A RETROSPECTIVE STUDY OF FETOMATERNAL OUTCOME IN ECLAMPSIA

In India the perinatal and maternal outcome in eclampsia cases is still poor due to inadequate antenatal care in rural areas, financial restraints and non-availability of transportation facilities, and social taboos causing delay in management resulting in poor maternal and neonatal outcome. Aim of the study was to evaluate fetomaternal outcome in patients with eclampsia. This retrospective study was conducted over a period of 2 years from May 2018 to April 2020 at department of obstetrics and gynaecology of Government medical college and Sir T General hospital, Bhavnagar , Gujarat , India. During the review period total 50 cases of eclampsia reported.Incidence in our study is 0.43%.Results showed 86 % of eclampsia patients were of age less than 25 years. 82% of patients had antepartum eclampsia , 14 % had postpartum eclampsia and 4% had intrapartum eclampsia . 90% patients had 1 episodes of convulsion. 8% patients had 2 episodes of convulsions.2% pateint had 5 episode of convulsion. Out of 50 patients 36 patients were delivered by C-section and 14 patients by vaginal delivery.1 patient had twin pregnancy.Out of 51 newborn, 5 were stillbirth and 1 early neonatal death.Maternal mortility was 2 % .Eclampsia is still one of the important and common obstetric emergencies, which has a significant role in maternal and perinatal outcome. Regular Antenatal Care (ANC), proper health education, improvements of socioeconomic conditions and spreading of awareness in the community has major roles in prevention of eclampsia. Timely and appropriate intervention including primary management, early referral and judicious termination of pregnancy help in reducing morbidity and mortality of both mother and fetus. Keywords: Eclampsia, Fetomaternal outcome.

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Clinical study on chronic suppurative otitis media with cholesteatoma

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v17i1.7627 ◽

1970 ◽

Vol 17 (1) ◽

pp. 42-47 ◽

Cited By ~ 3

Author(s):

Mohammed Yousuf ◽

Khorshed A Majumder ◽

Akter Kamal ◽

Ahmed M Shumon ◽

Yeahyea Zaman

Keyword(s):

Otitis Media ◽

Rural Areas ◽

Surgical Intervention ◽

Chronic Suppurative Otitis Media ◽

Socioeconomic Conditions ◽

Suppurative Otitis Media ◽

Early Referral ◽

Socioeconomic Condition ◽

Etiological Factors ◽

Medical College

Objectives: To find out different etio-pathological factors of the disease and also to rise awareness among all levels of medical practitioners and thus decrease missing of diagnosis by early referral, appropriate surgical intervention, and thereby reduce morbidity and mortality of the patient. Methods: A total of 100 patients with chronic suppurative otitis media (CSOM) were collected from the department of Otolaryngology - Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka Medical College Hospital (DMCH) and Sir Salimullah Medical College and Mitford Hospital Dhaka from January 2003 to February 2004. Patients having CSOM with definitive cholesteatoma with or without complications were included in this study in different age & sex belong to different socioeconomic conditions. Results: One hundred patients of CSOM with cholesteatoma had been included in this study to see the various aspects of the disease with particular attention to know the etiopathology of CSOM with cholesteatoma with or without complications in our perspective. One hundred patients of different age and sex belonging to different socioeconomic conditions were examined meticulously under magnification and investigated as per protocol. The study shows poverty, illiteracy, overcrowding, living in slum with kuntcha floor, bathing in ponds and river with the habit of swimming are the main etiological factors. The study also shows ignorance about primary health care and grave consequences of the disease, nonavailability of trained doctors in the vicinity are also responsible for the development of disease and its complications. Conclusion: The study concluded that by avoiding etiological factors, improving socioeconomic condition & literacy status and by providing trained doctors in the rural areas, the development of the disease & its complications can be reduced and thus saves thousands of lives with early referral and early surgical intervention. Key words: Chronic Suppurative Otitis Media; Cholesteatoma. DOI: 10.3329/bjo.v17i1.7627 Bangladesh J Otorhinolaryngol 2011; 17(1): 42-47

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A Clinical Study on socio-demographic background in Ruptured Uterus Cases

Community Based Medical Journal ◽

10.3329/cbmj.v2i2.16692 ◽

2013 ◽

Vol 2 (2) ◽

pp. 9-14

Author(s):

N Roy ◽

K Nahar ◽

UK Sarker ◽

A Beg ◽

S Dhar ◽

...

