scholarly journals Prevalence of Candida Albicans in Genital Tract of Pregnant Women Attending Antenatal Clinic of Nepalgunj Medical College Hospital

2017 ◽  
Vol 15 (2) ◽  
pp. 13-17
Author(s):  
Maya Rai ◽  
T. P. Poudel ◽  
K. Gurung ◽  
G. P. Neupane ◽  
Durga B.C.
Keyword(s):  
Risk Factor ◽  
Candida Albicans ◽  
Pregnant Women ◽  
Genital Tract ◽  
Antenatal Clinic ◽  
Vaginal Candidiasis ◽  
College Hospital ◽  
Medical College ◽  
Sugar Fermentation ◽  
Vaginal Swabs

Introduction: Pregnancy is one of the important risk factor for occurrence of vaginal candidiasis which may lead to pregnancy complications like abortions, premature birth, low birth weight and other morbidities. It is essential to know pattern of distribution of the species of Candida that are pathogenic. Aim and Objective: To identify prevalence of Candida albicans in the genital tract of pregnant women. Materials and Methods: Total of 100 vaginal swabs were collected from 100 pregnant women attending at antenatal clinic of Gynaecology and Obstetrics department for a period of six months from March 2017 to August 2017. Gram's staining and inoculation onto Sabouraud dextrose agar (SDA) medium were done for general identification of yeast and to isolate the positive cases. The specifications of Candida species was done on the basis of sugar fermentation, carbohydrate assimilation, production of germ tube in fresh human serum, formation of chlamydospore on Cornmeal agar and colour of colony on CHRO Magar. Results: Out of 100 high vaginal swabs 40(40%) samples were positive for Candida. Of these positive samples, Candida albicans was isolated in 52.5% of pregnant women. Candida albicans was most commonly isolated in the age group of 25-29(38.09%), in third trimester of pregnancy and in the multigravidae. Conclusions: High prevalence of Candida albicans species among pregnant women were documented in this study. Our results indicate that gravidity, as the risk factor for occurrence of infection, has the significant role in the occurrence of vaginal candidiasis.

scholarly journals Anthropometric Assessment of Nutritional Status in Pregnant Women in Different Trimesters Attending at the Antenatal Clinic of DMCH

2015 ◽  
Vol 6 (1) ◽  
pp. 20-24
Author(s):  
Lutfa Akther ◽  
Muhammad Belal Hossain ◽  
AAM Anisul Awwal ◽  
Ayatun Nesa
Keyword(s):  
Nutritional Status ◽  
Pregnant Women ◽  
Significant Proportion ◽  
Antenatal Clinic ◽  
College Hospital ◽  
Cross Sectional ◽  
Health Maintenance ◽  
Energy Deficiency ◽  
Medical College ◽  
Chronic Energy Deficiency

Background: Adequate nutritional status of expectant mothers is essential for their health maintenance and good pregnancy outcome. To assess the anthropometric measurements of pregnant women.Methodology: Cross sectional study, 245 pregnant women was included whom attended at antenatal clinic of Dhaka Medical College hospital. Main outcome measures: 38% pregnant women were found with overweight or obese and 20% were found underweight that was related with chronic energy deficiency, vitamin deficiency and Iron deficiency anemia.Result: A total of 245 women were in this study, the highest number (48.16%) was found visited in the second trimester, 32.24% were in third and 19.5% in 1st trimester respectively. The mean age of women attending in this study was 23%. It was surprising that our upcoming mother's did not have good height, around 60% were found less than five feet and 24% women were less than four feet eight inches, which indicated that a significant proportion of women might need to have surgical intervention during delivery. Not only the height, but also the weight of our respondents was found much poor and 16% of total attending women had weight below 40 kilogram.Conclusion: Our study revealed that the majority of the women suffered from chronic energy deficiency which could be the potential factor for delivering malnourished babies. All pregnant women should be motivated to have an antenatal check up throughout the pregnancy, increase birth spacing to hold their proper nutritional status and encourage them to delivery their babies in hospital.Anwer Khan Modern Medical College Journal Vol. 6, No. 1: January 2015, Pages 20-24

scholarly journals Prevalence of antenatal vulvovaginal candidiasis: our experience

2017 ◽  
Vol 6 (2) ◽  
pp. 443 ◽  
Author(s):  
Arul Anne Rose S. ◽  
Sony Paul ◽  
Iyanar Kannan
Keyword(s):  
Pregnant Women ◽  
Statistical Significance ◽  
Age Groups ◽  
Preterm Births ◽  
Antenatal Clinic ◽  
Vulvovaginal Candidiasis ◽  
Vaginal Candidiasis ◽  
Treatment Modalities ◽  
Vaginal Swabs ◽  
Culture Positive

