Maternal and perinatal outcome in pregnancy with epilepsy: A five year retrospective study

Background: Gestational hydronephrosis (GH) is result of dilatation effect of the progesterone and mechanical compression of the gravid uterus. Management during pregnancy is challenging as routine radiological investigations and surgical treatments cannot be applied due to the potential harm to the fetus. Intervention is indicated in women who fail to respond to conservative management. Acute hydronephrosis and renal colic are common etiologies for loin pain, and can lead to severe form of urinary tract infection affecting perinatal outcome. Ureteric stenting and percutaneous nephrostomy (PCN) during pregnancy are safe, requiring no intra-operative imaging, and inserted under local anaesthesia. It provides good symptom relief, low complication rate, efficient and safe modality for women with refractory symptoms.Methods: A retrospective study of pregnant women admitted under obstetric units with acute hydronephrosis requiring DJ stenting and/or PCN. Aim was to evaluate the course and pregnancy outcomes in a tertiary center of Southern India over a period of five years.Results: Descriptive statistical analysis was done in 12 women with acute hydronephrosis in pregnancy. 66.7% were nulliparous and mean gestational age at admission was 31 weeks. Diagnosis was done by USG. One-fourth had pyelonephritis and calculus being the main pathology (n=9;75%).Women requiring DJ stent and PCN were 41.6% and 58.4% respectively. 41.7% had preterm labour. 66.7% delivered vaginally, birth weight was more than 2.5kg in 50%.Conclusions: Maternal and neonatal outcome mainly depends on the early diagnosis. In this study we emphasize on the importance of multidisciplinary team approach in the management of women with acute hydronephrosis. DJ stent and PCN are efficient and safe modalities in women with refractory symptoms.

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A retrospective study of the health profile of neonates of mothers with anemia in pregnancy and pregnancy induced hypertension in Lagos, Nigeria

Journal of Public Health in Africa ◽

10.4081/jphia.2014.286 ◽

2014 ◽

Vol 5 (2) ◽

Cited By ~ 1

Author(s):

Olusola Funmilayo Sotunde ◽

Silifat Ajoke Sanni ◽

Oluseye Olusegun Onabanjo ◽

Ibiyemi O. Olayiwola ◽

Mure Agbonlahor

Keyword(s):

Retrospective Study ◽

Birth Weight ◽

Sampling Technique ◽

Neonatal Health ◽

Pregnancy Induced Hypertension ◽

Health Profile ◽

Maternal Complications ◽

Induced Hypertension ◽

Anemia In Pregnancy ◽

In Pregnancy

Our study assessed the health profile of neonates in relation to anemia in pregnancy and pregnancy induced hypertension (PIH). This was a retrospective study where a systematic random sampling technique was used to select a total of 1046 case records of pregnant women registered for ante-natal care at Lagos Island Maternity Hospital, Lagos, Nigeria, between 2005 and 2009. Socio-demographic characteristics of the mothers, prevalence of anemia and PIH, and neonatal health profile were obtained from the case records and were analyzed using both descriptive and inferential statistics. Pearson product moment correlation was used to show the relationship (P≤0.05) between maternal complications and neonatal health profile. Majority (68.8%) of the mothers had anemia and 6.7 % had PIH. Majority (97.12%) of the neonates were live births and 2.88% of the neonates were still births, 65.4% of the women with still birth pregnancy outcome had anemia, and 34.6% had PIH. Majority (74%) of the neonates had birth weight within normal range (2.5-4.0 kg) and majority (68%) had normal Apgar score at 5 min of birth (7- 10). A positive correlation existed between the packed cell volume of the mother and the birth weight of the neonates (r=0.740, P≤0.05). A negative correlation existed between the incidence of PIH and the birth weight of the neonates (r=

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A RETROSPECTIVE STUDY ON ADHERENT PLACENTA- ITS MANAGEMENT, MATERNAL AND PERINATAL OUTCOME

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2017/600 ◽

2017 ◽

Vol 6 (34) ◽

pp. 2785-2788 ◽

Cited By ~ 1

Author(s):

Atal Bihari Dandapat ◽

Benudhar Pande ◽

Santosh Kumar Dora ◽

Kishore Chandra Mohapatra ◽

Lal Mohan Nayak

Keyword(s):

Retrospective Study ◽

Perinatal Outcome ◽

Adherent Placenta

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Determinants of perinatal outcome in pregnancy-induced hypertension with absence of umbilical artery end-diastolic frequencies

American Journal of Obstetrics and Gynecology ◽

10.1016/0002-9378(91)90590-n ◽

1991 ◽

Vol 164 (4) ◽

pp. 1084-1089 ◽

Cited By ~ 24

Author(s):

Fiona M. Fairlie ◽

Michael Moretti ◽

James J. Walker ◽

Baha M. Sibai

Keyword(s):

Perinatal Outcome ◽

Umbilical Artery ◽

Pregnancy Induced Hypertension ◽

Induced Hypertension ◽

In Pregnancy

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Coronal Craniostenosis: Fetal Head Constraint as One Possible Cause

PEDIATRICS ◽

10.1542/peds.65.5.995 ◽

1980 ◽

Vol 65 (5) ◽

pp. 995-999 ◽

Cited By ~ 2

Author(s):

John M. Graham ◽

Richard J. Badura ◽

David W. Smith

Keyword(s):

Retrospective Study ◽

In Utero ◽

Foot Deformities ◽

Coronal Suture ◽

Fetal Head ◽

Normal Children ◽

Possible Cause ◽

In Pregnancy

A retrospective study of 11 instances of idiopathic coronal craniostenosis in otherwise normal children revealed that early lightening, prolonged moderate to severe pelvic discomfort late in pregnancy, and/or an abnormal fetal lie were unusual gestational features indicative of intrauterine constraint for eight of these patients. The impression of unusual constraint in utero was futher implied by finding associated positional foot deformities in four of these latter eight children. We hypothesize that prolonged constraint of the fetal head may limit anteroposterior growth stretch at the coronal suture and thereby predispose toward early sutural fusion.

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Successful perinatal outcome following recurrent idiopathic cerebrovascular strokes in pregnancy: a case report

Archives of Gynecology and Obstetrics ◽

10.1007/s00404-002-0342-3 ◽

2003 ◽

Vol 268 (3) ◽

pp. 236-238 ◽

Cited By ~ 1

Author(s):

Smiti Nanda ◽

Umber Agarwal ◽

Krishna Sangwan

Keyword(s):

Case Report ◽

Perinatal Outcome ◽

In Pregnancy

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Acute Appendicitis in Pregnancy

Scottish Medical Journal ◽

10.1177/003693308002500108 ◽

1980 ◽

Vol 25 (1) ◽

pp. 36-38 ◽

Cited By ~ 7

Author(s):

R. G. Farquharson

Keyword(s):

Retrospective Study ◽

Acute Appendicitis ◽

Neonatal Mortality ◽

Maternal Morbidity ◽

Causal Factor ◽

Delay In Diagnosis ◽

In Pregnancy

A retrospective study of appendicitis in pregnancy in Aberdeen has been performed. The incidence, symptoms, findings at laparotomy and outcome are described. Delay in diagnosis is stressed as the causal factor in increased maternal morbidity and high neonatal mortality.

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