scholarly journals A STUDY OF MATERNAL PERCEPTION OF DECREASED FOETAL MOVEMENT AND PERINATAL OUTCOME

2021 ◽  
pp. 150-152
Author(s):  
Nitesh Meena ◽  
Suhail Iqbal ◽  
Heena Kaurani
Keyword(s):  
Perinatal Outcome ◽  
Stress Test ◽  
Well Being ◽  
Stress Evaluation ◽  
Maternal Perception ◽  
Medical College ◽  
Ethical Approval ◽  
Foetal Outcome ◽  
Foetal Movement ◽  
Written Informed Consent

BACKGROUND: Fetal movement is described as motion of the fetus perceived by the mother and is considered as a sign of foetal wellbeing. A reduction of foetal movements causes concern and anxiety, both to the mother and obstetrician.Decreased foetal movements are regarded as a marker for suboptimal intrauterine conditions,possibly of placental dysfunction and intrauterine stress. Evaluation of maternal perception of decrease foetal movement is done by taking proper history,daily foetal movement count (DFMC),non-stress test (NST) and ultrasonography. AIM AND OBJECTIVES: The aim of this study was to find out perinatal outcome among women with decreased foetal movements. The rational for the study is that our findings should contribute to maternal understanding of foetal wellbeing in utero,and possible ways to work with mothers to prevent intrauterine foetal deaths and stillbirths. MATERIAL AND METHODS: This is a hospital based descriptive study conducted at Obstetrics and Gynaecology department, Srimati Heera Kunwar Ba Mahila Chikitsalaya,Jhalawar Medical College Jhalawar from November 2018 to October 2019. Ethical approval was taken from ethical committee and written informed consent was taken from the participants.Total 192 women were included in the study with complain of decreased foetal movements.To ev aluate the foetal well-being daily foetal movement count (DFMC),non-stress test (NST) and ultrasonography was done. RESULT: There was no statistically significant association between DFMC and foetal outcome, but reactive NST is associated with good foetal outcome. CONCLUSION: W rd e conclude that reduced foetal movement during 3 trimester could be ominous sign. Our study suggests that NST,sonography and DFMC may be used to evaluate the women complaining of decrease foetal movement and may identify the women at risk for adverse perinatal outcome.

Umbilical Coiling Index, A Predictor of Perinatal Outcome

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2785-2792
Author(s):  
Saunitra Inamdar ◽  
Himanshi Agarwal ◽  
Amardeep Tembhare ◽  
Shikha Toshniwal ◽  
Tanvi Chaurasia
Keyword(s):  
Umbilical Cord ◽  
Perinatal Outcome ◽  
Chromosomal Abnormalities ◽  
Well Being ◽  
Exit Point ◽  
Foetal Growth Restriction ◽  
Foetal Acidosis ◽  
Umbilical Coiling Index ◽  
Foetal Outcome ◽  
External Forces

Umbilical cord (UC) represents the “life source”, or the “entry and exit” point of humans which is the only source of energy. It is essential for the development, well-being, and survival of the nourishing baby. The characteristic of the coiling of the umbilical cord makes the cord a structure that is  both flexible and strong and provides resistance to  external forces which could compromise the blood flow to the foetus. UC is vulnerable to kinking, compressions, traction, and torsion, which may affect the intrauterine life and perinatal outcome due to coiling. One complete spiral of  360º of the umbilical vessels around each other is defined as Umbilical Coil. Abnormal coiling is defined as UCI less than the 10th percentile (i.e., Hypocoiled cord), UCI more than the 90th percentile (i.e., Hypercoiled cord), and the UCI between 10th and 90th percentile is Normocoiled cord. According to the literature studies, hypercoiled cords are usually associated with intrapartum foetal acidosis and asphyxia, foetal growth restriction, vascular thrombosis, and cord stenosis while the increased incidence of foetal demise, intrapartum FHR deceleration, low APGAR scores, preterm delivery, chorioamnionitis, structural and chromosomal abnormalities, and operative delivery have been associated more with hypocoiled cords. Hence, if the umbilical coiling index can be measured reliably in utero by ultrasound antenatally, then in future, it might become a promising prognostic marker for a better pregnancy and adverse foetal outcome.

