A RETROSPECTIVE STUDY OF ANTEPARTUM HAEMORRHAGE AND ITS MATERNAL AND FETAL OUTCOME

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Sudesh Agrawal ◽  
Satish Kumar ◽  
Angurbala Patidar
Keyword(s):  
Retrospective Study ◽  
Genital Tract ◽  
Placenta Previa ◽  
Fetal Outcome ◽  
Study Group ◽  
Retrospective Evaluation ◽  
Factors Associated ◽  
Antepartum Haemorrhage ◽  
Rural And Urban ◽  
Rural And Urban Area

Introduction : Antepartum haemorrhage (APH) is defined as bleeding from or into the genital tract, occurring from 20 weeks of pregnancy and prior to the birth of baby. On an average 3-5% of all pregnancies are complicated by antepartum haemorrhage. Therefore we conducted this study to evaluate factors associated with antepartum haemorrhage and retrospective evaluation of maternal and fetal morbidity and mortality. Material & Methods : This is a retrospective hospital based study carried out from the period November 2017 onwards and included 400 cases. Antepartum haemorrhage is defined as bleeding from or in to the genital tract, occurring from 20 weeks of pregnancy and prior to the birth of the baby. Results : Mean age in study group was 25.85±5.13 years ranging from 19-41 years. 269 and 131 cases belonged to rural and urban area respectively. Mean gestational age was 35.34±3.46 weeks ranging between 20-41 weeks. In present study, 344 cases had LSCS delivery while 27 cases were delivered normally, 25 cases had hysterectomy while 4 cases had LSCS followed by hysterectomy. Abruptio type was present in 194(48.5%), placenta previa was present in 196(49%) of cases while other was present in 10(2.5%) of cases. Conclusion : In this study we found that the incidence of APH is more in multigravida (66.7%) than in primigravida.

Ultrasound Placental Localisation in Early Pregnancy

1987 ◽  
Vol 32 (1) ◽  
pp. 19-21 ◽  
Author(s):  
A. T. Khan ◽  
K.S. Stewart
Keyword(s):  
Retrospective Study ◽  
Diagnostic Accuracy ◽  
Clinical Significance ◽  
Early Pregnancy ◽  
Fetal Development ◽  
Placenta Previa ◽  
Consecutive Case ◽  
Antepartum Haemorrhage

A retrospective study of 400 consecutive case records was made to establish the clinical significance of the low lying placenta found on ultrasound. Diagnostic accuracy is discussed. 30% of the patients had a low lying placenta on early scan. Of these, 73% had a follow up scan. There was a progressive drop in the incidence of low lying placentae through pregancy until at term, in this study, there was no placenta previa. It is considered that a repeat scan is necessary to exclude placenta previa, but not until 34 weeks gestation. Amongst the patients with early low lying placentae the incidence of antepartum haemorrhage of indeterminate type was significantly high (P<0.001). A careful surveillance of these patients is therefore required. Dynamic placental migration may be the cause of this bleeding. Further study is necessary to determine the effect of early placental position on subsequent fetal development.

scholarly journals Assessment of Various Parameters of Dental Anxiety Among Nursing Students in Rural and Urban Area of Bareilly City India –A Cross Sectional Survey

2019 ◽  
Vol 21 (2) ◽  
pp. 95-99
Author(s):  
Karnika Yadav ◽  
N. Lakshminaryan
Keyword(s):  
Nursing Students ◽  
Urban Area ◽  
Dental Anxiety ◽  
Uttar Pradesh ◽  
Study Group ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Rural And Urban ◽  
Rural And Urban Area ◽  
To Receive

