scholarly journals TO ASSESS THE MATERNAL ANAEMIA, INTRA-UTERIAN GROWTH RESTRICTION AND NEONATAL OUTCOME IN TERTIARY CARE HOSPITAL, BIHAR

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Rashmi Kumari ◽  
Usha Kumari ◽  
Krishna Sinha
Keyword(s):  
Birth Weight ◽  
Neonatal Outcome ◽  
Descriptive Analysis ◽  
Tertiary Care ◽  
Severe Anaemia ◽  
Growth Restriction ◽  
Care Hospital ◽  
Maternal Anaemia ◽  
Medical College ◽  
Adverse Neonatal Outcomes

Aim: To assess the maternal anaemia, intra-uterian growth restriction and neonatal outcome. Materials and methods: a prospective, observational study conducted in Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College and Hospital, Bhagalpur, Bihar India. A total of 240 consecutive clinically suspected cases of IUGR with singleton pregnancies at 34-40 weeks of gestation were included in the study.  Their socio-demographic profile and hemoglobin levels were recorded. A descriptive analysis of the data was performed. Results: Of 240 study subjects with IUGR at 34-40 weeks, 70.4% were anaemic, (48.8% had mild, 20.8% had moderate, 0.83 % had severe anaemia) while 29.6% were not anaemic. Significantly, the ratio of anaemic to non anaemic in antenatal IUGR pregnancies was 2.48:1. A birth weight of less than 2.5 kgs was recorded in 84% of pregnancies with moderate anaemia and 83.8% pregnancies with mild anaemia. Out of the 240 clinically diagnosed cases of IUGR 71.25% (n=171) were from the rural background and 28.75% (n=69) were urban area. Conclusion:  Mild to severe anaemia in IUGR may increase the chances of low birth weight and adverse neonatal outcomes but larger studies with standardized definitions and measurements of exposure outcomes to bring about uniformity are required to determine an accurate assessment of association between low maternal hemoglobin and IUGR

scholarly journals Perinatal outcome of stage-based management of fetal growth restriction in a government tertiary care hospital in Kerala, India

2021 ◽  
Vol 10 (6) ◽  
pp. 2354
Author(s):  
Bhargavi Rangarajan ◽  
Lalithambica Karunakaran
Keyword(s):  
Fetal Growth ◽  
Fetal Growth Restriction ◽  
Perinatal Outcome ◽  
Late Onset ◽  
Medical Condition ◽  
Tertiary Care ◽  
Perinatal Outcomes ◽  
Growth Restriction ◽  
Care Hospital ◽  
Medical College

BACKGROUND: Fetal Growth Restriction (FGR) is the largest contributing factor to perinatal morbidity, mortality and impaired neurodevelopment. This research strives to elucidate the perinatal outcomes of stage based management of fetal growth restriction using Obstetric Doppler and its  association with maternal sociodemographic profile.METHODS: The research was  conducted among 320 antenatal women whose Estimated Fetal weight was  <10th centile. Periodic follow up with Doppler was done and managed as per the stage of FGR. Perinatal outcomes were compiled.RESULTS: The incidence of FGR in T.D Medical College, Alappuzha  was 15.23%. SGA  accounted for 47 %.  The proportion of early and late onset FGR was  10.3%    &   89.7%    respectively.  57.18% of the newborns were admitted to NICU.  The common complications were: Low birth weight – 47.8% ARDS – 21% , Sepsis – 9.6%, Necrotizing enterocolitis – 4%, Hyperbilirubinemia – 4.9%. The incidence of Neonatal death and stillbirth were 1.56% and 0.3% respectively. Mothers who were underweight, inadequate weight gain during pregnancy and short inter pregnancy interval had increased risks. Hypertensive disorders of pregnancy was the commonly associated medical condition. CONCLUSION: Prolongation of pregnancy  even by one day results in 2% increased chances of survival of the newborn. Hence, it becomes imperative to identify the benign forms of FGR  to prevent iatrogenic prematurity. Antenatal women should be screened for risk factors and undergo vigilant antepartum surveillance to bring about favourable perinatal outcome. 

