scholarly journals Factors influencing pregnancy induced hypertension among women treated in Khulna Medical College Hospital

Mediscope ◽  
2016 ◽  
Vol 3 (2) ◽  
pp. 31-35
Author(s):  
N Nazneen ◽  
MS Laskar ◽  
PP Barua ◽  
SD Haque
Keyword(s):  
Tertiary Care ◽  
Sampling Technique ◽  
Neonatal Morbidity ◽  
Educational Status ◽  
Care Hospital ◽  
Pregnancy Induced Hypertension ◽  
College Hospital ◽  
Cross Sectional ◽  
Gynecology And Obstetrics ◽  
Induced Hypertension

Pregnancy induced hypertension (PIH) complicates approximately 6% of pregnancies globally and it is the most important cause of maternal and neonatal morbidity and mortality. The purpose of the cross sectional descriptive type of study was to assess the socio-demographic/economic characteristics of women with PIH in a selected tertiary care hospital. Respondents were selected by purposive sampling technique and data were collected by face to face interview using a semistructured type of questionnaire. In this study, the number purposively selected respondents was 113 who came for treatment in gynecology and obstetrics related inpatient and outpatient departments of the hospital. It was found that the age of mothers was directly and significantly (p < 0.01) associated with PIH. The development of PIH was higher in the educated mothers than illiterate or less educated mothers. The relationship between PIH and educational status was significant (p < 0.01). The association between the proportion of mothers with PIH and family history of hypertension was also statistically significant (p < 0.01). Awareness regarding the associated risk factors for PIH shall be helpful in reducing the PIH related morbidity and mortality.Mediscope Vol. 3, No. 2: July 2016, Pages 31-35

scholarly journals Obstetrics critical care: a 2 years retrospective study in a medical college hospital of western India

2019 ◽  
Vol 8 (4) ◽  
pp. 1440
Author(s):  
Savita C. Pandit ◽  
Surendra D. Nikhate
Keyword(s):  
Critical Care ◽  
Tertiary Care ◽  
Multidisciplinary Care ◽  
Safe Motherhood ◽  
Western India ◽  
Care Hospital ◽  
Pregnancy Induced Hypertension ◽  
Obstetric Hemorrhage ◽  
College Hospital ◽  
Induced Hypertension

Background: This study highlights the possibilities of new contribution to the management of high risk pregnancies and those pregnancies with unpredictable outcomes. The objective was to study the incidence and the clinical profile of antenatal and postpartum women requiring admission to the ICU, the interventions required in these women and final outcome.Methods: A retrospective cohort study of all obstetric critical care admissions during 2-year period from January 2016 to December 2017 was done at 1296 bedded tertiary care hospital. During the study total 349 obstetric patients were admitted to the ICU. The data were analysed by using percentage.Results: Primigravida (54.73%) were more as compared to multigravida (45.27%). Only 15.76% patients were in antepartum period while majority of patients (84.24%) were admitted during postpartum period. The main obstetric indications for ICU admission were pregnancy-induced hypertension (14.32%) followed by obstetric hemorrhage (9.16%) and community acquired pneumonia (7.44%). Other indications were valvular heart disease (5.44%), ANC with severe anemia (1.72%), monitoring (6.30%). In the present study maternal mortality among the women admitted to ICU was 18.05%. The leading cause of maternal death was obstetric hemorrhage (28.57%) followed by pregnancy induced hypertension (25.40%). An ICU intervention during the stay of the patients in terms of mechanical ventilation was used in 250 (71.63%) cases.Conclusions: A high quality multidisciplinary care is required in complicated pregnancies for safe motherhood. So, there is a need for dedicated ICU for obstetric patients.

scholarly journals Antenatal Complications in Grand Multipara Presented at Tertiary Care Hospital

2021 ◽  
Vol 15 (1) ◽  
pp. 69-72
Author(s):  
Sadia Kadir ◽  
Keyword(s):  
Tertiary Care Hospital ◽  
Placenta Previa ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Pregnancy Induced Hypertension ◽  
Cross Sectional ◽  
Grand Multiparity ◽  
Induced Hypertension ◽  
Pregnancy And Birth

