scholarly journals MATERNAL AND PERINATAL OUTCOMES IN PREGNANCY ASSOCIATED WITH ABRUPTIO PLACENTA

2021 ◽  
Vol 9 (12) ◽  
pp. 559-563
Author(s):  
Jyoti Gupta ◽  
◽  
Anuradha a ◽  
Jyoti Hak ◽  
Harleen b ◽  
...  
Keyword(s):  
Postpartum Haemorrhage ◽  
Perinatal Outcomes ◽  
Morbidity And Mortality ◽  
Perinatal Morbidity ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Abruptio Placenta ◽  
Peripartum Period ◽  
A Prospective Study ◽  
Postpartum Hysterectomy

Background: Placental Abruption is an important cause of antepartum haemorrhage. It is defined as the separation of the placenta either partially or totally from its implantation site before delivery. APH is a major cause of maternal and perinatal morbidity and mortality. Therefore the study was planned to study the maternal and perinatal outcomes in patients of abruption placenta. Methods: The present study was conducted in the department of obstetrics and gynaecology, SMGS, Hospital, Govt. Medical College Jammu over a period of 1 year. It was a prospective study and all case of Abruptio placenta ≥ 28 weeks of gestational age were included. Results: It was observed that maximum cases of Abruptio Placenta i.e 67.65% were multigravida. 41.47% of cases of Abruptio Placenta had hypertension. 4.41 % had Polyhydramnios. 61.76% delivered vaginally. 23.53% patients had postpartum haemorrhage whereas only 2.98% had undergone Postpartum Hysterectomy. The most common fetal complication in Abruptio Placenta was prematurity (35.71%). 5.89% patients of Abruptio Placentas died during Peripartum period. Perinatal mortality was high 48.58%. Conclusions: Abruptio placent is associated with significant maternal and perinatal morbidity and mortality. Good regular antenatal care and availability of emergency medical services remains the backbone for the good maternal and perinatal outcomes.

scholarly journals Balloon Temponade to Prevent Primary PPH in Jaundice - A Prospective Study

1970 ◽  
Vol 26 (1) ◽  
pp. 22-25
Author(s):  
Maruf Siddiqui ◽  
Maliha Rashid
Keyword(s):  
Hepatitis E Virus ◽  
Postpartum Haemorrhage ◽  
Hepatitis E ◽  
College Hospital ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Study Population ◽  
Etiological Agents ◽  
A Prospective Study ◽  
And Control

This prospective interventional study was carried out on 40 intrapartum jaundice patients admitted in the Department of Obstetrics and Gynaecology, Dhaka Medical College Hospital during January to December 2004. The purpose of the study was to evaluate the effectiveness of prophylactic intrauterine hydrostatic balloon/condom temponade in addition to other conventional methods to prevent and control postpartum haemorrhage in patients with jaundice, to detect the prevalence of different etiological agents responsible for jaundice and to assess the foeto-maternal outcome in this study group. Prophylactic intrauterine hydrostatic balloon temponade was inserted in all of the 40 cases which showed an excellent effectiveness in preventing postpartum haemorrhage in patients with jaundice. The study also showed increased prevalence of Hepatitis E virus (HEV) and a high proportion of perinatal deaths in the study population. DOI: 10.3329/jbcps.v26i1.4229 J Bangladesh Coll Phys Surg 2008; 26: 22-25

scholarly journals Thrombocytopenia during pregnancy and its outcome- A prospective study

2021 ◽  
Vol 8 (2) ◽  
pp. 212-216
Author(s):  
Parneet Kaur ◽  
Hargun Sahiwal ◽  
Rama Garg ◽  
Mohanvir Kaur
Keyword(s):  
Platelet Count ◽  
Perinatal Outcomes ◽  
Severe Thrombocytopenia ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Gestational Thrombocytopenia ◽  
A Prospective Study ◽  
Period Of Gestation ◽  
In Pregnancy ◽  
Haematological Finding

