  
Induced Hypertension ◽  
Keywords Pregnancy

Background: Pregnancy induced hypertension is a fetal disease resulting into morbidity and mortality of female as well as its neonate. Objective: To find the incidence of pregnancy induced hypertension in Pakistani women. Study Design: Cross sectional study Place and Duration of the Study: Department of Obstetrics & Gynaecology, Sandeman Provincial Hospital, Quetta from 1st March 2019 to 31st March 2021. Methodology: Seven hundred and twenty eight females were identified with pregnancy induced hypertension from all the pregnant women attending the outdoor were enrolled. Each female was checked for their protein urea as well as systolic and diastolic blood pressure according to standard operating protocol. Socio-demographic, clinical and family history were documented. Results: Among all pregnant women, 150 were identified as pregnancy induced hypertensive with a 20.6% incidence of pregnancy induced hypertension. The mean value systolic blood pressure value was 144.3±5.2 and of diastolic as 83.1±5.2 in pregnancy induced hypertension women. Conclusion: Family history, obesity and renal diseases are the main factors associated with pregnancy induced hypertension with an incidence of 20.6% among pregnant women. Keywords: Pregnancy induced hypertension, Body mass index, Pregnant women, Hypertension

scholarly journals Perinatal Findings in Pregnancy Induced Hypertension: A Study in a Tertiary Teaching Hospital in Dhaka City

2017 ◽  
Vol 2 (1) ◽  
pp. 10-13
Author(s):  
Zobaida Sultana Susan ◽  
Surayea Bulbul ◽  
Jannat Ara Ferdows ◽  
Abu Nayeem
Keyword(s):  
Cross Sectional Study ◽  
Fetal Mortality ◽  
Pregnancy Induced Hypertension ◽  
College Hospital ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Tertiary Teaching ◽  
Induced Hypertension ◽  
Questionnaire Result ◽  
In Pregnancy

Background: Hypertensive disorders are common complication occurring during pregnancy which are responsible for maternal and fetal mortality and morbidity. Objective: The purpose of the present study was to determine the perinatal outcome in pregnancy induced hypertension. Methodology: This study was designed as cross-sectional study and was conducted from April 2013 to September 2013 for a period of six (06) moths. Patients admitted in the Department of Obstetrics and Gynaecology at Shaheed SuhrawardyMedical College Hospital, Dhaka. Data were collected by interview, physical examintions (blood pressure, pulse rate, oedema, heart and lungs auscultation) and lab investigations using a structural questionnaire. Result: Majority of the women belonged to age group 21-25 year. Maximum were (56%) primigravida. The mean gestational age was 34.6 weeks with the range from 28 to 40 weeks. Hyperurecaemia was frequent among patients with pregnancy induced hypertension. Intrauterine growth retardation (IUGR) was secondary to pregnancy induced hypertension which was associated with significantly increased perinatalmortality. Conclusion: In this study, prematurity is frequent in pregnancy induced hypertension and convulsion in nonresponsive patients is associated with significantly increased perinatal mortality.Journal of National Institute of Neurosciences Bangladesh, January 2016;2(1): 10-13

scholarly journals THE DEMOGRAPHIC PROFILE OF WOMEN WITH GESTATIONAL DIABETES MELLITUS

2021 ◽  
Vol 5 (11) ◽  
Author(s):  
Priyanka Inaniya ◽  
B S Meena ◽  
Mohan Lal Meena ◽  
Aparna Sharma ◽  
Shalini Rathore
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Family History Of Diabetes ◽  
Demographic Profile ◽  
Medical College ◽  
History Of ◽  
Socio Demographic Factors

Background: The present study aimed to study the demographic profile women with gestational diabetes mellitus Methods: This hospital based cross-sectional study Department of Obstetrics and Gynaecology, SMS Medical College, Jaipur. Results: Mean age of patients was 27.68 ± 4.4 Yrs. Most of the study subjects in GDM group (54.7%) were Hindu. Study subjects in GDM group were almost equally from rural (50.7%).Most of the study subjects in both GDM group (88%) were housewives. Habit of smoking was found in only 6.7% females in GDM group. Habit of alcohol was found in 4% females in GDM group. Family history of diabetes was seen more in females with GDM (17.3%). Conclusion: This study concluded that the socio demographic factors influence the occurrence of GDM. Keywords: GDM, Age, Gravida

