scholarly journals Fetal outcome in Premature Rupture of Membrane – A study conducted in a tertiary level hospital in Bangladesh

Mediscope ◽  
2020 ◽  
Vol 7 (2) ◽  
pp. 108-112
Author(s):  
Sanchita Adhikary ◽  
Shaorin Tanira ◽  
Arifa Sultana ◽  
Feroza Wazed ◽  
Saleha Begum Chowdhury
Keyword(s):  
Birth Weight ◽  
Apgar Score ◽  
Mode Of Delivery ◽  
Birth Asphyxia ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
Premature Rupture ◽  
Birth Process ◽  
Cross Sectional ◽  
History Of

Background: Perinatal mortality is high if premature rupture of membrane (PROM) occurs when fetuses are of previable gestational age. Objective: To find out the effect of premature rupture of membrane in pregnancy on its fetal outcome. Methods: A cross-sectional study was conducted in Department of Obstetrics and Gynaecology of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, from February to July of 2008, on 50 pregnant women with more than 28 weeks of pregnancy both primigravid and multigravid with rupture of membranes prior to labour. Women who were admitted with rupture of membranes with established labour, or having antepartum hemorrhage, pre-eclampsia or eclampsia were excluded from the study. Out of 775, only 95 patients were admitted with history of premature rupture of membrane (PROM). Among those patients, 50 cases were included in this study as per inclusion and exclusion criteria. Then their mode of delivery and outcome of fetal parameters were recorded. Results: 48 live births were observed and there were 2 fetal losses. Among 48 live newborns, 28 (58.33%) were male and 20 (41.66%) were female. 54.16% of babies had APGAR score at 5 minutes after birth was >7 and those needed no treatment. APGAR score was 7 in 45.82% babies; all of them were treated and cured. Among the newborns, 52.08% babies had birth weight >2500 gm, 45.83% had their birth weight in between 1500 and 2500 gm, while 1 (2.08%) was between 1000 and 1500 gm. However, 22 (45.83%) were affected by the consequences of PROM and birth process. Among them, 36.36% developed jaundice, 29.27% suffered from birth asphyxia, and RTI and neonatal sepsis were evident in 18.18% each. 15% babies were treated conservatively in Department of Obstetrics, while 7% babies were treated in the Neonatal Ward under Department of Paediatrics after admission.There was no neonatal loss. Conclusion: Despite progress in obstetric and neonatal care over the past few years, fetal outcomes in pregnancies with PROM remains disappointing to date. Mediscope Vol. 7, No. 2: July 2020, Page 108-112

scholarly journals Fetal Outcome in Premature Rupture of Membrane - A Study Done in the Tertiary Level Specialized Hospital in Bangladesh

2014 ◽  
Vol 3 (1) ◽  
pp. 25-28
Author(s):  
Sanchita Adhikary ◽  
Shaorin Tanira ◽  
Arifa Sultana ◽  
Feroza Wazed ◽  
Saleha Begum Chowdhury
Keyword(s):  
Birth Weight ◽  
Apgar Score ◽  
Fetal Loss ◽  
Birth Asphyxia ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
Premature Rupture ◽  
Birth Process ◽  
Cross Sectional ◽  
Medical University

A descriptive cross-sectional study was done in the Department of Obstetrics and Gynaecology of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, from February to July of 2008, on 50 pregnant women with more than 28 weeks of pregnancy both primigravid and multigravid with rupture of membranes prior to labor, to find out the effect of premature rupture of membrane on fetal outcome. 48 live births were observed and there were 2 fetal loss. Among those newborns, 28 (58.33%) were male and 20 (41.66%) were female. 54.16% of babies had APGAR score at 5 minutes after birth was >7 and those needed no treatment. APGAR score was 7 in 45.82% babies; all of them were treated and cured. Among the newborns, 52.08% babies had birth weight > 2500 gm, 45.83% had their birth weight in between 1500 and 2500 gm, while 1 (2.08%) was between 1000 and 1500 gm. However, 22 (45.83%) were affected by the consequences of PROM and birth process. Among them, 36.36% developed jaundice, 29.27% suffered from birth asphyxia, and RTI and neonatal sepsis were evident in 18.18% each. 15% babies were treated conservatively and 7% babies were treated in the neonatal ward being admitted into it. There was no neonatal loss. CBMJ 2014 January: Vol. 03 No. 01 P: 25-28

scholarly journals Antenatal Domestic Violence & Fetal Outcome: A Cross-Sectional Study