Background: The objective of our study is to determine the prevalence of vulvovaginal candidiasis and influence of maternal age, parity or trimester on its occurrence among pregnant women, attending the antenatal clinic in our teaching hospital. It helps us to understand the magnitude of the problem in our region and to implement the necessary treatment modalities to reduce the preterm births attributed to vaginal candidiasis.Methods: It was a hospital based prospective study over a period of six months. High vaginal swabs were collected from the pregnant patients after getting consent and sent for culture. Candida positive cases were noted and results were analysed.Results: A total of 200 high vaginal swabs were collected and reported in our study. Among them 108 swabs were positive for Candida growth (54%) and 92 swabs were negative for growth (46%). Culture positive patients clinical details were analyzed and statistical significance was noted (based on age group, parity and trimester).Conclusions: Our study concluded that candidiasis is more prevalent in pregnant women but there was no statistical significance in occurrence of vaginal candidiasis among various age groups, parity or trimester. Hence it is better to screen all the patients in I/ early II trimester in order to find out and treat positive cases early to prevent preterm births attributed to vaginal candidiasis.

scholarly journals A study to identify the prevalence of vulvovaginal candidiasis in second trimester

2021 ◽  
Vol 10 (7) ◽  
pp. 2647
Author(s):  
Rashmi Kruthipati ◽  
Radhika Chethan ◽  
Anitha Gabbalkaje Shiva ◽  
Sukanya Suresh
Keyword(s):  
Pregnant Women ◽  
Statistical Significance ◽  
Age Groups ◽  
Preterm Births ◽  
Antenatal Clinic ◽  
Vulvovaginal Candidiasis ◽  
Vaginal Candidiasis ◽  
Second Trimester ◽  
Vaginal Infections ◽  
Vaginal Swabs

Background: Vaginal candidial infections are due to excessive growth of Candida. These are normally present in the vagina in small numbers. Vaginal infections are typically caused by the yeast species Candida albicans. It is found that candidial infection increases the risk of preterm labour. Aims and objectives of the study were to determine the prevalence of vulvovaginal candidiasis and influence of maternal age, parity and weeks of 2nd trimester on its occurrence among pregnant women in 2nd trimester, attending the antenatal clinic in our hospital.Methods: A prospective study conducted in BMCRI for a period of 3 months (October 2019-December 2019) on patients in second trimester. Consent of patients taken. High vaginal swabs were collected from the pregnant patients in second trimester and sent for culture. Candida positive cases were noted and results were analysed.Results: A total of 100 high vaginal swabs were collected and reported in our study. Among them 54 swabs were positive for Candida growth (54%) and 46 swabs were negative for growth (46%). Culture positive patients’ clinical details were analysed and tabulated.Conclusions: Our study concluded that candidiasis is more prevalent in pregnant women but there was no statistical significance in occurrence of vaginal candidiasis among various age groups, parity or trimester. Hence it is better to screen all the patients in I early II trimester in order to find out and treat positive cases early to prevent preterm births attributed to vaginal candidiasis.

scholarly journals Antimicrobial Sensitivity Pattern and Incidence of Streptococcus agalactiae and Other Pathogenic Microbial Organism from Pregnant Women at Tertiary Care Centre, Kanpur

2021 ◽  
Vol 10 (10) ◽  
pp. 50-57
Author(s):  
Sugandh Rathore Bitesh Kumar
Keyword(s):  
Pregnant Women ◽  
Tertiary Care ◽  
Vaginal Candidiasis ◽  
Research Centre ◽  
Coagulase Negative Staphylococcus ◽  
Age Group ◽  
Aerobic Vaginitis ◽  
College Hospital ◽  
Sensitivity Pattern ◽  
Vaginal Swabs

