scholarly journals Perinatal outcomes in adolescent pregnancy

2018 ◽  
Vol 8 (2) ◽  
pp. 27-31
Author(s):  
Yam Prasad Dwa ◽  
Sunita Bhandari ◽  
Devendra Shrestha ◽  
Ajaya Kumar Dhakal
Keyword(s):  
Adolescent Pregnancy ◽  
Perinatal Asphyxia ◽  
Mode Of Delivery ◽  
Perinatal Outcomes ◽  
Breech Presentation ◽  
Fetal Distress ◽  
Neonatal Deaths ◽  
Medical College ◽  
Adolescent Women ◽  
Pregnant Adolescent

Introduction: Adolescent pregnancy is prevalent in Nepal and bears significant consequences to both mother and newborn. Methods: All pregnant women aged 19 years or less who were admitted for delivery at KIST Medical College during 14th April 2017 to 15th July 2018 were included in this study. Maternal and immediate neonatal outcomes were analyzed retrospectively from their medical records. Results: There were 135 pregnant adolescent women out of 1300 deliveries. Preeclampsia was observed in 2 pregnancies. Vaginal delivery (99; 73.3%) was the predominant mode of delivery. Emergency LS CS was performed in 35 (25.9%) deliveries and most frequent indications for LS CS were nonprogress of labor (8/35), breech presentation (8/35) and fetal distress (6/35). 10 (7.4%) babies were born preterm. 23 (17%) babies were born low birth weight. 37 (27.4%) neonates were symptomatic and required neonatal admission. Respiratory distress was the most frequent neonatal problem (29; 21.5%), followed by neonatal sepsis (18; 13.3%) and perinatal asphyxia (9; 6.7%). There were 3 (2.2%) still birth and 2 (1.5%) early neonatal deaths. Conclusion: Adolescent pregnancy was common and associated with increased early neonatal problems.

scholarly journals Complications and Immediate Outcome of Pregnant Diabetic Women

2012 ◽  
Vol 30 (1) ◽  
pp. 10-16
Author(s):  
R Akther ◽  
T Hossain ◽  
M Rashid
Keyword(s):  
Gestational Diabetes ◽  
Mode Of Delivery ◽  
Breech Presentation ◽  
Fetal Distress ◽  
Fetal Membrane ◽  
College Hospital ◽  
Obstructed Labor ◽  
Medical College ◽  
Induced Hypertension ◽  
Pregnant Diabetic

Aim: To see complications and immediate outcome among pregnant diabetic women. Methods: This observational retrospective study included sixty nine pregnant women with diabetes (both pregestational and gestational diabetes) those who got admitted and treated at Dhaka Medical College Hospital (DMCH), Dhaka Bangladesh from the 1st August 2007 to the 31st August 2008. Detailed analysis of their obstetric history, ante partum and intra partum complications and mode of delivery were performed. Results: Majority of the women (76.92%) were admitted through labor emergency. Mean age of the women was 28.9 (18-45) years. Fifty four (54%) percent of women belonged to 21-30 years age group. Sixty two (62.31%) percent of women had gestational diabetes whereas 37.68% had pregestational diabetes. All women were followed up both by obstetrician and diabetologist. Twenty five percent(25%) women developed pre-eclampsia and pregnancy induced hypertension, thirteen percent(13% )women developed premature ruptur of fetal membrane(PROM), twenty three percent (23.25% )women had fetal distress, three(2.88%) percent women present with ante-partum hemorrhage(APH) and one percent(1.44%) women develop acute polyhydromnios. Average gestational age was 36.83(41-28) weeks. Sixty percent (60%) delivered after 37weeks of gestation and forty one (40.58%) delivered before 37weeks of gestation. Ten percent women delivered vaginally and ninety percent (90%) women delivered by caesarean section (CS) because of post CS, repeat CS, breech presentation, preeclampsia, fetal distress and obstructed labor. Maternal mortality is 1.44% and peri-natal is mortality 8.62%. Conclusion: Ante-partum and intra-partum complications are more common among pregnant diabetic women. Knowledge of the importance of maternal glycemic control, as well as development of surveillance techniques to prevent complications, resulted in a decline in fetal and neonatal mortality. DOI: http://dx.doi.org/10.3329/jbcps.v30i1.11361 J Bangladesh Coll Phys Surg 2012; 30: 10-16

scholarly journals Fetal malposition and malpresentation: Mode of delivery and perinatal outcomes at Maternity Teaching Hospital in Erbil city

