A STUDY ON ANTENATAL MORBIDITIES IN A CORPORATION REFERRAL HOSPITAL, BANGALORE.

2021 ◽  
pp. 34-36
Author(s):  
Prakruthi R A ◽  
Nandini R C ◽  
D H Ashwath Narayana
Keyword(s):  
Pregnant Women ◽  
Maternal Morbidity ◽  
Sampling Method ◽  
Demographic Variables ◽  
Referral Hospital ◽  
Age Group ◽  
Exclusion Criteria ◽  
Maternal Deaths ◽  
Antenatal Period ◽  
Obstetric Morbidity

Maternal deaths have been described as the tip of the iceberg and maternal morbidity as the base. Over the last decade, identication of maternal morbidity emerged as an alternative investigation of maternal deaths. World-wide studies regarding maternal mortality are of highest importance but studies regarding obstetric morbidity are still sparse, hence in this context the present study was undertaken to know the morbidities in antenatal period. Objectives: 1. To describe socio demographic prole of study subjects. 2. To assess the antenatal morbidities among study subjects. Subjects and Methods: A longitudinal study done in a Municipal corporation referral hospital Banashankari attached to KIMS, Bangalore. A total of 250 pregnant women were included in the study by using purposive sampling method after fullling inclusion and exclusion criteria. Data was collected using pre-tested; semi structured proforma, which had details on socio-demographic variables, types of morbidities were noted done. Subsequently, all the pregnant women were followed up until delivery day and details were collected when they came to the hospital check-up or by telephonic conversations. Among 250 study subjects, majority (46.4%) were in the Results: age group of 21-25 years and mean age ± SD was 23.7±3.7 years. Majority i.e., 203(81.2%) had one/ more morbidities during the antenatal period. 46(18.4%) ,90(36.0%) 100(40.0%) pregnant women had anaemia in 1st, 2nd and 3rd trimester respectively. Majorit Conclusion: y of study subjects had one or more morbidities during their entire antenatal period and the most common morbidity was anaemia.

scholarly journals Description The Activities of Recording and Reporting Maternal Health Monitoring in PWS-KIA Based on Surveillance Attributes

2014 ◽  
Vol 2 (1) ◽  
pp. 34
Author(s):  
Ika Arma Rani ◽  
Arief Hargono
Keyword(s):  
Maternal Health ◽  
Pregnant Women ◽  
Health Monitoring ◽  
Age Group ◽  
Quality Of Data ◽  
Maternal Deaths ◽  
Low Sensitivity ◽  
Alternative Solutions

ABSTRACTMaternal Mortality Rate (MMR) in East Java Province tends to increase every year. In fact, Jember has the highest number of maternal deaths during the period 2009-2011, and placed in 2nd position during 2012. Puskesmas Kaliwates for 3 consecutive years has the highest number of maternal deaths in the Jember. This research aimed to to describe the activities of recording and reporting the maternal health monitoring in PWS KIA system at Puskesmas Kaliwates, Jember regency, in 2012 by using attributes surveillance.The Research design is descriptive. Assessment in attributes of maternal health monitoring on PWS KIA system at Puskesmas Kaliwates in 2012 showed that the system is quite complicated, lack of flexibility, low quality of data, high acceptability, low sensitivity, low NPP, low representativeness, uncertain timelines, and low stability of data.The alternative solutions given are familiarizing midwife to analyze and compose a follow-up planning, improving the quality of the completeness and data’s accuracy, standardizing the entire form on KIA PWS systems to avoid duplication and increase forms simplicity,completing PWS KIA guidelines in Puskesmas, making guidelines on how to fill the form, taking records on register cohort of mother by dividing the sheet into 12 sections by month for pregnant women by gestational age group to facilitate the monitoring of pregnant women and childbirth, developing other surveillance system, forming KIA surveillance team, improving attendance format, and using a computerized system.Keywords: Monitoring maternal health, PWS KIA, Attributes surveillance.

scholarly journals Variation of Clinical Estimation of Foetal Weight: Experience of 247 Cases in Dhaka City

2019 ◽  
Vol 16 (2) ◽  
pp. 60-64
Author(s):  
Tahmida Firdousi ◽  
Taslima Begum ◽  
Shimul Akter ◽  
Nur Mohammad
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
Clinical Examination ◽  
Age Group ◽  
Singleton Pregnancy ◽  
Exclusion Criteria ◽  
Actual Weight ◽  
Normal Birth ◽  
Study Population ◽  
The Mean

