scholarly journals Eclampsia: Maternal and Fetal Outcome

2013 ◽  
Vol 5 (1) ◽  
pp. 19-21 ◽  
Author(s):  
Sulabha Joshi ◽  
Sunita Ghike ◽  
Anuja Bhalerao ◽  
Anjali Kawthalkar ◽  
Sayali Kulkarni
Keyword(s):  
Developing Countries ◽  
Prospective Study ◽  
Magnesium Sulfate ◽  
Perinatal Mortality ◽  
South Asian ◽  
Perinatal Outcome ◽  
Clinical Presentation ◽  
Anticonvulsant Drug ◽  
Fetal Outcome ◽  
Epidemiological Factors

ABSTRACT Eclampsia is the leading cause of maternal and perinatal mortality as well as morbidity. This prospective study was carried out at a tertiary institute from Jan 2008 to Dec 2010. Aim and objectives (1) To evaluate the rate of eclampsia in antenatal women attending our hospital, (2) to evaluate the epidemiological factors and clinical presentation in women with eclampsia, (3) to analyze the maternal and perinatal outcome in women with eclampsia, and (4) to formulate strategies to improve the maternal and perinatal outcome. Materials and methods Fifty-five women with eclampsia were evaluated over a period of 3 years. Results During the above period, total number of deliveries were 6,100 out of which 55 were eclampsia giving incidence of —0.9%. The women with eclampsia were treated with magnesium sulfate. Around 70.91% of women had antenatal eclampsia, 18.18% of women had intrapartum eclampsia and 10.91% of women had postpartum eclampsia. Out of 55 women, maternal mortality was 5.45% and perinatal mortality was 25.45%. Conclusion Incidence of eclampsia is higher in developing countries, like India. Magnesium sulfate is an effective anticonvulsant drug leading to cessation of convulsions in 100% cases. Magnesium sulfate toxicity was not observed in any case, indicating effectivity of clinical monitoring during magnesium sulfate therapy. How to cite this article Bhalerao A, Kulkarni S, Ghike S, Kawthalkar A, Joshi S, Somalwar S. Eclampsia: Maternal and Fetal Outcome. J South Asian Feder Obst Gynae 2013;5(1): 19-21.

scholarly journals Obstetric and neonatal outcome in multiple pregnancy in rural India: a prospective study

2018 ◽  
Vol 7 (11) ◽  
pp. 4384
Author(s):  
Lakshmikantha G. ◽  
Sangeetha C.
Keyword(s):  
Prospective Study ◽  
Perinatal Mortality ◽  
Perinatal Outcome ◽  
Postpartum Haemorrhage ◽  
Neonatal Outcome ◽  
Multiple Pregnancy ◽  
Live Births ◽  
Early Admission ◽  
A Prospective Study ◽  
Relevant Factors

Background: The objective is to study the obstetric and perinatal outcome in multiple pregnancy.Methods: A prospective study of 100 cases of multiple pregnancy was conducted between October 2013 to July 2016. Incidence of relevant factors, complications, characteristic of multiple pregnancy and sequelae of these complications on obstetric and perinatal outcome were analyzed.Results: Incidence of multiple pregnancy was 2%, anaemia was 22%, preterm labour in 62%, severe preeclampsia in 34%, postpartum haemorrhage in 16%’ PPROM in 14%, abortion in 8%, eclampsia in 2%. Incidence of perinatal mortality rate was 240 per 1000 live births and maternal mortality rates was 2000/ 1 lakh live births which was 10 times more compared to singleton pregnancy.Conclusions: Regular antenatal care, prolonging period of gestation near to term, early admission and care will go a long way in reducing maternal and perinatal mortality.

scholarly journals Intrapartum Vibroacoustic Stimulation Test and Cardiotocography for the Prediction of Neonatal Outcome

2012 ◽  
Vol 4 (3) ◽  
pp. 141-143
Author(s):  
Imam Bano ◽  
Nasreen Noor ◽  
C Kavitha
Keyword(s):  
Developing Countries ◽  
South Asian ◽  
Neonatal Outcome ◽  
Well Being ◽  
Fetal Outcome ◽  
Stimulation Test ◽  
Clinical Tool ◽  
Fetal Scalp ◽  
Fetal Scalp Blood Sampling