 To assess the various parameters of dental anxiety among nursing students in rural and urban area of Bareilly city India. A cross-sectional survey was conducted among nursing students aged 18 to 25 years in Bareilly city of Uttar Pradesh State in India. Dental anxiety was measured using Modified Dental Anxiety Scale (MDAS). It consists of three six-item scales that also use the Likert format. The data obtained were analysed using Analysis of variance (ANOVA). The study group individuals in majority were slightly anxious (59.4% and 47.5%) when questioned about their feelings on visit to dentist and sitting in dentist’s waiting area, while they would feel extremely anxious (29.9%) if they were to receive local anesthesia respectively. The conclusion drawn from the present study was that all are "slightly anxious" as compare to others.

scholarly journals Incidence and risk factors of intra uterine fetal death: a retrospective study at a tertiary care centre in Kashmir, India

2019 ◽  
Vol 8 (4) ◽  
pp. 1517
Author(s):  
Shabnam Ara ◽  
Shazia Nisar ◽  
Umrazia Bashir
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Fetal Death ◽  
Placenta Previa ◽  
Tertiary Care ◽  
Maternity Hospital ◽  
Intrauterine Fetal Death ◽  
Tertiary Care Centre ◽  
Factors Associated ◽  
Tertiary Centre

Background: Intrauterine fetal death (IUFD) is the tragic event contributing to high perinatal mortality in developing countries. So many risk factors have been seen associated with IUFD that can be prevented with better antenatal care and timely detection at the earliest so that the prevalence can be decreased. This study was done to identify the risk factors associated with IUFD.Methods: This is a retrospective study from done from March 2017 to March 2018 at skims maternity hospital. IUFD was defined as fetal death beyond 20 weeks of gestation. Records were analyzed and data was compiled.Results: In our study there were total of 2500 deliveries out of which 70 were IUFD. Incidence was 28 per 1000 live births. It was found more common in the age group of 20-29 year (65.71%)  %). Preeclampsia was the risk factor in 17.14% of cases , followed by abruption in 11.42% followed by placenta previa in 7.14% of cases. However, 20% of the cases had unidentified risk factor.Conclusions: Present study was an effort to compile common risk factors associated with IUFD at tertiary centre of Kashmir.

scholarly journals Outcome of grand multi-gravidity & multiparity A retrospective study

2013 ◽  
Vol 22 (1) ◽  
pp. 67-71
Author(s):  
Rabeya Akther
Keyword(s):  
Retrospective Study ◽  
Gestational Diabetes ◽  
Unmet Need ◽  
Fetal Outcome ◽  
Early Marriage ◽  
Study Group ◽  
Hypertensive Disorder ◽  
Medical College ◽  
Obstetric History ◽  
Significant Difference

Objective: To examine the obstetric outcome in grand multi-parous and the effect of high parity among young women, aged 18-34 years vs. older women, aged 35years and above. Methods: This is a retrospective study done in DMCH from 1st August 2007 to 31st August 2008. For study purpose 98 patients were selected randomly whose gravidity 6th and more. To see peri-natal outcome, the cut-off point of 28 weeks was taken. Results: Mean age of the study group was 32(22-45) years. Mean gravidity and parity of the study group was 6.7 (6-11) and 4(1-8) respectively. Ninety percent pregnancy affected by different complications. Hypertensive disorder of pregnancy (14.3%) and ante-partum hemorrhage (14.3%) was more common. Bad obstetric history (12.35%), mal-presentation (11.23%) and intra-partum complications were also common. Twenty two percent (22.46%) pregnancies complicated by gestational diabetes, maternal medical disease and multi-fetal gestation. Regarding fetal outcome, peri-natal loss was 10(14%). Preterm delivery, ante partum hemorrhage, bad obstetric history, gestational diabetes and mal presentation were the cause of peri natal loss. Lack of reproductive knowledge, unmet need for contraception, poor obstetric performance and too early marriage are the main cause of grand multi-gravidity and multi-parity Conclusion: Diabetes mellitus, hypertension, ante partum hemorrhage, mal-presentation was more common in grand multi-parous irrespective of age. There was no significant difference in the incidence of obstetric complications and in perinatal outcome among both groups. DOI: http://dx.doi.org/10.3329/jdmc.v22i1.15629 J Dhaka Medical College, Vol. 22, No. 1, April, 2013, Page 67-71

