scholarly journals Predictors of spontaneous abortion among reproductive-aged women at tertiary level hospital, Kathmandu

2021 ◽  
Vol 8 (1) ◽  
pp. 73-83
Author(s):  
Khagi Maya Pun ◽  
Kalpana Silwal ◽  
Ambika Poudel ◽  
Bimala Panthee
Keyword(s):  
Spontaneous Abortion ◽  
Previous History ◽  
Sampling Technique ◽  
Well Being ◽  
Health Problems ◽  
Reproductive Age ◽  
Preconception Counseling ◽  
Coffee Intake ◽  
Reproductive Age Women ◽  
History Of

Introduction: Spontaneous abortion (SA) is one of the adverse outcomes during pregnancy, which is a challenge for maternal well-being. The present study aimed to analyze the predictors of SA among reproductive age women. Method: A hospital-based case-control study was conducted at Patan hospital, Nepal. The consecutive sampling technique was used to select the cases (84) and a purposive sampling technique was used for controls (168) in a 1:2 ratio. Ethical approval was obtained. Data were collected through face to face interviews using a structured questionnaire. Descriptive and inferential statistics (Chi-square, Fisher exact test, and logistic regression) were used for analyzing the data. Result: We found that previous history of abortion (OR=3.80, 95% CI=1.8-7.70), heavy lifting (OR=20.45, 95% CI =4.48-93.38), emotional disturbance (OR=10.06, 95% CI=1.06-96.96), health problems (fever of unknown cause and urinary tract infection) during pregnancy (OR=16.53, 95% CI=1.90-143.41), coffee intake (OR=0.36, 95% CI=0.20-0.63), unplanned pregnancy (OR=0.10,95% CI=0.04-0.22), preconception counseling/care not received (OR=6.48, 95% CI=2.18-19.21) were the significant predictors of SA among reproductive age women. Conclusion: Our findings show that the previous history of abortion, heavy lifting, emotional disturbances, health problems, and coffee intake during pregnancy are the significant cause of SA; and preconception counseling and planned pregnancy are protective factors.

CONSANGUINITY AND MATERNAL AGE;

2017 ◽  
Vol 24 (04) ◽  
pp. 511-515
Author(s):  
Nayyab Zehra ◽  
Ahmed Hassaan Malik ◽  
Zahabia Khalid ◽  
Misha Sabir ◽  
Simra Tanvir ◽  
...  
Keyword(s):  
Family History ◽  
Gestational Age ◽  
Maternal Age ◽  
Sampling Technique ◽  
Reproductive Age ◽  
Military Hospital ◽  
Age Group ◽  
Spontaneous Abortions ◽  
Cross Sectional ◽  
History Of

Objectives: To determine the frequency of risk factors i.e. consanguinity andmaternal age associated with spontaneous abortions in Pakistan and to propose ways toreduce them. Study design: Cross sectional descriptive study. Place of study: Gynecologydepartment of Military Hospital and Combined Military Hospital, Rawalpindi. Duration ofstudy: 6 months (September 2015 to February 2016). Sampling technique: Non probabilityconvenient sampling. Methodology: 150 married female patients in reproductive age group(15-49 years), who were confirmed cases of pregnancy and presented with abortions, wereinterviewed and responses were filled in a structured questionnaire after written consent.The collected data was then entered and analyzed by SPSS 20.0. Results: The major bulkof spontaneous abortions occurred in the maternal age group of 25-35 years (55.3%). A totalof 53.3% of abortions occurred in the gestational age of less than 12 weeks. Around 54.7% offemales had family history of spontaneous abortions and 65.3% had consanguineous marriage.Conclusion: Spontaneous abortions occur more frequently in the females of 25-35 yearsage group and among the fetuses with gestational age less than 12 weeks (1st trimester ofpregnancy). Family history of spontaneous abortions and consanguinity are associated withspontaneous abortions.

scholarly journals Pregnancy outcome in patient who had first trimester bleeding in previous pregnancy: a prospective study

2020 ◽  
Vol 9 (4) ◽  
pp. 1559
Author(s):  
Faswila M. ◽  
Ramya N. R.
Keyword(s):  
Pregnancy Outcome ◽  
Preterm Delivery ◽  
Spontaneous Abortion ◽  
Adverse Pregnancy Outcome ◽  
Placenta Previa ◽  
Previous History ◽  
Fetal Loss ◽  
Previous Pregnancy ◽  
Increased Risk ◽  
History Of

