scholarly journals Upaya Deteksi Dini Risiko Tinggi Kehamilan Ditentukan Oleh Pengetahuan Dan Pemeriksaan Kehamilan Di Pulau Osi

2019 ◽  
Vol 1 (4) ◽  
pp. 265-268
Author(s):  
Arindiah Puspo Windari ◽  
Sri Ayu Lohy
Keyword(s):  
High Risk ◽  
First Trimester ◽  
Health Care Facilities ◽  
Second Trimester ◽  
Maternal Deaths ◽  
Adequate Treatment ◽  
Pregnancy And Childbirth ◽  
Risk Pregnancy ◽  
Care Facilities ◽  
In Pregnancy

The most common cause of maternal death is bleeding (30.3%), followed by hypertension in pregnancy (27.1%), infection (7%). Other causes, 45%, are quite large, including non-obstetric causes. High maternal mortality is also caused by the high number of unexpected pregnancies. Approximately 65% of pregnancies still occur because "4 too" associated with pregnancies "too young (less than 20 years)," too old: (more than 35 years), "too often (pregnancy interval less than 2 years," too many”(more than 3 children). Most maternal deaths can be prevented if adequate treatment is provided in health care facilities. Time and transportation factors are very decisive in referring to high-risk cases. Therefore, detection of risk factors in mothers is good by personnel. Health and society is one of the important efforts in preventing death and morbidity. To avoid the risk of complications in pregnancy and childbirth, every pregnant woman needs at least 4 antenatal care, namely once in the first trimester (0-12 weeks gestation), one times in the second trimester (12-24 weeks of gestation), and twice in the second trimester third steer (24 weeks gestation until delivery). Keywords: Early Detection Of High Risk Pregnancy, Pregnancy Test.

scholarly journals Obstetric medicine

2013 ◽  
pp. 15-22
Author(s):  
L. Balbi ◽  
V. Donvito ◽  
A. Maina
Keyword(s):  
High Risk ◽  
Severe Disease ◽  
Maternal Deaths ◽  
Perioperative Morbidity ◽  
Excellent Outcome ◽  
Risk Pregnancy ◽  
Obstetric Medicine ◽  
Elective Termination ◽  
In Pregnancy

BACKGROUND Obstetric assistance made major advances in the last 20 years: improved surgical technique allows quicker caesarean sections, anaesthesiology procedures such as peripheral anaesthesia and epidural analgesia made safer operative assistance, remarkably reducing perioperative morbidity and mortality, neonatology greatly improved the results of assistance to low birth weight newborns. A new branch of medicine called “obstetric medicine” gained interest and experience after the lessons of distinguished physicians like Michael De Swiet in England. All together these advances are making successful pregnancies that 20 years ago would have been discouraged or even interrupted: that’s what we call high risk pregnancy. High risk of what? Either complications of pregnancy on pre-existing disease or complications of pre-existing disease on pregnancy. Nowadays, mortality in pregnancy has a medical cause in 80% of cases in Western countries (Confidential Enquiry on Maternal Deaths, UK, 2004). DISCUSSION The background is always changing and we have to take in account of: increase of maternal age; widespread use of assisted fertilization techniques for treatment of infertility; social feelings about maternity desire with increasing expectations from medical assistance; immigration of medically “naive” patients who don’t know to have a chronic disease, but apt and ready to conceive; limited knowledge of feasibility of drug use in pregnancy which may induce both patients and doctors to stopping appropriate drug therapy in condition of severe disease. Preconception counseling, planning the pregnancy, wise use of drugs, regular follow-up throughout the pregnancy and, in selected cases, preterm elective termination of pregnancy may result in excellent outcome both for mother and foetus. CONCLUSIONS Highly committed and specifically trained physicians are required to counsel these patients and to plan their treatment before and during pregnancy.

scholarly journals Aplikasi Web Cek Riska sebagai Upaya Meningkatkan Pengetahuan Ibu Mendeteksi Dini Risiko Tinggi Kehamilan