Thrombocytopenia is the second most common haematological finding in pregnancy after anaemia. Thrombocytopenia is defined as decrease in platelet count < 1,50,000/µL. The physiological thrombocytopenia of pregnancy is mild and has no adverse effects on mother and foetus whereas thrombocytopenia associated with medical conditions can have serious maternal-foetal consequences and needs specific monitoring and appropriate management. : The aims of the study were to evaluate causes of thrombocytopenia in pregnancy and to study clinical profile, maternal and perinatal outcome in thrombocytopenic antenatal patients after 28 weeks.: Aprospective study was conducted in department of Obstetrics and Gynaecology and department of Pathology at Government Medical College and Rajendra Hospital, Patiala.100 antenatal females were included in the study with platelet count <1,50,000/µL and period of gestation more than 28 weeks. The subjects were investigated after detailed history and examination. Maternal and foetal outcomes were observed in all cases.Out of 100 subjects with thrombocytopenia, 33% had gestational thrombocytopenia, which was the most common cause; followed by preeclampsia/eclampsia (24%). 18% subjects had severe thrombocytopenia. Complications were seen in the form of HELLP (6%), ICU admission (3%), PPH (3%), Puerperal sepsis (1%). Maternal thrombocytopenia due to medical causes needs strict observation and timely intervention for favourable maternal and perinatal outcomes.

ESTIMATION OF FETAL WEIGHT BY CLINICAL METHODS AND ULTRASOUND AND CORRELATING ITS ACCURACY WITH ACTUAL BIRTH WEIGHT IN TERM PREGNANCIES AT ANMMCH, GAYA, BIHAR

2021 ◽  
pp. 17-19
Author(s):  
Kumari Ragini ◽  
Amit Kumar ◽  
Reena Kumari ◽  
Debarshi Jana
Keyword(s):  
Birth Weight ◽  
Prospective Study ◽  
Fetal Weight ◽  
Term Pregnancy ◽  
Abdominal Girth ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Clinical Methods ◽  
Fetal Birth Weight ◽  
A Prospective Study

Objective:This study was to estimate the fetal weight in term pregnancy by clinical methods and ultrasound and to compare the results with actual birth weight (ABW). Material and Methods:This study was conducted at Department of Obstetrics and Gynaecology, Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar from December 2019 to May 2020. It was a prospective study covering 200 pregnant women at term gestation. Results: Estimated birth weight by abdominal girth × symphysis fundal height (AG × SFH) formula was closest to the ABW (P = 0.060), as compared to the estimated birth weight by Johnson's formula (P = 0.000) and Hadlock's formula (P = 0.000). Therefore, of the three formulae studied, AG × SFH formula had better predictive value as compared to Johnson's and Hadlock's formulae. The accuracy of AG × SFH (Insler's formula) for estimating the fetal weight at term was found to be comparable to Hadlock's formula (P= 0.104). Conclusion: Clinical estimation of birth weight denitely has a role in the management of labor and delivery. AG × SFH is a simple, easy, costeffective, and universally applicable method to predict fetal birth weight which can be used even by paramedics like midwives and also in centers where ultrasound is not available.

scholarly journals Lactic dehydrogenase as a biochemical marker of adverse pregnancy outcome in severe pre-eclampsia, Gujarat

2017 ◽  
Vol 6 (8) ◽  
pp. 3418
Author(s):  
Rohit Jain ◽  
Chintan Upadhyay ◽  
Latika Mehta ◽  
Bipin Nayak ◽  
Gaurav Desai
Keyword(s):  
Adverse Pregnancy Outcome ◽  
Perinatal Outcomes ◽  
Lactic Dehydrogenase ◽  
Fetal Outcome ◽  
Third Trimester ◽  
Medical College ◽  
Severity Of Disease ◽  
Still Births ◽  
Adverse Pregnancy ◽  
A Prospective Study