Background: Patient who had history of spontaneous abortion in her previous pregnancy is associated with adverse outcome in her present pregnancy.Methods: A total 63 pregnant women attending OPD and admitted in department of obstetrics and gynecology, Yenepoya Medical College, from April 2017 to September 2017, considered and outcome were studied.Results: Out of 63 patient’s majority (57.1%) of patients belong to the age group 21-29 year. Anemia was found to be very severe in 4.3%, severe in 10% and moderate in 30% patients. Maximum patients (45.7%) were with history of previous one abortion followed by previous two abortions (38.6%). The final outcomes were term livebirth 47 (74.3%), abortion 9 (14.3%), preterm delivery 5 (8.6%), and stillbirth 2 (2.8%) caesarean section (23.3%) for various indications. 19.23% had term PROM, 9.09% had PPROM, 5.76% had term IUGR, 3.84% term IUD, preterm IUD accounts for 9.09% and still birth accounted for about 1.92% which was term, pre-eclampsia accounted for 4.76%, malpresentation for 7.93%, total 3 cases of antepartum hemorrhage out of which  placenta previa accounts for about 3.1% and abruption for 1.58%, manual removal of placenta 4.7% and low birth weight 7.6%.Conclusions: Previous history of spontaneous abortion is associated with adverse pregnancy outcome. There is increased risk of abortion, preterm delivery, need for caesarean sections and fetal loss which can be reduced by booking and giving antenatal care.

scholarly journals Does the Frequency of Watching Television Matters on Overweight and Obesity among Reproductive Age Women in Ethiopia?

2020 ◽  
Vol 2020 ◽  
pp. 1-7 ◽  
Author(s):  
Mohammed Ahmed ◽  
Abdu Seid ◽  
Adnan Kemal
Keyword(s):  
Higher Education ◽  
Multivariate Logistic Regression Analysis ◽  
Sampling Technique ◽  
Wealth Index ◽  
Developed Countries ◽  
Overweight And Obesity ◽  
Reproductive Age ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Reproductive Age Women

Background. Studies in developed countries have revealed an association of different magnitudes between watching television and the risk of being overweight and obese among reproductive age women. Even so, there is no evidence of such an association in the context of the Ethiopian population. Hence, the study aimed to assess the association between watching television with overweight and obesity in a nationally representative sample of Ethiopian women. Methods. A cross-sectional study was conducted by using secondary data analysis from 2016 Ethiopia demographic and health survey among women aged from 15 to 49 years. The samples were selected using a two-stage stratified cluster sampling technique. A total of 10,074 women were included in the analysis. The outcome variables were both overweight and obesity, whereas the main exposure variable was the frequency of watching television. Multivariate logistic regression analysis was performed for adjusting potential confounders. Adjusted odds ratio (AOR) with 95% confidence intervals was used to declare a statistically significant association. Results. The study found that watching television at least once a week was significantly associated with both overweight (AOR: 1.79; 95% CI: 1.20–2.73) and obesity (AOR: 3.76; 95% CI: 2.04–6.95). The study also divulged that the odds of overweight were higher among women aged 25–39 years (AOR: 2.17; 95% CI: 1.25–3.77) and 40–49 years (AOR: 2.69; 95% CI: 1.45–5.00), urban residents (AOR: 1.76; 95% CI:1.17–2.65), attended higher education (AOR:2.11; 95% CI: 1.22–3.65), and richest in the wealth index (AOR: 2.83; 95% CI:1.71–4.68). Similarly, the odds of obesity were higher among women aged 25–39 years and 40–49 years, attended higher education, and the richest in wealth index. Conclusions. The results from this study demonstrated that watching television at least once a week is associated with obesity among reproductive age women in Ethiopia. Therefore, a social behavioral change communication campaign needs to be taken to improve awareness regarding the harmful consequences of watching television for long hours. Further research studies should be conducted among men and adolescents to determine whether this positive association exists among that target population as well.

scholarly journals Crow’s index in ethnic and social groups of urban population

2019 ◽  
Vol 25 ◽  
pp. 49-54
Author(s):  
N. O. Kozak ◽  
L. A. Atramentova
Keyword(s):  
Reproductive Behavior ◽  
Selection Index ◽  
Reproductive Age ◽  
Level Of Education ◽  
Reproductive Age Women ◽  
Education Of Women ◽  
History Of ◽  
Statistical Indicators ◽  
Different Levels ◽  
Total Selection

Aim. According to the data characterizing reproductive behavior of women, assess an impact of ethnicity and level of education on the intensity of selection in the urbanized multinational population of Kharkiv city. Methods. Data from obstetric history of 532 post-reproductive age women was studied. Results. For indicators of the number of pregnancies with favorable and unfavorable outcomes, universally valid statistical indicators were calculated. Crow’s indexes were calculated as indicators of the intensity of selection. The total selection index for Ukrainians living in Kharkiv equal 0.26, for Russians it is 0.32, and for the group formed from representatives of rare nationalities this index is 0.75. In a group of women with secondary education total selection index is 0.26, in a group with highest education it is 0.35. Conclusions. Ethnicity and level of education of women affects reproductive behavior and determine number of pregnancies and their outcomes. Selection indexes differ in ethnic groups and in groups with different levels of education. Keywords: reproductive characteristics, Kharkiv population, Crow's index, selection, nationality, education.

