CROSS SECTIONAL STUDY OF CAUSES AND DETERMINANTS OF STILLBIRTHS AT TERTIARY CARE TEACHING HOSPITAL

Introduction- Stillbirth rates are unacceptably high in developing countries. It reects the suboptimum quality of maternal and child health services. Material And Methods- Prospective observational cross sectional study, carried out for one year duration at tertiary care referral hospital in central India. Results-There were 9165 deliveries and 9318 babies born in the hospital.There were 318 stillbirths of which 245(77%) were antepartum stillbirths and 73(23%) were intra-partum stillbirths. The stillbirth rate in the present study was 34/1000 births. Ante-partum haemorrhage (36%) and pregnancy induced hypertension (21%) were most common causes of ante-partum stillbirths where as extreme prematurity with very low birth weight (41%), birth asphyxia, meconium aspiration (21%) and intra-partum haemorrhage (15%) were common causes of intra-partum stillbirths. Conclusion- There is high rate of stillbirths in the present study. Health education, improvement of maternal nutrition, regular antenatal check-ups, high risk pregnancy identication and timely referral and institutional deliveries will help in preventing large number of stillbirths.

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Maternity handover in Kerala: a cross sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20183560 ◽

2018 ◽

Vol 5 (9) ◽

pp. 3760 ◽

Cited By ~ 1

Author(s):

Aadil Sheikh ◽

Jessica Dunphy ◽

Claire Humphries ◽

Christina MacArthur ◽

Semira Manaseki-Holland

Keyword(s):

Healthcare Provider ◽

Tertiary Care ◽

Obstetric Care ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Community Health Services ◽

High Rate ◽

Sectional Study ◽

Cross Sectional ◽

The Impact

Background: The objective of the study was to explore the referral system from the community to hospital obstetric care in Kerala, India.Methods: Cross-sectional study. A total of 206 obstetric inpatients in 3 hospitals in Kerala, India completed an orally-administered questionnaire regarding referral and attitudes towards healthcare information.Results: Among 206 respondents, 19 (9%) had been referred from another healthcare provider. In multivariate analysis, referral was independently associated with being in a tertiary hospital (p<0.001). At total of 17 referred women received a document containing hand-written notes from their previous healthcare provider. Just 3 of the documents available to view were formal referral documents; others were test results and/or hospital notes. A total of 170 (86%) of the 206 women thought that receiving documents such as referral letters was important; mostly because it helped them understand their condition and explain it to others (91%).Conclusions: A high rate of self-referral (91%) was reported by obstetric inpatients. It appears that some women who are referred do not receive a formal referral document. Participants thought that receiving referral documents was important. A strong health system requires transfer of information between primary and secondary/tertiary care services, which India is seeking to develop. Further research is needed into why women are not accessing community health services and the impact of the content of referral documents on patient care.

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Rupture Uterus in a Tertiary Care Centre: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.5894 ◽

2021 ◽

Vol 59 (236) ◽

Author(s):

Deepa Chudal ◽

Sebak Shrestha ◽

Ruby Shrestha ◽

Vikash Paudel

Keyword(s):

Perinatal Death ◽

Tertiary Care ◽

Fetal Outcome ◽

Cross Sectional Study ◽

Care Centre ◽

Sectional Study ◽

Tertiary Care Centre ◽

Maternal Complications ◽

Cross Sectional ◽

Risk Pregnancy

Introduction: Rupture uterus is an obstetric catastrophe with poor maternal and fetal outcome. The objective of the study is to determine the prevalence of rupture uterus in pregnancy. Methods: This was a descriptive cross sectional study conducted in a tertiary care centre from January 2016 to December 2016 after taking ethical approval (Approval No. F-NMC-510/76/77) from Institutional Review Committee. Convenience sampling method was used. Data were entered in the Microsoft Excel sheet and obtained data was analysed using Statistical Package for Social Sciences version 18 software for central tendency and frequencies. Results: Out of total 1559 deliveries, prevalence of rupture uterus was found to be 12 (0.0077%). Previous lower segment caesarean scar rupture was the most common risk factor noted in 7 (58.3%) cases. A total of seven patients (58.3%) required intensive care unit admission and blood transfusion. Other maternal complications were surgical site infection 2 (16.67%), sepsis 2 (16.67%), paralytic ileus 1 (8.3%), pelvic collection 1 (8.3%) and vesico vaginal fistula 1 (8.3%). Two maternal deaths (16.67%) and perinatal death was noted in 8 (66.66 % ) cases. Conclusions: Rupture uterus most commonly occurred in scarred uterus. Identification of high risk pregnancy, judicious caesarean section, proper labor monitoring, early diagnosis and prompt management are essential in reducing its occurrences.

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Confidence toward vaccination as reported by parents of children admitted to a tertiary care hospital in Riyadh, Saudi Arabia: A cross sectional study

Vacunas ◽

10.1016/j.vacun.2020.04.004 ◽

2020 ◽

Vol 21 (2) ◽

pp. 95-104 ◽

Cited By ~ 1

Author(s):

Y.M. AlGoraini ◽

N.N. AlDujayn ◽

M.A. AlRasheed ◽

Y.E. Bashawri ◽

S.S. Alsubaie ◽

...