ABSTRACT Objectives To evaluate the role of intrapartum vibroacoustic stimulation (VAST) and cardiotocography (CTG) for the prediction of neonatal outcome. Materials and methods One hundred and twenty-five patients in labor with cephalic presentation were selected and subjected to CTG and VAST was done further to find out whether fetus is reactive or nonreactive and findings were correlated with the fetal outcome. Results VAST is a good predictor of fetal well being. It is less time consuming, inexpensive and technically easy to perform. In developing countries, where fetal scalp blood sampling is not available in all institutions, VAST can effectively be used as a clinical tool to compliment abnormal CTG traces for better prediction of fetal outcome. How to cite this article Kavitha C, Bano I, Noor N. Intrapartum Vibroacoustic Stimulation Test and Cardiotocography for the Prediction of Neonatal Outcome. J South Asian Feder Obst Gynae 2012;4(3):141-143.

scholarly journals Low-dose Magnesium Sulfate Regime for Eclampsia in India

2017 ◽  
Vol 9 (1) ◽  
pp. 5-8
Author(s):  
Neha Agrawal ◽  
Ruchika Garg ◽  
S Shantha Kumari
Keyword(s):  
Magnesium Sulfate ◽  
South Asian ◽  
Perinatal Outcome ◽  
Low Dose ◽  
Dose Schedule ◽  
Loading Dose ◽  
Additional Dose ◽  
Safety And Efficacy ◽  
Dose Regime ◽  
A Prospective Study

ABSTRACT Introduction Eclampsia is one of the leading causes of maternal mortality. Magnesium sulfate (MgSO4) can be a drug for its management. Objectives To study the safety and efficacy of low-dose MgSO4 for control of convulsions in case of eclampsia and to compare it with Pritchard regimen in terms of its effects and perinatal outcome. Materials and methods This study was conducted in Department of Obstetrics and Gynecology. It was a prospective study and included 78 cases of eclampsia. Thirty-nine cases were given low-dose regime and remaining 39 were given Pritchard regimen. Low-dose regime for eclampsia: Loading dose 4 gm MgSO4 IV diluted in 20 cc of 5% dextrose, slowly over 5 to 8 minutes. Maintenance dose 2 gm IV similarly diluted was given 3 hourly till 24 hours after delivery or after convulsion which ever was later. If recurrence of convulsions occurs, then additional dose 2 gm IV was given and previous dose schedule continued as such. Results Eclamptic convulsions were controlled in 94.87% of cases with low-dose regime, and in the remaining cases were controlled with additional 2 gm IV dose MgSO4 compared to 37.14% with Pritchard regimen. Conclusion Low-dose magnesium regime is highly suitable for women in our setup, and it is as effective as Pritchard regimen for controlling convulsions in eclampsia along with better perinatal outcome and with less MgSO4 toxicity. How to cite this article Garg R, Agrawal N, Kumari SS, Agrawal P. Low-dose Magnesium Sulfate Regime for Eclampsia in India. J South Asian Feder Obst Gynae 2017;9(1):5-8.

Utility of Tolonium Chloride Rinse in the Diagnosis of Oral Cancer

2020 ◽  
Vol 26 (1) ◽  
pp. 11-17
Author(s):  
Md Kamruzzaman ◽  
Kazi Nurjahan ◽  
AS Gazi Sharifuddin ◽  
SK Ballav
Keyword(s):  
Developing Countries ◽  
Oral Cancer ◽  
Prospective Study ◽  
Diagnostic Delay ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Biopsy Report ◽  
Patient Side ◽  
Tolonium Chloride

Background: Oral cancer burden in developing countries is huge. In Bangladesh and India incidence were 10.6% and 10.4% respectively on 2018. At the same time worldwide incident was only 2%. Majority patients present at advanced stage and their survival rate is poor. Diagnostic delay from patient side and health delivery system side is significantly longer and it is more in developing countries. Like other malignancy early diagnosis can save a lot of these patient. Methods: This prospective study was carried out in Khulna Medical College Hospital from July 2017 to July 2019. Patients who will meet the criteria for this prospective study and capable and willing to give informed consent were enrolled. 20 second rinse/gargle with 10ml of 1% Tolonium chloride solution was done. Biopsy were taken from stained lesion, biopsy report were compared with TC stained lesions. Results: Out of 1650 patients in our outdoor department for various problem and only 30 cases were selected for this study according to selection criteria. Of 30 patients, 18 (60%) were male and 12 (40%) were female. The male-to-female ratio was 3:2. It was found that the sensitivity of 1% Tolonium Chloride rinse for oral precancer and cancer detection was 83.33%, whereas the specificity was 84.21%. Conclusion: Tolonium chloride rinse is a good screening test for oral cancer diagnosis with sensitivity 83.33% and specificity 84.21%. Bangladesh J Otorhinolaryngol; April 2020; 26(1): 11-17

Wadhwa, Charan D. and MukulG. Asher (eds.). ASEAN-SOUTH ASIA Economic Relations. Singapore: Institute of Southeast Asian Studies. 1985. ix+384pp.

