A Study of Molar Pregnancy at Low Resource Settings of Tertiary Care Hospital Sindh

2021 ◽  
Vol 15 (7) ◽  
pp. 1547-1549
Author(s):  
Sabahat Fatima ◽  
A. G.ul Shaikh ◽  
Tahmina Mahar ◽  
Hameed-Ur-Rehman Bozdar ◽  
Sameena Memon ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Economic Status ◽  
Gestational Trophoblastic Disease ◽  
Common Symptom ◽  
Care Hospital ◽  
Molar Pregnancy ◽  
Socio Economic Status ◽  
Trophoblastic Disease

Aim: To determine the epidemiological factors/characteristics and clinical presentation of molar pregnancy Study design: Qualitative observational / retrospective study Place and duration: Department of Obstetrics and Gynaecology Unit-II, Ghulam Muhammad Mahar Medical College Sukkur from 1st January 2016 to 31st December 2020. Methodology: Forty five diagnosed cases with molar pregnancy and aged between 18-40 years were enrolled. Patient’s details demographics age, body mass index, parity and socio economic status were recorded. The total birth records and gynecological admission for the study period were also collected from the gynaecology and labour room record books case and operational registration data were obtained, descriptive statistics examined . Results: Mean age of the patients was 31.15±7.41 years with mean body mass index 26.16±7.22 kg/m2. Mean gestational age of the patients were 25.62±9.19 weeks. Twenty seven (60%) patients were multiparous and 18 (40%) were primiparous. 30 (66.7%) were illiterate and 15(33.3%) cases were literate. There were 14(31.11%) patients belonged lower class, 18 (40%) patients belonged middle and 13(28.9%) had high socioeconomic status. Twenty nine (64.4%) were from rural area and 16 (35.6%) were from urban area. Five (11.1%) patients had previous history of gestational trophoblastic disease. Abnormal vaginal bleeding was the most common symptom found in 34(75.5%) cases followed by lower abdominal pain found in 30 (66.7%) patients, hyperemesis found in 14(31.1%) and dyspnea in 9 (20%). Thirty six (80%) patients received suction evacuation and 9 (20%) cases referred. Forty one (91.1%) patients were recovered but the rest 4 (8.9%) were lost during follow up. Conclusion: Low/middle socio-economic status, illiteracy and cases from rural areas had multiparous parity was highly effected by molar pregnancy disease and it can be controlled by early diagnose to take regular follow-up by using suction evacuation. Key words: Gestational trophoblastic disease (GTD), Molar pregnancy, Primiparous, Multiparous

scholarly journals Family average income and body mass index above the healthy weight range among urban and rural residents in regional Mainland China

2005 ◽  
Vol 8 (1) ◽  
pp. 47-51 ◽  
Author(s):  
Fei Xu ◽  
Xiao-Mei Yin ◽  
Min Zhang ◽  
Eva Leslie ◽  
Robert Ware ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Weight Status ◽  
Vegetable Consumption ◽  
Economic Status ◽  
Mainland China ◽  
Healthy Weight ◽  
Average Income ◽  
Weight Range ◽  
Socio Economic Status

AbstractObjective:To explore the relationship between family average income (FAI; an index of socio-economic status) and body mass index (BMI; a widely used, inexpensive indicator of weight status) above the healthy weight range in a region of Mainland China.Design:Population-based cross-sectional study, conducted between October 1999 and March 2000 on a sample of regular local residents aged 35 years or older who were selected by random cluster sampling.Setting:Forty-five administrative villages selected from three urban districts and two rural counties of Nanjing municipality, Mainland China, with a regional population of 5.6 million.Subjects:In total, 29 340 subjects participated; 67.7% from urban and 32.3% from rural areas; 49.8% male and 50.2% female. The response rate among eligible participants was 90.1%.Results:The proportion of participants classified as overweight was 30.5%, while 7.8% were identified as obese. After adjusting for possible confounding variables (age, gender, area of residence, educational level, occupational and leisure-time physical activity, daily vegetable consumption and frequency of red meat intake), urban participants were more likely to be overweight or obese relative to their rural counterparts, more women than men were obese, and participants in the lowest FAI tertile were the least likely to be above the healthy weight range.Conclusions:The proportion of adults with BMI above the healthy weight range was positively related to having a higher socio-economic status (indexed by FAI) in a regional Chinese population.

