scholarly journals Puerperal Morbidities After Delivery in a Tertiary Care Referral Hospital of Nepal

2017 ◽  
Vol 15 (2) ◽  
pp. 8-12
Author(s):  
Rosy Malla ◽  
Reeta Manandhar
Keyword(s):  
Average Duration ◽  
Post Partum ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Surgical Wound Infection ◽  
Surgical Wound ◽  
Puerperal Sepsis ◽  
Army Hospital ◽  
Secondary Postpartum Hemorrhage ◽  
Parity Mode

Introduction: : In a developing country like Nepal maternal morbidity in the post partum period is a major healthcare concern. This study aims to analyze the maternal morbidities in women following delivery at Shree Birendra Hospital.Methods: This is a prospective, observational, hospital based study, carried out at Shree Birendra Hospital from 13th August 2012 to 13th Feb 2016. Women who underwent delivery in Shree Birendra Hospital with subsequent morbidities within the study period were included in this study. The variables considered in this study were pattern of postpartum morbidities, age, parity, mode of delivery and average duration of hospital stay.Results:  During the study period, a total number of 3407 deliveries were conducted in Shree Birendra Army Hospital. Out of these, 54 patients (1.58%) had postpartum morbidities. Puerperal sepsis was the most frequent diagnosis seen in 18 patients (33.3%), followed by surgical wound infection in 14 (25.9%) and secondary postpartum hemorrhage (PPH) in 10 (18.5%).Conclusion: Puerperal sepsis remains the most common cause of postpartum morbidity.

scholarly journals SURGICAL WOUND INFECTION IN A TERTIARY CARE TEACHING RURAL HOSPITAL

2018 ◽  
Vol 7 (51) ◽  
pp. 5470-5473
Author(s):  
Amanjee Bharti ◽  
Ram Nagina Sinha ◽  
Anuradha Sharma ◽  
Pallavi Kumari ◽  
Kumari Neha
Keyword(s):  
Wound Infection ◽  
Tertiary Care ◽  
Surgical Wound Infection ◽  
Rural Hospital ◽  
Surgical Wound ◽  
Care Teaching

ACCEPTANCE, COMPLICATION, EXPULSION AND FAILURE RATE OF POSTPARTUM IUCD IN A TERTIARY CARE HOSPITAL

2021 ◽  
pp. 44-46
Author(s):  
Sumit Ranjan Pramanick ◽  
Saumen Mandal ◽  
Bharat Chandra Mandi ◽  
Debarshi Jana
Keyword(s):  
Family Planning ◽  
Population Policy ◽  
Post Partum ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Contraceptive Device ◽  
Care Hospital ◽  
Expulsion Rate ◽  
Study Results ◽  
The World

Introduction: 1 India's population has crossed one billion in the year 2000. In recent censes of 2011 it has reached 121 crores and it is estimated to 2 reach a gure of1.53 billion by 2050, making it the most populous country in the world . India is the rst country in the world to adopt an ofcial population policy and launch ofcial family planning programme way back in 1952, which remains the mainstay of family planning efforts. Aims and objectives: 1. To nd out the proportion of accepting the Post-Partum Intrauterine Contraceptive Device (PPIUCD) insertion among eligible women delivering at SSKM hospital. 2. To assess the complications of post placental &intra caesarean PPIUCD if any among these acceptors. 3. To determine the spontaneous expulsion rate of this contraceptive device. Materials and methods: All Adult ANC women attending SSKM hospital at Gynae OPD and as well as admitted in hospital wards or Labour Room who will full the inclusion criteria during data collection period. Conclusion: The study results, it can be concluded that PPIUCD in the eld of PPFP is a promising approach. Whatever may be the mode of delivery, PPIUCD is safe and efcacious in terms of safety and efcacy.

The Influence of Surveillance Methods on Surgical Wound Infection Rates in a Tertiary Care Spinal Surgery Service

Spine ◽  
1998 ◽  
Vol 23 (3) ◽  
pp. 366-370 ◽  
Author(s):  
Fred J. Roberts ◽  
Anne Walsh ◽  
Peter Wing ◽  
Marcel Dvorak ◽  
Joe Schweigel
Keyword(s):  
Wound Infection ◽  
Spinal Surgery ◽  
Tertiary Care ◽  
Surgical Wound Infection ◽  
Surgical Wound ◽  
Infection Rates

scholarly journals Study of fetomaternal outcome in twin pregnancy

2019 ◽  
Vol 8 (12) ◽  
pp. 4762
Author(s):  
Bijal D. Rami ◽  
Somika Kaul
Keyword(s):  
High Risk ◽  
Twin Pregnancy ◽  
Post Partum ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
High Risk Pregnancy ◽  
Maternal Complications ◽  
Lower Segment Cesarean Section ◽  
Risk Pregnancy ◽  
Fetal Complications

Background: Twin pregnancy being one of the causes of high-risk pregnancy is associated with both maternal and fetal complications. This study aims at analysing the fetal and maternal outcome in such cases. All cases were studied according to their parity, maternal age, fetal presentation, mode of delivery and gestational age.Methods: This prospective study was conducted at one of the tertiary care teaching institutes over a period of one year from January 2018 to December 2018. Out of a total number of 7295 deliveries, 130 were twin pregnancy. It included all women admitted in labour room with clinical or ultrasound diagnosis of twin pregnancy after 20 weeks of gestation.Results: In the present study incidence of twin pregnancy was 1.78%. We observed the highest incidence of twins in the age group of 20-29 years. The least incidence was below the age of 20 years. Incidence of twin pregnancy in our study in primipara was 47.7% and in multipara was 52.3%. Most of the patients (43%) delivered at 32-36 weeks of gestation. Maternal complications were noticed as anemia in 29.2% patients, pregnancy induced hypertension in 55.4% patients, post-partum hemorrhage in 4.6% patients, polyhydramnios in 3.1% patients, premature rupture of membranes in 8.5% patients, gestational diabetes in 0.8% patients and urinary tract infection in 2.3% patients. Majority of the patients delivered vaginally (60.8%), others by lower segment cesarean section (LSCS). In this study 95.8% babies were low birth weight. There were 34 neonatal deaths (13%).Conclusions: Twin pregnancy is a high-risk pregnancy associated with significantly increased maternal morbidity, neonatal morbidity and mortality. Such pregnancies require good antenatal care, early detection of maternal and fetal complications and timely referral to a centre well equipped for management of such cases. 

