Epidemiology of Eclampsia in Bangladesh

KYAMC Journal ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 189-192
Author(s):  
Fatema Begum ◽  
Arshad Jahan ◽  
Sheuly Akter ◽  
Farhana Dewan ◽  
Sinthia Tabassum
Keyword(s):  
Test Statistics ◽  
College Hospital ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Prenatal Consultation ◽  
Community Monitoring ◽  
Maternal Mortality And Morbidity ◽  
Risk Patients ◽  
The Mean

Background: The purpose of these study was to find out the risk of eclampsia in relation to several demographic and anthropometric factor and to find out a way to prevent eclampsia. Objective: To find out the epidemiology of eclampsia and to reduce maternal and neonatal mortality and morbidity due to eclampsia. Materials and Methods: A cross sectional descriptive study was conducted to assess the fetomaternal outcome of eclampsia. The study was carried out at the Eclampsia unit, Dhaka Medical College Hospital, Dhaka over a period of six months from 1st July 2008 to 31st December 2008. A total of 48 patients with diagnosis of antepartum and intrapartum eclampsia were consecutively taken in the study. The test statistics used to analyse the data were descriptive statistics. Results: About 39.6% of the patients was under the age of 20 years, 43. 7% patient was between the age of 20-25 years. By occupation 77.1% patient was housewife, 17.9% patient was Garments worker and 4.1% patient was day labour. By level of education about 56.3% patient was illiterate, 29.2% patient was of primary level. About 57% of patients remained unconscious. About 7% of patients developed acute renal failure,16.7% CVA,14.6% HELLP syndrome and 39.6% pulmonary oedema. The mean hospital stay was 9.5 ± 3.3 days. Majority (93.8%) of the patients recovered while 6.3% died. Conclusion: Eclampsia is still a major cause of maternal mortality and morbidity in Bangladesh. A qualitative and quantitative improvement in prenatal consultation should make it possible to reduce incidence of eclampsia in our community. Monitoring of high-risk patients may reduce the complication rate. KYAMC Journal Vol. 11, No.-4, January 2021, Page 189-192

Fetomaternal Outcome of Eclampsia

KYAMC Journal ◽  
2018 ◽  
Vol 9 (3) ◽  
pp. 120-124
Author(s):  
Fatema Begum ◽  
Bedoura Sharmin ◽  
Umme Hafsa Zakia ◽  
Farhana Dewan ◽  
SM Asaduzzaman
Keyword(s):  
Maternal Mortality ◽  
Neonatal Intensive Care ◽  
Test Statistics ◽  
College Hospital ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Maternal Mortality And Morbidity ◽  
Risk Patients ◽  
The Mean

Background: Eclampsia is a leading cause of maternal mortality and morbidity and adverse neonatal outcome. Healthcare system must be enhance to improve fetomaternal outcome.Objective: To find out the proportion and fetomaternal outcome of eclampsia.Materials and Methods: A cross sectional descriptive study was conducted to assess the fetomaternal outcome of eclampsia. The study was carried out at the Eclampsia unit, Dhaka Medical College Hospital, Dhaka over aperiod of six months from 1st July 2008 to 31st December 2008. A total of 48 patients with diagnosis of antepartum and intrapartum eclampsia were consecutively taken in the study. The test statistics used to analyse the data were descriptive statistics.Results: About 7% of patients developed acute renal failure,16.7% CVA,14.6% HELLP syndrome and 39.6% pulmonary oedema. The mean hospital stay was 9.5 ± 3.3 days. Majority (93.8%) of the patients recovered while 6.3% died. Twenty-seven (54.2%) neonates had to be referred to neonatal intensive care unit for better management. Of them 24 recovered following resuscitation. The mean weight of baby was 2.2±0.3 kg.Conclusion: Eclampsia is still a major cause of maternal mortality and morbidity in Bangladesh. Monitoring of high-risk patients may reduce the complication rate.KYAMC Journal Vol. 9, No.-3, October 2018, Page 120-124

scholarly journals Causes and management of secondary postpartum haemorrhage in a tertiary medical college hospital in Bangladesh

2017 ◽  
Vol 6 (7) ◽  
pp. 2694
Author(s):  
Kamrun Nessa ◽  
Sumia Bari ◽  
Sanjida Khan ◽  
Ferdowsi Sultana ◽  
Tania Akbar
Keyword(s):  
Maternal Morbidity ◽  
Postpartum Haemorrhage ◽  
Mode Of Delivery ◽  
Wound Dehiscence ◽  
College Hospital ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Maternal Mortality And Morbidity ◽  
Postnatal Women ◽  
Low Incidence