2020 ◽  
Vol 34 (4) ◽  
pp. 40-45
Author(s):  
Sohaib Ashraf ◽  
Muhammad Ahmad Imran ◽  
Hina Mahmood ◽  
Khawar Nawaz ◽  
Tayyab Mughal ◽  
...  
Keyword(s):  
Domestic Violence ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Associated Factors ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Introduction: Antenatal domestic violence is a global public health and human rights concern. It increases the risk of maternal and fetal morbidity and mortality. Aims & Objectives: To assess the frequency of antenatal domestic violence and associated factors and also to determine effect of domestic violence on fetal outcome. Place and duration of study: This cross sectional study was conducted from January to June 2015 in post-natal wards of department of Gynecology & Obstetrics of six tertiary care hospitals of Lahore. Material & Methods: A total of 255 females admitted in post-natal wards of department of Gynecology & Obstetrics enrolled after proper verbal informed consent. A structured, self-constructed questionnaire was administered on females enrolled consecutively till the desired sample size was complete. Data on domestic violence (verbal or physical), its associated factors, gestational age at birth, mode of delivery and birth weight of the neonate was analyzed on SPSS version 21.0. Results: 22% (55/255) females experienced antenatal domestic violence during current pregnancy and out of 55, 72% faced verbal abuse while 27% experienced physical violence. In total 65/255(26%) w low birth weight neonates were born and out of them 58.18% (32/55) were born to mothers facing violence during pregnancy. Husband was mostly responsible for violence in 49% of cases. Antenatal domestic violence was significantly associated with low birth weight (p=<0.001). Conclusion: Antenatal domestic violence is associated with low birth weight babies. Antenatal domestic violence prevention needs implementation of legislation and changing behaviors of violence in communities so to avoid health implications.

scholarly journals Comparison of APGAR Score of Newborns with Mode of Delivery and Its Associated Factors

2020 ◽  
Vol 7 (3) ◽  
pp. 176-182
Author(s):  
Laxmi Paudyal
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Apgar Score ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
Normal Vaginal Delivery ◽  
Research Approach ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Mother’S Age

Newborn baby should be assessed immediately soon after the birth and the APGAR (Appearance, Pulse, Grimace, Activity, Respiration) score is the most commonly used, simple and most effective method of immediate newborn assessment. The aim of the study was to compare the newborn APGAR score on first and fifth minute in two different mode of delivery; Normal Vaginal delivery (NVD) and Cesarean Delivery (CD) and its contributing factors. A cross-sectional study design with comparative research approach was adopted to conduct the research. Total 200 singleton babies (100 NVD and 100 CD) were selected and APGAR score was checked in the first and fifth minutes from baby’s birth record. Data were analyzed using descriptive and inferential statistics. Results showed that 88 and 95 percentage of neonatal APGAR scores in 1st and 5th minutes were more than seven, respectively. There were no significant statistical differences between APGAR score of 1st and 5th minutes in two methods of delivery (t=0.067 and 0.066 on 1st minute and 5th minute respectively, p>0.05). However, premature newborns, low birth weight, mother’s age and weight of mother, no of parity has effect on APGAR score. The study findings concluded that not the method of delivery has any effect on the low Apgar score of babies on birth but the factors such as prematurity, maternal age, mother’s weight, no of parity, low birth weight has significant association on low APGAR score of babies. Int. J. Soc. Sc. Manage. Vol. 7, Issue-3: 176-182

scholarly journals Analysis of risk factors, maternal and fetal outcome of spontaneous preterm premature rupture of membranes: a cross sectional study

2017 ◽  
Vol 6 (9) ◽  
pp. 3781
Author(s):  
Surekha S. Mohan ◽  
Chamaraja Thippeveeranna ◽  
Naorem N. Singh ◽  
Laiphrakpam R. Singh
Keyword(s):  
Fetal Outcome ◽  
Cross Sectional Study ◽  
Perinatal Morbidity ◽  
Sectional Study ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Cross Sectional ◽  
Membrane Rupture ◽  
Preterm Premature Rupture ◽  
History Of

