scholarly journals What Are the Maternal and Neonatal Outcomes of Adolescent Pregnancy in Women Referring to Ayatollah Mousavi Hospital in Zanjan? A Comparative Cross-sectional Study

2019 ◽  
Vol 9 (3) ◽  
pp. 27-34
Author(s):  
Samaneh Youseflu ◽  
Mahnaz Keshavarz Afshar ◽  
Mina Mousavi ◽  
Zahra Moradi ◽  
Mojdeh Banaei ◽  
...  
Keyword(s):  
Adolescent Pregnancy ◽  
Cross Sectional Study ◽  
Neonatal Outcomes ◽  
Sectional Study ◽  
Cross Sectional ◽  
Maternal And Neonatal Outcomes

scholarly journals Peripartum Hysterectomy: Is There Any Difference Between Emergent versus Planned Surgery ?

2020 ◽  
Author(s):  
Tufan Oge ◽  
Vehbi Tokgöz ◽  
Yusuf Cakmak ◽  
Melih Velipasaoglu
Keyword(s):  
Birth Weight ◽  
Cross Sectional Study ◽  
Neonatal Outcomes ◽  
Sectional Study ◽  
Cross Sectional ◽  
Apgar Scores ◽  
Peripartum Hysterectomy ◽  
Maternal And Neonatal Outcomes ◽  
Emergent Surgery ◽  
Experienced Team

Aim: The aim of the study was to compare the outcomes of emergent and planned peripartum hysterectomy. Methods: This retrospective cross-sectional study was conducted in two hospitals. Maternal and neonatal outcomes were compared according to the emergent and planned peripartum hysterectomy. Results: Totally 34020 deliveries were evaluated retrospectively and 66 peripartum hysterectomy cases were analyzed. Of these patients, 31 cases were planned surgery and 35 cases were emergent surgery. The patients who underwent planned peripartum hysterectomy had lower rate of blood transfusion (83.9% vs. 100%, p=0.014), higher postoperative hemoglobin levels (9.9±1.3 vs. 8.3±1.3, p<0.001) compared with the emergent hysterectomy group. The birth weight was lower although the apgar scores were higher in the planned surgery compared with the emergent cases. Conclusion: The planned peripartum hysterectomy with a experienced team provide less need for transfusion and improved neonatal outcomes in regard to the emergent peripartum hysterectomy.

scholarly journals Risk of Severe Adverse Maternal and Neonatal Outcomes in Deliveries with Repeated and Primary Cesarean Deliveries versus Vaginal Deliveries: A Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Kiattisak Kongwattanakul ◽  
Rungroj Thamprayoch ◽  
Chumnan Kietpeerakool ◽  
Pisake Lumbiganon
Keyword(s):  
Vaginal Delivery ◽  
Cross Sectional Study ◽  
Neonatal Outcomes ◽  
World Health ◽  
Maternal Outcomes ◽  
Sectional Study ◽  
Cross Sectional ◽  
Vaginal Deliveries ◽  
Increased Risk ◽  
Maternal And Neonatal Outcomes

Objective. To determine risks of severe adverse maternal and neonatal outcomes in women with repeated cesarean delivery (CD) and primary CD compared with those with vaginal delivery (VD). Methods. Data of this cross-sectional study were extracted from 2,262 pregnant women who gave birth between August 2014 and December 2016, at Srinagarind Hospital, Khon Kaen University. Severe maternal outcomes were categorized based on the World Health Organization criteria. Adjusted odds ratio (aOR) and 95% confidence intervals (CI) were calculated to indicate the risk of severe adverse maternal and neonatal outcomes among women underwent CD compared with those who underwent VD. Results. There were no cases of maternal death in this study. CD significantly increased risk of severe adverse maternal outcomes (SMO) (aOR 10.59; 95% CI, 1.19-94.54 for primary CD and aOR 17.21; 95% CI, 1.97-150.51 for repeated CD) compared with women who delivered vaginally. When compared with vaginal delivery, the risks of neonatal near miss (NNM) and severe adverse neonatal outcomes (SNO) were significantly higher in primary CD group (aOR 1.71; 95% CI 1.17-2.51 and aOR 1.66; 95% CI 1.14-2.43), respectively. For repeated CD, the risks were borderline significant (aOR, 1.58; 95% CI, 0.98-2.56 for NNM and aOR, 1.61; 95% CI, 0.99-2.60 for SNO). Conclusion. Primary and repeated CD significantly increased the risk of SMO compared with VD. Risks of NNM and SNO were also significantly increased in women with primary CD. The risks of NNM and SNO for repeated CD trended toward a significant increase.

scholarly journals The relationship of hyperlipidemia with maternal and neonatal outcomes in pregnancy: A cross-sectional study

2019 ◽  
Author(s):  
Seyedeh Hajar Sharami ◽  
Zahra Abbasi Ranjbar ◽  
Fatemeh Alizadeh ◽  
Ehsan Kazemnejad
Keyword(s):  
Gestational Diabetes ◽  
Pregnant Women ◽  
Gestational Age ◽  
Density Lipoprotein ◽  
Cross Sectional Study ◽  
Neonatal Outcomes ◽  
Sectional Study ◽  
Cross Sectional ◽  
Maternal And Neonatal Outcomes ◽  
The Relationship