Background: Foetal weight detection can vary by examining clinically. Objective: The purpose of the present study was to see the variation of clinical foetal weight among the newborn infant. Methodology: This prospective cohort study was carried out in the Department of Obstetrics & Gynaecology at Rajshahi Medical Hospital, Rajshahi, Bangladesh from July 2012 to June 2014 for a period of 2(two) years. Pregnant women with known gestational age at term (38 to 40 weeks of pregnancy), singleton pregnancy with longitudinal lie were included in this study. The clinical estimation of foetal weight was done. Actual birth weights of babies were measured soon after their birth. This weight was measured within the first hour of life. They were weighed naked. Result: A total number of 245 pregnant women in term pregnancy were recruited as per inclusion and exclusion criteria. Majority of the women [91(37.1%)] belonged to the age group 25 to 29 years, 83 (33.9%) in the age group 19 to 24 years. Low Birth Weight was found 14(5.7%) cases in clinical examination and 15(6.0%) cases in actual cases. Normal birth weight was found 215(87.8%) cases and 221(90.3%) cases in clinical examination and actual weight respectively. The mean with SD of foetal weight among the study population were 3283.27±461.05 gm and 2936.20±456.71 gram in clinical examination and actual weight respectively (p < 0.05). Conclusion: In conclusion there is a significant variation of clinical estimation of foetal weight Journal of Science Foundation 2018;16(2):60-64

scholarly journals Hubungan ibu hamil dengan Obesitas Dengan Kejadian Pre-Eklamsi Di Kecamatan Kaliwates Kabupaten Jember

2020 ◽  
Vol 5 (2) ◽  
pp. 7
Author(s):  
Aldi Febrian Wieminaty, SST., M.Kes
Keyword(s):  
Pregnant Women ◽  
Null Hypothesis ◽  
Statistical Test ◽  
P Value ◽  
Exclusion Criteria ◽  
Chi Square ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Chi Square Test ◽  
The Relationship

Jember Regency is the 2nd (second) highest place in the Maternal Mortality Rate at East Java. There was an increase number of maternal deaths from 2014 to 2017 at Jember Regency. The trias ocauses maternal of death included bleeding (28%), preeclampsia / eclampsia (24%), and infection (11%). Obesity triggers the incidence of preeclampsia through several mechanisms, namely superimposed preeclampsia, or through metabolite triggers and other micro molecules. The purpose of this study was to analyze the relationship between pregnant women who obesity with the incidence of preeclampsia. This type of research is descriptive with quantitative analysis and the research uses a cross-sectional approach. The population of this study were 182 pregnant women in the Kaliwates district, Jember in May-August. above 34 weeks pregnant mom, and the exclusion criteria were mothers who were not willing to be respondents. The results obtained were 66 pregnant women, this study used the Chi-Square test. The results of this study can be concluded that there is a relationship between pregnant women and obesity to the incidence of preeclampsia, namely as much as 70.0%, and pregnant women with obesity who do not experience preeclampsia as much as 30.0%. From the statistical test, the results of the null hypothesis are rejected with a P value of 0.000 <0.05, which means that there is a relationship or there is a relationship between pregnant women and obesity with the incidence of preeclampsia. Keywords: pregnant woman, obesity, preeclampsia

scholarly journals Asymptomatic Bacteriuria, Prevalence Report during Antenatal Period at Pumhsw Nawabshah, Pakistan

2021 ◽  
pp. 18-23
Author(s):  
Sikander Ali Sial ◽  
Bhojo Mal Tanwani ◽  
Amir Bux Detho ◽  
Kousar Parveen ◽  
Fouzia Rasool Memon ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Gestational Age ◽  
Asymptomatic Bacteriuria ◽  
P Value ◽  
Age Group ◽  
Cross Sectional ◽  
Antenatal Period ◽  
Planning And Control ◽  
Gynecology And Obstetrics ◽  
Total Prevalence