2020 ◽  
Vol 4 (1) ◽  
pp. 215-221
Author(s):  
Ni Luh Putu Martini ◽  
Irna Nursanti ◽  
Giri Widakdo
Keyword(s):  
High Risk ◽  
Experimental Design ◽  
Web Application ◽  
P Value ◽  
Group Design ◽  
Risk Pregnancy ◽  
Before And After ◽  
Quasi Experimental ◽  
The Mean ◽  
In Pregnancy

This study aimed to determine the effect of the risk checks web application on the knowledge of mothers to detect high risk early in pregnancy. The research design used in this study was a quasi-experimental design with one group design without control. The results showed that the mean difference before and after the intervention was 13.00, with a p-value of 0.000. In conclusion, the risk check web application can increase mothers' knowledge to detect high risk early in pregnancy.   Keywords: Web Application, High-Risk Pregnancy

scholarly journals The Effect of HSV-1 Seropositivity on the Course of Pregnancy, Childbirth and the Condition of Newborns

2022 ◽  
Vol 10 (1) ◽  
pp. 176
Author(s):  
Irina Anatolyevna Andrievskaya ◽  
Irina Valentinovna Zhukovets ◽  
Inna Victorovna Dovzhikova ◽  
Nataliya Alexandrovna Ishutina ◽  
Ksenia Konstantinovna Petrova
Keyword(s):  
Neonatal Period ◽  
Recurrent Infection ◽  
First Trimester ◽  
Placental Insufficiency ◽  
Igg Antibodies ◽  
Pregnancy And Childbirth ◽  
Serological Status ◽  
Anemia In Pregnancy ◽  
In Pregnancy ◽  
Hsv 1

The goal of this research was to evaluate seropositivity to HSV-1 among pregnant women and its effect on the course of pregnancy, childbirth and the condition of newborns. Methods: The serological status, socio-demographic characteristics, parity of pregnancy and childbirth and condition of newborns in women seronegative and seropositive to HSV-1 with recurrent infection and its latent course during pregnancy were analyzed. Newborns from these mothers made up the corresponding groups. Results: Low titers of IgG antibodies to HSV-1 in women in the first trimester of pregnancy are associated with threatened miscarriage, anemia in pregnancy and chronic placental insufficiency. High titers of IgG antibodies to HSV-1 in women in the second trimester of pregnancy are associated with late miscarriages and premature births, anemia in pregnancy, chronic placental insufficiency, labor anomalies, early neonatal complications (cerebral ischemia, respiratory distress syndrome) and localized skin rashes. Low titers of IgG antibodies to HSV-1 in women in the third trimester of pregnancy are associated with premature birth, anemia in pregnancy, chronic placental insufficiency, endometritis, complications of the early neonatal period and localized skin rashes. Conclusions: Our research showed that low or high titers of IgG antibodies to HSV-1, determined by the timing of recurrence of infection during pregnancy, are associated with a high incidence of somatic pathology and complications in pregnancy, childbirth and the neonatal period.

scholarly journals Role of second trimester uterine artery doppler for the prediction of preeclampsia in high risk pregnancy

2019 ◽  
Vol 8 (3) ◽  
pp. 906
Author(s):  
Madhuri Thakur ◽  
Reeti Mehra
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Uterine Artery ◽  
High Risk Pregnancy ◽  
Second Trimester ◽  
Uterine Artery Doppler ◽  
Risk Pregnancy ◽  
Doppler Study ◽  
Doppler Indices