This study was conducted in Rama Medical College Hospital & Research Centre. The inclusion and exclusion criteria were applied. The study was conducted from January 2016 to December 2016. A total 50 high vaginal swabs were collected from pregnant women admitted to the labour room after gestation. Vaginal swabs collected from high vagina using sterile cotton swabs (Himedia, Mumbai) and transported to the laboratory and inoculated into enrichment broth, (Todd Hewitt Broth) and incubated at 370 C for 18-24 hours. After incubation sample were plated onto Blood agar and MacConkey agar (Himedia, Mumbai) and incubated aerobically at 370 C for 18-24 hours. The isolates were identified based on colony appearance, gram stain, and standard biochemical test obtained from (Himedia, Mumbai). Out of 50 women, 16 (32%) were primigravida 34 (68%) were multigravida. Number of pathogenic growth were 31 (62%). The maximum number of aerobic vaginitis cases fell in the age group of 20-25 years followed by 26-30 and 30-35. The common pathogenic isolates in this study Candida, Escherichia coli, Klebsiella species, Coagulase negative Staphylococcus and Enterococcus species. The results of present study showed a high occurrence of Candida among pregnant women. There was a high prevalence of vaginal candidiasis among multigravida, women at the third trimester and those between age group 20 to 25 and 3 samples of aerobic vaginitis with polymicrobial growth. This study did not show any Group B Streptococcus. In this study were found most common sensitive drugs among all microbes– Gentamycin, Amikacin, Netilmicin, Amoxycillin/clavulanic acid, Piperacillin/tazobactam, Imipenem, Meropenem, Tigecycline, Colistin, Polymyxin B. Cotrimoxazole, Ceftriaxone, Ceftazidime, Cefoxitine, Teicoplanin, Levofloxacin, Vancomycin, Ampicillin, Penicillin, Tetracyclin, Aztreonam.

scholarly journals Risk factor Analysis and Angiographic Profiles in First 228 Cases Undergone Coronary Angiography in Cardiac Cath Lab of Dhaka Medical College Hospital

1970 ◽  
Vol 3 (2) ◽  
pp. 122-125 ◽  
Author(s):  
AEMM Islam ◽  
M Faruque ◽  
AW Chowdhury ◽  
HIR Khan ◽  
MS Haque ◽  
...  
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Risk Factor ◽  
Coronary Angiography ◽  
Medical Therapy ◽  
Stable Angina ◽  
College Hospital ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Single Vessel

Background: Coronary artery diseases are one of the major challenges faced by cardiologists. Control of certain risk factors for CAD is associated with decrease in mortality and morbidity from myocardial infarction and unstable angina. So, identification and taking appropriate measures for primary and secondary prevention of such risk factors is, therefore, of great importance. This retrospective study was carried at the newly set up cath lab in Dhaka Medical college. Materials and Methods: Total 228 consecutive case undergone diagnostic coronary angiogram from 10th January 2007 to31st January 2009 out of which 194(80%) were male and 34 (20%) were female. In both sexes most of the patients were between 41 to 60 years of age. Risk factors of the patients were evaluated. Results: In females commonest risk factor was Diabetes (58.8%) followed by dyslipidaemia (35.3%). In males commonest risk factor was hypertension (30.9%) followed by smoking (29.9%) and diabetes (28.3%). In males 44.3% patients presented with acute myocardial infarction followed by stable angina (43.3%); but in females stable angina was the commonest presentation (50.0%) followed by myocardial infarction (38.2%).CAG findings revealed that in males 33.5% had double vessel disease 26.8% followed by single vessel 26.8% and multivessel disease 25.3%. In females normal CAG was found in 35.5% followed by double vessel 23.5%, multivessel 20.6% and single vessel 20.6%. On the basis of CAG findings; in males 41.8% patients were recommended for CABG, followed by PTCA & stenting 26.3% and medical therapy 30.0%; where as in females 55.9% were recommended for medical therapy , followed by CABG 32.4% and PTCA & stenting11.8%. Conclusion: The commonest presentation of CAD was 4th and 5th decades in both sexes. Diabetes and dyslipidaemia were more common in females whereas hypertension and smoking were more common in males. Myocardial infarction and stable angina were most common presentation in both sexes though in males myocardial infarction was more common. In males the angiographic severity of CAD was more and they were more subjected for CABG in comparison to females. Key words: Risk factors; Coronary angiography. DOI: http://dx.doi.org/10.3329/cardio.v3i2.9179 Cardiovasc. J. 2011; 3(2): 122-125

scholarly journals Magnitude and factors associated with anemia among pregnant women attending antenatal care at St. Paul's Hospital Millennium Medical College, Addis ababa, Ethiopia - a cross sectional type of study

2020 ◽  
Author(s):  
Desta Samuel Umuro ◽  
Yared Lasebew Asres ◽  
Gezahegn Mamo Muluneh
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Addis Ababa ◽  
Antenatal Clinic ◽  
Parasitic Infestation ◽  
Cross Sectional ◽  
Care Clinic ◽  
Factors Associated ◽  
Medical College ◽  
History Of

