scholarly journals RISK FACTORS AND PREGNANCY OUTCOME OF ABRUPTIO PLACENTA: A RETROSPECTIVE STUDY

2021 ◽  
Vol 5 (7) ◽  
Author(s):  
Kinjalben A. Savani ◽  
Kanaklata Nakum ◽  
Aditi Vithal
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Adverse Outcome ◽  
Case Fatality ◽  
Fetal Outcome ◽  
Vaginal Deliveries ◽  
Abruptio Placenta ◽  
Nicu Admission ◽  
Labour Room ◽  
Maternity Home

Background:  Abruptio placenta is the most common cause of antepartum haemorrhage which is defined as separation of normally situated placenta after 20 weeks of gestation and before birth of fetus. Obstetrical haemorrhage accounts for almost half of all postpartum deaths in developing countries.  Aim of study was to determine maternal and fetal outcome in pregnancy complicated by abruption. Methods: This was a retrospective study conducted at Gopinath maternity home, Sir T. Hospital, Bhavnagar. From MAY 2020 –APRIL 2021.all pregnant women came to labour room with diagnosis of abruptio placenta were included. Results: Total patients of abruption Identified Are 33 out of 2683 deliveries giving incidence of 1.1% In this study. Most of them are found at 26-35 years of age with 33-36 weeks of gestation. It is associated with multiparity in 57.5%. Vaginal bleeding is the most common presenting complain followed by absent fetal movement. 72.7% cases had association with preeclampsia. There is higher LSCS rates (61%) as compared to vaginal deliveries (39%). Most common complication found is DIC (30.3%) and next common is ARF (24.2%).  case fatality rate of 6.06%. In our study 60.6% still birth and 39.3% live birth. Many of them required NICU admission. Conclusion: Abruption is continued to be responsible cause of maternal and foetal adverse outcome. early detection and proper management prevents morbidity associated with it. Combined care is required for it. Keywords: Abruptio placenta, risk factors, feto-maternal outcome.

scholarly journals Abruptio placenta retrospective study: maternal and fetal outcome

2019 ◽  
Vol 8 (4) ◽  
pp. 1355
Author(s):  
Shanthadevi Sambath ◽  
Vanitha Rukmani V. H. ◽  
Subalakshmi S.
Keyword(s):  
Risk Factors ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Major Complication ◽  
Fetal Outcome ◽  
Severe Preeclampsia ◽  
Predisposing Factor ◽  
Medical College ◽  
Abruptio Placenta ◽  
Nicu Admission

Background: Placental abruption is the most common cause of antepartum haemorrhage. Incidence appears to be increasing due to increase in prevalence of risk factors like age, parity, anaemia, poor nutrition, Preeclampsia, PROM, previous MTP. Abruption may be partial or total. Pain and Vaginal bleeding hallmark of abruption.Methods: Retrospective observational study carried out during period of October 2017 to October 2018 at Govt Theni medical college- tertiary care institute. To investigate incidence, cause, maternal and perinatal outcome. Maternal Data includes incidence, age, parity, gestational age, risk factors, intra-operative events, amount of blood loss. Other causes of APH-Placenta praevia and extra-placental causes are excluded. Neonatal data includes Term/preterm, Birth weight, NICU admission, perinatal morbidity and mortality.Results: Total number of deliveries from October 2017 to September 2018 were 7010. Total number of abruptio placenta cases were 55. This study shows increased incidence of severe preeclampsia with abruption. Increasing age as predisposing factor. Mean age of abruption was 26-30 years mainly seen in term pregnancy. Mode of delivery varied. Major complication were PPH and shock managed with blood products.Conclusions: This study reveals increasing age, parity, severe preeclampsia are risk factors. Routine and regular antenatal checkup early detection and correction of Preeclampsia, anemia helps to deduce no of abruption and improving maternal and fetal outcome though maternal morbidity is reduced with modern management of abruption, Timely diagnosis and intervention is necessary. Team efforts by obstetricians, anesthetist and neonatologist is required for better maternal and fetal outcome.

