scholarly journals Insertion of Umbilical Cord on Placenta in Hypertensive Mother

2017 ◽  
Vol 2 (2) ◽  
pp. 89-93
Author(s):  
Fatima Jomrud Mohol ◽  
Mohammad Mahbubul Karim ◽  
Aktari Afroze ◽  
Mohammad Jawadul Haque ◽  
Most Monzuara Khatun
Keyword(s):  
Umbilical Cord ◽  
Severe Hypertension ◽  
Insertion Site ◽  
Cross Sectional Study ◽  
Perinatal Morbidity ◽  
Cross Sectional ◽  
Medical College ◽  
Hypertensive Disorders In Pregnancy ◽  
Umbilical Cord Insertion ◽  
In Pregnancy

Background: Hypertensive disorders in pregnancy are responsible for significant amount of maternal and perinatal morbidity and mortality. This study was designed to see the association of umbilical cord insretion on placenta in hypertensive mothers. Objective: This purpose of the present stufdy was to find out the site of umbilical cord insertion on placenta in pregnancy associated with hypertension and to correlate it with the weight of the placenta and the condition of the newborn. Methodology: This descriptive cross-sectional study was conducted at the Department of Anatomy, Rajshahi Medical College and Department of Obstetrics & Gynaecology at Rajshahi Medical College & Hospital, Bangladesh. Placental weight, diameter, thickness, insertion site of umbilical cord, insertion percentage of the cord and weight of newborn were noted. The site of cord insertion was detected and insertion percentage was calculated with the help of d/r x 100. Results: A total 130 cases were selected for the study, 30 from normal, 33 from mild, 34 from moderate and 33 from severe hypertensive group respectively. The study demonstrated that mild to severe hypertension had smaller placentas with the tendency of deviation of umbilical cord towards the margin for insertion. Newborns of such mothers had low birth weight mostly; few of them had birth asphyxia.Conclusion: This study has been established that the marginal insertion of umbilical cord on placenta is associated with hypertension and severity of hypertension deviates the insertion site towards the margin.Journal of National Institute of Neurosciences Bangladesh, 2016;2(2): 89-93

scholarly journals Feto-maternal outcome in pregnancy beyond 40 weeks

2017 ◽  
Vol 6 (2) ◽  
pp. 527 ◽  
Author(s):  
Paras V. Dobariya ◽  
Parul T. Shah ◽  
Hina K. Ganatra
Keyword(s):  
Tertiary Care ◽  
Mode Of Delivery ◽  
Fetal Distress ◽  
First Trimester ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Perinatal Morbidity ◽  
Maternal Complications ◽  
Cross Sectional ◽  
In Pregnancy

Background: Fetal, Neonatal and Maternal complications associated with pregnancy beyond 40 weeks have always been underestimated. However emerging evidence demonstrates that the incidence of complications increases after 40 weeks of gestation. The present study conducted to find out the fetomaternal outcome of such prolonged pregnancy.Methods: A prospective cross sectional study of 84 patients with uncomplicated prolonged pregnancy fulfilling the inclusion and exclusion criteria and admitted in department of obstetrics and gynecology at a tertiary care hospital. The aim of the study was to know fetomaternal outcome in pregnancy beyond 40 weeks in consideration of spontaneous and induced labour.Results: Out of 84 patients, 58 (69.05%) were in the age group of 20-30 years, 44 (52.38%) were between 41-42 weeks of gestation according to their LMP and 38(45.24%) were between 40-41 weeks of gestation. In 27 (32.14%) patients mode of delivery was caesarean section, in whom most common indication being fetal distress in 48.15% followed by failure to progress in 22.22%. In present study perinatal morbidity like IUFD, neonatal asphyxia, MAS, RDS were 4.76%, 9.52%, 7.14% and 3.57% respectively. Maternal morbidity like prolonged labor, PPH, fever, wound infection were 10.71%, 5.95%, 3.57% and 3.57% respectively.Conclusions: With Regular antenatal check-up, incidence of postdate pregnancy can be decreased and it is important because of definite risk to fetus as pregnancy continuing beyond 40 weeks of gestation is associated with increased perinatal morbidity and mortality especially those who do not come for regular antenatal check-up. Confirmation of diagnosis of exact term of pregnancy is very important as many patients don’t have regular menstrual history and LMP. Diagnosis can be confirmed by first trimester ultrasound which is most important non-invasive method and readily available.

scholarly journals Ultrasonography awareness among pregnant women attending medical college hospital in Kolhapur District of Maharashtra, India

2017 ◽  
Vol 5 (6) ◽  
pp. 2612
Author(s):  
Jeevankumar U. Yadav ◽  
Deepmala J. Yadav
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
Medical College Hospital ◽  
Second Trimester ◽  
Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Obstetric Department ◽  
In Pregnancy