scholarly journals Socio-demographic factors associated with low birth weight in a tertiary care hospital of Odisha

2018 ◽  
Vol 5 (5) ◽  
pp. 1797
Author(s):  
Pradip Kumar Bhue ◽  
Himansu Prasad Acharya ◽  
Subrat Kumar Pradhan ◽  
Pratima Biswal ◽  
Amit Pritam Swain ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
World Health ◽  
Care Hospital ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical College ◽  
Health Organization

Background: World Health Organization has defined low birth weight (LBW) as birth weight less than 2,500 grams. Giving birth to a LBW infant is influenced by several factors. Objective of the study was to measure the proportion of low birth weight babies delivered in V.S.S medical college and hospital, Burla and its association with socio-demographic factors.Methods: Hospital based cross -sectional study comprising of 1030 postnatal women who delivered single live baby in V.S.S Medical College and Hospital, Burla. Selection of study participants was done by systematic random sampling in the study period October 2012 to September 2014. Chi-square test was used to measure association between LBW and socio-demographic factors.Results: The proportion of LBW was found to be 27.76%. The proportion of LBW babies was high and significant in extremes of age i.e. teenage (44.19%) and 30 years and above age group (39.56%) and Muslim mothers (36.36%), illiterate mothers (53.52 %), manual labourer (67.14%), socioeconomic class IV and V (32.98%), consanguinity history (60.58%), smoky fuel (30.02%), consumption of tobacco (49.11%).Conclusions: The proportion of LBW (27.76%) was found to be higher than national average (21.5%).

TEENAGE PREGNANCY AND ITS OBSTETRICS AND NEONATAL OUTCOME IN TERTIARY CARE HOSPITAL: AN OBSERVATIONAL STUDY.

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Rashmi Kumari ◽  
Usha Kumari ◽  
Krishna Sinha
Keyword(s):  
Vitamin D ◽  
Teenage Pregnancy ◽  
Neonatal Outcome ◽  
Tertiary Care ◽  
Vitamin D Supplementation ◽  
Care Hospital ◽  
Medical College ◽  
Group I ◽  
Jawaharlal Nehru

Aim: to study the effects of teenage pregnancy on obstetrics and neonatal outcome. Materials and methods: The present prospective comparative interventional study was conducted in the Department of Obstetrics and Gynecology, Jawaharlal Nehru Medical College and Hospital, Bhagalpur, Bihar, India. Total 60 patients were divided in to two groups. Results: Majority of the patients (66.9%) were in the 18-20 years of age group. Pre-eclampsia was observed in 26.7% of the patients who didn’t receive vitamin D supplement whereas the group I which received supplementation showed on pre-eclampsia in   6.7% of the patients (p=0.001). Conclusion: This study concludes that there is significant role of vitamin D supplementation in pregnant women in prevention of pre-eclampsia. Keywords: pre-eclampsia, vitamin D, neonatal outcome, teenage

scholarly journals Moderate to severe maternal anaemia in pregnancy and its impact on perinatal outcome in tertiary care hospital

2020 ◽  
Vol 9 (4) ◽  
pp. 1498
Author(s):  
Ashram Khatana ◽  
Suniti Verma ◽  
Ram Narain Sehra ◽  
Kanti Yadav
Keyword(s):  
Perinatal Mortality ◽  
Low Socioeconomic Status ◽  
Tertiary Care ◽  
Geographic Area ◽  
Severe Anaemia ◽  
Care Hospital ◽  
Maternal Anaemia ◽  
Anaemia In Pregnancy ◽  
Moderate Anaemia ◽  
In Pregnancy