Background: The uterine artery Doppler has potentials for screening for complications of impaired placentation. The purpose of study was to assess the role of uterine artery color Doppler waveform analysis in second trimester for the prediction of preeclampsia in a high-risk pregnancy between 18-24 weeks of gestation.Methods: 100 women with moderate or high-risk factors for developing preeclampsia reporting to Obstetrics and Gynaecology department of Government Medical College and Hospital, Sector 32, Chandigarh were enrolled for present study. Transabdominal uterine artery doppler measurements was done at 18-24weeks of gestation in these patients. Doppler . The Doppler indices generated automatically from the machine , the Pulsatility Index (PI), Resistance Index (RI) , presence or absence of diastolic notch and S/D Ratio were recorded, and average was calculated.Results: Out of 100 patients there were 46 primigravidas with no additional risk factors, 22 pateints with two or more risk factors and there were no patients who had three or more risk factors in present study population. Preeclampsia is seen more commonly in primigravida and primigravida is considered as moderate risk factor for preeclampsia. It was found that an elevated second trimester uterine artery RI was significantly associated with developing preeclampsia later in pregnancy. The sensitivity and specificity of uterine artery Doppler velocimetry were found to be 84% and 55% respectively. Receiver operator characteristics (ROC) curves were created to demonstrate the prognostic value of RI and PI of uterine artery doppler indices at 18-24 weeks of gestation for the development preeclampsia. In addition, there were statistically significant positive correlations between mean RI of uterine artery doppler study and patients who developed preeclampsia. With a sensitivity of 84.21% it could identify 31% of the cases of preeclampsia at a false positive rate of 44.4%.Conclusions: Uterine artery doppler study can be used as a predictor of moderate strength for preeclampsia.

scholarly journals A rare case of hypercalcemia-induced pancreatitis in a first trimester pregnant woman

2018 ◽  
Vol 2018 ◽  
Author(s):  
Carine Ghassan Richa ◽  
Khadija Jamal Saad ◽  
Ali Khaled Chaaban ◽  
Mohamad Souheil El Rawas
Keyword(s):  
Acute Pancreatitis ◽  
Pregnant Woman ◽  
Primary Hyperparathyroidism ◽  
Rare Case ◽  
First Trimester ◽  
List Type ◽  
Second Trimester ◽  
Adequate Treatment ◽  
Severe Hypercalcemia ◽  
First Trimester Of Pregnancy

Summary The objective of the study is to report a case of acute pancreatitis secondary to hypercalcemia induced by primary hyperparathyroidism in a pregnant woman at the end of the first trimester. The case included a 32-year-old woman who was diagnosed with acute pancreatitis and severe hypercalcemia refractory to many regimens of medical therapy in the first trimester of pregnancy. She was successfully treated with parathyroidectomy in the early second trimester with complete resolution of hypercalcemia and pancreatitis. Neonatal course was unremarkable. To our best knowledge, this is a rare case when primary hyperparathyroidism and its complications are diagnosed in the first trimester of pregnancy. In conclusion, primary hyperparathyroidism is a rare life-threatening condition to the fetus and mother especially when associated with complications such as pancreatitis. Early therapeutic intervention is important to reduce the morbidity and mortality. Parathyroidectomy performed in the second trimester can be the only solution. Learning points: Learning how to make diagnosis of primary hyperparathyroidism in a woman during the first trimester of pregnancy. Understanding the complications of hypercalcemia and be aware of the high mortality and sequelae in both fetus and mother. Providing the adequate treatment in such complicated cases with coordinated care between endocrinologists and obstetricians to ensure optimal outcomes.

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 OBSTETRICAL ACUTE RENAL FAILURE;

2013 ◽  
Vol 20 (03) ◽  
pp. 429-432
Author(s):  
AMBREEN GHORI ◽  
CHANDRA MADHUDAS ◽  
FERKHUNDA KHURSHID ◽  
Jamila Siakndari ◽  
Tarachand Devrajani ◽  
...  
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Post Partum ◽  
First Trimester ◽  
Health Care Facilities ◽  
University Hospital ◽  
Third Trimester ◽  
Care Facilities ◽  
Poor Health Care ◽  
One Year

Background & Objective: Acute renal failure is one of serious complication in pregnancy, in first trimester is usuallyrelated to unregulated and septic miscarriage while in third trimester it is due to obstetric complications. This prospective case seriousdescriptive study was conducted to determine the frequency, etiology and outcome of patients suffering from acute renal failure.Settings: Department of Gynecology & Obstetric at Liaquat University Hospital Hyderabad. Duration: One year (from 1st June 2011 to31st May 2012) Patients and Methods: Patients admitted in labor room during antepartum, intrapartum or post partum period werescrutinized by history, clinical examination, and investigations. Those with urine output less than 50cc in 24hours were defined as case ofARF. Predesigned proforma filled to analyze etiology and outcome of patients with acute renal failure. Results: Out of 3220 patientsadmitted, 35 patients presented with acute renal failure giving incidence of 1.080%. APH(28.57%), PPH(25.7%), P.sepsis (14.28%) andHypertensive disorder(5.14%) were leading cause of ARF. 60% patients recovered from injury and mortality in these patients were 11.4%.Conclusions: Poor health care facilities and lack of quality antenatal healthcare clinics were the major identified causes.