Background: Globally there has been increased medicalization of pregnancy due to advances in technology. Ultrasonography examination during pregnancy has become an integral part of antenatal care throughout the world with advanced health care services.Methods: The cross-sectional study was conducted in pregnant women attending the ANC clinic of Obstetric department of D. Y. Patil Medical College Hospital, Kolhapur, Maharashtra, India for routine check up to know the awareness about ultrasonography among them. The study included 290 pregnant women. All were explained the purpose of study and assured confidentiality. Data has been collected from willing participants using pre-tested questionnaire in June-August 2015.Results: The study shows literacy was 87.6%, pregnancy above 20 years age 98.97% and most of them unskilled (83.4%), majority of middle social class (89%). Many (72.41%) pregnant women considered USG use to detect fetal anomalies while 27.93% considered for sex detection. Majority (93.1%) done USG in this pregnancy, of that more (43.45 %) in second trimester and mainly advised by doctors (91.03%). Nearly half of them (50.69%) considered its expensive procedure, 69.31% spent 200/- to 500/- rupees per USG, in spite 94.83% of them would recommend other pregnant women to undergo USG in pregnancy. 50.69%% of them opined it should be done twice in pregnancy. Almost 94.83% considered USG as safe and beneficial.Conclusions: Awareness regarding the uses of Ultrasonography during pregnancy and attitude towards it was found to be average. There is need to create more awareness in community about PCPNT act and its provisions. Also there is need of counselling about the safety, utility and frequency of USG during pregnancy to avoid misuse.

scholarly journals Clinical and haematological features of newborns of mothers with hypertensive disorders in pregnancy in Lagos, Nigeria

2020 ◽  
Vol 47 (3) ◽  
pp. 252-257
Author(s):  
O.S. Omoniyi ◽  
I.B. Fajolu ◽  
A. Adediran ◽  
E.O. Temiye ◽  
J.I. Ladele
Keyword(s):  
Birth Weight ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Pregnancy Hypertension ◽  
Hypertensive Disorders ◽  
Increased Risk ◽  
Hypertensive Disorders In Pregnancy ◽  
Key Words Newborn ◽  
Haematological Indices ◽  
In Pregnancy

Background: Newborns of mothers with hypertensive disorders in pregnancy have an increased risk of preterm delivery, low birth weight, perinatalasphyxia and haematological derangements such as polycythaemia, thrombocytopenia and neutropenia. These morbidities are associated with  uteroplacental insufficiency. The haematological derangements however have not been studied in detail in African neonates. Objective: To determine the clinical and haematological features of newborns of hypertensive mothers Methods: Cross-sectional study involving 250 newborns; 125 newborns each of hypertensive mothers (cases), and normotensive mothers (controls). The babies were examined following delivery, their clinical data were recorded, and umbilical cord blood samples were analysed for haematological indices. Results: Preterm deliveries were significantly higher amongst infants of hypertensive mothers (31.2%)compared with controls (12.0%);p = 0.000.  Similarly, the birth weight, length and head circumference of the cases were significantly lower than the controls; p = 0.008, 0.003 and 0.004 respectively. Low fifth minute APGAR scores occurred more frequently in cases (8.0%) than controls (0.8%), p=0.010; whilst the mean haematocrit  was also significantly higher in cases than the controls, p = 0.013. The median absolute neutrophil count and platelet count were significantly lower in cases than controls; p=0.023 and 0.047 respectively. Thrombocytopenia was identified in 40.0% of the cases compared to 27.2% of the controls, p =  0.041 Conclusion: The present study has shown that newborns of hypertensive mothers have an increased risk of neonatal morbidities such as preterm birth, LBW and thrombocytopenia compared to the newborns of mothers with normal blood pressure in pregnancy, hence close attention needs to be paid to them with emphasis on their haematological system. Key words: newborn, pregnancy, hypertension, hypertensive disorders, haematological, clinical 

scholarly journals Nutritional status and knowledge about nutrition during pregnancy among pregnant and postpartum women

2015 ◽  
Vol 6 (2) ◽  
pp. 61-63 ◽  
Author(s):  
Farhana Salim ◽  
Nasreen Begum
Keyword(s):  
Nutritional Status ◽  
Health Workers ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Postpartum Women ◽  
Community Clinics ◽  
Cross Sectional ◽  
Medical College ◽  
Rural Mothers ◽  
In Pregnancy