Objective: The aim of study is the determination of   prevalence of asymptomatic bacteriuria during antenatal period in PUMHSW, with prevalence of antenatal asymptomatic bacteriuria in neighboring countries. Methodology: This study is Cross Sectional-Prospective, and conducted at the Department of Pathology Peoples University of Medical & Health Sciences (PUMHS) for Women Nawabshah (Shaheed Benazir Abad). All the samples (417) were obtained from the pregnant women attending the Outpatient Department of Gynecology and Obstetrics PUMHS Hospital Nawabshah.All mid-stream clean catch collected urine sample in sterile container processed for urine detailed report (physical, chemical and microscopic examination).All the demographic details were entered and analyzed by SPSS 20.More than 8 international as well as national databases were searched  to  the year 2020, consisting of  google, Pub-med, Science direct, Web of Science, Medline. The data obtained were analyzed and their results reported with a random-effects model with confidence level 95%. Result: Out of 417 patients the mean age of the pregnant female was 29.32± 5.74 years.There were females with mean parity of 2.66 ±2.42 and mean gestational age was25.84± 11.80.Age when compared with asymptomatic bacteriuria revealed statistically significant value p value 0.000 with an increased incidence seen among age group of 26-30yrs n=33(44%).  The total prevalence of asymptomatic bacteriuria (ASB) was 83(19.9%).Age when compared with asymptomatic bacteriuria revealed statistically significant value p value 0.000 with an increased incidence seen among age group of 26-30yrs. Conclusion: Asymptomatic bacteriuria during pregnancy is increasingly found in younger age women, with increasing gestational age. Therefore urine cultures during antenatal period should be done to diagnose asymptomatic bacteriuria in order to make preventative planning and control of asymptomatic bacteriuria among pregnant women.

scholarly journals Maternal outcome in pregnant women with anaemia

2018 ◽  
Vol 17 (3) ◽  
pp. 446-454 ◽  
Author(s):  
Neerja Singal ◽  
Geetanjali Setia ◽  
Bal Krishan Taneja ◽  
Kiran Kumar Singal
Keyword(s):  
Pregnant Women ◽  
Maternal Morbidity ◽  
Sampling Method ◽  
Medical Science ◽  
Public Health Problem ◽  
Simple Random Sampling ◽  
Severe Anaemia ◽  
Maternal Outcome ◽  
Anaemia In Pregnancy ◽  
In Pregnancy

Background: Anaemia in pregnancy is one of the most important and common public health problem not only in India but also in most of the South East Asian countries. Anaemia is the most common nutritional deficiency disorder in the world. There is predominance of iron deficiency anaemia (nutritional anaemia). In pregnancy, it is one of the leading causes responsible for maternal morbidity and mortality.Objective: To find out the maternal outcome in pregnant women with anaemia at MMIMSR during the study period with special reference to the severity of the disease.Methods: The study was conducted in Department of Obstetrics and Gynaecology, MMIMSR, Mullana, Ambala(India). The study was carried out between the period of october 2012 to September 2014.A total of 200 cases of moderate and severe anaemia were included in the study on the basis of simple random sampling method and 200 cases of non anaemic subjects were included to serve as controls for the anaemic group, during the study period. Hb gm/dl was taken as criteria for deciding anaemia cases and also to classify them according to the severity. Cases were classified according to WHO criteria.Results: Out of 200 cases of anaemia, 70% were moderately anaemic (Hb 7 – 9.9gm/dl) and 30% were severly anaemic (Hb < 7gm/dl). Microcytic hypochromic type of anaemia (82.5%) was more prevalent suggesting nutritional inadequacies as cause of anaemia. Higher incidence of preterm (17%), PPH (7.5%), maternal morbidity (14.5%) was found in anaemic group as compared to non anaemic controls.Conclusion: Anaemia in pregnancy has adverse maternal outcome in the form of maternal morbidity, preterm labour, and increased incidence of operative delivery.Bangladesh Journal of Medical Science Vol.17(3) 2018 p.446-454

scholarly journals Explorative Study on Hipertension Treatment among Pregnant Women

2019 ◽  
Vol 8 (4) ◽  
pp. 189
Author(s):  
Anis Ristyaningsih ◽  
Anis Ristyaningsih ◽  
Fivy Kurniawati ◽  
Nanang Munif Yasin
Keyword(s):  
Blood Pressure ◽  
Clinical Outcome ◽  
Pregnant Women ◽  
Sampling Method ◽  
Medical Service ◽  
Antihypertensive Drugs ◽  
Cross Sectional Study ◽  
Utilization Pattern ◽  
Exclusion Criteria ◽  
Cross Sectional