scholarly journals IBM PENDAMPINGAN IBU HAMIL RESIKO TINGGI OLEH KADER POSYANDU DI WILAYAH PUSKESMAS PURWOYOSO

2017 ◽  
Vol 8 (2) ◽  
Author(s):  
Chusnul Zulaika ◽  
Dewi Sari R ◽  
Mirtaria K
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Good Health ◽  
High Risk Pregnancy ◽  
Maternal Deaths ◽  
Central Java ◽  
Risk Pregnancy ◽  
Husband Support ◽  
Alternative Solutions ◽  
Central Java Province

Kehamilan normal bisa memiliki risiko, semua ibu hamil  perlu perawatan agar ibu dan janin tetap dalam keadaan sehat. Sedangkan kehamilan yang resiko tinggi akan menghadapi berbagai permasalahan yang dapat mengganggu proses persalinan. Kehamilan dengan masalah dikelompokkan kehamilan risiko tinggi yaitu keadaan yang dapat mempengaruhi optimalisasi ibu maupun janin (Manuaba,2003). Kehamilan risiko tinggi adalah kehamilan dengan satu lebih  faktor risiko baik ibu maupun janinnya yang memberi dampak kurang menguntungkan baik ibu maupun janinnya (Rochjati, 2003). Apabila setiap abnormalitas dicurigai berdasarkan atas riwayat atau pemeriksaan fisik, maka pasien dirujuk ke pemeriksa dengan keahlian dalam ultrasonografi (Tucker, 2004).Di Provinsi Jawa Tengah pada tahun 2015 terdapat 619 kasus kematian ibu. Kota Semarang menduduki peringkat ke 2 setelah kabupaten Brebes dengan jumlah kematian ibu di Kota Semarang  terdapat 35 kasus. Di Puskesmas Purwoyoso pada tahun 2015 terdapat 1 kasus kematian ibu. Sedangkan jumlah ibu hamil resiko tinggi di Puskesmas Purwoyoso pada tahun 2015 terdapat 595 ibu hamil.Untuk mencari alternatif solusi pemecahan masalah di atas, maka diadakan peningkatan pengetahuan tentang pendampingan ibu hamil resiko tinggi di Puskesmas Purwoyoso dengan tujuan untuk meningkatkan pengetahuan para kader tentang kehamilan resiko tinggi. Setelah dilakukan penyuluhan didapatkan hasil pengetahuan dan kesadaran para kader untuk melaksanakan pendampingan meningkat.Diharapkan setelah dilakukan pengabdian penulis menyarankan para kader, keluarga dan suami mendukung ibu hamil untuk melakukan pemeriksaan kehamilan di bidan ataupun di puskesmas.Kata kunci        : IBM ; Kader ; Pendampingan ibu hamil resiko tinggi IBM HIGH RISK PREGNANCY ASSISTANCE BY POSYANDU CARDER IN PURWOYOSO PUSKESMAS REGIONNormal pregnancy can have a risk, all pregnant women need care so that mother and fetus remain in good health. While high-risk pregnancies will face a variety of problems that can interfere with labor. Pregnancy with the problem grouped high-risk pregnancies is a condition that can affect the optimization of mother and fetus (Manuaba, 2003). A high-risk pregnancy is a pregnancy with one more risk factor for both mother and fetus that has an adverse impact on both the mother and the fetus (Rochjati, 2003). If any abnormality is suspected based on a history or physical examination, the patient is referred to an examiner with expertise in ultrasonography (Tucker, 2004).In Central Java Province in 2015 there were 619 cases of maternal deaths. Semarang City is ranked second after Brebes district with the number of maternal deaths in Semarang city there are 35 cases. At Puskesmas Purwoyoso in 2015 there is 1 case of maternal mortality. While the number of high risk pregnant women at Purwoyoso Puskesmas in 2015 there are 595 pregnant women.To find alternative solutions to the above solutions, there is an increased knowledge about high risk pregnant women in Purwoyoso Puskesmas in order to increase the knowledge of cadres about high risk pregnancy. After the counseling obtained the knowledge and awareness of the cadres to carry out mentoring increased.It is hoped that after the dedication of the writer suggest that cadres, family and husband support pregnant mother to conduct pregnancy examination in midwife or at puskesmasKey words             : IBM; Cadres; High risk pregnancy assistance

