FUNDUS CHANGES IN PATIENTS WITH PREGNANCY INDUCED HYPERTENSION AND ITS ASSOCIATION WITH FETAL OUTCOME IN WESTERN INDIA

2021 ◽  
pp. 15-18
Author(s):  
Saxena Devendra A ◽  
Makhija Sneha C
Keyword(s):  
Birth Weight ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Fetal Outcome ◽  
Western India ◽  
Care Hospital ◽  
Pregnancy Induced Hypertension ◽  
Induced Hypertension ◽  
Neonatal Care Unit ◽  
Reliable Marker

Aim: To study the association between fundus changes in patients with pregnancy induced hypertension and the fetal outcome. A prospective cohort study was conducted on 50 patients with PIH at Methods: a tertiary care hospital in Gujarat, India. Retinal status was evaluated under mydriasis in the antepartum and postpartum period. Fetal outcome was recorded in the form of gestational age at birth, birth weight, live/stillborn, mode of delivery, need for induction of delivery and need for admission to neonatal care unit. In this study, PIH induced Results: fundus changes were seen in 48% of the patients. 17(34%) of the fetus were stillborn and 12 of the live born required hospital admission. Mothers of 13(44.82%) of these 29 fetuses with adverse outcome had PIH retinopathy. 14(50%) of the 28 mothers with fetus with low birth weight had abnormal fundi. Serous detachment occurred in 10% of the patients all of which had severe PIH or eclampsia, were primigravida and delivered preterm. Serous detachment resolved over 7-10 days postpartum. Presence of PIH Conclusion: retinopathy may be used as an indicator for predicting the fetal outcome in patients of PIH. It is a particularly reliable marker for preterm delivery when serous detachment occurs in primigravida women with severe PIH or eclampsia.

MATERNOFETAL OUTCOME IN MECONIUM STAINED LIQUOR AT TERTIARY CARE HOSPITAL

2021 ◽  
pp. 48-50
Author(s):  
Neha Agarwal ◽  
Samta Bali Rathore ◽  
Shivani Baberwal-
Keyword(s):  
Caesarean Section ◽  
Perinatal Asphyxia ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Birth Asphyxia ◽  
Meconium Aspiration Syndrome ◽  
Care Hospital ◽  
Pregnancy Induced Hypertension ◽  
Meconium Aspiration ◽  
Induced Hypertension

BACKGROUND: Occurance of meconium-stained amniotic uid (MSAF) during labour may be considered as a measure for prediction of poor fetal outcomes such as meconium aspiration syndrome and perinatal asphyxia ,resulting in perinatal as well as neonatal morbidity and mortality. It constitutes about 5% of deliveries with meconium stained amniotic uid and death results in about 12% of infants with MAS. METHODS: 40 cases of meconium stained liquor detected after spontaneous or artical rupture of membranes taken during labour from june 2020 to december 2020 and their outcome in terms of mode of delivery(whether vaginal delivery or lower segment caesarean section) and fetal outcome and associated maternal high risk were studied RESULT: Anemia was co existant in around 15%, pregnancy induced hypertension(PIH) in 25%and premature rupture of membrane in 10%.Pregnancies complicated with Pregnancy induced hypertension had signicant higher rate of meconium stained liquor among all cases. Caesarean Section was commonly performed in meconium stained amniotic uid cases and accounted for about 65%of all cases. CONCLUSIONS: Meconium Stained amniotic uid increases the chances of caesarean rates,leading to birth asphyxia ,Meconium Aspiration Syndrome and hence increases the chances of neonatal intensive unit admission.

scholarly journals Obstetrics critical care: a 2 years retrospective study in a medical college hospital of western India

2019 ◽  
Vol 8 (4) ◽  
pp. 1440
Author(s):  
Savita C. Pandit ◽  
Surendra D. Nikhate
Keyword(s):  
Critical Care ◽  
Tertiary Care ◽  
Multidisciplinary Care ◽  
Safe Motherhood ◽  
Western India ◽  
Care Hospital ◽  
Pregnancy Induced Hypertension ◽  
Obstetric Hemorrhage ◽  
College Hospital ◽  
Induced Hypertension