Background: Anaemia is the commonest medical disorder in pregnancy and has a varied prevalence, etiology and degree of severity in different populations. The purpose of this study was to evaluate the prevalence of maternal anaemia in pregnancy and its impact on perinatal outcome.Methods: This was a prospective observational study conducted in department of obstetrics and gynecology JLN Hospital Ajmer, Rajasthan, India from October 2015 to December 2016. Total 325 pregnant women were included in the study who fulfilled the inclusion criteria and found to have moderate to severe anaemia.Results: Prevalence of anaemia in pregnancy was 80% in present study. Perinatal mortality was 13.3% in moderate anaemia and in severe anaemia 42%. In present study maximum 56% of cases were in the age group of 20-25 years, and maximum number of cases were primigravida (33.84%). Out of 225 cases of moderate anaemia only 50 cases (22.22%) had antenatal check-up once or twice. Out of 225 cases of moderate anaemia, 66.66% cases were rural and 33.33% cases were of urban group. Fetal outcome in present study was in form of 49.23% premature birth with 33.12% perinatal mortality.Conclusions: Maternal anaemia in pregnancy is associated with illiteracy, low socioeconomic status, multiparity, inadequate antenatal care and rural geographic area.  Severe anaemia was associated with high perinatal mortality.

scholarly journals Low birth weight: an observational study of maternal and neonatal factors in a rural tertiary care hospital, Telangana, India

2021 ◽  
Vol 10 (7) ◽  
pp. 2799
Author(s):  
Murty V. R. Nabhi ◽  
Ramjyoti S. ◽  
Vydehi B. ◽  
Vasantha K. ◽  
Vijayalakshmi Gillella
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Observational Study ◽  
Tertiary Care ◽  
Antenatal Visit ◽  
Care Hospital ◽  
Medical College ◽  
High Infant Mortality ◽  
Quality Health ◽  
Nicu Admission

Background: Poor maternal health among Indian women is of global significance because India is home to 1/5th of the world’s births. 27% of these newborn babies in India are low birth weight (LBW), an important cause of high infant mortality. This study was conducted among puerperal women who delivered LBW babies in our hospital to know the various factors pertaining to socio-demographic, obstetric and anthropometric characteristics.Methods: this observational study was conducted in the department of obstetrics and gynecology at Bhaskar medical college and hospital, Moinabad, Hyderabad from January 2016 to June 2017. The study sample were those who delivered LBW babies in our hospital and a set questionnaire was used to collect the relevant details.Results: 75% of these mothers were in the age group of 20-25 years, 73.5% had more than 10 years of schooling. About 64% of these women had their 1st antenatal visit in 1st trimester of pregnancy and 54% had their 1st ultrasound in 1st trimester. 36 babies had NICU admission, either at our hospital or at a level III NICU facility, and all had good neonatal outcome.Conclusions: The state must endeavor to make quality health free and easily accessible to pregnant women so that all can avail these services to better the maternal and neonatal outcomes. This will be helpful in improving the overall health of our population over the next few decades.  

scholarly journals A study of bacteriological profile and outcome of babies born to mother with Premature rupture of membrane and its correlation with blood and gastric culture

2019 ◽  
Vol 6 (6) ◽  
pp. 2654
Author(s):  
Milind B. Kamble ◽  
Ramchandra Nagargoje ◽  
Sagar G. Chopde
Keyword(s):  
Birth Weight ◽  
High Risk ◽  
Neonatal Outcome ◽  
Tertiary Care ◽  
Specific Treatment ◽  
Active Management ◽  
Care Hospital ◽  
Membrane Rupture ◽  
Early Onset Sepsis ◽  
History Of

Background: PROM, a condition that occurs when fetal membranes are ruptured at least one hour before onset of labor. While PROM is observed in 10% of all pregnancies, 60-80% of PROM is observed in term and 20-40% in pregnancies less than 37th gestational week. PROM is the most significant reason for preterm labor. The three causes of neonatal death associated with PROM are prematurity, sepsis and pulmonary hypoplasia. Infants born with sepsis have a mortality rate four times higher than those without sepsis. Objective of the study was correlation of blood and gastric culture positive sepsis in PROM newborns. It helps to find out the incidence of PROM in our locality.Methods: This retrospective study enrolled 90 neonates born to healthy mothers with history of PROM more than 18 hours duration, admitted in SNCU/ward at a tertiary care hospital for six months duration from 1st January 2017 to 30 June 2017. Clinical profile of these Newborn with history of PROM was noted such as birth weight, gender, gestation, duration of membrane rupture, history of maternal fever. For all newborns with PROM, sepsis screen had been sent. The neonatal outcome was also recorded, and the data was collected and analyzed by using frequency and percentages.Results: Gram negative bacilli were the commonest cause of neonatal sepsis and male neonates were more prone to infection. PROM and low birth weight especially, ELBW and VLBW are the common high-risk factors for early onset sepsis. Most common organisms isolated in blood and gastric culture were Klebsiella and Staphylococcus aureus respectively.Conclusions: PROM is a high-risk obstetric condition. Active management is needed to enable delivery within 24 hours of PROM as it offers better neonatal outcome. Morbidity and mortality increase as the duration of PROM increases. This can be reduced by early diagnosis, specific treatment and strict infection control practices in neonatal units.