Risk factors associated with case fatality in 225 diarrhoeic calves: A retrospective study

2017 ◽  
Vol 228 ◽  
pp. 38-40 ◽  
Author(s):  
A. Boccardo ◽  
S. Biffani ◽  
A. Belloli ◽  
F. Biscarini ◽  
G. Sala ◽  
...  
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Case Fatality ◽  
Factors Associated

scholarly journals A RETROSPECTIVE STUDY OF FETOMATERNAL OUTCOME IN HIV POSITIVE PREGNANT WOMEN

2021 ◽  
Vol 5 (6) ◽  
Author(s):  
Krishna Dhamat ◽  
Kanaklata D. Nakum
Keyword(s):  
Retrospective Study ◽  
Pregnant Women ◽  
Fetal Outcome ◽  
Hiv Positive ◽  
Team Approach ◽  
Medical College ◽  
Vaginal Deliveries ◽  
Major Route ◽  
Initiation Of Therapy ◽  
Immunodeficiency Syndrome

Introduction: In present scenario Acquired immunodeficiency syndrome is one of the worst global health concerns.HIV has a dramatic impact on the health of mother and children. Parent to child transmission of HIV is a major route of new infection in children.    Objective: Aim of my study is to find out the prevalence of HIV status among pregnant women delivering in our hospital and to determine maternal and fetal outcome in those HIV positive pregnant women.    Materials and Methodology: A retrospective study conducted in Government medical college and sir T hospital, Bhavnagar from May 2019 to April 2021. All HIV positive pregnant women with >28 weeks gestation and who are on ART or not and delivering in our hospital were selected. Maternal and fetal outcome variables were analysed. Results: Total deliveries during the study period were 9526. Of these HIV positive pregnant women were 58, prevalence being 0.6%. Primigravida were found to be 34.48%, 48.27% were diagnosed HIV positive during pregnancy, vaginal deliveries were 75.86% and caesarean section was 24.13%. Birth weight <2kg in 20.68%.Exclusive breast feeding in 81.13%. Nevirapine prophylaxis were given to 96.22% of neonate.  Conclusion: Early diagnosis and initiation of therapy will prevent transmission to their children and better fetomaternal outcome. Awareness and information is important to increase access to PPTCT services. Team approach involving an experienced obstetrician, neonatologist and physician gives hope of having a healthy uninfected baby for HIV infected mothers. Keywords: fetomaternal, HIV

scholarly journals Incidence and Risk Factors of Postpartum Hemorrhage in China: A Multicenter Retrospective Study

2021 ◽  
Vol 8 ◽  
Author(s):  
Sijian Li ◽  
Jinsong Gao ◽  
Juntao Liu ◽  
Jing Hu ◽  
Xiaoxu Chen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Cesarean Section ◽  
Subgroup Analysis ◽  
Placenta Accreta ◽  
Placenta Previa ◽  
Mode Of Delivery ◽  
Predictive Performance ◽  
Vaginal Deliveries ◽  
Twin Pregnancies

Background: Postpartum hemorrhage (PPH) is a leading cause of maternal morbidity and mortality worldwide but the incidence and its risk factors in China is limited. The objective of this study is to investigate the incidence and the risk factors of PPH in Chinese women.Methods: A multi-center retrospective study of pregnant women at ≥28 weeks of gestation was conducted. Logistic regression was used to identify potential risk factors of PPH and receiver operating characteristic curve was used to evaluate the predictive performance of the identified risk factors. Subgroup analysis focusing on the number of fetus and the mode of delivery was conducted.Results: A total of 99,253 pregnant women were enrolled and 804 (0.81%) experienced PPH. The subgroup analysis revealed that the incidence of PPH was 0.75, 2.65, 1.40, and 0.31% in singletons, twin pregnancies, cesarean sections, and vaginal deliveries, respectively. Placenta previa and placenta accreta were the predominant risk factors of PPH in the overall population and all subgroups. A twin pregnancy was a risk factor for PPH regardless of the mode of delivery. Obesity, and multiparity were risk factors for PPH in both singletons and cesarean section cases, but the latter predicted a reduced probability of PPH in vaginal deliveries. Macrosomia was associated with increased risk of PPH in singletons or vaginal deliveries. In women who delivered vaginally, preeclampsia was associated with a higher risk of PPH. The areas under the curve for the overall cohort, singletons, twin pregnancies, cesarean section cases, and vaginal deliveries were 0.832 (95% confidence interval [CI] 0.813–0.851), 0.824 (95% CI 0.803–0.845), 0.686 (95% CI 0.617–0.755), 0.854 (95% CI 0.834–0.874), and 0.690 (95% CI 0.646–0.735), respectively.Conclusions: The risk factors of PPH varied slightly based on the number of fetuses and the mode of delivery, while placenta previa and placenta accreta were the two major risk factors. A combination of the identified risk factors yielded a satisfactory predictive performance in determining PPH in the overall cohort, singletons pregnancies, and women who delivered by cesarean section, whereas the performance was moderate in twin pregnancies and in women delivering vaginally.