Keyword(s):

Rural Areas ◽

Uterine Rupture ◽

Labour Pain ◽

Community Based ◽

College Hospital ◽

Medical College ◽

Birth Attendants ◽

Obstetrics And Gynaecology ◽

Demographic Background ◽

Ruptured Uterus

A study of 72 cases of uterine rupture out of total 5984 deliveries(including 3619 caesarean sections) over 1 year (from Sep. 2006 to Aug 2007) in the dept. of Obstetrics and Gynaecology, Mymensingh Medical College Hospital was reported. This gives an incidence of uterine rupture 1: 83. The results showed that, this was a common obstetric emergency & was a major cause of maternal & foetal deaths. Study showed that, 87.5% came from rural areas where facility was not available, 79% were of poor socio-economic condition .All rupture uterus cases (100%)was house wife. Peak age was between 20-30 years (68%). Among all rupture cases, 72.22% cases were between gravida 2nd to 4th,and 19.44% cases were gravida 5th or above & only 8.33% cases were Primigravida, Most of the patients(56%) were illiterate. 46% of cases had no antenatal checkup during their pregnancies. 51.38% cases labour pain lasting>16 hours. Most of the mishandled cases (66.67%) were exposed to injudicious use of uterotonic drugs before admission. Most of the cases (38.9%) handled by untrained birth attendants. DOI: http://dx.doi.org/10.3329/cbmj.v2i2.16692 Community Based Medical Journal 2013 July: Vol.02 No 02: 9-14

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A Clinical Study on Eclampsia in a Referral Hospital

Journal of SAFOG with DVD ◽

10.5005/jp-journals-10006-1188 ◽

2012 ◽

Vol 4 (2) ◽

pp. 113-115 ◽

Cited By ~ 1

Author(s):

Parneet Kaur

Keyword(s):

Clinical Study ◽

Antenatal Care ◽

Magnesium Sulfate ◽

Rural Areas ◽

Referral Hospital ◽

Special Focus ◽

Specialist Care ◽

Maternal Deaths ◽

Medical College ◽

District Hospitals

ABSTRACT Objective To analyze the cases of eclampsia in a referral hospital, like GGS Medical College, Faridkot, with special focus on booked/unbooked/referred, age, parity and antenatal care. Also fetomaternal outcome was seen in all the cases. Materials and methods All the cases of eclampsia referred from nearby rural areas, civil hospitals and CHCs sent here for specialist care were studied in this 2 years study from July 2003 to June 2005. Results and conclusions A total of 50 cases of eclampsia were admitted. The incidence came out to be 7.4%. Ninetyeight percent of cases were unbooked. Majority of the cases belonged to 21 to 30 years age group. Fifty-six percent of the cases were primigravida. Eighty-eight percent had no antenatal check-up at all. Thirty percent of babies were still born and 12% had early neonatal death. There were three maternal deaths. Antepartum eclampsia was most common seen in 68% of cases. We concluded that there is lack of antenatal care in rural areas and urban slums and this needs to be addressed to prevent this serious complication of pregnancy. Moreover, personnel at district hospitals and CHCs should be capable of administering magnesium sulfate, the anticonvulsant as none of the patient threw a fit after loading dose of magnesium sulfate. How to cite this article Kaur P. A Clinical Study on Eclampsia in a Referral Hospital. J South Asian Feder Obst Gynae 2012;4(2):113-115.

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PATTERN OF MEDICOLEGAL AUTOPSIES CONDUCTED AT TIRUPATI, ANDHRA PRADESH: A 3-YEAR RETROSPECTIVE STUDY

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2021.v14i12.43304 ◽

2021 ◽

pp. 123-125

Author(s):

K. JYOTI PRASAD ◽

B. VENKATESULU ◽

M. ABDUL KHALID

Keyword(s):

Retrospective Study ◽

Cause Of Death ◽

Rural Areas ◽

Traffic Accidents ◽

Road Traffic ◽

Age Group ◽

Manner Of Death ◽

Female Ratio ◽

Common Cause ◽

Medical College

Objectives: Death of an individual is a grave loss to the family and community at large. Death may be natural or unnatural. Analysis of unnatural deaths helps in understanding the causes, manner, and modes of deaths, thereby formulate and implement a proper policy to reduce incidence. Methods: This is a retrospective study of autopsies conducted over 3 years (2018–2020) in the mortuary of Sri Venkateshwara Medical College, Tirupati. During this period, 2579 autopsies were performed. Required data were collected from the requisitions of police, inquest reports, case sheets, medicolegal register, and postmortem reports in a preformed pro forma. Results: Out of the 2579 cases, majority were in the age group of 21–30 years (34.62%) followed by 41–50 years (18.06%). Male-to-female ratio was 2.5:1. Majority were Hindus (83.52%) and most of the subjects belonged to the rural areas (62.89%). Majority were married (78.40%). The most common cause of death was road traffic accident (48.04%) followed by poisoning (15.82%). Accidental deaths were the most common manner of death (60.56%) followed by suicides (33.96%). Conclusion: The present study reveals that the most cases were in 21–30 years age group. Males outnumbered females and the subjects were mostly married and were from rural areas. Road traffic accidents were common cause of death in males and poisoning was the common cause of death in females.

