scholarly journals Maternal and perinatal outcome in pregnancy complicated by premature rupture of membranes (Prom): A prospective study

Author(s):  
Charu Mahajan ◽  
Mariyam Faruqi
1984 ◽  
Vol 150 (8) ◽  
pp. 965-972 ◽  
Author(s):  
Howard Minkoff ◽  
Amos N. Grunebaum ◽  
Richard H. Schwarz ◽  
Joseph Feldman ◽  
Marinella Cummings ◽  
...  

Author(s):  
Nikita Gandotra ◽  
Neha Mahajan ◽  
Aakriti Manhas

Background: Oligohydramnios is a severe and common complication of pregnancy and its incidence is reported to be around 1 to 5% of total pregnancies. The aim of this study was to perinatal outcome of oligohydramnios (AFI <5) at term.Methods: A prospective study was conducted in which 200 patients at term with oligohydramnios AFI <5 cm with intact membranes were analyzed for perinatal outcome.Results: There were increased chances of FHR decelerations, thick meconium, increased LSCS, low Apgar score at 5 minutes, birth weight <2.5 kg, admission to NICU in pregnancy with oligohydramnios.Conclusions: An amniotic fluid index (AFI) of <5 cm detected after 37 completed weeks of gestation is an indicator of poor perinatal outcome. Determination of AFI can be used as an adjunct to other fetal surveillance methods that helps to identify those infants at risk of poor perinatal outcome.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Oscar Martinez-Perez ◽  
◽  
Pilar Prats Rodriguez ◽  
Marta Muner Hernandez ◽  
Maria Begoña Encinas Pardilla ◽  
...  

Abstract Background To determine whether severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, the cause of COVID-19 disease) exposure in pregnancy, compared to non-exposure, is associated with infection-related obstetric morbidity. Methods We conducted a multicentre prospective study in pregnancy based on a universal antenatal screening program for SARS-CoV-2 infection. Throughout Spain 45 hospitals tested all women at admission on delivery ward using polymerase-chain-reaction (PCR) for COVID-19 since late March 2020. The cohort of positive mothers and the concurrent sample of negative mothers was followed up until 6-weeks post-partum. Multivariable logistic regression analysis, adjusting for known confounding variables, determined the adjusted odds ratio (aOR) with 95% confidence intervals (95% CI) of the association of SARS-CoV-2 infection and obstetric outcomes. Main outcome measures: Preterm delivery (primary), premature rupture of membranes and neonatal intensive care unit admissions. Results Among 1009 screened pregnancies, 246 were SARS-CoV-2 positive. Compared to negative mothers (763 cases), SARS-CoV-2 infection increased the odds of preterm birth (34 vs 51, 13.8% vs 6.7%, aOR 2.12, 95% CI 1.32–3.36, p = 0.002); iatrogenic preterm delivery was more frequent in infected women (4.9% vs 1.3%, p = 0.001), while the occurrence of spontaneous preterm deliveries was statistically similar (6.1% vs 4.7%). An increased risk of premature rupture of membranes at term (39 vs 75, 15.8% vs 9.8%, aOR 1.70, 95% CI 1.11–2.57, p = 0.013) and neonatal intensive care unit admissions (23 vs 18, 9.3% vs 2.4%, aOR 4.62, 95% CI 2.43–8.94, p <  0.001) was also observed in positive mothers. Conclusion This prospective multicentre study demonstrated that pregnant women infected with SARS-CoV-2 have more infection-related obstetric morbidity. This hypothesis merits evaluation of a causal association in further research.


Author(s):  
Shalaka Dilip Mhatre ◽  
Ayushi Vazirani ◽  
Vidhya Selvam

Background: Fibroids are the most common benign tumour of the uterus. Complications ranges from approximately 10-40% in fibroid complicating pregnancy. The objective of the study was to assess obstetric and perinatal outcomes in fibroid complicating pregnancy.Methods: A prospective study was carried out over a period of 01 June 2019-30 October 2020 on 42 women diagnosed with fibroid uterus in pregnancy. The study was conducted in the Obstetrics and Gynaecology department of Sree Balaji Medical College and Hospital, Chennai. Routine basic investigations were done. Ultrasonogram was done at booking visit and during subsequent visits to assess the increase in the size of the fibroid and degeneration and other obstetric complications such as malpresentation and placenta previa.Results: Major proportion was in the younger age group of 25-35 years. Fibroids were more frequent in multigravidae 34 (80.96%), and primigravidae were 8 (19.04%). The reported incidence of fibroid in pregnancy ranges from 0.01%-10.7%. 27 (64.28%) women were asymptomatic during pregnancy. Out of 42 women, 10 (23.80%) were known cases of fibroid became pregnant, remaining 32 (76.19%) were diagnosed as having fibroid during routine antenatal visits. 2 women (22.22%) had pain, 3 of them (7.14%) had preterm labor, 3 (7.14%) had spontaneous miscarriage, 6 (14.2) had threatened abortion, and 1(2.3%) had abruption placentae and 1(2.5%) had placenta previa. Out of 39, 27 (69.23%) women had vaginal delivery of which 2 (7.40%) women had assisted vaginal delivery. Lower segment cesarean section done in 12 women (30.76%). 32 babies delivered (82.05%) appropriate for gestational age infants, 3 (7.69%) had LBW, and 4 (10.25%) were IUGR.Conclusions: Fibroid complicating pregnancy are associated with complications during the antepartum, intrapartum, and postpartum period hence a regular follow up and evaluation is a must. Most pregnancies with fibroids are asymptomatic but may adversely affect the obstetric and perinatal outcome. 


Sign in / Sign up

Export Citation Format

Share Document