scholarly journals The study of maternal and perinatal outcome in prolonged pregnancy

2017 ◽  
Vol 6 (3) ◽  
pp. 1067 ◽  
Author(s):  
Shivani Singh ◽  
Hem Prabha Gupta ◽  
Urvashi Verma ◽  
Gunjan Yadav
Keyword(s):  
Perinatal Outcome ◽  
Birth Asphyxia ◽  
Uttar Pradesh ◽  
Well Being ◽  
Normal Pregnancy ◽  
Control Group ◽  
Medical College ◽  
Prolonged Pregnancy ◽  
Nicu Admission ◽  
Control Study

Background: Prolonged pregnancy or post-dated pregnancy is that pregnancy which has exceeded duration considered to be upper limit of normal pregnancy that is above 40 completed weeks or 280 days from the first day of last menstrual period. The objective was to evaluate the maternal and perinatal outcome of post-dated pregnancy.Methods: A prospective case control study was conducted on antenatal women for 18 months period from May 2014- October 2015 admitted to the Obstetrics and Gynecology Department, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India. The study group was comprised of antenatal women having pregnancy beyond 40 weeks, and the control group was represented with antenatal women between 37-40 weeks admitted for delivery during this period.Results: The prevalence of post-dated pregnancy was found to be 17.6% and of post-term was 5.69%. Among post-dated subjects LSCS rate was 56.50% and in term (37-40 weeks) patient it was 34.18%. The NICU admission for birth asphyxia was 6.09% among term (37-40 weeks) patients and 17.6% in post-dated pregnancies.Conclusions: Any pregnancy that crosses expected date of delivery, Foetal well-being must be assessed and induction of labour should be considered to decrease the risk of perinatal morbidity and mortality.

scholarly journals Relationship of the Findings of Colour Doppler and Non-Stress Test with the Perinatal Outcome among the Cases of Intra-Uterine Growth Restriction

2016 ◽  
Vol 3 (2) ◽  
pp. 115
Author(s):  
Anand R. Tambat ◽  
Ankita Chauhan
Keyword(s):  
Perinatal Outcome ◽  
Large Scale ◽  
Stress Test ◽  
Growth Restriction ◽  
Colour Doppler ◽  
College Hospital ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Uterine Growth ◽  
Relationship Of

<strong>Introduction:</strong> Intrauterine growth restriction is the second most common cause of perinatal mortality and morbidity after prematurity. Etiologies can be maternal, fetal or placental. The correct detection of compromised IUGR fetus to allow timely intervention is a main objective of antenatal care. Many of IUGR patients presents in their third trimester for the first time for antenatal examination. Such patients warrant a highly sensitive and specific diagnostic test which can be noninvasively applied on a large scale. Apart from various other non-invasive tests like USG, NST, Doppler flow studies give us vital information regarding the fetus in utero. Hence the present study is aimed at exploring the association of colour Doppler and non-stress test findings with the perinatal outcome in the fetuses with IUGR. <strong>Aim:</strong> To study relationship of Doppler and NST with perinatal outcome in IUGR cases. <strong>Material and Methods:</strong> A Prospective observational study was conducted on 70 patients of IUGR from August 2013 to November 2015 in Department of Obstetrics and Gynaecology , Dr. Vasantrao Pawar Medical College, Hospital &amp; Research Center. Inclusion criteria: Patients with diagnosed singleton pregnancies with IUGR at gestational age more than 32weeks not in labour. Exclusion criteria: Patients with congenital anomalous fetus, diabetes or acute placental insult. Patients were followed up with serial Umbilical artery Doppler and NST. Perinatal outcome was correlated with the last Doppler and NST within 7days prior to delivery. <strong>Results:</strong> Perinatal outcome is worst in patients with both NST and Doppler are abnormal and best among patients with both normal NST and Doppler. <strong>Conclusion:</strong> Doppler predicts fetal compromise earlier as compared to NST.

scholarly journals Mothers’ knowledge of foetal movements monitoring during pregnancy in relation to perinatal outcome