scholarly journals Hubungan Kecemasan dan Kejadian Pre Eklamsia di RSUD dr. R. Goeteng Tarunadibrata Purbalingga

2020 ◽  
Vol 7 (1) ◽  
pp. 32-38
Author(s):  
Alfi Noviyana ◽  
Purwati Purwati
Keyword(s):  
Pregnant Women ◽  
Previous History ◽  
Sampling Technique ◽  
Chi Square ◽  
Predisposing Factor ◽  
Quantitative Studies ◽  
A Value ◽  
History Of ◽  
Relationship Of ◽  
The Relationship

The conditions of pregnancy can increase anxiety in women, therefore it can cause a negativeimpact on pregnant women themselves and on their fetuses. Anxiety is one of the risk factors ofthe incidence of pre-eclampsia in pregnant women. Pre-eclampsia is still the top three causes ofmaternal death in the field of obstetrics in Indonesia. The purpose of this study is to know andanalyze the relationship of anxiety with the incidence of pre-eclampsia in RSUD Dr. R. GoetengTarunadibrata Purbalingga. This research is a quantitative study, with case control design,sampling technique with an accidental sampling approach. Data collection using a standardquestionnaire from Hamilton. Analysis in quantitative studies using the X2 test (chi square) Theresults of this study that there is no statistical relationship between anxiety and the incidence ofpre-eclampsia with a value of ρ = 0.732 but clinically found that mothers with anxiety have a riskof 1, 26 times higher experience pre-eclampsia ( value of OR = 1.26). As for some externalvariables in this study that theoretically become a predisposing factor for pre-eclampsia includingage, previous history of pre-eclampsia or hypertension, hereditary history, history of hormonalfamily planning acceptors related to pre-eclampsia.

scholarly journals Spectrum of Gestational Trophoblastic Disease Secondary to Dilation and Evacuation - Our Experience at a Tertiary Care Centre in Mullana, Ambala

2021 ◽  
Vol 10 (16) ◽  
pp. 1106-1113
Author(s):  
Akshat Kuchhal ◽  
Harneet Narula ◽  
Amit Jain ◽  
Shivangi Jain
Keyword(s):  
Wide Spectrum ◽  
Venous Malformation ◽  
Tertiary Care ◽  
Previous History ◽  
Gestational Trophoblastic Disease ◽  
Reproductive Age ◽  
Trophoblastic Disease ◽  
Trophoblastic Diseases ◽  
Gestational Trophoblastic Diseases ◽  
History Of

BACKGROUND Gestational trophoblastic diseases have varying clinical presentations with certain diagnostic signs and symptoms. A strong correlation between gestational trophoblastic diseases (GTD) and a previous history of dilation & evacuation (D & E) has been documented in the limited available literature. We wanted to study the spectrum of gestational trophoblastic disease secondary to dilation & evacuation. METHODS A two-year study including all the females who were admitted to MMIMSR Hospital in view of suspicion of gestational trophoblastic disease was conducted with all having a common history of dilatation and evacuation in the recent past. RESULTS Through the analysis we saw the spectrum of GTD including partial mole, complete mole, invasive mole and choriocarcinoma, as well as its complications in the form of arterio-venous malformation (AVM). CONCLUSIONS The two-year experience suggests that dilatation and curettage may predispose a female of reproductive age group to develop gestational trophoblastic disease in the future. Hence, a high index of suspicion is necessary for timely diagnosis and intervention. The study further helped us understand the wide spectrum of the disease and its associated complications. KEY WORDS Abortion, AVM, Dilatation and Evacuation, GTD, GTN

scholarly journals Pregnancy outcomes after spontaneous conception with previous spontaneous abortion preceding present pregnancy

2021 ◽  
Vol 10 (8) ◽  
pp. 3035
Author(s):  
Shree Kant Dadheech ◽  
Meenakshi K. Bharadwaj ◽  
Brig Aruna Menon
Keyword(s):  
Preterm Delivery ◽  
Spontaneous Abortion ◽  
Pregnancy Outcomes ◽  
Previous History ◽  
Fetal Loss ◽  
Intrauterine Death ◽  
Spontaneous Conception ◽  
Increased Risk ◽  
History Of ◽  
Present Pregnancy