Background: Preterm premature rupture of membranes (PPROM) is one of the most common complications of pregnancy. It is an important cause of perinatal morbidity and mortality. Objective of present study was to determine incidence, risk factors, maternal, fetal outcome of PPROM occurring in patients attending a tertiary hospital in North Eastern India.Methods: This descriptive cross- sectional study was carried out in the department of Obstetrics and Gynecology, Regional Institute of Medical Sciences, Imphal, India. Out of 15,969 deliveries between July 2010 to December 2011, 358 pregnant patients with spontaneous preterm premature rupture of membranes from 28-0 to 36-6weeks gestation were reviewed. After excluding patients with uterine anomalies, intrauterine deaths and congenital anomalies 293 patients were included and evaluated in this study.Results: The incidence of PPROM was 2.2%. Out of 293 patients 86% were singleton pregnancies, 12.9% were twins and 1.02% were triplets. 48.4% had previous history of termination of pregnancy, 28.6% history of previous PPROM and 16.3% had urinary tract infection. The mean gestational age at the onset of membrane rupture was 34.1+2.4 weeks and the latency from the membrane rupture to delivery interval ranged from 0-72 days with a mean of 48.4 hours. There were 7stillbirths (2.38%) and 4 neonatal deaths (1.02%) resulting in perinatal deaths of 3.29% and perinatal mortality rate of 0.329 per 1000 births due to PPROM. Maternal morbidity was minimal with postpartum haemorrhage in 11 patients (4.1%), abruptio placentae in 7 patients (2.3%) and sepsis in 43patients (14.6%). 66 patients (22.5%) underwent caesarean section for which malpresentations were the major cause.Conclusions: Despite remarkable advances in perinatal care, preterm premature rupture of membranes continues to cause perinatal morbidity and mortality. Strategies should be developed for its prevention. Management protocol should be improved in regard to vaginal swab culture and use of specific antibiotics.

scholarly journals Relationship between Abnormal Cardiotocography and Fetal Outcome

2016 ◽  
Vol 10 (2) ◽  
pp. 36-39
Author(s):  
S Banu
Keyword(s):  
Apgar Score ◽  
Mode Of Delivery ◽  
Neonatal Resuscitation ◽  
Lateral Position ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Left Lateral Position ◽  
Oxygen Inhalation

Aims: This study aimed to determine the frequency of abnormal cardiotocography during labour and to evaluate the significance of these patterns in determining fetal well-being.Methods: This was cross-sectional study undertaken at sir Ganga Ram Hospital, Lahore from September 2009-September 2010. Hundred admitted pregnant women were enrolled for the study. Admission cardiotocography was done for 30 minutes in left lateral position and labeled as normal, suspicious or pathological. Suspicious pattern cardiotocography was repeated after hydration with 1000ml intavenous fluid and oxygen inhalation, if remained suspicious then action for delivery was taken. Mode of delivery was dependent on stage of labour.Results: Twenty three women had suspicious CTG traces and 77 had pathological.It was noticed that  the percentage of various mode of dellivery were not much different among suspicious and pathological CTG groups  with p value 0.668.The Apgar score observed as per mode delivery reveal that there was no  significant  association between Apgar score at 1 min and mode of delivery with pvalue 0.889. The association of poor Apgar in pathological CTG group was significant with p value 0.006. Fifteen (15.6%) neonates needed resuscitation and 81 (84.4%)did not require resuscitation.Conclusions: Abnormal CTG influence the fetal outcome, ie poor Apgar score at 1 min and 5 minutes, increased rate of caesarean section and neonatal resuscitation.

scholarly journals Association of Maternal Hemoglobin and Birth Weight at Paropakar Maternity and Women’s Hospital, Kathmandu