A STUDY OF ANTEPARTUM HAEMORRHAGE AND ITS MATERNAL AND NEONATAL OUTCOME AT TERTIARY CARE HOSPITAL

2021 ◽  
pp. 12-13
Author(s):  
Sukanya Ethirajan ◽  
Padmapriya Ramasamy ◽  
Srija Manoharan
Keyword(s):  
Genital Tract ◽  
Neonatal Outcome ◽  
Tertiary Care Hospital ◽  
Placenta Previa ◽  
Tertiary Care ◽  
Care Hospital ◽  
Maternal Deaths ◽  
Abruptio Placentae ◽  
Antepartum Haemorrhage ◽  
Maternal Morbidity And Mortality

Antepartum haemorrhage (APH) is an obstetric emergency contributing to a signicant amount of perinatal & maternal morbidity and mortality (1). It is dened as bleeding from or into the genital tract after 28 weeks of gestation (2). It occurs in 2-5% of pregnancies and is an important cause of fetal and maternal mortality (3). Thirty percent of maternal deaths are caused by antepartum haemorrhage of which 50% are associated with avoidable factors (4). In India, the prevalence of antepartum haemorrhage is reported to be 18.8 % (5). The main causes of APH are placenta previa, abruptio placentae, indeterminate cause or local causes of genital tract.

scholarly journals Identifying the risk factors of antepartum haemorrhage and to evaluate the feto maternal outcome in antepartum haemorrhage cases

2021 ◽  
Vol 10 (10) ◽  
pp. 3786
Author(s):  
Reeta Singh ◽  
Vani Aditya ◽  
Sakshi Agarwal ◽  
Garima Maurya ◽  
Ankita Kumari ◽  
...  
Keyword(s):  
Risk Factor ◽  
Placenta Previa ◽  
Fetal Outcome ◽  
Maternal Outcome ◽  
Team Work ◽  
Morbidity And Mortality ◽  
Major Risk Factor ◽  
Antepartum Haemorrhage ◽  
Medical College ◽  
Abruptio Placenta

Background: Antepartum haemorrhage is an obstetric emergency contributing to a significant percentage of perinatal and maternal morbidity and mortality. Approximately 30% of maternal deaths are caused by ante-partum haemorrhage. In spite of a lot of improvement in antenatal care and intrapartum surveillance, antepar-tum haemorrhage has not reduced. Present study was conducted to assess the causes of APH and to compare the fetomaternal outcome among placenta previa and abruptio placenta group.Methods: The study was conducted in BRD medical college Gorakhpur, over a period of 1 year (October 2019 to September 2020) in which 100 cases of APH were taken and classified into placenta previa and abruptio placenta group and their fetomaternal outcome were compared.Results: In our study, out of 100 cases of APH 69% cases were of placenta previa followed by abruptio placen-ta in 29% cases and rest 2% cases were unclassified APH. Multigravida is the major risk factor in both placenta previa and abruptio placenta group. Second major risk factor in placenta previa group was h/o LSCS and in abruptio placenta group was HDP. Stillbirth was significantly seen in abruptio placenta group whereas Low birth weight babies (1.5-2.5 kg) were more in placenta previa group. Though the maternal outcome is poor in placenta previa group but the fetal outcome is worse in abruptio placenta group.Conclusions: APH neither can be reliably predicted nor can be prevented but only a comprehensive focused experienced team work can reduce maternal and perinatal morbidity and mortality.

scholarly journals Incidence of antepartum haemorrhage in pregnancy and its maternal-fetal outcome in admitted antenatal patients in tertiary care centre, Bhilai Durg, Chhattisgarh