Objective : To assess the nutritional status and the level of knowledge about nutrition during pregnancy among pregnant and postpartum women attended community clinics in selected villages.Methods : This descriptive, cross-sectional study was done in three selected villages of Sirajganj, Kishoreganj and Tangail districts during July 2014. Fifty six pregnant and 46 postpartum women were selected from community clinics by purposive sampling technique. Data were collected through face to face interview by a pretested questionnaire. Height and weight were measured to calculate BMI health workers of community clinic.Results : The results of the study revealed significant number (23.5%) of pregnant women were found to be underweight by calculating the BMI. However, knowledge about the consequences of malnutrition in pregnancy, and the amount and types of food to be taken during pregnancy was found unsatisfactory. The level of education and occupation were not significantly associated with nutritional status of the respondents.Conclusion : The study revealed that high percentage of rural mothers was malnourished and the knowledge about nutrition during pregnancy was found unsatisfactory. Therefore, implementation of nutritional programs with specific emphasis on nutritional education in pregnancy during the antenatal visits is considered essential for rural women.Northern International Medical College Journal Vol.6(2) 2015: 61-63

scholarly journals Umbilical Cord Changes in Anemia, Gestational Diabetes and Pregnancy Induced Hypertension

2020 ◽  
Vol 6 (2) ◽  
pp. 35-40
Author(s):  
Mithil Potuganti ◽  
B. R. Zambare
Keyword(s):  
Gestational Diabetes ◽  
Umbilical Cord ◽  
Cross Sectional Study ◽  
Pregnancy Induced Hypertension ◽  
Cross Sectional ◽  
Medical College ◽  
Induced Hypertension ◽  
Awareness Programs ◽  
Anemia Group ◽  
External Forces

Background: The Umbilical cord (UC) structure is designed in such a way that it provides uninterrupted blood flow to the developing fetus even though it is influenced by uterine conditions and external forces throughout the pregnancy period. UC and placenta are the only structures, which nourish the fetus until term. Subjects and Methods: This cross-sectional study was carried out in the department of Obstetrics and Gynaecology, DVVPF’S Medical college and hospital. Results: In the GDM group without treatment, eccentric insertion is seen in 249 placentae and central insertion in 76 placentae. In the GDM group with treatment, central insertion is seen in 236 placentae and eccentric is seen in 89 patients. In the PIH group, without treatment, 22 central insertions and 68 eccentric insertions were observed. With treatment, PIH patients central insertions are seen in 76 and eccentric in 14. In the anemia group without treatment, 24 central insertions and 76 eccentric insertions are observed. Conclusion: On a concluding note, we observed in our study that, the pathological features observed in anemia, pregnancy induced hypertension and gestational diabetes mellitus are on a minimal note in treated patients after their onset, than in untreated patients. Various awareness programs constitutionalized by Governments and various NGO’s are bringing upon a desired change, but at the same time, intensity and frequency are to be increased.

scholarly journals Prevalence of anemia among pregnant women attending antenatal clinics in rural field practice area of Jawaharlal Nehru Medical College, Belagavi, Karnataka, India

2017 ◽  
Vol 4 (2) ◽  
pp. 537 ◽  
Author(s):  
Prashant D. ◽  
Jaideep K. C. ◽  
Girija A. ◽  
Mallapur M. D.
Keyword(s):  
Pregnant Women ◽  
Low Cost ◽  
Cross Sectional Study ◽  
Severe Anaemia ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Medical College ◽  
Socio Demographic Factors ◽  
Anaemia In Pregnancy ◽  
In Pregnancy

Background: Anaemia in pregnancy accounts for one fifth of maternal deaths worldwide and is a major factor responsible for low birth weight. In India, 16% of maternal deaths are attributed to anaemia. Prevalence of anaemia is higher among pregnant women and it persists in India despite of the availability of effective, low-cost interventions for prevention and treatment. The objective was to study the prevalence of anaemia among rural pregnant women and also to study various socio-demographic factors associated with anaemia in pregnancy.Methods:A cross-sectional study was carried out between February to July 2016 amongst 400 pregnant women residing in PHC Handignur were interviewed using pre-tested pre-designed questionnaire. Hb percentage was estimated by using Sahli’s method.Results: Total of 291 pregnant women were found out to have Hb levels less than 11 gm%. 9 pregnant women were found to have severe anaemia, 149 had moderate anaemia, 133 had mild anaemia. Factors such as literacy status, open air defecation were found to be significantly associated with the prevalence of anaemia in pregnancy.Conclusions:Prevalence of anaemia among the pregnant women was found to be 72.75%. Early detection and effective management of anaemia in pregnancy can contribute substantially to reduction in maternal mortality. 