2020 ◽  
Vol 24 (3) ◽  
pp. 367-375
Author(s):  
Shahen Kak Hussein ◽  
Shahla Alalaf
Keyword(s):  
Cesarean Section ◽  
Teaching Hospital ◽  
Neonatal Intensive Care ◽  
Mode Of Delivery ◽  
Perinatal Outcomes ◽  
Breech Presentation ◽  
Neonatal Morbidity ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Neonatal Deaths

Background and objective: Delivering a malpositioned and malpresenting fetus remains uncertainty, despite advances in obstetric practice. This study aimed to determine the mode of delivery and neonatal outcome in cases of fetal malposition and malpresentation. Methods: A cross-sectional study of women delivering malpositioned and malpresenting fetuses was conducted at Maternity Teaching Hospital, Erbil city, Kurdistan Region, Iraq, from the 1st of June, to the 30th of November, 2018. Three hundred women and their newborns were followed for seven days of life. Results: The total rate of malposition and malpresentation was 4.8%. Most women (87.3%) delivered by cesarean section, 25% of the neonates were admitted to the neonatal intensive care unit, where 69.3% of these infants stayed for seven days. There were three early neonatal deaths (1.0%), all of them were in occipito-posterior, or occipito-transverse position and were delivered abdominally. Among occipito-posterior and occipito-transverse deliveries, 2.2% ended with the death of the fetus (P = 0.360). An Apgar score of 7 was recorded after 5 minutes for 97.7% of the infants. Around 11% of the women had postpartum hemorrhage. Conclusion: Fetal malpresentation and malposition are not uncommon during labor, and most cases are delivered by cesarean section. Neonatal morbidity and mortality are dependent on the type of presentation and the mode of delivery. Keywords: Malposition; Malpresentation; Perinatal outcome; Breech presentation.

scholarly journals Characteristics and adverse outcomes of Chinese adolescent pregnancies between 2012 and 2019

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yanxia Xie ◽  
Xiaodong Wang ◽  
Yi Mu ◽  
Zheng Liu ◽  
Yanping Wang ◽  
...  
Keyword(s):  
Adolescent Pregnancy ◽  
Gestational Age ◽  
Rural Areas ◽  
Reference Group ◽  
Perinatal Outcomes ◽  
Severe Anaemia ◽  
Adverse Outcomes ◽  
Near Miss ◽  
Adolescent Women ◽  
Adolescent Pregnancies

AbstractWe aimed to describe the characteristics of adolescent pregnancy, determine its effect on adverse maternal and perinatal outcomes and explore whether that association varies with gestational age with the goal of proposing specific recommendations for adolescent health in China. This study included 2,366,559 women aged 10–24 years who had singleton pregnancies between 2012 and 2019 at 438 hospitals. Adolescent pregnancy was defined as younger than 20 years of age. We used multivariable logistic regression to estimate the effects. Women aged 20–24 years served as the reference group in all analyses. The proportion of rural girls with adolescent pregnancies rebounded after 2015 even though common-law marriage in rural areas decreased. Higher risks of eclampsia (adjusted odds ratio (aOR) 1.87, 95% confidence interval (CI) 1.57 ~ 2.23), severe anaemia (aOR 1.18, 95% CI 1.09 ~ 1.28), maternal near miss (MNM; aOR 1.24, 95% CI 1.12 ~ 1.37), and small for gestational age (SGA; aOR 1.30, 95% CI 1.28 ~ 1.33) were observed when gestational age was > 37 weeks. Adolescent pregnancy was independently associated with increased risks of other perinatal outcomes. Further implementation of pregnancy prevention strategies and improved health care interventions are needed to reduce adolescent pregnancies and prevent adverse fertility outcomes among adolescent women in China at a time when adolescent fertility rate is rebounding.

MATERNALAND PERINATAL OUTCOMES WITH COVID-19: A TERTIARY CARE CENTRE STUDY

2021 ◽  
pp. 31-32
Author(s):  
Sweety Sinha ◽  
Anjana Sinha ◽  
Ankita Ankita
Keyword(s):  
Pregnant Women ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Perinatal Outcomes ◽  
Neonatal Infection ◽  
Fetal Distress ◽  
Rt Pcr ◽  
Tertiary Care Centre ◽  
Polymerase Chain ◽  
Poor Outcomes