Background: The objective of the present study was to study pregnancy outcomes in patients with Spontaneous conception with history of previous spontaneous abortion preceding present pregnancy.Methods: A prospective study included patients with spontaneous conception with history of previous spontaneous abortion preceding present pregnancy admitted in the department of obstetrics and gynecology, command hospital, Pune between October 2018 and April 2020. The patients were booked (minimum 3 visits in antenatal outdoor clinic) or admitted for the first time as an emergency. The detailed history about previous abortions was taken and routine as well as investigations for possible etiologies of previous abortions were done. Cases with history of mid-trimester abortion were investigated for cervical incompetence. All the patients were observed for complications during present pregnancy like threatened abortion, preeclampsia, preterm labour, intrauterine death and final outcome.Results: A total of 110 patients with history of previous spontaneous abortion were admitted, all patients were booked. Majority (51.8 %) of patients belong to the age group 25-30 years. All patients were with history of previous one abortion followed by pregnancy with spontaneous conception. The final outcomes were term live birth (86.4%), abortion (8.2%), preterm delivery (5.4%), and no still birth. Caesarian section was done in 32.7% patients for various indications.Conclusions: Previous history of spontaneous abortion is associated with adverse pregnancy outcome. There is increased risk of abortion, preterm delivery, need for caesarean sections and fetal loss in cases of previous spontaneous abortions. These complications and fetal loss can be reduced by booking the patients and giving due antenatal care.

scholarly journals The subsequent newborn effects of stillbirth and abortion, a longitudinal study.

2020 ◽  
Author(s):  
Berhanu Elfu Feleke ◽  
Teferi Elfu Feleke
Keyword(s):  
Birth Weight ◽  
Serum Iron ◽  
Survival Curve ◽  
Previous History ◽  
Serum Zinc ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Iron And Zinc ◽  
History Of ◽  
Zinc Levels

Abstract Introduction This study was conducted to assess the effects of stillbirth and abortion on the health of the subsequent newborn. Methods A prospective cohort study was implemented. The data were collected from January 2015 to August 2019. The study participants were selected using the simple random sampling technique. The data were collected using interviewing the pregnant mothers, reviewing medical charts, analyzing the blood samples from the newborn, and scheduled medical checkups. General linear model was used to assess the effects of stillbirth and abortion on the health of the newborn, Poisson regression was used to identify predictors of childhood infectious diseases episodes and Kaplan Meier survival curve were used to estimate time to childhood pneumonia and diarrhea. Results 2872 infants were included giving for the response rate of 88.97%. Neonate born from mothers with a previous history of stillbirth or abortion had low birth weight, low serum iron, and zinc levels. High infection episodes of diarrhea and pneumonia were observed among infants born from a previous history of stillbirth and abortion mothers. The infection episodes during the childhood period were determined by serum zinc level [IRR 0.71; 95% CI: 0.61- 0.83], birth weight [IRR 0.86; 95% CI: 0.81 – 0.91], breastfeeding frequency [IRR 0.9; 95% CI: 0.87-0.93]. Conclusion The birth weight, serum iron and zinc levels of neonates born from the previous history of stillbirth and abortion were lower. The infection episodes of newborns born from mothers with previous history stillbirth or abortion were higher.

scholarly journals Pancreatic and Hepatic Metastasis of an Undiagnosed Choriocarcinoma: An Exceptional Cause of Haemoperitoneum in Young Women – Report of a Rare Case

2016 ◽  
Vol 9 (3) ◽  
pp. 633-638 ◽  
Author(s):  
Nishat Fatema ◽  
Neeru Vinod Arora ◽  
Fatma Majid Al Abri ◽  
Yaseer Muhammad Tareq Khan
Keyword(s):  
Hepatic Metastasis ◽  
Rare Case ◽  
Previous History ◽  
Gestational Trophoblastic Disease ◽  
Reproductive Age ◽  
Childbearing Age ◽  
Women Of Reproductive Age ◽  
Positive Pregnancy Test ◽  
History Of ◽  
The Right

Haemoperitoneum in women of reproductive age usually suggests either ruptured ectopic pregnancy or ruptured ovarian cysts. Metastatic choriocarcinoma is considered the least common cause of haemoperitoneum in women of childbearing age. We report a rare case of pancreatic and hepatic metastasis of choriocarcinoma in a young, 30-year-old female who had delivered 10 months prior at term gestation with no previous history of gestational trophoblastic disease or molar pregnancy. She had a short history of fever and pain in the right hypochondrium, with findings of hypovolaemic shock due to intraperitoneal haemorrhage. Unfortunately, the patient expired with massive uncontrolled bleeding from liver metastasis despite 2 emergency laparotomies within 12 h. This case report is an apt reminder to clinicians to include metastatic choriocarcinoma on the list of differential diagnoses for haemoperitoneum with a positive pregnancy test in women of reproductive age to diagnose early and to avoid life-threatening consequences.

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