Background: Globally postpartum haemorrhage remains a leading cause of maternal death. It affects only 1-2% of postnatal women. This low incidence of secondary PPH and linkage to maternal morbidity rather than mortality was the reason for the little attention among obstetricians, but it is recently gaining importance and interest with the increase morbidity and mortality related to secondary PPH.Methods: A retrospective study was conducted on the diagnosed patients of secondary PPH admitted in Enam Medical College and Hospital, Dhaka, Bangladesh, from January 2015 to December 2016. Among 33 cases of secondary PPH age of the patients, parity, mode of delivery, causes and management were noted from medical records. All data was analyzed by SPSS16.Results: Among 33 patients 14 (42.4%) were primi and 19 (57.6%) were multipara, age between 18 to 38 years, majority admitted 2nd and 3rd week after delivery. Among 33 patients 12% delivered vaginally at home and 30% vaginally at hospital and 58% undergone LUCS. We found 34% retained bits of placenta, 27% uterine wound dehiscence, 24% retained clots and 15% endometritis as causes. Less than 3 units blood needed in 22 (66.7%) patients and 11 (33.3%) needed more than 3 units. About 6 (18%) patients were treated conservatively, MVA were needed in 18 (55%) patients, repair of wound in 4 (12%) and TAH was in 5 (15%).Conclusions: Secondary PPH is increasing may result in significant maternal morbidity as well as mortality. More study needed to identify the risk factors and causes to reduce maternal mortality and morbidity.

scholarly journals Haematocrit Value in Preeclampsia

2016 ◽  
Vol 30 (2) ◽  
pp. 80-85 ◽  
Author(s):  
Sankar Kumar Basak ◽  
Kohinoor Begum ◽  
Maliha Rashid ◽  
Nahid Yasmin ◽  
Hasina Begum
Keyword(s):  
Pregnant Women ◽  
Strong Association ◽  
Cross Sectional Study ◽  
P Value ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Group A ◽  
The Mean ◽  
Group B

Objective(s): To assess the association between the haematocrit value and severity of preeclampsia.Materials & Methods: This cross sectional study was conducted in the department of Obstetrics & Gynaecology of Dhaka Medical College Hospital, Dhaka during the period of January 2012 to December 2013. Total of 100 patients were studied and they were divided into two groups – group-A and group-B. Fifty preeclamptic patients were included in the group-A and 50 normal pregnant women were included in the group-B.Results: Majority of preeclamptic women (68%) and normal pregnant women (76%) were in the age group of 20-30 years with the mean ages of group-A and group-B subjects were 26.50±5.71 and 26.26±4.91 years respectively. Eighty six percent of group-A and 70% of group-B women were of lower socioeconomic status. Majority of the study subjects (74% of group-A and 80% of group-B) were housewife. More than half (54%) of the preeclamptic women were primigravid and 60% of normal pregnant women were multigravid. Among the preeclamptic subjects 16 (32%) had mild hypertension (DBP<110mmHg) and 34 (68%) had severe hypertension (DBP ? 110 mmHg). Out of 50 preeclamptic subjects 45 (90%) had severe proteinuria (+++) and only 5 (10%) had moderate (++) proteinuria.The mean haematocrit value of preeclamptic patients was 34.881±3.03 and that of normal pregnant women was 31.94±1.2. It was statistically significant (P value 0.001). The mean haematocrit value of normal pregnant, mild and severe preeclamptic women were 31.94±1.2, 33.31±2.57 and 35.62±2.95 respectively. It was also statistically significant (P value 0.001).Conclusion: This study shows that haematocrit value of preeclamptic patients is significantly higher compared to that of the normal pregnant women (P<0.05). There is a strong association of increasead haematocrit and preeclampsia.Bangladesh J Obstet Gynaecol, 2015; Vol. 30(2) : 80-85

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.

Change of Positional Blood Pressure and Indication of Ephedrine in Hypotension During Spinal Anesthesia for Cesarean Delivery

2013 ◽  
Vol 21 (Number 2) ◽  
pp. 18-23
Author(s):  
Md. A Matin ◽  
J Banu ◽  
K Sultana ◽  
S M Shahana
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Clinical Practice ◽  
Spinal Anesthesia ◽  
Cesarean Delivery ◽  
Lateral Position ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
The Mean