scholarly journals Clinical profile of dehydration fever in neonates in a tertiary care hospital

2019 ◽  
Vol 6 (2) ◽  
pp. 718
Author(s):  
Muhammad Hassan ◽  
Adarsh E. ◽  
Rajanish K. V.
Keyword(s):  
Weight Loss ◽  
Birth Weight ◽  
Urine Output ◽  
Tertiary Care ◽  
Clinical Profile ◽  
Care Hospital ◽  
Factors Affecting ◽  
Medical College ◽  
Significant Difference ◽  
Daily Urine

Background: The aim of this study was to determine the clinical profile of neonates admitted with dehydration fever and ascertain the maternal and neonatal factors affecting it.Methods: A observational descriptive study was conducted at Rajarajeswari Medical College and hospital, population included neonates who were admitted in NICU with dehydration fever.Results: The study were conducted among 50 neonates admitted with dehydration fever. Majority of neonates (72%) were diagnosed with dehydration fever on day 3 of life. 84 % neonates were born to primiparous mothers. In the study there was significant difference in mean birth weight, weight at admission and percentage of weight loss between birth weight and weight at admission with respect to symptoms on presentation. Mean % of weight loss was 12.06 when dehydration fever was presented with fever, 11.29 when dehydration fever presented with decreased urine output, 18.44 when presented with both fever and decreased urine output and 12.73 when presented with jaundice these values were statistically significant.Conclusions: Dehydration fever occurs most commonly on day 3 or after, effective measures should be initiated for early diagnosis and prevention of complications like effective breast-feeding counselling, proper techniques, good latching and supplementation of artificial feeds if required and monitoring of daily weight and daily urine output.

scholarly journals A study to assess clinico-epidemiological profile and outcome of low birth weight babies admitted to neonatal intensive care unit of a tertiary care hospital

2021 ◽  
Vol 8 (6) ◽  
pp. 1064
Author(s):  
Anuradha Sanadhya ◽  
Mohammad Asif ◽  
Priyanka Meena ◽  
Juhi M. Mehrotra
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Maternal Age ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Maternal Weight ◽  
Medical College ◽  
Low Birth Weight Babies ◽  
Epidemiological Profile

Background: Low birth weight (LBW) contributes substantially to neonatal, infant and childhood morbidity as well as mortality. Across the world neonatal mortality is 20 times more likely for low birth weight babies compared to heavier babies (>2.5 kg). Proportion of LBW babies at birth in Rajasthan is 14%. The present study is proposed to explore the determinants of LBW in babies admitted at tertiary care hospital. The objective of the study was to study the clinic-epidemiological profile and outcome of LBW neonates; to study various factors associated with LBW.Methods: This study was a hospital based descriptive cross-sectional study, carried out at NICU of MBGH, R.N.T Medical College, Udaipur, Rajasthan. The study population comprised of all LBW babies delivered in medical college attached hospital and admitted in NICU, for duration of one year from September 2019 to august 2020. Total 350 babies were enrolled in study as per calculated sample size.Results: LBW was found to be associated with low maternal age, low level of mother education, maternal anemia, less BMI, stature of mothers, number of ANC visits, poor maternal weight gain during pregnancy, per-capita income, etc. Most common cause of mortality was found in LBW was septicemia and of morbidity was RDS.Conclusions: The identified risk factors in our study were modifiable and many were preventable. Maternal age, education of mothers, nutrition of mothers, anaemia status, number of ANC visits by mothers are preventable causes. Demographic profile, socio-economic status; many medical and obstetric factors are modifiable.