Background: This study highlights the possibilities of new contribution to the management of high risk pregnancies and those pregnancies with unpredictable outcomes. The objective was to study the incidence and the clinical profile of antenatal and postpartum women requiring admission to the ICU, the interventions required in these women and final outcome.Methods: A retrospective cohort study of all obstetric critical care admissions during 2-year period from January 2016 to December 2017 was done at 1296 bedded tertiary care hospital. During the study total 349 obstetric patients were admitted to the ICU. The data were analysed by using percentage.Results: Primigravida (54.73%) were more as compared to multigravida (45.27%). Only 15.76% patients were in antepartum period while majority of patients (84.24%) were admitted during postpartum period. The main obstetric indications for ICU admission were pregnancy-induced hypertension (14.32%) followed by obstetric hemorrhage (9.16%) and community acquired pneumonia (7.44%). Other indications were valvular heart disease (5.44%), ANC with severe anemia (1.72%), monitoring (6.30%). In the present study maternal mortality among the women admitted to ICU was 18.05%. The leading cause of maternal death was obstetric hemorrhage (28.57%) followed by pregnancy induced hypertension (25.40%). An ICU intervention during the stay of the patients in terms of mechanical ventilation was used in 250 (71.63%) cases.Conclusions: A high quality multidisciplinary care is required in complicated pregnancies for safe motherhood. So, there is a need for dedicated ICU for obstetric patients.

scholarly journals The Effect of Pregnancy-Induced Hypertension on Uteroplacental Vasculature Hemodynamic Changes and Pregnancy Outcome

2021 ◽  
pp. 211-215
Author(s):  
Fahmida Gul ◽  
Sameena Gul Memon ◽  
Maria Javaid ◽  
Suresh Kumar ◽  
Yaswant Rai ◽  
...  
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Umbilical Artery ◽  
Color Doppler ◽  
Tertiary Care ◽  
Fetal Outcome ◽  
Care Hospital ◽  
Pregnancy Induced Hypertension ◽  
Uterine Arteries ◽  
Induced Hypertension

Background: Among the various complications of pregnancy, pregnancy-induced hypertension is found to be the most common which may affect maternal and fetal outcome. Pregnancy induced hypertension can cause growth retardation of fetus. Aim and Objective: This study aims to assess hemodynamic variations in uteroplacental circulation in pregnancy-induced hypertension and its effect on fetal outcome. Materials and Methods: The study was carried out at tertiary care hospital of nawab shah for the period of 06 months at Department of Radiology in association with Department of Gyne and Obs. Total 106 participants were selected for the study and all females were pregnant with 1st or 2nd trimester gestational record and medical history was taken from all participants and co-morbidities was also evaluated. Blood pressure was checked from all participants from their right arm in lying position and Ultrasound test was repeated as per requirement through color Doppler ultrasound machine and Data was analyzed by using statistical software SPSS. 24.00 version. Results: After collection of research data from all participants, the entire data was assembled for the analysis. Participants were divided into various age groups as 26 were in 18-21yeras, 34 in 22-25years, 21 in 26-29years and only 07 were from 34-37years. 26 participants were belongs to 1st trimester, 34 among 2nd trimester and 21 in third trimester. PI was also noted with three different readings 32 in Umbilical artery, 21 in middle cerebral artery and 37 in uterine artery. RI was also noted among different arteries 41 in umbilical, 36 in middle cerebral and 39 in uterine arteries. S/D was also noted, 33 in umbilical artery, 49 in middle cerebral artery and 30 in uterine arteries. Conclusion: Pregnancy-induced hypertension causes hemodynamic variations in uteroplacental vasculature which may be responsible for causing impaired fetal growth in some cases.

scholarly journals Effect of maternal high body mass index on outcome of pregnancy in women with recurrent miscarriages

2021 ◽  
Vol 8 (4) ◽  
pp. 237-241
Author(s):  
Malangori Parande ◽  
Tanvi V Wagh ◽  
Anjali V Wagh ◽  
Nandkumar Salunke
Keyword(s):  
Gestational Diabetes ◽  
Preterm Delivery ◽  
Maternal Obesity ◽  
Tertiary Care ◽  
Overweight And Obesity ◽  
Care Hospital ◽  
Pregnancy Induced Hypertension ◽  
Recurrent Miscarriages ◽  
Induced Hypertension ◽  
Maternal Overweight