Background: Grand multiparity considered as a risk factor of obstetrics because of the recorded complications linked to the condition. Grand multiparity typically considered as the distinctive reason for the raised, maternal and fetal morbidity and mortality because of expanded incidence of adverse outcome during pregnancy and birth. Objective: To determine frequency of antenatal complications in grand multipara. Study Design: Cross-sectional study. Settings: Department of Obstetrics and Gynecology, Jinnah Postgraduate Medical Centre, Karachi Pakistan. Duration: Study duration was six months from March 2016 September 2016. Methodology: Total 212 patients were included in this study. Anemia was taken as Hb of 11g/dl, PIH was taken as BP of >140/90mmHg after 20 weeks of gestation with or without proteinuria on two or more occasion 6 hours apart and placenta previa was confirmed via ultrasonography. All the information was collected via study proforma. Results: Patients mean age was 34.90±3.51 years. Most of the patients 96.7% had parity 5-9. Anemia was found 69.8% and pregnancy induced hypertension was 22.2%, while placenta previa was found to be 18.9%. Antenatal complications including anemia, pregnancy induced hypertension and placenta previa were found to be statistically insignificant according to age, parity and BMI, (p->0.05). Conclusion: Most common antenatal complication in this study was anemia followed by hypertension and placenta previa. Grand multiparity is at a greater risk of antenatal complications.

scholarly journals A study on pregnancy induced hypertension and foetal outcome among patient with PIH at tertiary care hospital, Valsad

2017 ◽  
Vol 4 (11) ◽  
pp. 4277
Author(s):  
Ravikant Patel ◽  
Hinal Baria ◽  
Hinaben R. Patel ◽  
Sunil Nayak
Keyword(s):  
Early Recognition ◽  
Tertiary Care ◽  
Lower Abdominal Pain ◽  
Public Health Problem ◽  
Fetal Mortality ◽  
Care Hospital ◽  
Pregnancy Induced Hypertension ◽  
Cross Sectional ◽  
Induced Hypertension ◽  
Foetal Outcome

Background: Hypertensive disorders are common complication occurring during pregnancy responsible for maternal and fetal mortality and morbidity. Though the condition is on decline, still stands a public health problem. The aims and objectives of the study were to know the clinical presentation among PIH patients and to find out foetal outcome among patients with PIH.Methods: A cross-sectional study was conducted over period of 1 year in the department of Obstetrics and Gynecology, tertiary care health facility at GMERS Medical College and Hospital, Valsad. A total of 64 pregnant women with PIH were enrolled in this study with inclusion-exclusion criteria. Necessary information such as Socio-demographic information, detailed clinic and obstetric history, clinical examination, investigations and foetal outcome was note by using preformed performa. Data were entered and analyzed by using MS Excel and Epi Info software.Results: Majority of PIH mother is belonging to age group of 18-26 years (51.56%), PIH is more prevalent among nulliparous (57.81%). Among PIH mother 48.44% had lower abdominal pain, 18.75% had vomiting/epigastric discomfort followed by headache (12.50%), convulsion (10.94%) etc. 53.12% of PIH mother delivered low birth weight babies, 7.81% are IUGR. 18.75% of babies were required NICU admission with 1.56% of neonatal death.Conclusions: Pregnancy induced hypertension is a common medical disorder associated with pregnancy. We noted that PIH is more prevalent in younger age groups and nulliparous mothers. PIH lead to a various clinical manifestation some of this may use as early recognition of PIH. PIH also lead to increase adverse foetal outcome. Thus fetal morbidity and mortality can be reduced among PIH patients by early recognition and institutional management. 

scholarly journals Prevalence of Adolescent Pregnancy in A Tertiary Care Hospital

2019 ◽  
Vol 57 (218) ◽  
Author(s):  
Shanti Sunuwar Subedi ◽  
Sajjan Sharma ◽  
Munjal Yadav
Keyword(s):  
Adolescent Pregnancy ◽  
Teenage Pregnancy ◽  
Tertiary Care Hospital ◽  
Social Stigma ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Educational Status ◽  
Developed Countries ◽  
Care Hospital ◽  
Cross Sectional