Maternal mortality in Indonesia is relatively high, hypertension becomes one of the causes. Hypertension and complication give particular contribution on morbidity and mortality on neonatal and maternal. On the other hand, antihypertensive drug use in  pregnancy has both benefit and risk. Therefore, appropriate hypertension management needs to be assesed in order to minimize the risk in mother and baby. The aim of the study is to determine the utilization pattern of antihypertensive drugs that will be assesed for suitability with the standard of medical service and American College of Obstetrics and Gynecologists (ACOG) guideline, as well as to determine clinical outcome of the therapy, which includes achieving target blood pressure, proteinuria, and edema. This study was a cross-sectional study with retrospective data collected from hospitalized patients’ medical record in RS PKU Muhammadiyah Yogyakarta from 2012 – 2015. The data of patients’ medical records according to inclusion and exclusion criteria was obtained using consecutive sampling method. Data obtained was analyzed descriptively and reviewed with the suitability of standard of medical service and ACOG guideline. Research shows that most widely used antihypertensive drugs are nifedipine by 51,8%, methyldopa by 2,6%, and amlodipine by 2,6%. Based on the evaluation of sensibility of treatment, 75,3% stated right indication, 100% right patient, and right medication and dosage. Clinical outcome includes blood pressure that had achieved the target as many as 77 patient, with negative value of proteinuria and edema. Blood pressure when patients were dismissed from the hospital was on average of 128,9±15,9/85±10,9 mmHg. In general, the utilization pattern of hypertension drugs in pregnant women has been well and according to the standards used.

scholarly journals Description The Activities of Recording and Reporting Maternal Health Monitoring in PWS-KIA Based on Surveillance Attributes

2014 ◽  
Vol 2 (1) ◽  
pp. 34
Author(s):  
Ika Arma Rani ◽  
Arief Hargono
Keyword(s):  
Maternal Health ◽  
Pregnant Women ◽  
Health Monitoring ◽  
Age Group ◽  
Quality Of Data ◽  
Maternal Deaths ◽  
Low Sensitivity ◽  
Alternative Solutions

ABSTRACTMaternal Mortality Rate (MMR) in East Java Province tends to increase every year. In fact, Jember has the highest number of maternal deaths during the period 2009-2011, and placed in 2nd position during 2012. Puskesmas Kaliwates for 3 consecutive years has the highest number of maternal deaths in the Jember. This research aimed to to describe the activities of recording and reporting the maternal health monitoring in PWS KIA system at Puskesmas Kaliwates, Jember regency, in 2012 by using attributes surveillance.The Research design is descriptive. Assessment in attributes of maternal health monitoring on PWS KIA system at Puskesmas Kaliwates in 2012 showed that the system is quite complicated, lack of flexibility, low quality of data, high acceptability, low sensitivity, low NPP, low representativeness, uncertain timelines, and low stability of data.The alternative solutions given are familiarizing midwife to analyze and compose a follow-up planning, improving the quality of the completeness and data’s accuracy, standardizing the entire form on KIA PWS systems to avoid duplication and increase forms simplicity,completing PWS KIA guidelines in Puskesmas, making guidelines on how to fill the form, taking records on register cohort of mother by dividing the sheet into 12 sections by month for pregnant women by gestational age group to facilitate the monitoring of pregnant women and childbirth, developing other surveillance system, forming KIA surveillance team, improving attendance format, and using a computerized system.Keywords: Monitoring maternal health, PWS KIA, Attributes surveillance.

Prevalence of Trichomonas Vaginalis and its Correlation with Socio-demographic Variables in Pregnant Women in Al-Diwaniya,Iraq

2018 ◽  
Vol 9 (SPL1) ◽  
Author(s):  
Shiren Ali Al Hamzawi
Keyword(s):  
Pregnant Women ◽  
Rural Areas ◽  
Trichomonas Vaginalis ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Vaginal Swabs ◽  
Low Education