scholarly journals Abruptio placenta: a retrospective study on maternal and perinatal outcome

2017 ◽  
Vol 6 (10) ◽  
pp. 4389
Author(s):  
Subha Sivagami Sengodan ◽  
Mohana Dhanapal
Keyword(s):  
Retrospective Study ◽  
Fetal Outcome ◽  
Age Group ◽  
Third Trimester ◽  
College Hospital ◽  
Maternal Deaths ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Maternal Mortality And Morbidity ◽  
Abruptio Placenta

Background: Abruptio placenta is separation of a normally situated placenta after 20 weeks of gestation and prior to the birth of the fetus. It is an important cause of antepartum haemorrhage and presents as an acute abdomen in the third trimester of pregnancy. Obstetrical haemorrhage is one of the triad (Haemorrhage hypertension and infection) of causes of maternal deaths in both developed and underdeveloped countries.Methods: This is a retrospective study of Abruptio Placenta cases carried out between January 2015 and December 2015 at Government Mohan Kumaramangalam Medical College Hospital, Salem and about its perinatal and maternal outcome.Results: Incidence of Abruptio placenta is 0.5%. It is most common in the women of age group 26-30yrs. 67% of cases were associated with severe pre-eclampsia. Live births were 69.8% while stillbirths were 30.2%. PPH occurred in 19.6% of cases. DIC accounts for 16.7% of the complication.Conclusions: Abruptio placenta is associated with poor maternal and fetal outcome. Hence early diagnosis and prompt resuscitative measures would prevent both perinatal and maternal mortality and morbidity.

scholarly journals Amniotic fluid disorders and the effects on prenatal outcome: a retrospective cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
H. Bakhsh ◽  
H. Alenizy ◽  
S. Alenazi ◽  
S. Alnasser ◽  
N. Alanazi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Cohort Study ◽  
Amniotic Fluid ◽  
Retrospective Cohort ◽  
Fetal Outcome ◽  
Maternal Risk Factors ◽  
Amniotic Fluid Index ◽  
Maternal Risk ◽  
Vaginal Deliveries

Abstract Background The amniotic fluid is a protective liquid present in the amniotic sac. Two types of amniotic fluid disorders have been identified. First refers to polyhydramnios, which is an immoderate volume of amniotic fluid with an Amniotic Fluid Index (AFI) greater than 24 cm. Second includes oligohydramnios, which refers to decreased AFI i.e., less than 5 cm. This study aims to; a) identify the maternal risk factors associated with amniotic fluid disorders, b) assess the effect of amniotic fluid disorders on maternal and fetal outcome c) examine the mode of delivery in pregnancy complicated with amniotic fluid disorders. Methods A comparative retrospective cohort study design is followed. Sample of 497 pregnant women who received care at King Abdullah bin Abdul-Aziz University Hospital (KAAUH) between January 2017 to October 2019 was included. Data were collected from electronic medical reports, and was analyzed using descriptive statistics. Association of qualitative variables was conducted by Chi-square test, where p-value < 0.05 was considered statistically significant. Results Among the collected data, 2.8% of the cases had polyhydramnios and 11.7% patients had oligohydramnios. One case of still born was identified. A statically significant association was found between polyhydramnios and late term deliveries (P = 0.005) and cesarean section (CS) rates (P = 0.008). The rate of term deliveries was equal in normal AFI and oligohydramnios group (P = 0.005). Oligohydramnios was mostly associated with vaginal deliveries (P = 0.008). Oligohydramnios and polyhydramnios were found to be associated with diabetes mellitus patients (P = 0.005), and polyhydramnios with gestational diabetes patients (P = 0.052). Other maternal chronic diseases showed no effect on amniotic fluid index, although it might cause other risks on the fetus. Conclusion Diabetes mellitus and gestational diabetes are the most important maternal risk factors that can cause amniotic fluid disorders. Maternal and fetal outcome data showed that oligohydramnios associated with gestational age at term and low neonatal birth weight with high rates of vaginal deliveries, while polyhydramnios associated with gestational age at late term and high birth weight with higher rates of CS.

scholarly journals Study of Maternal and Fetal Outcomes in High Risk Pregnancies

2020 ◽  
pp. 1-7
Author(s):  
Dr. Ankita Metkari
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
High Risk ◽  
Fetal Outcome ◽  
Risk Pregnancy ◽  
Maternal And Neonatal Outcomes ◽  
Clinical Records ◽  
Relationship Of ◽  
The Relationship ◽  
In Pregnancy