Background: Serum LDH levels can be used to assess the extent of cellular death and thereby the severity of disease in this group of women. This will help in making decision, about the management guidelines to the better the maternal and fetal outcome. Objective of present study was compare serum LDH levels in the normal pregnant women and in women with preeclampsia and eclampsia in ante-partum period and to study the association of maternal and perinatal outcomes with serum LDH levels.Methods: It is a prospective study done at Obstetrics and Gynecology department, GMERS medical college and civil hospital, Gandhinagar during August-September 2016. Participants were divided into four groups according to severity of disease and into three groups according to serum LDH level.Results: Mean level of LDH (IU/l) in Control, Mild pre-eclampsia, Severe pre-eclampsia & Eclampsia was 302.33, 398.56, 675.26 & 1589.85 respectively. Out of total 34 cases with LDH level >800 IU/L, 47.1% cases had ≥160 mm hg SBP & 52.9% had ≥110 mm hg DBP, mean gestational age and mean baby weight was 36.88 week and 1950 gm, mean apgar score at 10 min was 6.96, 47.1% had uneventful outcome, whereas 58.8% had neonatal complications and 5.9% had neonatal death. Almost 26.5% still births, 47.1% perinatal deaths.Conclusions: Higher serum LDH levels during pregnancy have significant association with severity of disease and maternal and fetal outcomes in patients of preeclampsia and eclampsia and can be considered as a supportive prognostic tool from early third trimester.

scholarly journals Study of sociodemographic profile, maternal, fetal outcome in preeclamptic and eclamptic women: a prospective study

2019 ◽  
Vol 9 (1) ◽  
pp. 230
Author(s):  
Vedavathi . ◽  
Rajeev Sood
Keyword(s):  
Blood Pressure ◽  
Prospective Study ◽  
Systolic Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Perinatal Outcomes ◽  
Neonatal Morbidity ◽  
Fetal Outcome ◽  
Morbidity And Mortality ◽  
Intrauterine Death ◽  
Perinatal Morbidity

Background: Preeclampsia is pregnancy specific disease, lead to maternal, perinatal morbidity and mortality. This study is conducted to identify the socio demographic profile of subjects suffering from preeclampsia and its effect on maternal and fetal health.Methods: This prospective study was conducted at department of obstetrics and gynecology, Kamla Nehru State Hospital, Shimla, in this, 100 preeclamptic women were included. Preeclampsia was diagnosed with blood pressure of ≥140/90 mmHg noted for the first-time during pregnancy, after 20 wks of gestation and proteinuria. Demographic details were collected. Investigations i.e. hemogram, liver and renal function tests, coagulation profile and fundoscopy were done. Maternal and perinatal outcomes were recorded.Results: In this study, majority of the subjects were primigravida 65. In this, 11 subjects had systolic blood pressure of 140-159 mmHg and 89 subjects had systolic blood pressure of > 160 mmHg. 25 subjects had diastolic blood pressure of 90-109 mmHg and 75 subjects had diastolic blood pressure of > 110 mmHg. In this, 82 subjects had warning symptoms, mainly headache 49. 14 subjects showed hypertensive changes in fundus. Unfavorable Bishop Score, observed in 86 subjects and 78 subjects were induced after controlling blood pressure. Majority of subjects had vaginal delivery 73. Majority of the subjects had deranged liver function 61. Maternal morbidity was reported in 54 subjects. Intrauterine death reported in 14 subjects. Birth weight was < 2.5 kg was observed in 70 babies. Out of 74 live births, 53 neonates required admission in NICU and 16 neonates died in NICU.Conclusions: It may be concluded that, maternal and neonatal morbidity and mortality can be reduced by early identification of risk factors and timely intervention is the hall mark in preventing the maternal and perinatal morbidity and mortality.