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Some Epidemiological Aspects Of Subfertile Women Who Underwent Laparoscopy

Journal of Shaheed Suhrawardy Medical College ◽

10.3329/jssmc.v2i1.12343 ◽

2012 ◽

Vol 2 (1) ◽

pp. 6-9

Author(s):

Farzana Deeba ◽

ABM Muksudul Alam ◽

Nilufar Nasrin Ava ◽

Md. Rafiqul Islam ◽

Abdul Matin ◽

...

Keyword(s):

Retrospective Study ◽

Menstrual Cycle ◽

Professional Women ◽

Study Group ◽

College Hospital ◽

Medical College ◽

Obstetrics And Gynaecology ◽

History Of ◽

Study Population ◽

To Receive

Objective: Epidemiological aspects of sitbfertile women underwent laparoscopy. Place of Study: This retrospective study was done in the Obstetrics and Gynaecology Department of Bangladesh Medical College hospital. Duration: July 2003 to June 2004. Study Population: Women suffering from primarv and secondary subfertility, who had under gone laparoscopy. Total 61 patient had laparoscopy for evaluation of subfertility. No documents were available for 6 patient and they were excluded from the study. Result: The study group comprises 55 cases of which 67.37% was of primary and 32. 73", was of secondary subfertility. Professional women group (56.4%) was higher than housewife group (43.6%). In this study 11.11% had history of spontaneous abortion and 33.33% had history of MR. In this study menstrual period was within 7 days in 70.9% cases and in 10.9% cases were more than 7 days, in 14.54% cases menstrual cycle was more than 35 days and in 3.64% cases were less than 22 days. 40% of the patient did not used any contraceptive. Conclusion: The number of subfertility visits' has increased in the last few rears because of increasing awareness for available services and option for resolving subfertilitv. Prompt investigation and appropriate referral allow a couple to receive advice and treatment to help them reach their goal. Journal of Shaheed Suhrawardy Medical College Vol 2No.1 June 2010 page 6-9 DOI: http://dx.doi.org/10.3329/jssmc.v2i1.12343

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Quantifying Pregnant Women’s Knowledge of Educational Components of Antenatal Care in Lesotho

Africa Journal of Nursing and Midwifery ◽

10.25159/2520-5293/4317 ◽

2019 ◽

Vol 21 (1) ◽

Author(s):

Tabeta Seeiso ◽

Mamutle M. Todd-Maja

Keyword(s):

Antenatal Care ◽

Maternal Mortality ◽

Pregnant Women ◽

Rural Areas ◽

Geographic Location ◽

Sub Saharan Africa ◽

World Health ◽

Cross Sectional ◽

Danger Signs ◽

In Pregnancy

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.

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Breech Presentation: Vaginal Delivery or Caesarean Section?

European Journal of Interdisciplinary Studies ◽

10.26417/ejis.v2i1.p153-157 ◽

2016 ◽

Vol 2 (1) ◽

pp. 153

Author(s):

Tomescu Cezar Laurentiu ◽

Rodica Sîrbu ◽

Emin Cadar ◽

Brezeanu Dragos ◽

Aneta Tomescu

Keyword(s):

Retrospective Study ◽

Caesarean Section ◽

Vaginal Delivery ◽

Total Population ◽

Population Sample ◽

Breech Presentation ◽

Current Paper ◽

Clinical Hospital ◽

Obstetrics And Gynaecology ◽

Number Of Patients

The incidence of breech presentation is approximately 3,97%. Breech presentation is considered as being “borderline eutocic” and it requires carefully monitoring both the foetus and the mother. The aim of the current paper is to evaluate the preffered method of delivery in case of breech presentation. The paper presents a retrospective study performed in the Obstetrics and Gynaecology Departments of the County Emergency Clinical Hospital “Sf. Apostol Andrei” in Constanta, during a period of 5 years (2010-2014). The methods of birth were analyzed for a lot of 1104 patients with breech presentation with ages ranging between 16 and 44 years old. The total number of patients who gave birth through vaginal delivery was of 139 patients, amounting to 12.59% of the total population sample. The number of patients that gave birth through C-section was 965, which amounts to 87.4% of the total population sample. Birth through C-section is preferred by both obstetricians and patients alike, due to the fact that vaginal delivery is associated with a higher foetal risk in breech presentation.