Introduction: WHO defines adolescent pregnancy as any pregnancy from a girl who is 10-19 years of age, the age being defined as her age at the time the baby is born. Globally, adolescent birth rate is 44 per 1000 women aged 15-19 years whereas 33 per 1000 in South East Asian region. The main objective of the study is to find the prevalence of adolescent pregnancy in a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted in Department of Obstetrics and Gynecology, Nobel Medical College and Teaching Hospital, Biratnagar over a period of six months from 1st January 2018 to 30th June 2018. Using the convenient sampling technique, 2688 samples were studied and the descriptive statistical analysis was done. Results: The prevalence of teenage pregnancy was found to be among 143 (5.3%) [5.3%±0.85% at 95% Confidence Interval]. Maximum adolescents of 95 (66.4%) presented at gestational age between 37 to 40 weeks. Regarding contraception, only 2 (1.4%) of teenage mothers had used Injectable Depo Provera. Conclusions: Adolescent pregnancy in developed countries is usually outside of marriage and carries a social stigma but in the context of developing countries it usually happens within marriage and half of them are planned reflecting educational status and contraception knowledge. Effective interventions need to be developed like strict enforcement of laws prohibiting teenage marriage.

scholarly journals Assessment of the Pregnancy Induced Hypertension and Gravida in Teen Age Girls at People Medical College Hospital Nawabshah Pakistan

2021 ◽  
pp. 51-56
Author(s):  
Ruqayya Chandio ◽  
Jawaid Hussain Lighari Baloch ◽  
Nusrat Fozia Pathan ◽  
Attia Ayoob ◽  
Noor Ali Samoon ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Sampling Technique ◽  
Medical College Hospital ◽  
Age Group ◽  
Pregnancy Induced Hypertension ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Study Results ◽  
Induced Hypertension

Objectives: To assess of the pregnancy induced hypertension and gravida in teen age girls at People Medical College Hospital Nawabshah Pakistan. Methodology: This cross-sectional study was carried out on 200 pregnant women from Gynecology & Obstetrics Department of Unit-1 and 2 People Medical College Hospital Nawabshah from January 2018 to December 2018. The sampling technique was convenience sampling. The frequency and association between the hypertension and Gravida were observed. Blood Pressure was taken by sphygmomanometer of mercury type B.P apparatus from 200 pregnant women and interviewed all the study subjects. A well designed and structured questionnaire (consist of age, gravida and hypertension related questions) was used for data collection and analyzed statistically. The data was analyzed statistically by SPSS Version 20.0. Results: The mean age of married teenage girls was 16.6 Years with SD ± 2.3 Years. The study results show that 23.5% of Teenage mothers were suffering from Pregnancy Induced Hypertension. 83% women participants were in the age group of 17 to 19 years. Majority 80.3% of marriages were in the age of 13 to16 years. 76% of women were in 1st and 2nd Gravida. Conclusion: One fourth of Teenage married girls are suffering from Pregnancy Induced Hypertension. The maternal age of 17-19 years has been found most common age group for pregnancy induced hypertension, more common in 1st and 2nd Gravida.

Assessing Knowledge of Zika Virus and a need for Continuous Medical Education (CME) in Post-Graduate Doctors of a Tertiary Care Hospital: A Single Center Experience

2020 ◽  
Author(s):  
Abdul Ahad Sohail
Keyword(s):  
Medical Education ◽  
Clinical Features ◽  
Zika Virus ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Continuous Medical Education ◽  
Care Hospital ◽  
Cross Sectional ◽  
Gynecology And Obstetrics