2017 ◽  
Vol 11 (2) ◽  
pp. 20-23
Author(s):  
Safiur Rahman Ansari ◽  
Gehanath Baral
Keyword(s):  
Birth Weight ◽  
Negative Correlation ◽  
Strong Correlation ◽  
Neonatal Death ◽  
Maternal Age ◽  
Pearson Correlation ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Aims: To examine the association between maternal hemoglobin with birth weight.Methods: Cross sectional study of obstetrics database at Paropakar Maternity and Women’s Hospital. Hospital delivery of over 18 years of age women tested for Pearson correlation using SPSS-17.Results: Total of 2085 cases analyzed. There was mean hemoglobin value of 12.05 ± 1.30 (95% CI=11.992-12.103) g/dL and no any significant impact on mode of delivery (p=0.15) and neonatal death (p=0.736). There was a small but a significant correlation (p<0.01) of maternal age with hemoglobin (r = 0.106) and birth weight (r = 0.093); but a very small negative correlation between maternal hemoglobin and birth weight.Conclusions: Optimal maternal hemoglobin during labor rules out any strong correlation with birth weight.

scholarly journals Prevalence of small for gestational age newborns and associated factors in a Brazilian Northeast capital

2018 ◽  
Vol 18 (3) ◽  
pp. 539-547
Author(s):  
Micaely Cristina dos Santos Tenório ◽  
Marilene Brandão Tenório ◽  
Raphaela Costa Ferreira ◽  
Carolina Santos Mello ◽  
Alane Cabral Menezes de Oliveira
Keyword(s):  
Birth Weight ◽  
Hierarchical Model ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Associated Factors ◽  
Protective Factor ◽  
Mode Of Delivery ◽  
Low Frequency ◽  
Cross Sectional Study ◽  
Cross Sectional

Abstract Objectives: to analyze the factors associated with the birth of small for gestational age (SGA)infants, in a Northeastern Brazilian capital. Methods: a cross-sectional study was carried out with 331 pregnant women and their newborns attending the public health network in the city of Maceió, in 2014. Maternal antenatal data were collected (socioeconomic, lifestyle, clinical and nutritional) as well as data of the newborns (gestational age, mode of delivery, sex, birth weight and length), after delivery. Birth weight was classified according to the INTERGROWTH-21st curves, being considered SGA those below the 10th percentile according to gestational age and gender. The results were analyzed by Poisson regression using a hierarchical model and were expressed as prevalence ratios (PR) and their respective 95% confidence intervals (CI95%). Results: it was verified that 5.1% of the newborns were SGA. Regarding the associated factors, after adjustment of the hierarchical model, the variable working outside the home was associated with the endpoint studied [PR = 0.14; (CI95% = 0.02-0.75); p=0.022]. Conclusions: it was verified a low frequency of SGA infants in the evaluated population. The fact that the mother works outside the home proved to be a protective factor for this condition.

scholarly journals Prevalence and Perinatal Outcomes of Singleton Term Breech Delivery in Wolisso Hospital, Oromia Region, Southern Ethiopia: A Cross-Sectional Study

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Temesgen Debero Mere ◽  
Tilahun Beyene Handiso ◽  
Abera Beyamo Mekiso ◽  
Markos Selamu Jifar ◽  
Shabeza Aliye Ibrahim ◽  
...  
Keyword(s):  
Perinatal Mortality ◽  
Perinatal Outcome ◽  
Mode Of Delivery ◽  
Birth Asphyxia ◽  
Perinatal Outcomes ◽  
Cross Sectional Study ◽  
Fetal Weight ◽  
Sectional Study ◽  
Cross Sectional ◽  
Breech Delivery

Background.Breech deliveries have always been topical issues in obstetrics. Neonates undergoing term breech deliveries have long-term morbidity up to the school age irrespective of mode of delivery.Objective. To determine prevalence and perinatal outcomes of singleton term breech delivery.Methods. Hospital based cross-sectional study was conducted on 384 participants retrospectively. Descriptive and analytical statistics was used.Result. A total of 384 breech deliveries were included. Prevalence of singleton breech deliveries in the hospital was 3.4%. The perinatal outcome of breech deliveries was 322 (83.9%). Adverse perinatal outcome of singleton term breech delivery was significantly associated with women’s age of greater than or equal to 35 years (AOR = 2.62, 95% CI = 1.14–6.03), fully dilated cervix (AOR = 0.48, 95% CI = 0.25–0.91), ruptured membrane (AOR = 5.11, 95% CI = 2.25–11.6), and fetal weight of <2500 g (AOR = 6.77, 95% CI = 3.22–14.25).Conclusion. Entrapment of head, birth asphyxia, and cord prolapse were the most common causes of perinatal mortality. Factors like fetal weight <2500 gm, mothers of age 35 years and above, those mothers not having a fully dilated cervix, and mothers with ruptured membrane were associated with increased perinatal mortality.