A Comparative Study on Serum Levels of Iron, Magnesium, Calcium and Phosphorus during First & Second Trimesters of Pregnancy at a Tertiary Referral Hospital in South India

2021 ◽  
Vol 8 (29) ◽  
pp. 2609-2614
Author(s):  
Pradeep Kumar M ◽  
Mayadevi Brahmanandan ◽  
Dini S.B
Keyword(s):  
Body Mass Index ◽  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
Serum Levels ◽  
First Trimester ◽  
Second Trimester ◽  
Mean Values ◽  
Calcium And Phosphorus ◽  
In Pregnancy

BACKGROUND Multiple micronutrient deficiencies commonly coexist in pregnancy and may play a role in the pathogenesis of many high-risk events in pregnancy. Mineral estimation during the first and second trimester may help in the identification of high-risk pregnancies predisposed to pre-eclampsia, preterm birth or low birth weight. Body mass index (BMI) is an independent risk factor influencing the serum levels of micronutrients like iron, calcium, phosphorous and magnesium. The purpose of this study was to compare the serum levels of iron, magnesium, calcium and phosphorus during first & second trimesters of pregnancy and their correlation with body mass index and adverse pregnancy outcomes. METHODS This was a longitudinal descriptive study, done over a period of twelve months, from April 2017 to March 2018. 94 low risk pregnant women were selected in the first trimester, and they were followed up for the entire duration of pregnancy. 2 ml of blood is collected at first and second trimester and analysed for the serum levels of iron (µg/dl), magnesium (mg/dl), calcium (mg/dl) and inorganic phosphorus (mg/dl). Mean values of these elements were noted and BMI was measured. Patients were followed up to observe the pregnancy outcome, especially development of hypertension, preterm birth and low birth weight. The data were subjected to suitable statistical analyses. P value less than 0.05 is considered as statistically significant. RESULTS Mean values of Ca, Mg, inorganic P and Fe were 9.3 mg/dl ± 0.52, 1.79 mg/dl ± 0.28, 3.59 mg/dl ± 0.54 and 83.7 µg/dl ± 25.36 respectively in first trimester and 8.9 mg/dl ± 0.47, 1.62 mg/dl ± 0.16, 3.17 mg/dl ± 0.44 and 76.17 µg/dl ± 21. 69 respectively in the second trimester. Hypocalcaemia was noted in 12.7 % and 38.3 % in the first and second trimester respectively. Hypomagnesaemia was seen in 51.1 % and 80.9 % in the first and second trimester respectively. Hypophosphatemia was seen in 3.2 % and 14.8 % in the first and second trimester respectively. These findings were statistically significant. There was no significant change in the iron levels in the present study. 19.1 % were underweight. 56.4 % had normal BMI. 19.2 % were overweight. 5.3 % were obese. CONCLUSIONS There is no correlation between serum values of trace elements and the BMI of study subjects. Even though significant hypocalcaemia, hypophosphatemia and hypomagnesaemia was noted in second trimester compared to first, there was no predisposition to the development of adverse outcomes like pre-eclampsia, preterm birth or low birth weight. This may be the effect of dietary and pharmacological supplementation during pregnancy. KEYWORDS Micronutrients, Pregnancy Complications, Calcium, Phosphorus, Magnesium, Iron

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