Abstract Background This study aimed to assess magnitude and factors associated with anemia among pregnant women attending antenatal clinic at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. Methods Institution based cross sectional study design was conducted from December 1–30, 2018 on 405 pregnant women attending antenatal clinic. All pregnant women visiting the Antenatal care clinic during the study period and who fulfilled the eligibility criteria were included in the study. Secondary data was collected from clients register and personal files on hemoglobin, HIV, stool, and other variables. Descriptive statistics was used to analysis some variables by using SPSS. Logistic regression was carried out to identify factors associated with anemia in pregnancy. Adjusted odds ratio with their 95% of confidence interval and p < 0.05 are consider to have significant association. Results The magnitude of Anemia in pregnant women in this study was 19.8%, (95% CI 16.00-23.70). HIV infection (AOR = 6.12(95% CI 2.19, 17.08) parasitic infestation (AOR = 11.88 (95% CI 5.60, 25.20) and history of not taking fruit after meal during pregnancy (AOR = 3.12(95% CI 1.72, 5.67) were the major determinants of anemia. Conclusion This study showed that the magnitude of anemia among pregnant women was high especially at third trimester. Living with HIV /AIDS, parasitic infestation and no history of taking fruits after meal were the main factors.

scholarly journals Stroke in Young Age - Study of 50 Cases

1970 ◽  
Vol 9 (1) ◽  
pp. 10-15 ◽  
Author(s):  
Md Titu Miah ◽  
AKM Aminul Hoque ◽  
Binoy Krishna Tarafder ◽  
Syed Mohammad Ali Romel ◽  
Md Kamrul Hassan
Keyword(s):  
Risk Factor ◽  
The Elderly ◽  
Young Age ◽  
Premature Atherosclerosis ◽  
College Hospital ◽  
Medical College ◽  
High Prevalence ◽  
Associated Risk Factors ◽  
Better Than ◽  
Stroke In Young

Stroke in young age is relatively uncommon but has serious impact on the affected family as well as society. The causes are more diversed and differ as compared to the elderly. Overall prognosis is better than elderly but there is still significant morbidity and mortality. We studied consecutive 50 stroke patients between the age of 15-45 admitted in Mymensingh Medical College Hospital. The objective of this study was to evaluate the aetiological pattern, associated risk factors and inpatient outcome. Mean age of the patients was 35.8 ± 7.39 SD ( years ), female male ratio was 1 : 1.27. Infarction was found in 60% cases. Haemorrhage was in 40% cases. Dyslipidaemia was mostly associated risk factor in both infarction (83.3%) and in haemorrhage (75%). In 74% cases aetiology could not be identified. High prevalence of dyslipidemia as associated risk factor may indicate premature atherosclerosis. Overall in-patient mortality was12% .Mortality in haemorrhagic strokes is higher.   DOI = 10.3329/jom.v9i1.1419 J MEDICINE 2008; 9 : 10-15

scholarly journals Clinico-Demographic Profiles and Urinary Albumin in Prediction of Preeclampsia among Pregnant Women at a Tertiary Care Hospital

2019 ◽  
Vol 16 (2) ◽  
pp. 54-59 ◽  
Author(s):  
Taslima Begum ◽  
Khr Md Shahjahan Ali ◽  
Shafeya Khanam ◽  
Md Anwar Habib ◽  
Shipra Chaudhury ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Education Level ◽  
Urinary Albumin ◽  
Medical College Hospital ◽  
Care Hospital ◽  
College Hospital ◽  
Socioeconomic Condition ◽  
Demographic Profiles ◽  
Medical College ◽  
Study Population

Background: The clinical profiles and urinary albumin are very important for the prediction of preeclampsia among the pregnant women. Objective: The purpose of the present study was to assess the clinical and demographic profiles as well as the urinary albumin for the prediction of preeclampsia among the pregnant women. Methodology: This cohort study was conducted in the OPD of the Department of Obstetrics and Gynaecology at Rajshahi Medical College Hospital, Rajshahi, Bangladesh from January 2013 to December 2014 for a period of two (2) years. This study was carried on pregnant woman attending in outdoor department of Gynaecology, Rajshahi Medical College Hospital, Rajshahi, Bangladesh before 20th weeks of pregnancy who were healthy normotensive primigravidae with singleton pregnancy. The details demographic profiles, edema were collected from the study population. Urinary albumin was estimated before 20th weeks and after 28th weeks of pregnancy. Result: In the present study, 75 women were included; all were before 20th weeks of pregnancy without any complication or any risk factor for developing PE. Among the study group incidence of PE was 16%. The population are 24(32.0%) low, 31(41.3%) middle and 20(26.7%) high in socio economic conditions. Education level of study population was 45% completed primary education level, illiterate (27%) and secondary education (28%). Edema was absent in 1st visit, in 2nd visit 6(+), 6(++) present who developed PE, 18(+) present who did not develop PE. Edema was absent in 1st visit and (+) 6(50.0%) and (++) in 6(50.0%) present who developed PE in 2nd visit. Urine albumin in 1st visit nil in 6(50.0%), trace in 3(25.0%) and (+) in 3(25.0%) who developed PE. Conclusion: In conclusion housewife living in urban area in middle income socioeconomic condition are the most commonly presented with preeclampsia and urinary albumin is the most commonly detected in the pregnant women presented with preeclampsia Journal of Science Foundation 2018;16(2):54-59

