BackgroundComplete blood count is one of the routinely advised blood investigation during pregnancy. It is also utilized as a diagnostic tool for neonatal anemia, sepsis and determining hemostatic status of the newborn. The present study aims at estimating the complete blood count of maternal and umbilical cord blood at the time of delivery and to establish its correlation.MethodThis cross sectional study included 114 mothers and their healthy neonates born through normal vaginal delivery. Complete blood count of umbilical cord blood and maternal blood was estimated using automatic hematology analyzer.ResultsThe mean maternal and neonatal hemoglobin concentration was 11.14 ± 1.39 g/dL and 16.34 ± 2.01 g/dL respectively. A significant positive correlation was found between maternal and fetal hemoglobin concentration (p < 0.001 and Pearson R = 0.496). The correlation between maternal and fetal WBC, RBC and Platelet count was not statistically significant. A significant positive correlation was found between maternal and fetal MCV and MCH while PCV showed a non-significant positive correlation.ConclusionThere was moderately positive correlation between maternal and fetal hemoglobin, MCV and MCH. The cord blood hemoglobin was lower in babies born to anemic mothers. The decrease in hemoglobin followed the severity of anemia, however, the correlation did not exist in anemic mothers. It suggested that fetal hematological parameters are not reflective of maternal hemogram.
Background Palliative patients generally present with symptoms of dyspnea, easy fatigability, lethargy and feeling of being unwell which can broadly be attributed to one root cause: cancer-related anemia. So, packed red cell transfusion is often carried out aiming to improve patients’ functional status. Different cut off hemoglobin values have been suggested, with Hb < 9 g/dL the most commonly accepted. The present study aims at evaluating and comparing the benefits in subjective symptoms of fatigue and breathlessness among transfused and non-transfused palliative patients on Day 0 and Day 7. Methods Hemoglobin values, anemia related subjective symptoms of fatigue and breathlessness were recorded from 122 patients. The patients were re-evaluated on day-7 post-transfusion. The pre and post-transfusion symptomatic benefit was compared in both transfused and non-transfused palliative care patients. Results The currently practiced hemoglobin trigger for packed red cell transfusion is 10 g/dL. The units of packed red cell to be transfused was decided according to the hemoglobin values targeting the rise to > 10 g/dL. A mean 1.36 units were transfused. Statistically significant improvement was observed in patient reported symptoms of fatigue and breathlessness among both transfused and non-transfused palliative patients. Conclusion Anemic cancer palliative patients were found to benefit following packed red cell transfusion, suggesting a favorable association between the transfusion and patient-reported fatigue and dyspnea.
Backgrounds: Renal arteries are two large blood vessels branching laterally from the abdominal aorta just below the superior mesenteric artery. The arteries vary in their level of origin and caliber, obliquity and precise relations. Each renal artery is about 6-8mm diameter. There is a varying characteristic of these arteries owing to their different course. The aim of the study was to study the variation in the formation of renal artery with its branching pattern using CT Angiography. Methods: The study was conducted in the department of Radiology at Chitwan Medical College after obtaining ethical approval CMC-IRC. CT Angiogram was studied in 17 individuals who attended radiology department for angiography for different suspected abdominal and renal pathology. Results: Analyzing the result of the angiography we found the usual branching pattern of renal artery in 70.58% of the individual, with variations in remaining 29.42%. On studying the number of arteries supplying kidney, artery draining directly to hilum i.e. accessory renal artery was 2.95%. We found the average length of right renal artery ranged between 3.5cm to 6.0cm. Conclusions: The variations on this large lateral branch of abdominal aorta are common. Surgeons should exclude the possibility of presence of accessory and aberrant renal arteries obstruction prior to the surgical procedure. The awareness about the presence of such variations is important from the academic, surgical and radiological aspect.
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