Hypotension during spinal anaesthesia for caesarean section remains a common scenario in clinical practice. Certain risk factors play a role in altering the incidence of hypotension. A cross sectional observational study was done on sixty patients undergone cesarean delivery spinal anesthesia in Holy Family Red Crescent Medical College Hospital to evaluate the correlation between pre-anesthetic change of positional blood pressure and predictive necessity of Ephedrine to mange per-operative hypotension. The mean age of the patients included in the study was 25.85 ± 4.24 years and weighted 63.60 ± 6.91 kg (Mean ± sco. The haemodynamic outcomes of the patients are summarized in Table-I as mean systolic blood pressure increased (118 ± 12.02 and 132 ± 14.11 mm of Hg) after change of position from baseline (supine position) to right lateral position. The positional blood pressure varied from 2 to 32 mm of Hg and was observed in 54 patients. But only 35 patients were hypotensive (58.33%) after spinal anesthesia among them only 28 patients required Ephedrine (46.6%). But there was no significant correlation was observed in patients needed Ephedrine who hypotension but not obvious with positional change of pre-anesthetic blood pressure.

scholarly journals Skeletal Manifestations in Acute Lymphoblastic Leukaemia

2019 ◽  
Vol 43 (2) ◽  
pp. 102-105
Author(s):  
Mahmuda Begum ◽  
LE Fatmi ◽  
Khandaker Tarequl Islam ◽  
Syeda Mehnaz ◽  
SM Shamsul Huda ◽  
...  
Keyword(s):  
Bone Pain ◽  
Cross Sectional Study ◽  
Joint Effusion ◽  
Radiological Findings ◽  
College Hospital ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Medical College ◽  
High Prevalence ◽  
Study Population

Background: Skeletal manifestations associated with ALL in children are common findings with a high prevalence (11.6 to 50%). The most common skeletal manifestations are bone pain, arthritis, failure to use an extremity as well as other complaints mimicking orthopedic condition such as osteomyelitis. The objective of this study is to determine the rate of skeletal manifestations commonly present in ALL to reduce mortality and morbidity. Methods: This cross-sectional study was carried out in the department of Pediatrics in Dhaka medical college Hospital, BSMMU and Dhaka Shishu (Children) Hospital between January 2010 to July 2010. Total Fifty patients of ALL were Selected consecutively from the study population. At first, we assessed skeletal manifestations like bone pain, arthritis, radiological findings present or not in ALL. Then specify the rate of bone pain, arthritis, radiological findings of ALL patients. Results: After six months 35 patients were present with skeletal manifestations. Among them 20 patients, presented with bone pain,10 patients presented with arthritis and 5 patients presented with radiological manifestations. Out of 5 patients 3 patients had soft tissue swelling 1 patient had periarticular osteoporosis and 1 patient had joint effusion in x-ray findings. Conclusion: Skeletal manifestations may be the only presentation in ALL. Bangladesh J Child Health 2019; VOL 43 (2) :102-105

scholarly journals Shorter Timed Urine Collection for Detecting Proteinuria in Pre Eclamptic Women

2016 ◽  
Vol 27 (1) ◽  
pp. 9-13
Author(s):  
Nusrat Ara Yousuf ◽  
M Anwar Hussain ◽  
Khadija Begum
Keyword(s):  
Cross Sectional Study ◽  
Urinary Albumin ◽  
Albumin Concentration ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Urine Albumin ◽  
The Mean ◽  
Medical University ◽  
Criteria For Selection

Objective: To assess urinary albumin excretion in pre-eclamptic women by shorter timed collection of urine from 12 hours night sample.Method: This cross sectional study was carried out in the Department of Obstetric and Gynaecology, Bangabandhu Sheikh Mujib Medical University, and Dhaka Medical College Hospital, during the period of November 2004 to February 2005. Among the admitted patient total 40 pregnant women with pre-eclampsia were taken with proper selection criteria. The criteria for selection were hypertension (140/90 mmHg or more) after 20th week of gestation and a bed side urine albumin test positive. Detailed medical and obstetric history was taken and thorough examination was done and all the informations were recorded in the pre-designed data collection sheet.Results: The mean± SD urinary albumin in 12 hour day, 12 hour night and 24 hour sample were 1.74+0.51 gm/L, 1.76+0.51 gm/L and1.75+0.54 gm/L respectively. Urinary albumin concentration in the 12 hour day & night samples agreed well with concentration of the 24 hour samples.Conclusion: From the result it could be concluded that albumin concentrations in the 12- hours day and 12-hours night collections were close to the concentrations of the 24-hour collection.Bangladesh J Obstet Gynaecol, 2012; Vol. 27(1) : 9-13

scholarly journals Awareness About Hazards of Blood Transfusion Among the Recipients in a Selected Hospital in Dhaka City