scholarly journals Functional Status of Maternal Thyroid Gland in Eclampsia

2019 ◽  
Vol 31 (1) ◽  
pp. 9-14
Author(s):  
M Hafizur Rahman ◽  
Mahbub Ara Chowdhury ◽  
Shahin Mahmuda
Keyword(s):  
Pregnant Women ◽  
Normal Pregnancy ◽  
Hormonal Changes ◽  
Free Triiodothyronine ◽  
College Hospital ◽  
Medical College ◽  
The Mean ◽  
Maternal Thyroid ◽  
Complicated Pregnancy ◽  
In Pregnancy

Marked changes in maternal thyroid activity occur in pregnancy. During pregnancy bodily hormonal changes and metabolic demands result in complex alteration in the bio-chemical parameters of thyroid activities. Besides these, thyroid enlargement, increased thyroid capability for iodine uptake and increase in basal metabolic rate are evidential though these findings are not usually associated with symptoms of hyperthyroidism in pregnancy. Serum concentration of thyroid hormone thyroxine and triiodothyronine in complicated pregnancy like eclamptic toxemia is another field of controversy. To evaluate the changes in thyroid function in normal pregnancy and eclamptic toxemia, a study was undertaken in Rajshahi Medical College Hospital. We collected serum specimens from non pregnant but married women, normal 3rd trimester pregnant women and patients with eclampsia at 3rd trimester of pregnancy and measured serum concentrations of total and free thyroxine (TT4 & FT4) and total and free triiodothyronine (TT3 & FT3 ) by using RIA. Among the study subjects, 10 women were married but non pregnant, 12 women were in their 3rd trimester of normal pregnancy and 32 patients of eclamptic toxemia with 3rd trimester of pregnancy. In normal pregnancy, FT4 and FT3 levels remained normal while TT4 and TT3 levels were elevated. In patients with toxemia of pregnancy, the mean serum TT3 concentration was significantly lower than that of normal pregnancy and the serum FT3 concentrations were below the normal pregnancy range. The mean serum TT4 and FT4 concentrations in patients with eclampsia were however, significantly higher than those in normal pregnant women. TAJ 2018; 31(1): 9-14

scholarly journals Maternal Weight Gain and its Relationship with Birth Weight of Baby at Term

2020 ◽  
Vol 32 (2) ◽  
pp. 79-83
Author(s):  
Shiffin Rijvi ◽  
Sharmin Abbasi ◽  
Farhana Dewan ◽  
Sehereen Farhad Siddiqua ◽  
Anuradha Karmakar
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
Large For Gestational Age ◽  
Maternal Weight Gain ◽  
Maternal Weight ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College

Background: Perinatal health is influenced by maternal weight gain. Increase in obesity in population and excess weight during pregnancy may be different complications including large for gestational age fetus. As a result cesarean delivery has increased in prevalence. Maternal weight gain during the 2nd and 3rd trimesters is an important determinant of fetal growth Objective: To determine the relationship between maternal weight gain and birth weight of baby at term. Methodology : A cross sectional study was carried among 50 pregnant women at term in the Department of Obstetrics and Gynaecology, Shaheed Suhrawardy Medical College and Hospital and Anwer Khan Modern Medical College Hospital during the period of January 2013 to July 2013. Data were collected in pre-designed data collection sheet. Results: This study found maximum (36%) were age group 21-25 years followed by 28% were ≤20 years, 24% were between 26-30 years, 8% were between 31-35 years and only 4% were of 36-40 years. The average age was 25 years. Among these 50 pregnant women, 2 cases (4%) had BMI < 18.5, 15 cases (30%) had a BMI 18.5-24.9, 19 cases (38%) had a BMI 25-29.9 and 14 cases (28%) had a BMI ≥30. The mean birth weight was 2.77±0.33. kg. Mean weight gain was 10.72±3.72 Kg. Conclusion: This study showed that reasonable maternal weight gain significantly increased birth weight of the baby at term. Bangladesh J Obstet Gynaecol, 2017; Vol. 32(2) : 79-83

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