scholarly journals Factors affecting the fetal & maternal outcome in a trial of labour after previous one caesarean section

2019 ◽  
Vol 10 (2) ◽  
pp. 1110-1117
Author(s):  
Aseel Ghazi Rifat
Keyword(s):  
Caesarean Section ◽  
Gestational Age ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
Safe Alternative ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Fetal Complications ◽  
History Of ◽  
Maternal Bmi

This study was designed to evaluate maternal and obstetrical factors associated with a successful trial of labour after one caesarean section (TOLAC) as well as evaluating the associated fetal and maternal outcomes and to determine the rate of vaginal delivery and repeated C/S. A prospective cross-sectional study was done on 237 women with previous one C/S then patients were selected for the trial of labour based on the department protocol. Those who were chosen for TOL were strictly monitored & observed for the progress of labour and the outcomes were recorded in terms of mode of delivery, maternal & fetal complications and were analysed and compared with those who had repeated C/S. Seventy-three (30.8%) patient was delivered by elective C/S without trial, 109 (46%) of the patients who were admitted to labour room delivered vaginally while 55 (23.2%) delivered by emergency C/S. It has been found that maternal BMI of (<25), history of vaginal birth after C/S (VBAC) and smaller gestational age were significantly associated with the success of TOL and can predict the outcome. Higher maternal & fetal complications rates were reported in cases delivered by emergency C/S compared to those who delivered vaginally or through elective C/S. The trial of labour after one caesarean section is a safe alternative to repeated C/S and decreases the associated morbidities with repeated C/S. The success rate of TOLAC reported in this study was (66.5%). A successful TOLAC is associated with normal maternal BMI, smaller gestational age and history of the previous VBAC.

scholarly journals Nuchal Cord and Perinatal Outcome

2015 ◽  
Vol 7 (1) ◽  
pp. 15-17
Author(s):  
K Shereen ◽  
K Patil
Keyword(s):  
South Asian ◽  
Apgar Score ◽  
Perinatal Outcome ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
Research Centre ◽  
Chi Square ◽  
Cross Sectional ◽  
Nuchal Cord ◽  
Chi Square Test

ABSTRACT Aims To establish the incidence of nuchal cord at the time of delivery and to assess its impact on the intrapartum and perinatal outcome. Materials and methods This was a cross-sectional study conducted at KLES Dr Prabhakar Kore Hospital and Medical Research Centre, Belgaum, India, from January 2011 to March 2011. A sample size of 429 was calculated. Informed consent was obtained and eligible women were enrolled. The babies born with a cord around the neck were compared to those without. The particulars noted were age, BMI, parity, loops of cord around the neck (single or multiple), type of loop, mode of delivery, weight of the baby and Apgar score at birth and 5 minutes. The parameters were then compared and statistically analyzed using Chi-square test. Results Incidence of nuchal cord at the time of delivery was 13.75%, of which single nuchal cord was highest (76.66%). The study revealed that age, BMI (in kg/m2), parity, gestational age and birth weight were not statistically significant to the presence of nuchal cord. Though instrumental deliveries were more in babies with nuchal cord, it was not statistically significant (p = 0.932). Apgar score < 7 at 1 minute was significantly low in nuchal cord group and Apgar score at 5 minutes and admission to neonatal unit was equivalent to those babies born without nuchal cord (p = 0.947). Conclusion Nuchal cord is not associated with adverse perinatal outcome. How to cite this article Shereen K, Patil K, Swamy MK. Nuchal Cord and Perinatal Outcome. J South Asian Feder Obst Gynae 2015;7(1):15-17.

Sign in / Sign up

Export Citation Format

Share Document