scholarly journals Neonatal Out Come in High Risk Pregnancy

1970 ◽  
Vol 22 (1) ◽  
pp. 26-29 ◽  
Author(s):  
H Akthar ◽  
S Sultana ◽  
AH Siddique
Keyword(s):  
High Risk ◽  
Early Diagnosis ◽  
Rural Area ◽  
Educational Status ◽  
High Risk Pregnancy ◽  
College Hospital ◽  
High Risk Patients ◽  
Medical College ◽  
Risk Pregnancy ◽  
Risk Patients

A 12 months study was carried out on 226 pregnant high risk patients attending in Rajshahi Medical College Hospital from January 2008 to December 2008. The aim of the study was to identify various type of high risk pregnancies and to determine social and educational status as well as new born conditions of birth. Among the 226 recruited patients 69.5% came from rural area. Among the 69.5% rural high risk patients 63.69% were illiterate. Live born baby in this study was 95.13%. In our study neonatal out come was excellent. Excellent out come was attributed to early diagnosis of high risk pregnancy and suitable intervention both by Obstetrician and Paediatrician. DOI: 10.3329/taj.v22i1.5016 TAJ 2009; 22(1): 26-29

Third Trimester Placental Grading by Ultrasonography and its Relationship with Fetal Outcome

2020 ◽  
Vol 33 (2) ◽  
pp. 94-99
Author(s):  
Farzana Begum ◽  
Shahela Jesmin ◽  
Rokeya Khatun ◽  
Somerose Parvin ◽  
Anisur Rahman
Keyword(s):  
High Risk ◽  
Normal Pregnancy ◽  
Fetal Outcome ◽  
Medical College Hospital ◽  
High Risk Pregnancy ◽  
College Hospital ◽  
Early Maturation ◽  
Medical College ◽  
Risk Pregnancy ◽  
Grade Iii

Background: Antenatal ultrasound assessment of placental morphology plays an important role in evaluating fetal health, revealing abnormalities, such as infract & calcification.  Abnormal placental maturity is associated with poor pregnancy outcome. In some high risk pregnancy placental maturity is accelerated as in pregancy –induced hypertension (PIH), intrauterine growth retardation (IUGR), whether in other high risk cases like diabetes and Rh-isoimmunization there is delayed placental maturation. Objectives: This was a cross sectional type of descriptive study. The study was carried out to assess placental grading by USG in high risk and normal pregnancy for predicting neonatal outcome. Material and method: The study was carried out in the Department of Obstetrics & Gynaecology in collaboration with the Department of Radiology & Imaging of Rajshahi Medical College Hospital from January 2012 to December 2013. : A total 200 pregnant mother, attending the inpatient department constituted study population who delivered their babies at Rajshahi Medical College Hospital were selected in antenatal period for USG examination to detect placental grade. Result: Ultrasonography showed, 35% had Grade-II placental maturity, 33.5%- Grade-III, 25% Grade - I and 6.5% had Grade-0 maturity. Majority of the mother (75%) were normal and had healthy baby. The relationship of placental maturity with gestational age of mother in normal pregnancy and in high risk pregnancy was found to be statistically significant. Placental maturity and fetal outcome in normal pregnancy was found significantly associated (p<0.001) but in high risk pregnancy it was not associated significantly (p>0.5). Early maturation of placenta in hypertensive women and delayed maturation in diabetic women were observed. Conclusion: Sonographic diagnosis of grade-III placenta has been reported to be as excellent predictor of fetal lung maturity than difficult and hazardous invasive procedure like amniocentesis. TAJ 2020; 33(2): 94-99

The lupus anticoagulant: results from 2257 patients attending a high-risk pregnancy clinic

Blood ◽  
2013 ◽  
Vol 122 (3) ◽  
pp. 341-347 ◽  
Author(s):  
Christine A. Clark ◽  
Judith Davidovits ◽  
Karen A. Spitzer ◽  
Carl A. Laskin
Keyword(s):  
High Risk ◽  
Lupus Anticoagulant ◽  
Recurrent Miscarriage ◽  
High Risk Pregnancy ◽  
High Risk Patients ◽  
Risk Pregnancy ◽  
Key Points ◽  
Risk Patients

Key Points Only 62 (2.7%) of 2257 high-risk patients tested positive for LAC over 6 years; only 5 (0.02%) with early recurrent miscarriage tested positive. The 2 assays recommended by ISTH guidelines were less effective than our 4-assay panel at capturing and describing LAC-positive patients.

scholarly journals Role of a serum-based biomarker panel in the early diagnosis of lung cancer for a cohort of high-risk patients