2006 ◽  
Vol 11 (2) ◽  
Author(s):  
M S Maputle ◽  
M T Mothiba
Keyword(s):  
Early Detection ◽  
Full Text ◽  
Perinatal Outcome ◽  
Maternal Perception ◽  
Foetal Movement

Over the years, maternal perception of foetal movement has become recognised as a valuable tool for early detection of foetal compromise. Opsomming Oor die jare is moederlike waarneming van fetale beweging erken as ’n belangrike instrument in die vroeë identifisering van fetale nood. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

scholarly journals Psychological resilience during COVID-19: a meta-review protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e051417
Author(s):  
Katie Seaborn ◽  
Mark Chignell ◽  
Jacek Gwizdka
Keyword(s):  
Systematic Reviews ◽  
Well Being ◽  
Measurement Tool ◽  
Psychological Resilience ◽  
Key Points ◽  
Meta Review ◽  
Ethical Approval ◽  
Registration Number ◽  
Review Protocol

IntroductionThe global COVID-19 pandemic continues to have wide-ranging implications for health, including psychological well-being. A growing corpus of research reviews has emerged on the topic of psychological resilience in the context of the pandemic. However, this body of work has not been systematically reviewed for its quality, nor with respect to findings on the effectiveness of tools and strategies for psychological resilience. To this end, a meta-review protocol is proposed with the following objectives: (1) identify review work on the topic of psychological resilience during COVID-19; (2) assess the quality of this review work using A MeaSurement Tool to Assess systematic Reviews; (3) assess the risk of bias in this work; (4) generate a narrative summary of the key points, strengths and weaknesses; (5) identify the psychological resilience strategies that have been reviewed; (6) identify how these strategies have been evaluated for their effectiveness; (7) identify what outcomes were measured and (8) summarise the findings on strategies for psychological resilience so far, providing recommendations, if possible.Methods and analysisA systematic meta-review will be conducted in accordance with the Preferred Reporting Items for Systematic Reviews for Protocols and Joanna Briggs Institute umbrella review guidelines. Electronic searches of general databases, especially Web of Science, Scopus and PubMed, will be conducted. Only results from January 2020 onwards will be considered, coinciding with the COVID-19 pandemic. Only results in English will be included. Descriptive statistics, thematic analysis and narrative summaries describing the nature of the reviewed work and evaluation of psychological resilience strategies will be carried out.Ethics and disseminationEthical approval is not needed for systematic review protocols. The results of the meta-review will be published in an international peer-reviewed journal. The raw and summarised data will be shared in the journal or other open venues.PROSPERO registration numberCRD42021235288.

scholarly journals Effect of hydration therapy on oligohydramnios

2017 ◽  
Vol 6 (5) ◽  
pp. 1800
Author(s):  
Cicily T. J. ◽  
Sherin Sams ◽  
Anitha K. Gopal
Keyword(s):  
Perinatal Outcome ◽  
Intervention Group ◽  
Randomised Control Trial ◽  
Intravenous Route ◽  
Perinatal Complications ◽  
Fixed Amount ◽  
Medical College ◽  
Invasive Method ◽  
The Impact ◽  
Hydration Therapy

Background: Oligamnios is defined as an AFI <5cm, SDP <2cms or an AFI below the 5th centile for the gestational age and is associated with many maternal and perinatal complications. An effective, non-invasive method of increasing AFV is the hydration therapy. The objective of present study was to determine the impact of hydration therapy in patients complicated by oligamnios and to measure the maternal and perinatal outcome in oligamnios corrected by Intravenous hydration therapy.Methods: It is a randomised control trial done at Government Medical College, Kottayam, Kerala, India from Jan 2012 to May 2013. 136 singleton pregnant females with gestation age >34 weeks with AFI <5 cms were randomised into an Intervention group who receive 1 litre of ringer lactate i.v given daily for 5 days and nonintervention group who were kept under observation by serial ultrasound and antepartum fetal surveillance. All were followed-up till delivery to obtain maternal and perinatal outcomes.Results: Among the 68 who were given intervention, 61 responded and 7 were non responders. With hydration therapy, mean increase in AFI was 4 cm and minimum duration needed for improvement was one week. Hydration therapy showed significant improvement in the maternal and fetal outcomes. Intravenous route of maternal hydration has the advantage that a fixed amount of fluid can be infused at a relatively constant rate with ensured compliance.Conclusions: From the study, it was concluded that Hydration therapy is an excellent method to improve AFI in Oligohydramnios and maternal and perinatal outcome.

