scholarly journals Specific hypertensive disorders of pregnancy in a tertiary hospital in northeastern brazil epidemiological profile

2015 ◽  
Vol 28 (4) ◽  
pp. 613-620
Author(s):  
Zélia Maria de Sousa Araújo Santos ◽  
Rithianne Frota Carneiro ◽  
Geraldo Bezerra da Silva Junior ◽  
Janaína da Silva Feitoza Palácio ◽  
Jennara Cândido do Nascimento
Keyword(s):  
Tertiary Hospital ◽  
Northeastern Brazil ◽  
Hypertensive Disorders Of Pregnancy ◽  
Hypertensive Disorders ◽  
Epidemiological Profile

scholarly journals Specific hypertensive disorders of pregnancy in a tertiary hospital in northeastern brazil epidemiological profile

2015 ◽  
Vol 28 (4) ◽  
pp. 613-620
Author(s):  
Zélia Maria de Sousa Araújo Santos ◽  
Rithianne Frota Carneiro ◽  
Geraldo Bezerra da Silva Junior ◽  
Janaína da Silva Feitoza Palácio ◽  
Jennara Cândido do Nascimento
Keyword(s):  
Tertiary Hospital ◽  
Northeastern Brazil ◽  
Hypertensive Disorders Of Pregnancy ◽  
Hypertensive Disorders ◽  
Epidemiological Profile

DOPPLER CEREBROPLACENTAL AND CEREBROUTERINE RATIO IN PREDICTING ADVERSE PERINATAL OUTCOMES IN HYPERTENSIVE DISORDERS OF PREGNANCY

2021 ◽  
pp. 35-37
Author(s):  
Shoadashi Saxena ◽  
Rachna Bhatnagar ◽  
Shivani Singh ◽  
Shipra Kunwar ◽  
Sachin Khanduri ◽  
...  
Keyword(s):  
Perinatal Death ◽  
Ventilatory Support ◽  
Perinatal Outcomes ◽  
Predictive Ability ◽  
Tertiary Hospital ◽  
Hypertensive Disorders Of Pregnancy ◽  
Predictive Values ◽  
Northern India ◽  
Hypertensive Disorders ◽  
Adverse Perinatal Outcomes

AIM:To compare cerebroplacental and cerebrouterine ratio as predictors of perinatal outcome in hypertensive disorders of pregnancy. METHODS: A prospective cohort study was done at a tertiary hospital in Northern India. Singleton pregnancies of gestational age >28 weeks, having BP>140/90mm of Hg with/without proteinuria >30mg/dL(+1 dipstick)were included. Doppler indices were measured, and perinatal outcomes studied. RESULTS:Cerebrouterine(CU) and cerebroplacental(CP) ratios had a better negative predictive value for adverse perinatal outcomes(except Apgar and preterm birth). CP ratio had highest sensitivity and specicity for outcomes perinatal death (100% and 95.9%), ventilatory support (100% and 97.2%) and hypoglycemia (100% and 95.9%). CU ratio had maximum sensitivity and specicity for the outcome hypoglycemia (100% and 95.9%). CONCLUSIONS:CP ratiohas a higher efcacy than CU ratio, however CU ratio compliments its predictive ability. Higher negative predictive values indicate that these ratios correctly ruled out unfavourable perinatal outcomes. Further studies to derive more sensitive values of CU ratio with normotensive patients and a larger sample size would be benecial.

scholarly journals Maternal Death Review at a Tertiary Hospital in Ethiopia

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Matiyas Asrat Shiferaw ◽  
Delayehu Bekele ◽  
Feiruz Surur ◽  
Bethel Dereje ◽  
Lemi Belay Tolu
Keyword(s):  
Maternal Mortality ◽  
Maternal Death ◽  
Maternal Mortality Ratio ◽  
Tertiary Hospital ◽  
Hypertensive Disorders Of Pregnancy ◽  
Contributing Factors ◽  
Double Burden ◽  
Maternal Deaths ◽  
Hypertensive Disorders ◽  
Mortality Ratio

BACKGROUND፡ There is conflicting data on the rate and trends of maternal mortality in Ethiopia. There is no previous study done on the magnitude and trends of maternal death at Saint Paul's Hospital, an institution providing the largest labor and delivery services in Ethiopia. The objective of this study is to determine the magnitude, causes and contributing factors for maternal deaths in the institution.METHODS: We conducted a retrospective review of maternal deaths from January 2016 to December 2017. Data were analyzed using SPSS version 20.RESULTS: The maternal mortality ratio of the institution was 228.3 per 100,000 live births. Direct maternal death accounted for 90% (n=36) of the deceased. The leading causes of the direct maternal deaths were hypertensive disorders of pregnancy (n=13,32.5%), postpartum hemorrhage (n=10, 25%), sepsis (n=4, 10%), pulmonary thromboembolism (n=3, 7.5%) and amniotic fluid embolism (n=3, 7.5%).CONCLUSION: The maternal mortality ratio was lower than the ratios reported from other institutions in Ethiopia. Hypertensive disorders of pregnancy and malaria were the leading cause of direct and indirect causes of maternal deaths respectively. Embolism has become one of the top causes of maternal death in a rate like the developed nations. This might show the double burden of embolism and other causes of maternal mortality that developing countries might be facing.

scholarly journals The retina in hypertensive disorders of pregnancy: a study of the prevalence and association with severity of disease in a tertiary referral centre in India

2019 ◽  
Vol 9 (1) ◽  
pp. 375
Author(s):  
Jasmine C. Sharma ◽  
Bithi Choudhary ◽  
Laxmi Maru ◽  
Poonam Mathur
Keyword(s):  
Statistical Tests ◽  
Relevant Information ◽  
Tertiary Hospital ◽  
Significant Rise ◽  
P Value ◽  
Hypertensive Disorders Of Pregnancy ◽  
Tertiary Referral Centre ◽  
Severity Of Disease ◽  
Northern India ◽  
Hypertensive Disorders

Background: Hypertensive disorders of pregnancy remains to be a major cause of maternal and fetal morbidity and mortality. The retina offers the unique opportunity to directly observe changes in the vasculature due to preeclampsia. Fundoscopy can be used to prognosticate and assess the severity of disease and offer an optimum time of delivery to improve fetomaternal outcome. There are limited number of studies from northern India assessing the relationship between hypertensive disorders of pregnancy and retinopathy. This study was undertaken to bridge this gap.Methods: This was an observational cohort study undertaken in a tertiary hospital, 225 patients of preeclampsia coming to the department were identified and a structured proforma used to gather relevant information. All patients underwent fundoscopy and were classified into groups on the basis of fundal grade observed. The groups were compared in terms of clinicodemographic variables. Appropriate statistical tests were applied.Results: A total 68% patients had retinal changes of which the most common grade was grade 1 There was a significant rise in the mean systolic and diastolic blood pressure with increasing grade of fundal change. The (p-value 0.001). 65.5% of patients of preeclampsia without severe features (i.e. mild cases) had no retinopathy. None of these patients had grade 3 or 4 changes. In the patients of preeclampsia with severe features, 88.9% cases had varying degrees of retinopathy.Conclusions: As severity of preeclampsia increases, incidence of retinopathy also increases. Fundoscopy is a useful diagnostic aid and should be done to optimize fetomaternal outcome.

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