Side Effects of Chemotherapy and Cancer Treatment in Tertiary Care Teaching Hospital

2016 ◽  
Vol 2 (1) ◽  
pp. 62-78
Author(s):  
. Hemraj ◽  
Raj Kumar ◽  
Sourabh Kosey ◽  
Amit Sharma ◽  
Nalini Negi
Keyword(s):  
Side Effects ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Informational Needs ◽  
Cross Sectional ◽  
Clinical Pharmacists ◽  
Medical College ◽  
Related Information ◽  
The Common ◽  
Chemotherapy Patients

To determine the most common physical side effects experienced by local chemotherapy patients. Their perceptions of these side effects and informational needs from clinical pharmacists were also evaluated. This was a single center, observational cross-sectional study conducted at department of General Surgery, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab. A face to face interview was conducted. Information collected included chemotherapy related side effects after last chemotherapy experience, the most worrisome side effects, overlooked by healthcare professionals and the preferred method, amount and source of receiving related information. In this study, hundred patients were enrolled out of them 48 were male and 52 were female. When differential calculations was done, common side effects or adverse effects of chemotherapy in the patients of breast, lung cancer, Ovarian Cancer, Colon cancer, Prostate cancer, Lymphoma Cancer, Cervix cancer where there is much irregular medicine intake 57.4% may be due to common problem of joint pain reported by all the patients under study, with the consecutive problem of nausea and vomiting. The high prevalence of chemotherapy related side effects among local patients is a major concern and findings of their perceptions and informational needs may serve as a valuable guide for clinical pharmacists and physicians to help in side effect management. This study shows the common problems reported by the patients when they are suffering from cancer condition, according to their incidence perceptions as experienced by the patient, this will allow the physician and clinical pharmacist to effectively counsel and manage the common symptoms as reported prior to its occurrence in the patient, so that withdrawal can be checked.

Rapid detection of Rotavirus antigen in stool sample of acute diarrheic children

2012 ◽  
Vol 6 (1) ◽  
pp. 11-13
Author(s):  
Sushmita Roy ◽  
S.M. Shamsuzzaman ◽  
K.Z. Mamun
Keyword(s):  
Stool Sample ◽  
Rapid Detection ◽  
Cross Sectional Study ◽  
Rapid Diagnosis ◽  
Age Group ◽  
College Hospital ◽  
Cross Sectional ◽  
Rotavirus Infection ◽  
Medical College ◽  
Stool Samples

Rotavirus is one of the leading causes of pediatric diarrhea globally. Accurate and rapid diagnosis of Rotavirus diarrhea should reduce unnecessary use of antibiotics and ultimately reduce drug resistance. Study was designed for rapid diagnosis of Rotavirus antigen in stool sample by ICT (Immunochromatographic test) as well as to observe the seasonal variation of rotavirus infection. This cross sectional study was carried out in the department of Microbiology, Dhaka Medical College from January 2011 to December 2011. Eighty stool samples were collected from Dhaka Shishu Hospital and Dhaka Medical College Hospital. All samples were tested for rotavirus antigen by ICT. Among 80 patients, 42 (52.5%) samples were positive for rotavirus antigen. Among these 42 positive samples, 30 (71.43%) were from 0-12 months of age group, 10 (23.81%) from 13 to 24 months of age group and rest 2 (4.76%) from 25 to 36 months of age group. Rotavirus Ag was detected in stool samples from January to April and another peak episode from October to December. Considering the importance of Rotavirus associated diarrhea, rapid detection of Rotavirus infection in human is substantially needed and should be routinely practiced.DOI: http://dx.doi.org/10.3329/bjmm.v6i1.19354 Bangladesh J Med Microbiol 2012; 06(01): 11-13

Suicidal Death Autopsy Analysis at Dhaka Medical College

1970 ◽  
Vol 40 (1) ◽  
pp. 18-21 ◽  
Author(s):  
MN Hossain ◽  
Z Rahman ◽  
S Akhter
Keyword(s):  
Forensic Medicine ◽  
Causes Of Death ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Autopsy Report ◽  
Common Causes ◽  
Suicidal Death

A cross sectional study was carried out at the department of Forensic Medicine in Dhaka Medical College during the period of January 2008 to December 2009. Data were collected from 3rd copy of the post mortem reports which were preserved in the department of Forensic Medicine with the verbal consent of the doctors who performed autopsy report. During this period total 5114 autopsies were conducted. Out of this 970 cases (19%) were suicidal in nature. It was noticed that all suicidal deaths occurred from 10 years to all age group respectively, but top amongst age group of suicidal deaths occurred in between 21 to 30 years of people. Suicidal deaths are more common in female than male. Suicidal deaths due to hanging is highest, next common causes of death due to organophosphorus compund poisoning. Suicidal deaths by hanging is more in female than male but in poisoning cases male are more lvictimised than female. Objectives of our study are to see the occurrence and methods of suicidal death. DOI: http://dx.doi.org/10.3329/bmj.v40i1.9957 BMJ 2011; 40(1): 18-21

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