scholarly journals Analysis of Cardiotocography Findings in Pregnancy with Less Fetal Movement and Its Association with Perinatal Outcome

2018 ◽  
Vol 30 (1) ◽  
pp. 19-22
Author(s):  
Ummay Salma ◽  
Mahe Jabeen ◽  
Sabiha Shimul ◽  
Dilruba Akhter
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Perinatal Outcome ◽  
Neonatal Death ◽  
Birth Asphyxia ◽  
Fetal Movement ◽  
Neonatal Unit ◽  
Normal Vaginal Delivery ◽  
Early Neonatal Death ◽  
Medical College

Less fetal movement affects perinatal outcome. To examine association between antenatal CTG findings and perinatal outcome in women with less fetal movement. This prospective observational study was conducted in the department of Obstetrics and Gynecology, Kumudini Women's Medical College and Hospital, Mirzapur, Tangail over a period of six months from January 2015 to June 2015. It included 100 pregnant women after 34 weeks of gestation. They underwent a cardiotocogram (CTG) test. Data were collected by face-to-face interview, observation and document review. The mean age of the women was 24.37±4.62 (SD) years and mean gestational age was 38.48±2.15 weeks. In this study, 82.0% of the cases presented at term pregnancy, 42.0% of the women were primi gravida and rest falls between 2nd to 4th gravida. Normal vaginal delivery was in 59.0% cases and rest were undergone caesarean sections (41.0%). Late deceleration with decreased variability was (23.5%) most common. Incidence of low birth weight was 16.0% & macrosomia was 5.0%. Birth asphyxia was found in 52.0% cases, 49.0% needed immediate resuscitation, 35.0% were admitted into neonatal unit and early neonatal death was 8.0%. Birth asphyxia was significantly higher in non-reassuring [37(72.5%)] than reassuring [15(30.6%)] on CTG. Incidence of low birth weight was higher in non-reassuring [11(21.6%)] than in reassuring [5(10.2%)] on CTG (p>0.05). Early neonatal death was more in respondents with non-reassuring [5(9.8%)] on CTG than reassuring [3(6.1%)] on CTG (p>0.05). Twenty six (51.0%) neonatal of the non-reassuring were admitted into neonatal unit whereas only 9 (18.4%) neonatal of the reassuring were admitted into neonatal unit. It can be concluded that CTG may be the first line investigation for ante and intrapartum fetal assessment.Medicine Today 2018 Vol.30(1): 19-22

scholarly journals Psychosocial problems, chronic illness and welfare service utilization among elderly population in urban areas of Vijayapur, Karnataka

2018 ◽  
Vol 5 (8) ◽  
pp. 3383
Author(s):  
Vidya V. Patil ◽  
Rekha Udgiri
Keyword(s):  
Chronic Illness ◽  
Urban Areas ◽  
Psychosocial Problems ◽  
Well Being ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Welfare Services ◽  
Medical College ◽  
Field Practice

Background: Aging is a universal process. In India, the elderly account for 7.7% of the total population and the United Nations defines a country as “ageing” where the proportion of people over 60 years reaches 7.7%. Morbidity among elderly has an important influence on their physical functioning and psychological well-being. The objectives of the study were to assess the psychosocial problems associated with the elderly and to describe the chronic illness and utilization of welfare services among elderly.Methods: A cross sectional study was conducted in the urban field practice area of Shri B M Patil Medical College, Vijayapur. House to house survey was conducted for a period of 3 months from September to November 2014.Results: Total of 372 elders were interviewed, 54.5% were males, 45.4% were females. Majority were Hindus 78.8%. 46% were illiterate. Majority 79% were financially dependent. 53% were working. Around 32% were feeling lonely Most common chronic illness is joint pain (66.66%), visual problem (50%), dental and chewing problem (48%).Conclusions: Financial dependence was high among the participants and majorities were suffering from one or the other chronic illness which needs attention and knowledge about geriatric welfare services should be given. 