The epidemic of obesity is spreading worldwide and subsequently, rate of obesity during pregnancy has also increased. Maternal overweight and obesity are widely associated with adverse pregnancy outcomes. Recurrent miscarriage is an important reproductive health issue, because it affects many couples. So the present study is planned to study the relationship between maternal obesity and pregnancy outcome in women with recurrent miscarriages. Observational Cross sectional study was conducted in a tertiary care hospital. 111 Postnatal women between 18 to 44 years of age with history of two or more miscarriages less than 20 weeks of gestation in previous pregnancy were included in the study. First trimester weight at the first visit (registration) was recorded, BMI was calculated & women were divided into obese and non obese groups. The outcome of present pregnancy was noted as Mode of delivery, Gestational diabetes mellitus, Pregnancy induced hypertension, Preterm delivery etc. Statistical tests were used to quantify the risk. Gestational diabetes (OR= 13.6) and pregnancy induced hypertension (OR=4.2) were significantly associated with obesity in women with recurrent miscarriages. [At 95% CI] The incidence of LSCS and preterm delivery was more in overweight and obese mothers, though not statistically significant. Maternal obesity significantly contributes to poor prognosis for the mother and the baby during delivery. Hence the women of this group should be regarded as ‘high risk’ and counselling and the risk assessment should be done during ANC visits.

scholarly journals Maternal and fetal outcome in placenta previa: our experience

2020 ◽  
Vol 9 (8) ◽  
pp. 3253
Author(s):  
G. D. Maiti ◽  
M. Adhikary ◽  
P. R. Lele ◽  
Shilpa Gupta ◽  
M. Saha ◽  
...  
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Placenta Previa ◽  
Tertiary Care ◽  
Neonatal Morbidity ◽  
Fetal Outcome ◽  
Blood Component ◽  
Care Hospital ◽  
Potential Risks ◽  
Risks Factors

Background: Placenta previa contributes substantial maternal and neonatal morbidity including management challenges for obstetrician. This study was to evaluate the potential risks factors and feto-maternal, outcome in placenta previa. This study was done with the intent of developing insight into risk factors, clinical presentation, various interventions and management for overall improvement in maternal and fetal outcome in placenta previa.Methods: A prospective observational study, where 30 cases of placenta previa confirmed after 28 weeks POG, treated in a public sector tertiary care hospital from June 2016 to June 2018 were included. Authors analyzed the data to evaluate the potential risks factors and maternal and fetal outcome in placenta previa.Results: In this study, major contributing risk factors for placenta previa were associated with multiparity (76.7%), maternal age >30 in 50%, previous LSCS in 46.7%, repeated uterine procedure like suction evacuation/curretage. There was a high rate of maternal morbidity mainly due to haemorrhage. Perioperative uterine artery embolization (UAE) in 3 (10%), intra-operative procedures namely devascularization, internal iliac ligation in 66.6% cases, peripartum hysterectomy in 2 (6.66%) were done to control haemorrhage. Blood and blood products transfusion required in 26.7% of cases. Fetal morbidity included prematurity in 9 (33.3%), NICU admission in 11 (36.6%) majority of which included 8 (26.7%) babies of birth weight <2000 grams.Conclusions: Placenta previa contributes to significant maternal and neonatal morbidity. Multiparity, post LSCS pregnancy constitute major factor for placenta previa. Management requires high-risk obstetrical care with frequent antenatal visits. Serial ultrasonography in reported cases of low-lying placenta to mandatory exclude overdiagnosis or migration. All cases of placenta previa need to be managed in a higher centre facility of blood component therapy and neonatal intensive care unit. Prematurity and low birth weight remain a significant cause for neonatal morbidity.

scholarly journals Comparative study of vaginal delivery and caesarean section in antepartum eclampsia at tertiary care hospital

2017 ◽  
Vol 6 (2) ◽  
pp. 457 ◽  
Author(s):  
Priti Kumari ◽  
Sipra Singh ◽  
Salma Khatun ◽  
. Shashikar
Keyword(s):  
Caesarean Section ◽  
Perinatal Mortality ◽  
Vaginal Delivery ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Multiple Pregnancy ◽  
Fetal Outcome ◽  
Sudden Onset ◽  
Care Hospital ◽  
Maternal Complications

Background: Eclampsia is characterized by the sudden onset of generalized tonic clonic seizures. Eclampsia is usually preceded by a history of the pre-eclampsia but rarely arises in a woman with minimally increased blood pressure and no proteinuria. Eclampsia most commonly occurs in the third trimester, though rarely eclampsia may occur before 20 wks in molar or multiple pregnancy. The aim of the study was to compare maternal and fetal outcome in antepartum eclampsia when terminated by vaginal delivery and caesarean section.Methods: 50 women with eclampsia attending emergency department OBG department of Katihar Medical College, Katihar were collected from Feb 2015 to Sep 2016. Depending upon the mode of delivery, they were divided into two groups, CD group where caesarean section was performed and VD group where vaginal delivery was performed.Results: Of the 50 cases, caesarean section was done in 40% of the cases, while vaginal delivery was carried was carried in 60%.Maternal complications in CD group was 35% and 80% in VD group (p<0.001).The incidence of live births, still birth and neonatal death was 85%, 15%, 0% in CD group and 60%, 40%, 10% in VD group. The corrected perinatal mortality was 50%.Conclusions: Timely caesarean section reduces maternal and perinatal mortality and improves their outcome in antepartum eclampsia.