scholarly journals An audit of the decision to delivery interval in emergency caesarean section and its effect on neonatal outcome

2020 ◽  
Vol 9 (10) ◽  
pp. 4202
Author(s):  
Anuradha G. ◽  
Nirupama V. ◽  
Shirley George
Keyword(s):  
Caesarean Section ◽  
Neonatal Outcome ◽  
Tertiary Care ◽  
Fetal Distress ◽  
Primary Objective ◽  
Emergency Caesarean Section ◽  
Care Hospital ◽  
College Hospital ◽  
Medical College ◽  
Emergency Caesarean

Background: Emergency caesarean section (CS) is divided into four categories based on the degree of urgency by RCOG and NICE guidelines. It is recommended that the decision to delivery interval (DDI) in emergency CS should be within 30 minutes in category 1 and within 75 minutes in category 2. Our Primary objective was to study the incidence and indications of emergency CS and audit the DDI in emergency CS at tertiary care hospital. Our secondary objective was to study the effect of DDI on neonatal outcome.Methods: Descriptive study was carried out among 409 women who underwent emergency CS from August 2018 to December 2018 at St. John's medical college hospital, Bangalore. Relevant data was collected by chart review. Emergency CS were categorised according to RCOG guidelines based on the degree of urgency and further classified based on DDI as <30 minutes, 30-75 minutes and >75 minutes.Results: We had 409 cases of emergency CS. Category 1 had 113 (27.63%) cases, category 2 had 126 (30.81%) cases and category 3 had 170 (41.56%) cases. DDI of <30 minutes was achieved in 19.5% in category 1, DDI of <75 minutes was achieved in 93.65% in category 2. Fetal distress was the leading cause of emergency CS in category 1 and 2. There was a high incidence of low APGAR in babies delivered in <30 minutes and lower APGAR was significantly associated with <30 minutes of DDI (p<0.0001).Conclusions: Fetal distress was the leading cause of emergency CS. DDI interval of <30 minutes was not always associated with good neonatal outcome; Category of CS has a significant effect on neonatal outcome.

scholarly journals Effects of maternal age, parity and hemoglobin on neonatal stature and cord blood hemoglobin: an observational study

2020 ◽  
Vol 9 (2) ◽  
pp. 488
Author(s):  
Namrata Tiwari ◽  
Vinay Mishra
Keyword(s):  
Birth Weight ◽  
Cord Blood ◽  
Maternal Age ◽  
Tertiary Care ◽  
Large Body ◽  
Background Information ◽  
Care Hospital ◽  
Third Trimester ◽  
Maternal Anaemia ◽  
Blood Haemoglobin

Background: There is a large body of research both in India and abroad studying the effect of maternal age, parity and haemoglobin (in third trimester) on their infant’s birth weight. The present study has been planned to evaluate these factors effects on their infant’s stature(anthropometry) and cord blood haemoglobin.Methods: Maternal background information, third trimester haemoglobin concentration, gestational age and number of children was obtained and recorded in semi-structured case proforma. 100 post-partum women and their newborns were studied in post-natal ward of a tertiary care hospital in an urban area. Maternal and neonatal data and anthropometric measurements were recorded in semi-structured case proforma.Results: Of the 100 newborns, 43% were second born, followed by 35% first born, 18% third born and only 4% were fourth born by the order of their birth. Out of the 100 studied mothers 52% were anaemic as per the WHO criteria (Hb <11 gm%). Cord blood haemoglobin values decreased significantly as the order of birth increased. The cord blood haemoglobin of normal birth weight newborns is significantly higher as compared to that of low birth weight newborns. Cord blood haemoglobin concentrations shows strong statistical significance with maternal anaemia. The birth order of the child has a prominent inverse effect on the cord blood haemoglobin values.Conclusions: There should nationwide improvement in the nutritional status of the girl child by dietary supplementations to improve the health of the generations to come. There should be proper birth spacing to prevent maternal and neonatal morbidities. Maternal anaemia needs early and aggressive treatment to minimize perinatal complications to both mother and the baby.

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