Background: With the exponential increase in the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2/COVID-19) worldwide, an increasing proportion of pregnant women are now infected during their pregnancy. The knowledge gained from previous human coronavirus outbreaks suggests that pregnant women and their fetuses are particularly susceptible to poor outcomes. The aim of this study was to summarize the maternal and perinatal outcomes of pregnant women infected with COVID-19 during their pregnancy. Methods:Eligibility criteria included pregnant women positive for COVID-19 as detected by real-time polymerase chain reaction (PCR). Results: Atotal of 40 pregnant women positive for COVID-19 as conrmed by RT-PCR, were included in the study. 5% cases had preterm deliveries and LSCS was the preferred mode of delivery in 28 of 40 i.e., 70% cases. There was a tendency for low Apgar score at birth, higher rates of fetal distress, meconium, NICU admissions. There was one IUD only in this study. The treatment patterns of COVID-19 infection among pregnant women during their pregnancy or following delivery was mostly supportive in the form of oxygen and antibiotic therapy. Conclusions: Although the majority of mothers were discharged without any major complications, severe maternal morbidity as a result of COVID-19 were reported. Vertical transmission of the COVID-19 could not be ruled out. Pregnant infected women had different symptoms, and they were given mostly supportive treatments than the general infected population. Careful monitoring of pregnancies with COVID-19 and measures to prevent neonatal infection are warranted.

scholarly journals A study on perinatal outcomes in antenatal mothers with abnormal pulmonary function tests

2018 ◽  
Vol 7 (7) ◽  
pp. 2724
Author(s):  
Subha Sivagami Sengodan ◽  
Anandeswari Palanivelu ◽  
Anbarasi Pandian
Keyword(s):  
Birth Weight ◽  
Pulmonary Function ◽  
Tamil Nadu ◽  
Pulmonary Function Tests ◽  
Mode Of Delivery ◽  
Perinatal Outcomes ◽  
Antenatal Clinic ◽  
Lung Volumes ◽  
Medical College ◽  
Abnormal Pulmonary Function

Background: This study was done to assess the lung volumes by spirometry in all the three trimesters in antenatal mothers and to observe the effect of pulmonary function abnormality in mode of delivery and birth weight of babies.Methods: Our study included 100 antenatal mothers attending antenatal clinic in Government Mohan Kumaramangalam Medical College, Salem, Tamil Nadu during the period of Jan 2017 to Dec 2017. It was a prospective observational study. Mothers were subjected to detailed physical and clinical examination. Basic investigations were done. Considering test by spirometry. The changes in the lung volumes were noted according to gestational age. The effect of pulmonary function abnormality in the mode of delivery and birth weight was observed.Results: One hundred antenatal mothers selected randomly were evaluated for the lung volumes by using spirometry. Out of the 100 cases, 17 belonged to I trimester, 46 belonged to II trimester and 37 belonged to III trimester. We noted a significant reduction in FVC in II and III trimester. This reduction was little more in II trimester. There was significant reduction in FEV1 in II trimester. The reduction in FEV1 and FVC did not influence the mode of delivery but it significantly affected the birth weight of babies. FEV1/FVC reduction had no influence in the mode of delivery and birth weight of babies.Conclusions: The present study highlighted that there was reduction in lung volumes in II and III trimester of pregnancy and it influenced the birth weight of babies. Hence it becomes essential to pay special attention to pulmonary functions during antenatal period.

scholarly journals Study of maternal and foetal outcome in post-term pregnancies

2017 ◽  
Vol 6 (7) ◽  
pp. 3147
Author(s):  
Priya Shankar ◽  
Hemalatha KR
Keyword(s):  
Pregnancy Termination ◽  
Mode Of Delivery ◽  
Perinatal Outcomes ◽  
Term Pregnancy ◽  
Amniotic Fluid Index ◽  
Neonatal Deaths ◽  
Foetal Growth Restriction ◽  
Incidence Risk ◽  
One Year ◽  
Post Term Pregnancy

Background: Post-term pregnancies are associated with significant foetal morbidity and increase in interventions which jeopardise the health of the fetus as well as the mother. The objective of this study was to determine the incidence, risk factors, maternal and foetal outcomes of such pregnancies.Methods: A retrospective study of 117 post-term pregnancies was studied over a period of one year, January to December 2016. Age, parity, amniotic fluid index, color of liquor, mode of delivery, maternal and foetal outcomes were studied in detail and analysed.Results: There were 10390 deliveries during our study period. 130 among them were post-term, 117 were included in the study, amounting to an incidence of 1.12%. Post-term pregnancy was noted to be higher in women of age group 21-25years (68.5%) and among primigravidae (51.2%). 66 women experienced vaginal delivery (56.4%) and 49 women underwent caesarean delivery (41.8%). Most common indications for caesarean section were foetal distress, oligohydramnios, and foetal growth restriction. NICU admissions were 16 babies and 2 early neonatal deaths were noted.Conclusions: Post-term pregnancy requires early detection, proper planning of pregnancy termination. These women should be offered induction of labour prior to 42 weeks of gestation age to avoid adverse maternal and perinatal outcomes.