2021 ◽  
Vol 10 (4) ◽  
pp. 1406
Author(s):  
Seema Khandasu ◽  
Pooja Singh ◽  
Rekha Ratnani
Keyword(s):  
Maternal Morbidity ◽  
Neonatal Intensive Care ◽  
Placenta Previa ◽  
Tertiary Care ◽  
Expectant Management ◽  
Fetal Outcome ◽  
Perinatal Morbidity ◽  
Tertiary Care Centre ◽  
Mortality And Morbidity ◽  
Antepartum Haemorrhage

Background: Antepartum haemorrhage has always been one of the deadliest complications in obstetrics. Antepartum haemorrhage (APH) complicates about 2-5% of pregnancies. Maternal and perinatal morbidity and mortality associated with APH can be reduced significantly by aggressive expectant management. The present study was conducted to assess maternal and fetal outcome in patients with antepartum haemorrhage. Aims and objectives were to study the incidence of antepartum haemorrhage at SSIMS hospital. To highlight the importance of early diagnosis and treatment. To study the maternal and fetal outcome in antepartum haemorrhage. To study the associated risk factors contributing to maternal and fetal morbidity and mortality.Methods: The study was conducted in Shri Shakaracharya Institute of Medical Sciences, Bhilai, Durg, Chhattisgarh during the period of January 2020 to December 2020 after getting approval from the institutional ethical committee. 31 cases of APH with gestational age ≥28 weeks were included. They were distributed according to type of APH into abruptio placentae (AP), placenta previa (PP). Causes of APH were noted and maternal as well as perinatal outcome observed.Results: In the present study it was observed that incidence of APH was 2% out of 1503 deliveries. Out of 31 cases, 54.83% was AP followed by PP 45.16%. Abruption was the commonest cause of APH with its associated maternal morbidity and perinatal mortality and morbidity. Anemia was the most common complication in APH. Prematurity of the neonate was a serious complicating factor in APH. No maternal mortality was seen in this study.Conclusions: Overall incidence of APH has remained high. Though maternal morbidity is reduced with modern management of APH, but timely diagnosis and intervention is necessary. Perinatal morbidity can be reduced with good neonatal intensive care facilities.

scholarly journals High susceptibility to varicella among urban and rural pregnant women in South India: a brief report

2021 ◽  
Vol 149 ◽  
Author(s):  
Leeberk Raja Inbaraj ◽  
Sindhulina Chandrasingh ◽  
Nalini Arun Kumar ◽  
Jothi Suchitra ◽  
Abi Manesh
Keyword(s):  
Pregnant Women ◽  
South India ◽  
Significant Proportion ◽  
Prevalence Ratio ◽  
Epidemiological Studies ◽  
Lethal Outcome ◽  
Factors Associated ◽  
Rural And Urban ◽  
History Of ◽  
Secondary Hospital

Abstract Varicella infection during pregnancy has serious and/or difficult implications and in some cases lethal outcome. Though epidemiological studies in developing countries reveal that a significant proportion of patients may remain susceptible during pregnancy, such an estimate of susceptible women is not known in India. We designed this study to study the prevalence and factors associated with susceptibility to varicella among rural and urban pregnant women in South India. We prospectively recruited 430 pregnant women and analysed their serum varicella IgG antibodies as surrogates for protection. We estimated seroprevalence, the validity of self-reported history of chickenpox and factors associated with varicella susceptibility. We found 23 (95% CI 19.1–27.3) of women were susceptible. Nearly a quarter (22.2%) of the susceptible women had a history of exposure to chickenpox anytime in the past or during the current pregnancy. Self-reported history of varicella had a positive predictive value of 82.4%. Negative history of chickenpox (adjusted prevalence ratio (PR) 1.85, 95% CI 1.15–3.0) and receiving antenatal care from a rural secondary hospital (adjusted PR 4.08, 95% CI 2.1–7.65) were significantly associated with susceptibility. We conclude that high varicella susceptibility rates during pregnancy were noted and self-reported history of varicella may not be a reliable surrogate for protection.

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