scholarly journals Perinatal outcomes in abruptio placenta

2019 ◽  
Vol 8 (3) ◽  
pp. 1070
Author(s):  
Zenab Tambawaala ◽  
Deepali Kale
Keyword(s):  
Perinatal Mortality ◽  
Tertiary Care ◽  
Perinatal Outcomes ◽  
Obstetric Care ◽  
Care Hospital ◽  
Perinatal Morbidity ◽  
Abruptio Placentae ◽  
Neonatal Deaths ◽  
Still Births ◽  
Abruptio Placenta

Background: Abruptio placentae is an obstetric emergency where placenta completely or partially separates before delivery of the baby. It occurs approximately in one in 120 deliveries. It is an important cause of perinatal morbidity and mortality.Methods: This was a prospective hospital-based study design conducted over a period of 2 years, in the Department of Obstetrics and Gynecology at a tertiary care hospital in Mumbai comprising of 60 cases.Results: The incidence of abruption placentae in Present study is 0.51%. Authors had perinatal mortality in 6.6% of the cases. Out of 60 cases, 2 deaths occurred in utero. Out of the remaining 58 cases, 24 babies needed NICU care, out of them, 22 went home alive and 2 had neonatal deaths. Perinatal morbidity in the form of hyperbilirubinemia, CNS depression, septicemia, neonatal anemia and neonatal DIC were noted.Conclusions: High incidence of perinatal mortality in abruptio placentae is because of increased number of still births. In our studies, the perinatal mortality is 6.6% as compared to all other studies. This decline in perinatal mortality is due to improved obstetric care and excellent NICU facilities which are required for a majority of the cases.

scholarly journals A comparative study between nifedipine and isoxsuprine in the suppression of preterm labor pain

2020 ◽  
Vol 9 (7) ◽  
pp. 2886
Author(s):  
Susheela Khoiwal ◽  
Vandana Patidar ◽  
Radha Rastogi ◽  
Bharat Tailor
Keyword(s):  
Preterm Labor ◽  
Preterm Labour ◽  
Neonatal Morbidity ◽  
Labour Pain ◽  
Labor Pain ◽  
Morbidity And Mortality ◽  
Medical College ◽  
Uterine Contractions ◽  
High Incidence ◽  
A Prospective Study

Background: A prospective study was conducted to compare the effectiveness of Nifedipine and Isoxsuprine in suppression of preterm labour pain as tocolytics drug. As preterm labour pain is major contributor for perinatal morbidity and mortality. The aims of this study were to assess the effect of nifedipine and isoxsuprine in threatened preterm labour with the aim of preventing preterm birth and its sequelae.Methods: This study was conducted on 100 patients coming to Pannadhay Rajkiya Mahila Chikitsalaya, RNT Medical College, Udaipur and attending OPD and IPD with complain of uterine contractions between 28-36 weeks of gestation.Results: Nifedipine was more effective than isoxsuprine hydrochloride as tocolytic agent.Conclusions: There is high incidence of preterm labour in India which leads to neonatal morbidity and mortality. Nifedipine is a better tocolytic drug compared to isoxsuprine hydrochloride.

scholarly journals Maternal outcome in cases of severe anaemia in labour

2018 ◽  
Vol 7 (3) ◽  
pp. 1201
Author(s):  
Shalini Singh ◽  
Khushpreet Kaur
Keyword(s):  
Pregnant Women ◽  
Postpartum Haemorrhage ◽  
Severe Anaemia ◽  
Maternal Outcome ◽  
Perinatal Morbidity ◽  
Maternal Complications ◽  
Abruptio Placentae ◽  
Low Socioeconomic ◽  
One Year ◽  
A Prospective Study