Dental caries and body mass index by socio-economic status in Swedish children

2008 ◽  
Vol 36 (5) ◽  
pp. 459-465 ◽  
Author(s):  
Elisabeth Wärnberg Gerdin ◽  
Marianne Angbratt ◽  
Kerstin Aronsson ◽  
Elin Eriksson ◽  
Ingegerd Johansson
Keyword(s):  
Body Mass Index ◽  
Dental Caries ◽  
Body Mass ◽  
Economic Status ◽  
Socio Economic Status

Student Characteristics and Behaviours in Childhood Predict Self–reported Health in Middle Adulthood

2016 ◽  
Vol 30 (5) ◽  
pp. 456-466 ◽  
Author(s):  
Marion Spengler ◽  
Brent W. Roberts ◽  
Oliver Lüdtke ◽  
Romain Martin ◽  
Martin Brunner
Keyword(s):  
Quality Of Life ◽  
Body Mass Index ◽  
Body Mass ◽  
Economic Status ◽  
Subjective Health ◽  
Student Characteristics ◽  
Socio Economic Status ◽  
Related Quality ◽  
Reported Health

We examined how self–reported and teacher–rated student characteristics in primary school were associated with adult self–reported health. A representative sample of Luxembourgish students was assessed in 1968 ( M age = 11.9, SD = 0.6) and 2008 (N = 745; M age = 51.8, SD = 0.6). Self–reported sense of inferiority and pessimism in childhood were negatively related to subjective health and vitality–related quality of life/health in adulthood (rs = −.08 to −.12); teacher–rated studiousness (age 12 years) was positively related to subjective health, healthcare utilization and vitality–related quality of life/health (age 52 years; rs = .13 to .16). After controlling for childhood IQ, parental socio–economic status, educational attainment and sex in multiple regression analyses, most effects of teacher–rated studiousness showed incremental validity beyond the controls. School entitlement, sense of inferiority, impatience and pessimism were positively related to body mass index (rs = .08 to .13). The responsible student scale and teacher–rated studiousness were negatively related to body mass index (rs = −.09 to −.13). The findings demonstrate that childhood characteristics and behaviours are important life–course predictors of key health dimensions beyond childhood IQ and parental socio–economic status. In addition, this narrower level of assessment adds significantly to the empirical body of knowledge on long–term predictors of health outcomes in adulthood. Copyright © 2016 European Association of Personality Psychology.

Successful use of anti-retroviral therapy in combination with cytotoxic chemotherapy for persistent molar pregnancy: A case report

2003 ◽  
Vol 13 (2) ◽  
pp. 246-248
Author(s):  
M. Moodley ◽  
J. Moodley
Keyword(s):  
Case Report ◽  
Antiretroviral Therapy ◽  
Young Women ◽  
Ethical Dilemmas ◽  
Gestational Trophoblastic Disease ◽  
Cytotoxic Chemotherapy ◽  
Molar Pregnancy ◽  
Trophoblastic Disease ◽  
Response To Chemotherapy

Due to the HIV pandemic, the chances of finding gynecological malignancies in HIV-infected women are increased. This poses management and ethical dilemmas as the treatment for such malignancies are likely to further decrease their immunity. Gestational trophoblastic disease occurs predominantly among young women and has excellent response to chemotherapy. However, such therapy is not possible if their immunity (CD4 counts) is markedly depressed. The patient described presented with persistent molar pregnancy and had low CD4 count. She was given antiretroviral therapy and once the CD4 count had risen to acceptable levels cytotoxic chemotherapy was administered. She received a total of 13 cycles of chemotherapy with no significant untoward effects. After a 6-month follow-up period the patient was well with a negative serum βHCG level and CD4 count above 200. We conclude that HIV-infected women with gestational trophoblastic disease may be safely treated with cytotoxic chemotherapy provided anti-retroviral therapy is concurrently administered to boost immunity.

scholarly journals Changes in body mass index by age, gender, and socio-economic status among a cohort of Norwegian men and women (1990–2001)

2007 ◽  
Vol 7 (1) ◽  
Author(s):  
Deborah L Reas ◽  
Jan F Nygård ◽  
Elisabeth Svensson ◽  
Tom Sørensen ◽  
Inger Sandanger
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Economic Status ◽  
Men And Women ◽  
Socio Economic Status

Body mass index, socio-economic status and socio-behavioral practices among Tz’utujil Maya women

2009 ◽  
Vol 7 (1) ◽  
pp. 96-106 ◽  
Author(s):  
Jason M. Nagata ◽  
Claudia R. Valeggia ◽  
Frances K. Barg ◽  
Kent D.W. Bream
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Economic Status ◽  
Socio Economic Status
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