scholarly journals Emergency obstetric hysterectomy: experience at a tertiary care centre in Central India

2019 ◽  
Vol 8 (8) ◽  
pp. 3280
Author(s):  
Jayashree Mulik ◽  
Tanvi Vibhute
Keyword(s):  
Cesarean Section ◽  
Uterine Rupture ◽  
Placenta Previa ◽  
Post Partum ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Central India ◽  
Tertiary Care Centre ◽  
Study Centre ◽  
Labour Room

Background: Obstetric hysterectomy is an important procedure in modern obstetrics and its proper indications, risks and complications need to be studied for judicious usage and improvement in outcome.Methods: A retrospective, record-based study was carried out over one and a half years at a tertiary care government hospital. All the patients who underwent emergency obstetric hysterectomy at the study centre during study period were studied. Labour room register, operation room register for emergency and elective cases, case records, referral slips and mortality register data were reviewed for the same and outcomes analysed.Results: Total 33 patients underwent emergency obstetric hysterectomy, with the incidence observed at 0.21%. The most common indications were atonic post-partum hemorrhage (42.4%), uterine rupture (33.3%) and morbidly adherent placenta (18.1%). Prior cesarean section (36.4%) and placenta previa (15.1%) were the commonest predisposing factors associated with PPH and uterine rupture. Subtotal hysterectomy (66.7%) was observed to be the preferred type of surgery. Out of total 7 maternal deaths that occurred, 4 (57%) were because of disseminated intravascular coagulation.Conclusions: There is increasing trend in the rate of obstetric hysterectomy along with rise in rate of previous LSCS, emphasizing the importance of the mode of delivery. Measures to reduce the rate of primary cesarean section are advisable.

Antibiotic Utilization for Surgical Prophylaxis in a Tertiary Care Teaching Rural Hospital

2011 ◽  
Vol 1 (4) ◽  
pp. 1-14 ◽  
Author(s):  
Amit Shah ◽  
Bharat Gajjar ◽  
Ravi Shankar
Keyword(s):  
Antibiotic Prophylaxis ◽  
Wound Infection ◽  
Tertiary Care ◽  
Total Duration ◽  
Surgical Wound Infection ◽  
Baseline Data ◽  
Surgical Wound ◽  
Surgical Prophylaxis ◽  
Duration Of Treatment ◽  
Surgical Antibiotic Prophylaxis

Rational antibiotic prophylaxis reduces the incidence of surgical wound infection. Improper antibiotic prophylaxis leads to excessive surgical wound infection and increased drug resistance. There is an urgent need to establish and implement antibiotic policy but it cannot be done if baseline data is not available. In this study, the authors gathered baseline data about the pattern of surgical antibiotic prophylaxis in their institute. They found that most of the perioperative use of antibiotics was not as per standard guidelines in terms of choice of antibiotics and total duration of treatment. Interventions are warranted to promote the development, dissemination, and adoption of evidence-based guidelines for antibiotic surgical prophylaxis.

scholarly journals Clinico-epidemiological profile of eclampsia patients admitted in an urban tertiary care hospital of West Bengal: a record based study

2018 ◽  
Vol 5 (6) ◽  
pp. 2416
Author(s):  
Baisakhi Maji ◽  
Sumana Samanta ◽  
Sreetama Banerjee ◽  
Tanjib Hassan Mullick ◽  
Sudhanshu Saharay ◽  
...  
Keyword(s):  
Post Partum ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Public Health Problem ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Study Data ◽  
Major Public Health Problem ◽  
Care Hospital ◽  
Cross Sectional

Background: Eclampsia is a multi–system disorder with complex pathogenesis, causing 12% of global maternal deaths. It is a major public health problem specially in developing countries, contributing to maternal and perinatal morbidity as well as mortality. Majority of them are preventable if managed timely, promptly and with expertise. The objectives of the study were to identify the incidence of eclampsia in R G Kar Medical College and Hospital as well to identify the determinants of feto-maternal outcome.Methods: A retrospective, record-based cross-sectional study was conducted in an urban tertiary care teaching hospital. There were 354 pregnant women with eclampsia admitted and delivered during the study period which was 1st January-31st December’2015. Complete enumeration was done to get the sample for the study. Data were retrieved from eclampsia registers and log books of delivery kept in the labour room and hospital record section. After wards it was analysed with the help of SPSS 20.0 version to get different inferential statistics.Results: Incidence of eclampsia in that hospital in 2015 was18.4/1000 deliveries. Almost 72% patients had ante-partum eclampsia and rest had post-partum eclampsia. Emergency caesarean section was the most common (62.14%) mode of delivery. Perinatal mortality was found in 5.6% of the eclampsia patients. Majority (65%) of the babies delivered belonged to low birth weight. Muslim patients and the patients of gestational age more than 36 weeks had unfavourable outcome.Conclusions: There is need to educate and encourage the general public for antenatal care and institutional delivery. Along with this the socio-economic, cultural and educational status are to be uplifted for the improvement of the present scenario regarding eclampsia in our country.

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