2009 ◽  
Vol 13 (Number 2) ◽  
pp. 19-24
Author(s):  
A Mazid ◽  
Md. S H Khan ◽  
AHM O Farooque ◽  
Md. H AHM O ◽  
A Rubyt
Keyword(s):  
Blood Transfusion ◽  
Blood Donors ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
The Mean ◽  
Demographic Condition ◽  
Cross Matching ◽  
Blood Grouping

This cross sectional descriptive study was conducted in Holy Family Red Crescent Medical College Hospital from September 2007 to December 2007 among the admitted patients, who received blood at that time, to assess the extent of awareness about hazards of blood wansfitsion among the blood recipients to find out the knowledge about blood grouping, cross matching. screening. quality of blood. fitness of blood donors. hazards due to blood transfission and sods demographic condition of the blood recipients. A total of 202 blood recipients were selected purposively. of them 75 were male and 127 were female. The mean age of the respondents were 41.6 years. of them mean or of the male was 46.3 years and the mean age of ihe fronale was 39.3 years. More than 93% of the respondents had some !net of education and 6.9% were illiterate; 41.6% of the respondents were house wife. 31.2% were service holder. 8.9% were business man and only 2.5% were of lower hiconte group. About the type of blood examination needed before rmisfitsion. 82.2% were aware about blood gimping. 51.5% about cross matching, 6.4% about Rh typing, 5.4% about screening and 17.8% had no idea. Regarding blood transfusion related diseases. 80.2% were aware about hepatitis 13. 60.9% about AIDS. 32.7% about syphilis, 22.3% about malaria and 20.8% of the respondents were totally unaware shoal the transfission related diseases. About reaction due to blood smut fission, 174 (86.1%) hod some idea but 28 (13.9%) were totally unaware about say reaction. Of the respondents, 196 (97%) preferred blood front unpaid vohnumv donors. friends and relatives, and only six (3%9 preferred professional donors. Only 4.5% of the respondents had idea about screening of blood before transficsion.

scholarly journals Identification of Maternal Risk Factor with Preterm LBW Babies in a Tertiary Care Hospital

2018 ◽  
Vol 24 (2) ◽  
pp. 95-100
Author(s):  
MB Uddin ◽  
S Yasmin ◽  
M Sanaul Haque ◽  
A Hossain ◽  
KI Jahan
Keyword(s):  
Risk Factors ◽  
Tertiary Care ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Maternal Risk ◽  
Medical College ◽  
Poor Nutritional Status ◽  
Health Related

This study was aimed to identify risk factors of preterm LBW babies by following a cross sectional type of comparative study. This study was conducted at inpatient department of paediatrics of Rajshahi Medical College Hospital from January 2009 to December 2010. A total 150 preterm babies were included in this study. The mothers of the babies were studied to identify some selected risk factors. Maternal poor nutritional status (p<.001), low age at conception (p<.003), poor antenatal care (p<.001) and low level of education (p<.002) were found significant socio-economic risk factors. Maternal health related conditions like Antepartum haemorrhage (p<.001), Premature rupture of the membrane (p<.001), toxemia of pregnancy (p<.005), anaemia (p<.002) all were found as the significant contributors of preterm birth. This study might help to reduce the incidence of mortality and morbidity of preterm infants by providing information regarding risk factors.TAJ 2011; 24(2): 95-100

scholarly journals Abruptio placenta and its maternal and fetal outcome

2019 ◽  
Vol 8 (8) ◽  
pp. 3323
Author(s):  
Ritu Mishra ◽  
Aditya Prakash Misra
Keyword(s):  
Neonatal Morbidity ◽  
Fetal Outcome ◽  
Age Group ◽  
College Hospital ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Maternal Mortality And Morbidity ◽  
Life Threatening ◽  
Abruptio Placenta ◽  
The Common

Background: Abruptio placenta is one of the common cause of antepartum haemorrhage and is defined as premature separation of normally implanted placenta. It is more common in second half of pregnancy. Abruptio placenta is serious complication of pregnancy and causes high maternal and neonatal morbidity and mortality.Methods: This retrospective study of abruptio and its maternal and perinatal outcome was carried out between July 2016 and October 2017 at Rama Medical College Hospital and research centre.Results: Incidence of Abruptio placenta is 1.6%. It is most common in the women of age group 30-35 years. 75% of cases were associated with severe pre-eclampsia. Live births were 75% while stillbirths were 25%. PPH occurred in 30% of cases. DIC accounts for 25% of the complication.Conclusions: Abruptio placenta is life threatening complication of pregnancy and it is associated with poor maternal and fetal outcome if not managed appropriately. Hence early diagnosis and prompt resuscitative measures would prevent both perinatal and maternal mortality and morbidity.

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