scholarly journals Antenatal Complications in Grand Multipara Presented at Tertiary Care Hospital

2021 ◽  
Vol 15 (1) ◽  
pp. 69-72
Author(s):  
Sadia Kadir ◽  
Keyword(s):  
Tertiary Care Hospital ◽  
Placenta Previa ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Pregnancy Induced Hypertension ◽  
Cross Sectional ◽  
Grand Multiparity ◽  
Induced Hypertension ◽  
Pregnancy And Birth

Background: Grand multiparity considered as a risk factor of obstetrics because of the recorded complications linked to the condition. Grand multiparity typically considered as the distinctive reason for the raised, maternal and fetal morbidity and mortality because of expanded incidence of adverse outcome during pregnancy and birth. Objective: To determine frequency of antenatal complications in grand multipara. Study Design: Cross-sectional study. Settings: Department of Obstetrics and Gynecology, Jinnah Postgraduate Medical Centre, Karachi Pakistan. Duration: Study duration was six months from March 2016 September 2016. Methodology: Total 212 patients were included in this study. Anemia was taken as Hb of 11g/dl, PIH was taken as BP of >140/90mmHg after 20 weeks of gestation with or without proteinuria on two or more occasion 6 hours apart and placenta previa was confirmed via ultrasonography. All the information was collected via study proforma. Results: Patients mean age was 34.90±3.51 years. Most of the patients 96.7% had parity 5-9. Anemia was found 69.8% and pregnancy induced hypertension was 22.2%, while placenta previa was found to be 18.9%. Antenatal complications including anemia, pregnancy induced hypertension and placenta previa were found to be statistically insignificant according to age, parity and BMI, (p->0.05). Conclusion: Most common antenatal complication in this study was anemia followed by hypertension and placenta previa. Grand multiparity is at a greater risk of antenatal complications.

scholarly journals A study on pregnancy induced hypertension and foetal outcome among patient with PIH at tertiary care hospital, Valsad

2017 ◽  
Vol 4 (11) ◽  
pp. 4277
Author(s):  
Ravikant Patel ◽  
Hinal Baria ◽  
Hinaben R. Patel ◽  
Sunil Nayak
Keyword(s):  
Early Recognition ◽  
Tertiary Care ◽  
Lower Abdominal Pain ◽  
Public Health Problem ◽  
Fetal Mortality ◽  
Care Hospital ◽  
Pregnancy Induced Hypertension ◽  
Cross Sectional ◽  
Induced Hypertension ◽  
Foetal Outcome

Background: Hypertensive disorders are common complication occurring during pregnancy responsible for maternal and fetal mortality and morbidity. Though the condition is on decline, still stands a public health problem. The aims and objectives of the study were to know the clinical presentation among PIH patients and to find out foetal outcome among patients with PIH.Methods: A cross-sectional study was conducted over period of 1 year in the department of Obstetrics and Gynecology, tertiary care health facility at GMERS Medical College and Hospital, Valsad. A total of 64 pregnant women with PIH were enrolled in this study with inclusion-exclusion criteria. Necessary information such as Socio-demographic information, detailed clinic and obstetric history, clinical examination, investigations and foetal outcome was note by using preformed performa. Data were entered and analyzed by using MS Excel and Epi Info software.Results: Majority of PIH mother is belonging to age group of 18-26 years (51.56%), PIH is more prevalent among nulliparous (57.81%). Among PIH mother 48.44% had lower abdominal pain, 18.75% had vomiting/epigastric discomfort followed by headache (12.50%), convulsion (10.94%) etc. 53.12% of PIH mother delivered low birth weight babies, 7.81% are IUGR. 18.75% of babies were required NICU admission with 1.56% of neonatal death.Conclusions: Pregnancy induced hypertension is a common medical disorder associated with pregnancy. We noted that PIH is more prevalent in younger age groups and nulliparous mothers. PIH lead to a various clinical manifestation some of this may use as early recognition of PIH. PIH also lead to increase adverse foetal outcome. Thus fetal morbidity and mortality can be reduced among PIH patients by early recognition and institutional management. 

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