Background: Concentrations of plasma lipids levels during pregnancy clearly increases. According to some studies, dyslipidemia is effective in the incidence of preeclampsia and insulin resistance. Objective: This study aimed to examine the relationship between hyperlipidemia and maternal and neonatal outcomes in pregnant women. Materials and Methods: This is a cross-sectional study which was conducted on two groups of pregnant women with hyperlipidemia and normal ones to assess maternal and neonatal outcomes. Maternal data including gestational age, mother’s age, body mass index, and maternal weight gain during pregnancy, gestational diabetes mellitus, preeclampsia, cholestasis, and delivery method. Also, birth weight and Apgar score were gathered as the neonatal outcomes. Results: The results showed that the prevalence of abnormal lipid parameters increased with increasing gestational age. In pregnant women with dyslipidemia in combination with increased triglyceride, cholesterol and Low-density lipoprotein, and decreased High-density lipoprotein, the incidence rates of gestational diabetes (p < 0.001), preeclampsia (p < 0.001), cholestasis (p = 0.041), fetal growth retardation (p < 0.001), and macrosomia (p < 0.001) were statistically higher. Conclusion: Dyslipidemia was associated with some adverse effects of pregnancy and harmful fetal outcomes. Therefore, it seems that adding laboratory assessment of lipid profiles before and during pregnancy can be effective in early diagnosis of dyslipidemia. Key words: Dyslipidemias, Gestational diabetes, Preeclampsia, Fetal macrosomia.

scholarly journals Suicide attempt and its associated factors amongst women who were pregnant as adolescents in Bangladesh: a cross-sectional study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Jie Li ◽  
Syeda Zerin Imam ◽  
Zhengyue Jing ◽  
Yi Wang ◽  
Chengchao Zhou
Keyword(s):  
Social Support ◽  
Health Status ◽  
Adolescent Pregnancy ◽  
Young Women ◽  
Associated Factors ◽  
Suicide Attempts ◽  
Perceived Social Support ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background Adolescent pregnancy is a risk factor for suicide. We aimed to assess the prevalence of suicide attempts among young women with adolescent pregnancy in Bangladesh and to explore its associated factors. Methods In this cross-sectional study, we surveyed young women with adolescent pregnancy in urban and rural areas in Bangladesh to assess suicide attempts, socio-demographic and pregnancy-related characteristics, perceived health status, and perceived social support. Binary logistic regression analysis was conducted to explore the relationship between potentially related factors and suicide attempts. Results Of the participants, 6.5% (61/940) reported suicide attempts in the past 12 months, and the majority (88.5%) of the attempts happened within one year after the pregnancy. Participants with more years after first pregnancy (odds ratio (OR) = 0.47, 95% CI: 0.37–0.61) and more perceived social support from friends (OR = 0.69, 95% CI: 0.55–0.86) were less likely to have suicide attempts, and those perceived bad health status compared with good/fair health status (OR = 8.38, 95% CI: 3.08–22.76) were more likely to attempt suicide. Conclusions Women with adolescent pregnancy were at high risk of suicide attempts, especially those during the first postnatal year. The risk of suicide attempts attenuated with the time after pregnancy, and perceived social support from friends was a protective factor and perceived bad health status was a risk factor for suicide attempts among young women who have experienced adolescent pregnancy.

scholarly journals Hubungan indeks massa tubuh (IMT) awal kehamilan dengan luaran maternal neonatal

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Rut C.F. Weku ◽  
John J.E. Wantania ◽  
Joice M.M Sondakh
Keyword(s):  
Nutritional Status ◽  
Early Pregnancy ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
Neonatal Outcomes ◽  
Sectio Caesarea ◽  
Cross Sectional ◽  
Maternal Nutritional Status ◽  
Maternal And Neonatal Outcomes ◽  
The Relationship

Abstract: Maternal nutritional status is very important for the outcomes of pregnancy. The best indicator for measuring the nutritional status is Body Mass Index (BMI). Abnormal BMI in early pregnancy is associated with various complications for the mother as well as the baby. This study was aimed to obtain the relationship between BMI in early pregnancy and maternal and neonatal outcomes. This was a retrospective analytical study with a cross sectional study. The results showed that there was a siginificant relationship between BMI in early pregnancy and blood pressure (p=0.049), but there was no significant relationship between BMI in early pregnancy and mode of delivery (p=0.067), birth (p=0.100), infant mortality (0.377), and APGAR score (p=0.100). Conclusion: Pregnant woman with BMI ≥25 kg/m2 had a risk of hypertension in pregnancy and a sectio caesarea in delivery; and the baby showed a tendency of low birth weight, risk to death, and asphyxia.Keywords: BMI, pregnancy and maternal neonatal outcomes Abstrak: Status gizi ibu sangat penting terhadap luaran kehamilan. Indikator untuk mengukur status gizi ialah Indeks Massa Tubuh (IMT). Ibu dengan IMT awal kehamilan yang tidak dalam batas normal berkaitan dengan berbagai komplikasi baik terhadap ibu maupun bayi. Penelitian ini bertujuan untuk mengetahui hubungan antara IMT awal kehamilan dengan luaran maternal neonatal. Jenis penelitian ialah analitik-retrospektif dengan desain potong lintang. Hasil penelitian mendapatkan bahwa IMT awal kehamilan berhubungan bermakna dengan tekanan darah (p=0,049), tetapi tidak ditemukan hubungan bermakna antara IMT awal kehamilan dengan cara persalinan (p=0,069), berat badan lahir bayi (p=1,000), kematian bayi (p=0,377), dan APGAR skor (p=1,000). Simpulan: Ibu dengan IMT≥25 kg/m2 berisiko mengalami hipertensi dalam kehamilan, cenderung menjalani persalinan dengan seksio sesarea, dan bayinya cenderung memiliki berat badan lahir rendah, mengalami kematian, dan asfiksia. Kata kunci: IMT, kehamilan dan luaran maternal neonatal.

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