Background: Anaemia is the commonest medical disorder in pregnancy and severe anaemia is associated with poor maternal and perinatal outcome.Methods: The study was done to analyse the characteristics of hospitalized pregnant women with severe anaemia (Haemoglobin < 7gms %) at the time of delivery and to find out maternal outcome. It was a prospective study done at Rajindra hospital, Patiala, Punjab, India over a period of one year from February 2016 to January 2017.Results: Results were analysed; out of 3784 deliveries 210 (5.54%) cases were severely anaemic at the time of delivery. Out of 210 women with severe anaemia 184(87.6%) patients belonged to low socioeconomic category, 177 (84.2%) were unbooked cases, 152 (72.4%) cases from rural area and 119 (57.6%) cases were multi gravidas. The maternal complications were Pre-eclampsia and eclampsia (16.1%), intercurrent infections (3%), abruptio placentae (3.3%), heart failure (1.4%), preterm labours (42.8%), intrauterine deaths (10.9%) and postpartum haemorrhage (10.4%).Conclusions: Severe anaemia during pregnancy is associated with maternal and perinatal morbidity and mortality so effective preventive measures in the form of regular antenatal check-ups and iron supplementation will prevent complications of anaemia in pregnant women.

scholarly journals Management of Postpartum Haemorrhage: A study on Transfusion of Blood and its components

2020 ◽  
Vol 6 (6) ◽  
pp. 108-113
Author(s):  
Dr. Swati Swati ◽  
◽  
Dr. Fayaz Khan H ◽  
Dr. Manju M ◽  
◽  
...  
Keyword(s):  
Postpartum Haemorrhage ◽  
Care Center ◽  
Tertiary Care ◽  
Age Groups ◽  
Obstetric Care ◽  
Age Group ◽  
Blood Products ◽  
Medical College ◽  
Essential Components ◽  
A Prospective Study

Introduction: Blood Transfusion is identified as one of the essential components of comprehensiveemergency obstetric care which has drastically reduced maternal mortality. Material and Methods:This is a prospective study conducted at NC Medical College and Hospital, in the Department ofOBGY. (Tertiary care center) from January 2019 – September 2020. All patients requiringintrapartum transfusion of blood or blood products are enrolled in the study. No exclusion criteria.Results: In the present study, various age groups of patients were enrolled. Maximum transfusion(77.8%) rates are seen in the age group of 21-30 years and the minimum no. of patients wereranges from 31-40 years (8.4%). Conclusion: Postpartum hemorrhage, placental causes, andanemia are the commonest causes of the need for transfusion in obstetric practice.

scholarly journals Single fetal demise in multiple pregnancy

2019 ◽  
Vol 6 (5) ◽  
pp. 31-38 ◽  
Author(s):  
A. A. Kuznetsov ◽  
A. N. Romanovsky ◽  
A. V. Shlykova ◽  
T. A. Kashtanova ◽  
V. V. Shman ◽  
...  
Keyword(s):  
Multiple Pregnancy ◽  
Perinatal Outcomes ◽  
Neurological Complications ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Perinatal Morbidity ◽  
Delivery Time ◽  
Monochorionic Twins ◽  
Fetal Demise ◽  
Management Of Complications

Single intrauterine fetal demise (sIUFD) in multiple pregnancy occurs with frequency from 3.7 up to 6.8 % and is associated with an risk of premature birth, death of cotwin and high morbidity and mortality rates in newborns. The time of sIUFD and type of twin gestation would determine perinatal outcomes. The rate of prenatal death of the co-twin is different and depend on the type of multiple pregnancy, accounting 4 % for dichorionic and 12 % in monochorionic pregnancies. However, the correlation between the type of chorionicity, delivery time and the frequency of preterm delivery is not clearly established. The risk of neurological complications in newborns after sIUFD fluctuate significantly in case of the type of chorionicity and could achieve 18 % in monochorionic twins and only 1 % in dichorionic twins. The paper was discussed the main reasons for sIUFD in multiple pregnancy, rather pathophysiological aspects of perinatal morbidity and mortality for cotwin was also discussed. The management of complications, methods of their correction, optimal methods and time of delivery in case of sIUDF in multiple pregnancies was presented.

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