Assessment of Prevalence of Hypertension in pregnant women with its Complications: A Cross Sectional Study

2021 ◽  
pp. 3805-3808
Author(s):  
Hemalatha S. ◽  
S. M. Shaheedha ◽  
Ramakrishna Borra
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
World Health ◽  
Chronic Hypertension ◽  
Pregnancy Induced Hypertension ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Gynecology And Obstetrics ◽  
Induced Hypertension ◽  
History Of

Introduction: World Health Organization has reported that pregnancy induced hypertension is one of the main causes for mortality and morbidity in maternal and fetal deaths. About 60% of deaths accounted of eclampsia. Aims and Objectives: To diagnose for hypertension in pregnant women. To evaluate the knowledge of pregnancy induced hypertension among the pregnant women. To investigate the complications reported in Pregnancy induced hypertension (PIH) women, during and after labor. Study area and period: The present study was conducted in Chittoor government hospital, Chittoor, during the period of Jan 2016 and Dec 2017. The information and materials required for the study have been collected from the gynecology and obstetrics departments of the respective hospital. Results: During the study period of Jan 2016 and Dec 2017, about 2234 number of pregnant women have visited the obstetrics and gynecology department. All the 2234 pregnant women were tested for blood pressure. Among which 198 women were found to have hypertension, which may be of early onset PIH or chronic hypertension (HTN). Different variables of the study population like period of gestation [<20 weeks, ≥20 weeks], previous cesarean section if present, previous preterm delivery if present, hypertension in previous pregnancy, history of paternal hypertension, history of abortions if have been, history of any still births, family history of PIH have been noted and reported in table 2. More than 8% of women were found to been falling in <20 weeks of gestational age (GA). Conclusion: The study included 2234 pregnant women, in which 198 women were diagnosed with hypertension. Thus, prior investigation and identification hypertension in pregnant women helps in better management of PIH and to overcome the complications that are reported due to PIH during and after labor. Better knowledge and treatment is required for managing hypertension in maternal women in gynecology and obstetrics department for maternal and fetal care.

scholarly journals Socio-Epidemiology Of Antepartum Fetal Death In A Medical College Hospital

2012 ◽  
Vol 2 (1) ◽  
pp. 13-16
Author(s):  
Muna Shalima Jahan ◽  
MS Syed Muhammad Baqui Billal ◽  
Sayeba Akhter
Keyword(s):  
Congenital Anomaly ◽  
Gestational Diabetes ◽  
Fetal Death ◽  
Family Income ◽  
Medical College Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Satisfactory Outcome ◽  
Induced Hypertension

Objective: To assess socio-epidemiology of Antepartum Fetal Death IAFD) in a tertiary hospital in Bangladesh. Method: Fifty three pregnant women with intra-uterine fetal death before or after delivery were interviewed in Gvnaecologv in-patient of Dhaka Medical College Hospital during 2004-2005. In this cross sectional study selected socio-demographic factors like age, education, occupation, income etc. and epidemio/ogic factors like previous stillbirth or congenital anomaly history, antenatal history, and other medical conditions like gestational diabetes and pregnancy induced hypertension were sought. Results: Respondents were young (25.15 ± 6.45), married at an earlier age (18.51 ± 2.85), majority (62.26%) got pregnant at <=20 years and more than 50% were primigravid. Most (84.9%) of the respondents were either illiterate or low educated whereas 53% of the husbands were so. Nearly 70% worked more than 8 hours a day, almost half had low family income. History of stillbirth (13.21%>) and congenital anomaly (9.43%) in previous pregnancy were also found with AFD. More than half (29, 54.7%) of the respondents did not take ANC during this pregnancy. Only 3 respondents had gestational diabetes and 7 had pregnancv induced hypertension. Conclusion: Increasing the age at marriage and pregnancy, education, adequate rest during pregnancv and off course, increasing coverage of ANC could bring about satisfactory outcome if taken care of before future pregnancies. Journal of Shaheed Suhrawardy Medical College Vol 2No.1 June 2010 page 13-16 DOI: http://dx.doi.org/10.3329/jssmc.v2i1.12345

scholarly journals Antenatal Complications in Grand Multipara Presented at Tertiary Care Hospital