scholarly journals Gestational diabetes mellitus with its maternal and foetal outcome: a clinical study

2017 ◽  
Vol 4 (4) ◽  
pp. 919 ◽  
Author(s):  
Mohan Makwana ◽  
Raj Kumar Bhimwal ◽  
Chaina Ram ◽  
S L. Mathur ◽  
Kanwar Lal ◽  
...  
Keyword(s):  
Glycaemic Control ◽  
Gestational Diabetes ◽  
Diabetic Mother ◽  
Vaginal Candidiasis ◽  
Low Socioeconomic ◽  
Infant Of Diabetic Mother ◽  
Medical College ◽  
History Of ◽  
Foetal Outcome ◽  
Sedentary Life Style

Background: Prevalence of the diabetes among pregnant women is increasing, attributable to advance maternal age, multi foetal gestation, increased body mass index, strong family history, sedentary life style, change in the diet, continued immigration. Gestational diabetes has few symptoms, commonly diagnosed by screening during pregnancy.Methods: The present study was conducted at Department of Medicine and Department of Obstetrics and Gynaecology, Dr. S.N. Medical College, Jodhpur. Rajasthan, India.Results: Out of 476 patients attending the antenatal outdoor at the Umaid Hospital, Jodhpur, Rajasthan, India. The prevalence of gestational diabetes in present study was 7.98%, Incidence of GDM found to increase with increasing age with maximum prevalence (10.71%) in more than 30 years age group, with increasing parity, low socioeconomic strata and in urban population. With maximum prevalence amongst higher parities (12.5%) in >G5 and higher). The incidence was higher with history of PIH (36.36%), family H/O DM (33.3%), GDM (12.12%), perinatal losses (15.15%), anomalous baby (9.09%), high BMI (67%). GDM complicate the normal course of pregnancy with increased incidence of PIH (36.4), Polyhydramnios (27.2%), infections like vaginal candidiasis (24.2%) and UTI (39.3%). The infant of diabetic mother had 12 (32.29%), 9 (26.47%), 11 (32.35%), 8 (23.53%) 5 (14.70%) and 3 (8.82%) of hypoglycemia, respiratory distress, macrosomia, congenital anomalies, birth injuries, polycythaemia, and hypocalcaemia respectively in diabetic mothers with suboptimal glycaemic control during pregnancy.Conclusions: GDM continues to be an important obstetrical condition with significant feto-maternal morbidity. Complications in infant of diabetic mother are more common with those mothers who had poor glycaemic control.

scholarly journals Determination of Oligohydramnios and Its Perinatal Outcome in Tertiary Hospital, India

2021 ◽  
pp. 616-620
Author(s):  
S. M. Sindhuja ◽  
. Meenakshi
Keyword(s):  
Random Sampling ◽  
Perinatal Outcome ◽  
Sampling Method ◽  
Rare Condition ◽  
Tertiary Hospital ◽  
Exclusion Criteria ◽  
Normal Delivery ◽  
Medical College ◽  
Study Population

Introduction: Oligohydramnios is an extremely rare condition where the liquor amnii is deficient in amount to the extent of less than 200 mL at term. Methods and Materials: This study is a retrospective study conducted in Saveetha Medical college from JAN2021- MAR2021 done by random sampling method and 50 patients with oligohydramnios were taken as study population after satisfying inclusion and exclusion criteria. Results: In the current study, 78 percent of patients received emergency LSCS, while only 22 percent had a normal delivery, in this study, approximately 20% weighed less than 2 kg, The most common cause of Oligohydramnios in this study was idiopathic. Conclusion: Oligohydraminos is now being identified more frequently in regular USG examinations. Oligohydraminos is linked to a higher likelihood of pregnancy problems, as well as a higher rate of death and morbidity.

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