Background: The 2015-2016 Zika Virus Outbreak caused global concern. A study was done to assess knowledge about viral hemorrhagic fevers amongst healthcare professionals, which found only 57% doctors knew clinical features of hemorrhagic viral fever. The aim of this research was to assess the knowledge of physicians as well as the need for continuous medical education. Methods: A cross-sectional study was conducted on doctors working or undergoing postgraduate training in a private tertiary care hospital. A sample size of n=91 was reached after including most of the doctors working in these hospitals in the department of medicine, pediatrics, gynecology and obstetrics. Data was collected through self-administered questionnaire. Convenience sampling technique was employed. Informed oral consent was taken before administration of questionnaire. Analysis was done on SPSS version 20. Results: The doctors included in the study were from the departments of internal medicine, which were 46.2% (42), pediatrics, which were 19.8% (18), and gynecology and obstetrics. Only 17.6% (n=16) participants knew that the Zika virus can affect pregnant women in any trimester. If pregnant woman is infected only 65.9% (n=60) of all doctors were aware of the fact that it can cause microcephaly in the infants. Thus, 44% (n=40) of the participants demonstrated correct knowledge that Zika virus is associated with the Guillain-Barré syndrome (GBS). Conclusion: Our study determined that although many doctors demonstrated good knowledge regarding the clinical features of Zika virus, they had poor knowledge regarding the prevention of spread of disease.

Causes of Epilepsy in Elderly Patients Presenting in a Tertiary Care Hospital of Karachi

2020 ◽  
Keyword(s):  
Elderly Patients ◽  
Cerebrovascular Disease ◽  
Neurodegenerative Disorder ◽  
Tertiary Care ◽  
P Value ◽  
Care Hospital ◽  
Traumatic Head Injury ◽  
Keywords Epilepsy ◽  
College Hospital ◽  
Cross Sectional

Background: Epilepsy is fairly a frequent occurrence in the elderly. It is commonly diagnosed after the episode of two or more unprovoked seizures. Unprovoked seizures in elderly are recurrent rather than younger individuals. This study was designed to estimate the concrete burden of frequent causes of epilepsy. Methods: A descriptive cross-sectional study with a total of 153 patients diagnosed case of epilepsy were included in this study at Jinnah Medical College Hospital from February 2018-August 2018. Mean was calculated for age, duration of disease of the patients. Causes of epilepsy, gender, and education was calculated and presented as percentages. Electrolyte readings were taken i.e., Sodium, Calcium and Magnesium levels and imaging was planned to rule out stroke, primary neurodegenerative disorders and tumors. Post stratification Chi square test was applied and p-value less than or equal to 0.05 was considered significant. Results: The mean age of the patients was 63.91±5.68 years and mean duration of the disease was 4.61± 1.07 months. The common causes of epilepsy were found to be cerebrovascular disease 56.9%, cryptogenic 54.2%, neurodegenerative disorder 20.3%, traumatic head injury 11.8%, metabolic abnormalities or electrolyte disturbances 10.5% and brain tumor 7.8%. Conclusion: Elderly patients with first seizure should present to a facility designed in a way that neurologist, cardiologist, rehabilitation and geriatrics work together to identify and treat the condition in a better way. Keywords: Epilepsy; Seizures; Cerebrovascular Disease; Neurodegenerative Disorder.

MATERNOFETAL OUTCOME IN MECONIUM STAINED LIQUOR AT TERTIARY CARE HOSPITAL

2021 ◽  
pp. 48-50
Author(s):  
Neha Agarwal ◽  
Samta Bali Rathore ◽  
Shivani Baberwal-
Keyword(s):  
Caesarean Section ◽  
Perinatal Asphyxia ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Birth Asphyxia ◽  
Meconium Aspiration Syndrome ◽  
Care Hospital ◽  
Pregnancy Induced Hypertension ◽  
Meconium Aspiration ◽  
Induced Hypertension

BACKGROUND: Occurance of meconium-stained amniotic uid (MSAF) during labour may be considered as a measure for prediction of poor fetal outcomes such as meconium aspiration syndrome and perinatal asphyxia ,resulting in perinatal as well as neonatal morbidity and mortality. It constitutes about 5% of deliveries with meconium stained amniotic uid and death results in about 12% of infants with MAS. METHODS: 40 cases of meconium stained liquor detected after spontaneous or artical rupture of membranes taken during labour from june 2020 to december 2020 and their outcome in terms of mode of delivery(whether vaginal delivery or lower segment caesarean section) and fetal outcome and associated maternal high risk were studied RESULT: Anemia was co existant in around 15%, pregnancy induced hypertension(PIH) in 25%and premature rupture of membrane in 10%.Pregnancies complicated with Pregnancy induced hypertension had signicant higher rate of meconium stained liquor among all cases. Caesarean Section was commonly performed in meconium stained amniotic uid cases and accounted for about 65%of all cases. CONCLUSIONS: Meconium Stained amniotic uid increases the chances of caesarean rates,leading to birth asphyxia ,Meconium Aspiration Syndrome and hence increases the chances of neonatal intensive unit admission.