2021 ◽  
Vol 15 (1) ◽  
pp. 69-72
Author(s):  
Sadia Kadir ◽  
Keyword(s):  
Tertiary Care Hospital ◽  
Placenta Previa ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Pregnancy Induced Hypertension ◽  
Cross Sectional ◽  
Grand Multiparity ◽  
Induced Hypertension ◽  
Pregnancy And Birth

Background: Grand multiparity considered as a risk factor of obstetrics because of the recorded complications linked to the condition. Grand multiparity typically considered as the distinctive reason for the raised, maternal and fetal morbidity and mortality because of expanded incidence of adverse outcome during pregnancy and birth. Objective: To determine frequency of antenatal complications in grand multipara. Study Design: Cross-sectional study. Settings: Department of Obstetrics and Gynecology, Jinnah Postgraduate Medical Centre, Karachi Pakistan. Duration: Study duration was six months from March 2016 September 2016. Methodology: Total 212 patients were included in this study. Anemia was taken as Hb of 11g/dl, PIH was taken as BP of >140/90mmHg after 20 weeks of gestation with or without proteinuria on two or more occasion 6 hours apart and placenta previa was confirmed via ultrasonography. All the information was collected via study proforma. Results: Patients mean age was 34.90±3.51 years. Most of the patients 96.7% had parity 5-9. Anemia was found 69.8% and pregnancy induced hypertension was 22.2%, while placenta previa was found to be 18.9%. Antenatal complications including anemia, pregnancy induced hypertension and placenta previa were found to be statistically insignificant according to age, parity and BMI, (p->0.05). Conclusion: Most common antenatal complication in this study was anemia followed by hypertension and placenta previa. Grand multiparity is at a greater risk of antenatal complications.

scholarly journals Insertion of Umbilical Cord on Placenta in Hypertensive Mother

2017 ◽  
Vol 2 (2) ◽  
pp. 89-93
Author(s):  
Fatima Jomrud Mohol ◽  
Mohammad Mahbubul Karim ◽  
Aktari Afroze ◽  
Mohammad Jawadul Haque ◽  
Most Monzuara Khatun
Keyword(s):  
Umbilical Cord ◽  
Severe Hypertension ◽  
Insertion Site ◽  
Cross Sectional Study ◽  
Perinatal Morbidity ◽  
Cross Sectional ◽  
Medical College ◽  
Hypertensive Disorders In Pregnancy ◽  
Umbilical Cord Insertion ◽  
In Pregnancy

Background: Hypertensive disorders in pregnancy are responsible for significant amount of maternal and perinatal morbidity and mortality. This study was designed to see the association of umbilical cord insretion on placenta in hypertensive mothers. Objective: This purpose of the present stufdy was to find out the site of umbilical cord insertion on placenta in pregnancy associated with hypertension and to correlate it with the weight of the placenta and the condition of the newborn. Methodology: This descriptive cross-sectional study was conducted at the Department of Anatomy, Rajshahi Medical College and Department of Obstetrics & Gynaecology at Rajshahi Medical College & Hospital, Bangladesh. Placental weight, diameter, thickness, insertion site of umbilical cord, insertion percentage of the cord and weight of newborn were noted. The site of cord insertion was detected and insertion percentage was calculated with the help of d/r x 100. Results: A total 130 cases were selected for the study, 30 from normal, 33 from mild, 34 from moderate and 33 from severe hypertensive group respectively. The study demonstrated that mild to severe hypertension had smaller placentas with the tendency of deviation of umbilical cord towards the margin for insertion. Newborns of such mothers had low birth weight mostly; few of them had birth asphyxia.Conclusion: This study has been established that the marginal insertion of umbilical cord on placenta is associated with hypertension and severity of hypertension deviates the insertion site towards the margin.Journal of National Institute of Neurosciences Bangladesh, 2016;2(2): 89-93

Sign in / Sign up

Export Citation Format

Share Document