Keyword(s):

Saudi Arabia ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional

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Suicidal Death Autopsy Analysis at Dhaka Medical College

Bangladesh Medical Journal ◽

10.3329/bmj.v40i1.9957 ◽

1970 ◽

Vol 40 (1) ◽

pp. 18-21 ◽

Cited By ~ 1

Author(s):

MN Hossain ◽

Z Rahman ◽

S Akhter

Keyword(s):

Forensic Medicine ◽

Causes Of Death ◽

Cross Sectional Study ◽

Age Group ◽

Sectional Study ◽

Cross Sectional ◽

Medical College ◽

Autopsy Report ◽

Common Causes ◽

Suicidal Death

A cross sectional study was carried out at the department of Forensic Medicine in Dhaka Medical College during the period of January 2008 to December 2009. Data were collected from 3rd copy of the post mortem reports which were preserved in the department of Forensic Medicine with the verbal consent of the doctors who performed autopsy report. During this period total 5114 autopsies were conducted. Out of this 970 cases (19%) were suicidal in nature. It was noticed that all suicidal deaths occurred from 10 years to all age group respectively, but top amongst age group of suicidal deaths occurred in between 21 to 30 years of people. Suicidal deaths are more common in female than male. Suicidal deaths due to hanging is highest, next common causes of death due to organophosphorus compund poisoning. Suicidal deaths by hanging is more in female than male but in poisoning cases male are more lvictimised than female. Objectives of our study are to see the occurrence and methods of suicidal death. DOI: http://dx.doi.org/10.3329/bmj.v40i1.9957 BMJ 2011; 40(1): 18-21

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Costs incurred by patients with diabetes mellitus in a tertiary care hospital - a cross sectional study

The Journal of Clinical and Scientific Research ◽

10.15380/2277-5706.jcsr.16.12.002 ◽

2017 ◽

Vol 6 (4) ◽

pp. 203

Author(s):

K Nagaraj ◽

VV Anupamaa

Keyword(s):

Diabetes Mellitus ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Patients With Diabetes

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A Retrospective Analysis of Mature Cystic Teratomas of the Ovary:A Cross Sectional Study from a Tertiary Care Hospital of Central Region of Nepal

Medical Science ◽

10.29387/ms.2014.2.4.150-156 ◽

2014 ◽

Vol 2 (4) ◽

pp. 150

Author(s):

Sushna Maharjan ◽

Mamata Tiwari ◽

Sabin Ranabhat

Keyword(s):

Retrospective Analysis ◽

Central Region ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional

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A Cross-sectional Study of Undiagnosed Fever in a Rural Population at a Tertiary Care Hospital of West Bengal

Annals of International medical and Dental Research ◽

10.21276/aimdr.2018.4.3.me2 ◽

2018 ◽

Vol 4 (3) ◽

Author(s):

Nandini Chatterjee ◽

Supratick Chakraborty ◽

Mainak Mukhopadhyay ◽

Sinjon Ghosh ◽

Bikramjit Barkandaj ◽

...

Keyword(s):

Rural Population ◽

West Bengal ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional

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The pattern of thyroiditis in multiple sclerosis: a cross-sectional study in a tertiary care hospital in Egypt

The Egyptian Journal of Internal Medicine ◽

10.1186/s43162-020-00017-w ◽

2020 ◽

Vol 32 (1) ◽

Author(s):

Nearmeen M. Rashad ◽

Marwa G. Amer ◽

Waleed M. Reda Ashour ◽

Hassan M. Hassanin

Keyword(s):

Multiple Sclerosis ◽

Interferon Beta ◽

Demyelinating Disease ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cmv Infection ◽

Cross Sectional ◽

Disease Modifying Drugs

Abstract Background Multiple sclerosis (MS) is an inflammatory demyelinating disease of the central nervous system with varied clinical features. Disease-modifying drugs (DMDs) of MS associated with different types of thyroiditis. In this cross-sectional study, we aimed to assess the prevalence of thyroid dysfunction in MS and to investigate the association between DMDs and the risk of thyroiditis in MS. A cross-sectional study included 100 patients with relapsing-remitting multiple sclerosis (RRMS) in relapse, and the diagnosed was according to revised McDonald’s criteria 2010. Results Our results revealed that the prevalence of thyroiditis was 40%; autoimmune (34%) and infective (6%) among patients with RRMS in relapse and cerebellar symptoms were significantly higher in patients with thyroiditis compared to patients without thyroiditis. Regarding the association between DMDs and thyroiditis, the prevalence of patients treated with interferon-beta-1b was higher in MS patients with thyroiditis compared to MS patients without thyroiditis. However, the prevalence of patients treated with interferon-beta-1a was lower in MS patients with thyroiditis compared to MS patients without thyroiditis. In addition, we found CMV infection was more common in patients treated by interferon beta-1b and candida infection was common in patients treated by fingolimod. Conclusions Thyroiditis is commonly observed in patients with RRMS in relapse and higher prevalence of patients treated with interferon-beta-1b which is commonly associated with thyroiditis and CMV infection; however, candida thyroid infection was common in MS patients treated by fingolimod.

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