scholarly journals Electrolyte abnormalities in asphyxiated newborns

2018 ◽  
Vol 5 (3) ◽  
pp. 1036
Author(s):  
Satheesh Kumar D. ◽  
Thenmozhi M. ◽  
Kumar .
Keyword(s):  
Serum Sodium ◽  
Perinatal Asphyxia ◽  
Mode Of Delivery ◽  
Birth Asphyxia ◽  
Neonatal Morbidity ◽  
Postnatal Period ◽  
P Value ◽  
Sodium Potassium ◽  
Neonatal Deaths ◽  
Electrolyte Abnormalities

Background: Perinatal asphyxia is the most common cause of neonatal morbidity and mortality in worldwide. It accounts for 23% of all neonatal deaths. Electrolyte abnormalities are more common in the immediate post asphyxiated period and influence neonatal the outcome effectively. Aim of this study was to measure the serum sodium, potassium and calcium levels in immediate postnatal period of asphyxiated newborns and assess the correlation with different degree of birth asphyxia.Methods: The serum sodium, potassium and calcium levels were measured in asphyxiated newborns in the early post-natal period. Both intramural and extramural newborns were included irrespective of their mode of delivery but according to the Apgar score. The measured electrolyte values were compared with the different severity of asphyxia. Results: Out of 100 newborns 53 had hyponatremia, 10 had hyperkalemia and 3 had hypocalcemia. The serum sodium and potassium levels showed significant P value (<0.00) with the different degree of both asphyxia but calcium levels were not significant (p valve = 0.06). There was a negative linear correlation with sodium and calcium levels and positive correlation with the serum potassium levels.Conclusions: Hyponatremia was significant in all stages of birth asphyxia, hyperkalemia was significant with increased severity of birth asphyxia and hypocalcemia was only weakly significant even in severe birth asphyxia.

scholarly journals Evaluation of maternal and fetal outcome in corona positive pregnant women

2020 ◽  
Vol 9 (12) ◽  
pp. 5037
Author(s):  
Bharti Maheshwari ◽  
Preeti Sharma ◽  
Kamini Pawar ◽  
Kirti Goswami
Keyword(s):  
Pregnant Women ◽  
Viral Infections ◽  
Mode Of Delivery ◽  
Fetal Distress ◽  
Fetal Outcome ◽  
Normal Delivery ◽  
Medical College ◽  
Cell Immunity ◽  
Term Delivery ◽  
Fetal Complications

Background: COVID-19 has spread globally at an accelerated rate with rapid increases in cases and mortality. Viral pneumonia is one of the leading causes of pregnancy deaths worldwide. Physiological changes during pregnancy, such as reduced functional residual volumes, diaphragm elevation, and oedema of respiratory tract mucosa, as well as changes in cell immunity can lead to increased susceptibility to viral infections and can have worsened outcomes.Methods: The study was conducted after clearance from Board of Studies and Ethical committee in the Department of obstetrics and gynaecology, Muzaffarnagar medical college, Muzaffarnagar. It was a retrospective study. Out of total 1500 covid positive patients admitted in 3 months, 33 pregnant women were included which were covid positive.Results: The study population consisted of 16 (48.5%) women from 20-25 years, 12 (36.4%) women from 26-30 years and 5 (15.2%) women from above 30 years. There was history of exposure among all (100.0%) pregnant women with only 2 (6.1%) having symptoms of COVID-19.Out of 33, 8 patients were severelyanemic, 4 had preeclampsia, 2 cases had previous 2 LSCS, 5 previous 1 LSCS, 1 leaking pervaginum, 3 cases had fetal distress at admission. As per gestational age, 9 (27.3%) women had pre-term delivery, 21 (63.6%) had normal term delivery and 3 (9.1%) had post-term delivery. 13 women were primigravida and 20 were multigravida. The mode of delivery was LSCS among 24 (73%) and normal delivery among 1 (3.0%) women.Conclusions: In our study, there were no maternal and fetal complications among pregnant women with COVID-19.

scholarly journals CAESAREAN SECTION

2018 ◽  
Vol 25 (07) ◽  
Author(s):  
Saeeda Bano ◽  
Myda Muzaffar ◽  
Masooma Zafar ◽  
Fareeha Yousaf
Keyword(s):  
Caesarean Section ◽  
Teaching Hospital ◽  
Placenta Previa ◽  
Breech Presentation ◽  
Fetal Distress ◽  
Obstructed Labor ◽  
Cross Sectional ◽  
Medical College ◽  
Life Saving ◽  
The Ideal