scholarly journals Perinatal Findings in Pregnancy Induced Hypertension: A Study in a Tertiary Teaching Hospital in Dhaka City

2017 ◽  
Vol 2 (1) ◽  
pp. 10-13
Author(s):  
Zobaida Sultana Susan ◽  
Surayea Bulbul ◽  
Jannat Ara Ferdows ◽  
Abu Nayeem
Keyword(s):  
Cross Sectional Study ◽  
Fetal Mortality ◽  
Pregnancy Induced Hypertension ◽  
College Hospital ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Tertiary Teaching ◽  
Induced Hypertension ◽  
Questionnaire Result ◽  
In Pregnancy

Background: Hypertensive disorders are common complication occurring during pregnancy which are responsible for maternal and fetal mortality and morbidity. Objective: The purpose of the present study was to determine the perinatal outcome in pregnancy induced hypertension. Methodology: This study was designed as cross-sectional study and was conducted from April 2013 to September 2013 for a period of six (06) moths. Patients admitted in the Department of Obstetrics and Gynaecology at Shaheed SuhrawardyMedical College Hospital, Dhaka. Data were collected by interview, physical examintions (blood pressure, pulse rate, oedema, heart and lungs auscultation) and lab investigations using a structural questionnaire. Result: Majority of the women belonged to age group 21-25 year. Maximum were (56%) primigravida. The mean gestational age was 34.6 weeks with the range from 28 to 40 weeks. Hyperurecaemia was frequent among patients with pregnancy induced hypertension. Intrauterine growth retardation (IUGR) was secondary to pregnancy induced hypertension which was associated with significantly increased perinatalmortality. Conclusion: In this study, prematurity is frequent in pregnancy induced hypertension and convulsion in nonresponsive patients is associated with significantly increased perinatal mortality.Journal of National Institute of Neurosciences Bangladesh, January 2016;2(1): 10-13

scholarly journals Management of Ectopic Pregnancy in a Tertiary Care Hospital by Surgery

2016 ◽  
Vol 28 (1) ◽  
pp. 21-25
Author(s):  
Saida Akter ◽  
Sharmin Sultana
Keyword(s):  
Physical Examination ◽  
Ectopic Pregnancy ◽  
Radical Surgery ◽  
Tertiary Care ◽  
Total Abdominal Hysterectomy ◽  
Conservative Surgery ◽  
Diagnostic Tools ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional

Introduction: Tubal ectopics if large, uncontrollably bleeding or severely damaged need radical surgery (salpingectomy), otherwise conservative surgery (salpingotomy, salpingostomy) is the way of operative management. Laparoscopic surgery usually done in case of haemodynamically stable condition.Objective: To explore the different ways of surgical management of ectopic pregnancy in a tertiary care hospital.Materials and methods: This cross sectional study was carried out in the Department of Obstetrics and Gynaecology, Shaheed Suhrawardy Hospital and Dhaka Medical College Hospital during August 2005 and June 2006. The study population consisted of 50 women with ectopic pregnancy. Selected women underwent meticulous history taking and physical examinations. Some investigations like ultrasonography, culdocentesis, urine for pregnancy tests were done. Patients were treated by either radical or conservative surgery.Results: All (100%) women had abdominal tenderness. Ectopic pregnancy was diagnosed by history, physical examination and culdocentesis (84%), ultrasonography (12%) and laparotomy (4%). Two (4%) women were treated by conservative surgery, while the rest by radical surgery; 40 (80%) underwent unilateral salpingectomy, 3 (6%) unilateral salpingectomy with contralateral tubectomy, 2 (4%) unilateral salpingo oophorectomy, 1 (2%) total abdominal hysterectomy and 2 (4%) resection of rudimentary horn.Conclusion: Most common diagnostic tools were by history, physical examination and culdocentesis and common management was unilateral salpingectomy.Bangladesh J Obstet Gynaecol, 2013; Vol. 28(1) : 21-25

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