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Country compliance with WHO-recommended antenatal care guidelines: equity analysis of the 2015–2016 Demography and Health Survey in Myanmar

BMJ Global Health ◽

10.1136/bmjgh-2019-002169 ◽

2020 ◽

Vol 5 (12) ◽

pp. e002169

Author(s):

Ngatho Samuel Mugo ◽

Kyaw Swa Mya ◽

Camille Raynes-Greenow

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Adolescent Mothers ◽

Health Survey ◽

Rural Areas ◽

Urban Areas ◽

Multinomial Logistic Regression ◽

Wealth Quintile ◽

Adjusted Risk ◽

Factors Associated

IntroductionEarly access to adequate antenatal care (ANC) from skilled providers is crucial for detecting and preventing obstetric complications of pregnancy. We aimed to assess factors associated with the utilisation of the new WHO ANC guidelines including the recommended number, on time initiation and adequate components of ANC contacts in Myanmar.MethodsWe examined data from 2943 mothers aged 15–49 years whose most recent birth occurred in the last 5 years prior to the 2015–2016 Myanmar Demographic and Health Survey. Factors associated with utilisation of the new WHO recommended ANC were explored using multinomial logistic regression and multivariate models. We used marginal standardisation methods to estimate the predicted probabilities of the factors significantly associated with the three measures of ANC.ResultsApproximately 18% of mothers met the new WHO recommended number of eight ANC contacts. About 58% of the mothers received adequate ANC components, and 47% initiated ANC within the first trimester of pregnancy. The predicted model shows that Myanmar could achieve 70% coverage of adequate components of ANC if all women were living in urban areas. Similarly, if ANC was through private health facilities, 63% would achieve adequate components of ANC. Pregnant women from urban areas (adjusted risk ratio (aRR): 4.86, 95% CI 2.44 to 9.68) were more than four times more likely to have adequate ANC components compared with women from rural areas. Pregnant women in the highest wealth quintile were three times more likely to receive eight or more ANC contacts (aRR: 3.20, 95% CI 1.61 to 6.36) relative to mothers from the lowest wealth quintile. On time initiation of the first ANC contact was fourfold for mothers aged 30–39 years relative to adolescent mothers (aRR: 4.07, 95% CI 1.53 to 10.84).ConclusionThe 2016 WHO ANC target is not yet being met by the majority of women in Myanmar. Our results highlight the need to address health access inequity for women who are from lower socioeconomic groups, or are younger, and those living in rural areas.

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Diagnostic Modalities of Precancerous and Cancerous Cervical Lesions with Special Emphasis on CD31 Angiogenesis Factor as a Marker

Pathology Research International ◽

10.1155/2013/243168 ◽

2013 ◽

Vol 2013 ◽

pp. 1-5 ◽

Cited By ~ 4

Author(s):

Bandana Sharma ◽

Neetu Singh ◽

Neena Gupta ◽

Pavika Lal ◽

Shefali Pande ◽

...

Keyword(s):

Statistical Analysis ◽

Pap Smear ◽

Histopathological Examination ◽

Cervical Lesions ◽

Invasive Group ◽

Angiogenesis Factor ◽

Medical College ◽

Obstetrics And Gynaecology ◽

Diagnostic Modalities

Objectives. To evaluate the role of angiogenesis tumor marker CD31 in the detection of precancerous and cancerous cervical lesions and to compare its efficacy with colposcopy and histopathology. Materials and Methods. 230 patients with a suspicious looking cervix and an abnormal Pap smear attending the Outpatient Department of Obstetrics and Gynaecology of GSVM Medical College were subjected to a colposcopic examination. 180 patients with suspected colposcopic findings were subjected to a colposcopic directed biopsy. Biopsy tissues were sent for histopathological examination out of which 50 biopsied samples were sent for immunostaining of CD-31. Statistical analysis was done. Results. Comparison of microvessel density (MVD) count by haematoxylin and eosin staining (HE) and immunostaining of CD31 in preinvasive group were and , respectively, and in invasive group were and , respectively, which showed that MVD was higher by CD31 both in preinvasive and invasive group, and it was statistically significant. Conclusion. Angiogenesis is a marker of tumor progression, and CD31 fixes up vessel better as compared to HE, so aggressiveness of the tumor can be better predicted by MVD-CD31 as compared to MVD-HE.

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