1988 ◽  
Vol 27 (3) ◽  
pp. 336-338
Author(s):  
Muhammad Hussain Malik
Keyword(s):  
Developing Countries ◽  
South Asian ◽  
Southeast Asian ◽  
Asian Countries ◽  
Asian Studies ◽  
Economic Relations ◽  
Rigorous Research ◽  
Southeast Asian Studies ◽  
The Right ◽  
Policy Proposals

The need to enhance their economic relations with each other has long been felt by developing countries. However, their efforts in this regard have met with limited success. One of the reasons for this could be that not much serious work has been done to understand the complexities and possibilities of economic relations of developing countries. The complementarities which exist among the economies of these countries remain relatively unexplored. There is a lack of concrete policy proposals which developing countries may follow to achieve their often proclaimed objective of collective self-reliance. All this needs serious and rigorous research efforts. In this perspective, the present study can be considered as a step in the right direction. It examines trade and other economic relations of developing countries of two regions of Asia-South Asian countries and member countries of the Association of Southeast Asian Nations (ASEAN). The study also explores ways and means to improve economic relations among these countries

Domestic Tourism in Nepal: Issues and Challenges

2020 ◽  
Vol 24 (1) ◽  
pp. 37-49
Author(s):  
Sandeep Basnyat ◽  
Suryakiran Shrestha ◽  
Bijita Shakya ◽  
Reeja Byanjankar ◽  
Shubhashree Basnyat
Keyword(s):  
Developing Countries ◽  
South Asian ◽  
Business Environment ◽  
Institutional Arrangements ◽  
Tourism Industry ◽  
International Tourism ◽  
Tourism Research ◽  
Semistructured Interviews ◽  
Domestic Tourism ◽  
The Government

Compared to international tourism, domestic tourism is less susceptible to external changes and provides a more stable business environment for industry stakeholders. Traditionally, the focus of a majority of tourism research has been international tourism. Existing domestic tourism literature predominantly focuses on the potential of domestic tourism and the measurement of its demands, but greatly ignores the issues and challenges in the domestic tourism industry. This article fills this gap and examines the issues and challenges the domestic tourism industry is facing with a focus on Nepal, a South Asian developing country. The data for this study were collected through semistructured interviews with 20 tourism industry practitioners. The findings of this study demonstrate how uncertainties created by the lack of institutional arrangements and prioritization, and confusion around the appropriate ways and means of managing domestic tourism have contributed to the chaos in the private sector tourism industry in Nepal. Implications for the government and other stakeholders in Nepal and other developing countries have been discussed.

scholarly journals Neuropathic Pain in Children with Sickle Cell Disease: The Hidden Side of the Vaso-Occlusive Crisis

Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 84
Author(s):  
Jeanne Sigalla ◽  
Nathalie Duparc Alegria ◽  
Enora Le Roux ◽  
Artemis Toumazi ◽  
Anne-Françoise Thiollier ◽  
...  
Keyword(s):  
Risk Factors ◽  
Neuropathic Pain ◽  
Sickle Cell Disease ◽  
Sex Ratio ◽  
Prospective Study ◽  
Sickle Cell ◽  
Clinical Presentation ◽  
Early Stage ◽  
Cell Disease ◽  
A Prospective Study

The majority of hospitalizations of patients with sickle cell disease (SCD) are related to painful vaso-occlusive crises (VOCs). Although the pain of VOC is classically nociceptive, neuropathic pain (NP) has also been demonstrated in SCD patients. The aim of our study is to specify the prevalence of NP during VOCs in SCD children using a dedicated scale and to measure its characteristics. We performed a prospective study that included SCD children hospitalized for an acute VOC. The presence of NP was sought with the DN4 scale on the second and fourth days of hospitalization. A total of 54 SCD children were included in the study. Overall, 41% of the patients (n = 22) experienced neuropathic pain during the VOC, mostly at an early stage (Day 2). The median age, the sex ratio, the location of the pain, and the morphine consumption were similar for patients with and without NP. Our study shows that neuropathic pain is very common during VOCs in SCD children. The absence of identified risk factors should prompt us to be vigilant regardless of the patient’s age, sex, and clinical presentation.

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