Introduction: Caesarean Section (CS) is a surgical procedure carried out for thedelivery of the baby when circumstances render the possibility of a safe vaginal birth. Thoughcaesarean section can be life-saving in many situations, its unnecessary use has become a globalhealth concern. For almost 3 decades, the ideal rate for caesarean sections was consideredto be between 10% and 15% but its consistently increasing frequency over the past years hasbrought it to limelight. Objective: To determine the frequency and indications of Caesareansection at DHQ Teaching Hospital, Sahiwal. Study Design: A Cross-sectional descriptive study.Setting: Department of Gynaecology and Obstetrics, DHQ Teaching Hospital, Sahiwal affiliatedwith Sahiwal Medical College, Sahiwal. Period: It was carried out over a period of 6 monthsfrom December, 2016 to May, 2017. Methods: All the caesarean sections carried out during thestudy duration were included. Both maternal and fetal indications were recorded. The patientsnot willing to participate were not included. Results: Out of the total, Caesarean Sectionaccounted for 44.7% of the total deliveries. 72.05 % were elective and 27.49% were emergencyprocedures. Most Common Indications were found out to be previous >2 C-Sections (36.4%),previous 1 C-Section (28.3%). Rest of them were breech presentation (2.69%), obstructed labor(1.68%), fetal distress (2.6%), placenta previa (8.08%), APH (2.02%), post-dated pregnancy(4.04%), uterine rupture (7.56%) and others (6.58%). Conclusion: It was concluded that >2previous C-Sections is the most common indication. The high frequency should be controlledby proper counselling and education of the mothers and families, regarding the complicationsof caesarean section.

scholarly journals The adverse maternal and perinatal outcomes of adolescent pregnancy: a cross sectional study in Hebei, China

2020 ◽  
Author(s):  
Ting Zhang ◽  
Huien Wang ◽  
Xinling Wang ◽  
Yue Yang ◽  
Yingkui Zhang ◽  
...  
Keyword(s):  
Preterm Birth ◽  
Pregnant Women ◽  
Adolescent Pregnancy ◽  
Pregnancy Outcomes ◽  
Neonatal Death ◽  
Perinatal Outcomes ◽  
Hebei Province ◽  
Adolescent Group ◽  
Adolescent Women ◽  
Adverse Pregnancy

Abstract Background The adverse pregnancy outcomes caused by teenage pregnancy are major public health problems with significant social impact, especially in developing countries. While China is the most populous country in the world, and 8.5% of the women aged 10-50 years are adolescent women, we aimed to analyze the adverse maternal and perinatal outcomes of the adolescent pregnant women in Hebei Province, China.Methods There were 238,598 singleton pregnant women aged 10-34 years from January 1, 2013 to December 31, 2017 in the database of Hebei Province Maternal Near Miss Surveillance System (HBMNMSS). The 238,598 pregnant women were divided into two groups: adolescent group (aged 10-19 years) and adult group (aged 20-34 years), the adolescent group was divided into two subgroups (aged 10-17 years, aged 18-19 years). The information that was collected included sociodemographic characteristics, obstetric history, place and mode of delivery, pregnancy outcome, complications during pregnancy. We compared the risk of adverse pregnancy outcomes between the two groups and two subgroups using univariate and multivariate Logistic regression. Results Compared with women aged 20-34 years, women aged 10-19 years had lower risk of cesarean delivery [adjusted risk ratio (aRR): 0.75, 95% confidence interval (CI): 0.70-0.80], gestational diabetes mellitus (GDM) (aRR: 0.55, 95% CI: 0.41-0.73). The women aged 10-19 years had higher risk of preterm birth (aRR: 1.76, 95% CI: 1.54-2.01), small for gestational age (SGA) (aRR: 1.19, 95% CI: 1.08-1.30), stillbirth (aRR: 2.58, 95% CI: 1.83-3.62), neonatal death (aRR: 2.63, 95% CI: 1.60-4.32). The adolescent women aged 10-17 years had significantly higher risk of stillbirth (aRR: 4.83, 95% CI: 2.86-8.14) and neonatal death (aRR: 6.35, 95% CI: 3.16-12.77) compared with the women aged 20-34 years, but there was no association with the risk of incidence of GDM (aRR: 1.03, 95% CI: 0.63-1.68) and SGA (aRR: 1.11, 95% CI: 0.89-1.39). Conclusions The adolescent pregnancy was related to adverse perinatal (fetal and neonatal) outcomes, such as preterm birth, stillbirth and neonatal death, especially in younger adolescent pregnancies (aged 10-17 years).

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