Cancer ◽  
2015 ◽  
Vol 121 (S17) ◽  
pp. 3113-3121 ◽  
Author(s):  
Da-Wei Yang ◽  
Yong Zhang ◽  
Qun-Ying Hong ◽  
Jie Hu ◽  
Chun Li ◽  
...  
Keyword(s):  
Lung Cancer ◽  
High Risk ◽  
Early Diagnosis ◽  
High Risk Patients ◽  
Biomarker Panel ◽  
Risk Patients ◽  
Diagnosis Of Lung Cancer

scholarly journals COAGULATION PROFILE IN DIFFERENT TRIMESTERS OF PREGNANCY TO IDENTIFY HIGH RISK PREGNANCY

2021 ◽  
Vol 5 (8) ◽  
Author(s):  
Bharat Sejoo ◽  
Rajendra Bhati ◽  
Ajay Mathur ◽  
Prakash Keswani ◽  
Shrikant Sharma ◽  
...  
Keyword(s):  
Blood Pressure ◽  
High Risk ◽  
First Trimester ◽  
Antenatal Clinic ◽  
High Risk Pregnancy ◽  
Coagulation Profile ◽  
Medical College ◽  
General Physical Examination ◽  
Risk Pregnancy ◽  
D Dimer

Background: The physiological changes in pregnancy may serve to protect the mother from the hazard of bleeding imposed by placentation and delivery, but they also carry the risk of an exaggerated response, localized or generalized, to coagulant stimuli. After correlating the trends of coagulation profile in all three trimesters of pregnancy with parameters [Body Mass Index (BMI), Glycemic status, Blood Pressure Status];  We can find out high risk pregnancies so that special attention can be given during pregnancy, labour and postpartum period. Material & Methods: A observational prospective analytic study done on 100 Pregnant ladies who were visited to routine antenatal clinic in the department of Obstetrics & Gynecological SMS Medical College and attached group of hospitals, on outdoor basis were selected in their first trimester (after 8 week gestation) in SMS medical college & attached group of hospitals during April 2017 to March 2018. The study protocol was approved by the Institutional Ethics Committee. All participants submitted informed consent before enrolment. After taking proper history, all the subjects underwent clinical examination comprising of general physical examination, assessment of vital parameters and systemic examination. Results: Our study that the mean age of study subjects was 26.46 ± 3.34 years. There was significant but weak positive correlation of D Dimer with BMI and Blood sugar in all trimesters of pregnancy. Significant correlation was found between APLA with DBP and MAP in 1st trimester of pregnancy. No correlation was found between APLA and other parameters in any trimester of pregnancy. Conclusion: We concluded that there were increased in FDP, D-Dimer, INR, APLA while platelets count, PT and aPTT were decreased.  Further prospective study will be required to measure the outcome of pregnancy so we can define a high-risk pregnancy and those will get special attention in peripartum period. Keywords: Trimester, Pregnancy, D Dimer, BMI, Blood pressure, Correlation

scholarly journals Practice of “Defensive Medicine” Among Doctors at a Tertiary Care Hospital

2019 ◽  
Vol 17 (2) ◽  
pp. 28-31
Author(s):  
Binus Bhandari ◽  
Dipendra Khadka ◽  
Prem Saxena ◽  
S.M. Mishra
Keyword(s):  
High Risk ◽  
Tertiary Care ◽  
College Teaching ◽  
Defensive Medicine ◽  
Medical Decision ◽  
Care Hospital ◽  
Care Providers ◽  
High Risk Patients ◽  
Medical College ◽  
Risk Patients

Introduction: Defensive medicine is the short term coined for a defensive medical decision making.It means advising diagnostic tests, prescribing more drugs than required or avoids treating and operating high risk patients. These may not be the best options for the patient but the practice among doctors is currently adopted to avoid litigation. A situation aggravated by the promulgation of tough consumer laws and other criminal laws applicable to health care providers. This study was conducted to assess the frequency of defensive medicine practice among doctors at the teaching medical college hospital of NGMC. Methods: A cross sectional study was conducted at Nepalgunj Medical College, Teaching Hospital, Kohalpur, a tertiary care center in between January to December 2018. A questionnaire was developed to assess the various aspects of defensive medicine practice. In this study, a total of 75 doctors participated. Results: Practice of defensive medicine was common in age between 30-40 years. Fear of caring high risk patients (76%)), ordering un-necessary tests (56%)) followed by avoiding high risk procedures (46%) were common forms of defensive medicine practices observed in sampled doctors. Senior faculties were found practicing more defensive medicine than juniors (69.4% versus 30.6%) and more in surgical field as compared to non-surgical 61% vs. 39%. Conclusion: Defensive medical practice in various ways is common among the doctors. This has produced a positive impact in the form of greater communications with the patients and awareness to have a good medical record keeping. However, the negative impacts on the doctors have been more in the form of prescribing more investigations, drugs, more referral and reluctance to accept high risk patients if there is choice.  

P292: Early diagnosis of congenital heart defects (CHD) in high-risk patients

2003 ◽  
Vol 22 (S1) ◽  
pp. 149-149
Author(s):  
A. Galindo ◽  
J. M. Puente ◽  
A. Gra�eras ◽  
F. Gutierrez-Larraya ◽  
J. Arbues ◽  
...  
Keyword(s):  
High Risk ◽  
Early Diagnosis ◽  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Heart Defects ◽  
High Risk Patients ◽  
Risk Patients
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