Estimates of Trichomonas vaginalis prevalence in pregnant women are variable with few studies in Iraq.T. vaginalis is a worldwide prevalent sexually transmitted infection,but fortunately,it is very treatable. Researchers believed that pregnancy is one of the effective factors for T. vaginalis infection in women.A cross-sectional study performed in Obstetrics and Gynecology Department at Maternity and Children Teaching Hospital in Al-Diwaniya city on two hundred female pregnant patients between the ages of 16-45 years. These females had no intercourse for 2–3 days,not using drugs (antibiotics,antiprotozoal or steroids) for the last 15 days. Vaginal discharges of any type with or without itching,burning sensation or both were their main complaints. Vaginal swabs were taken from all participating patients for direct wet mount microscopy and culture for the detection of Trichomonas vaginalis infection. The study showed that twelve out of two hundred examined pregnant women (6%) presented with T. vaginalis infection. The infection was more in those with mothers’ age (26-35) years,housewives,low education,higher parity,and of rural residents. Other maternal variables were not significantly associated with T. vaginalis infection. The study showed a prevalence of (6%) of T. vaginalis infection in pregnant female attendees. Infection was more in those with mothers ’age (26-35) years,housewives,low educational level,higher parity,and living in rural areas.

Supernatural norm enforcement: Thinking about Karma and God reduces selfishness among believers

2018 ◽  
Author(s):  
Cindel White ◽  
John Michael Kelly ◽  
Azim Shariff ◽  
Ara Norenzayan
Keyword(s):  
Social Norms ◽  
Framing Effects ◽  
Demographic Variables ◽  
Exclusion Criteria ◽  
Total N ◽  
Norm Enforcement ◽  
Dictator Games ◽  
Within Subjects

Four experiments (total N = 3591) examined how thinking about Karma and God increases adherence to social norms that prescribe fairness in anonymous dictator games. We found that (1) thinking about Karma decreased selfishness among karmic believers across religious affiliations, including Hindus, Buddhists, Christians, and non-religious Americans; (2) thinking about God also decreased selfishness among believers in God (but not among non-believers), replicating previous findings; and (3) thinking about both karma and God shifted participants’ initially selfish offers towards fairness (the normatively prosocial response), but had no effect on already fair offers. These supernatural framing effects were obtained and replicated in high-powered, pre-registered experiments and remained robust to several methodological checks, including hypothesis guessing, game familiarity, demographic variables, between- and within-subjects designs, and variation in data exclusion criteria. These results support the role of culturally-elaborated beliefs about supernatural justice as a motivator of believer’s adherence to prosocial norms.

scholarly journals Haemostatic and thrombo-embolic complications in pregnant women with COVID-19: a systematic review and critical analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Juliette Servante ◽  
Gill Swallow ◽  
Jim G. Thornton ◽  
Bethan Myers ◽  
Sandhya Munireddy ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Pregnant Women ◽  
Clinical Evidence ◽  
Case Reports ◽  
Standard Form ◽  
Test Results ◽  
Maternal Deaths ◽  
High Clinical Suspicion ◽  
Increased Risk ◽  
Definition Of

Abstract Background As pregnancy is a physiological prothrombotic state, pregnant women may be at increased risk of developing coagulopathic and/or thromboembolic complications associated with COVID-19. Methods Two biomedical databases were searched between September 2019 and June 2020 for case reports and series of pregnant women with a diagnosis of COVID-19 based either on a positive swab or high clinical suspicion where no swab had been performed. Additional registry cases known to the authors were included. Steps were taken to minimise duplicate patients. Information on coagulopathy based on abnormal coagulation test results or clinical evidence of disseminated intravascular coagulation (DIC), and on arterial or venous thrombosis, were extracted using a standard form. If available, detailed laboratory results and information on maternal outcomes were analysed. Results One thousand sixty-three women met the inclusion criteria, of which three (0.28, 95% CI 0.0 to 0.6) had arterial and/or venous thrombosis, seven (0.66, 95% CI 0.17 to 1.1) had DIC, and a further three (0.28, 95% CI 0.0 to 0.6) had coagulopathy without meeting the definition of DIC. Five hundred and thirty-seven women (56%) had been reported as having given birth and 426 (40%) as having an ongoing pregnancy. There were 17 (1.6, 95% CI 0.85 to 2.3) maternal deaths in which DIC was reported as a factor in two. Conclusions Our data suggests that coagulopathy and thromboembolism are both increased in pregnancies affected by COVID-19. Detection of the former may be useful in the identification of women at risk of deterioration.

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