Background: Objectives of the current study were to detect high-risk-risk-risk factors in pregnancy their presentations and to develop a simple scoring system to identify and categorize high-risk pregnancies and to predict the maternal and neonatal outcomes by comparing our results to previous studies. Methods: In this retrospective study, antepartum, intrapartum and neonatal parameters were integrated into the clinical records and the relationship of a risk score to the outcome was evaluated for 346 randomly selected pregnant patients over 7 months. Conclusions: The present study shows that we achieve comparative and better results in high-risk pregnancy, improving both maternal and fetal outcome at our institute.

scholarly journals A retrospective study to assess incidence of ectopic pregnancies in Saveetha Medical College and Hospital

2020 ◽  
Vol 9 (11) ◽  
pp. 4632
Author(s):  
S. K. Dheepthikaa ◽  
Rajalekshmi Murugan
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Ectopic Pregnancy ◽  
Ovulation Induction ◽  
Case Fatality ◽  
Safe Abortion ◽  
Oral Contraceptive Pills ◽  
Abdominal Emergency ◽  
Contraceptive Devices ◽  
Ectopic Pregnancies

Background: Ectopic pregnancy is an acute abdominal emergency causing maternal morbidity and mortality. The overall incidence of ectopic pregnancy is increasing in recent times but due to early diagnosis and management the case fatality rate has reduced. Aim of the study is to determine the incidence of ectopic pregnancies in Saveetha hospital and find out common risk factors.Methods: A retrospective study was conducted by analysing the medical records of the patients admitted in the Department of Obstetrics and Gynaecology for 4 years from January 2015 to 2019 at Saveetha hospital, Chennai. The number of ectopic pregnancies out of the total pregnancies and the risk factors causing the ectopic pregnancies were analysed based on case sheets by simple descriptive statistics and percentage method.Result: Incidence was 3% or 30/1000 deliveries. The common age group was between 18 to 38 years. Mean age of ectopic pregnancy was 27.42 years. Risk factors were tubal ligation surgeries- 39.3%, Intrauterine contraceptive devices (IUCD)-19.6%, Pelvic inflammatory disease (PID)-16.1%, infertility and ovulation induction-10.7%, previous ectopic pregnancy and use of Oral contraceptive pills (OCP)-5.4% and previous induced abortions-3.6%.Conclusion: Incidence of ectopic pregnancy is still remaining on the significant numbers. It can be diagnosed early by keeping a high index of suspicion. Tubectomy and other surgeries should be done with proper care. Education regarding safe abortion, unsupervised usage of OCP and risk of ovulation induction to avoid ectopic pregnancies.

scholarly journals Risk Factors for Adverse Outcome in Pregnant Women with Obstructed Labor

2018 ◽  
Vol 13 (1) ◽  
pp. 30-33
Author(s):  
Baburam Dixit Thapa ◽  
Mohan Chandra Regmi ◽  
R Rai
Keyword(s):  
Risk Factors ◽  
Socioeconomic Status ◽  
Perinatal Mortality ◽  
Low Socioeconomic Status ◽  
Rural Areas ◽  
Adverse Outcome ◽  
Case Fatality ◽  
Adverse Outcomes ◽  
Low Socioeconomic ◽  
Obstructed Labour

Aims: The aim of the study was to assess the risk factors for adverse outcomes in pregnancy with obstructed labor.Methods: It was a prospective descriptive study conducted at BP Koirala Institute of Health sciences (BPKIHS).The patients with obstructed labour were managed and followed up until delivery and six weeks postpartum from Jan to Dec 2012.Results: There were 57 (0.6%) cases of obstructed labour out of 9500 deliveries. The main cause was cephalopelvic disproportion in 36 (63.2%). The majority of the cases were from rural areas, low socioeconomic status, non salaried and illiterate. Risk for maternal mortality, peripartum hysterectomy and perinatal mortality as adverse outcomes was significantly associated with low socioeconomic status (AOR 12.5, P=0.02) and literacy status (AOR 21.9, P=0.001). If only the risk of perinatal mortality is taken as an adverse outcome, it is significantly associated with booking status (AOR 7, P=0.001), low socioeconomic status (AOR 9.62, P=0.037) and literacy of the patient (AOR 15, P=0.001). Perinatal mortality rate was 100 per 1000 live births in women with obstructed labour. The case fatality rate was 1.2%.

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