Background: Pre-eclampsia is one of the leading causes of maternal and perinatal morbidity and mortality in India. Objective of this study was to establish whether a spot urinary albumin/creatinine ratio (ACR) measured between 18-28 weeks of gestation can predict subsequent pre-eclampsia in asymptomatic pregnant women.Methods: A prospective observational study involving 50 registered antenatal cases visiting the obstetrics outpatient department between 18-28 weeks of singleton pregnancy with nil proteinuria upon dipstick measurement were included. ACR was determined from random single midstream urine sample. Statistical analysis was performed using Chi square test and Student’s t-test.Results: Of the study group, 10 patients had high ACR value, with 8(80%) developed pre-eclampsia and 2(20%) remained normotensive. ACR had a sensitivity of 80%, specificity 97.56%, positive predictive value of 88.89%, diagnostic accuracy of the test being 94.12%.Conclusions: The spot urinary protein creatinine ratio is a reliable predictor for pre-eclampsia in pregnancy.
Background: The objective was to study adequacy of valid informed consent in caesarean section and to quantify the proportion of patients who receive a proper informed consent before undergoing caesarean section.Methods: A cross-sectional questionnaire-based study involving 200 registered antenatal women undergoing caesarean section for various reasons both as elective or emergency basis, and data was analyzed.Results: Among the study group, 98.5% patients were informed about the said procedure in their own local language and consent was taken, in 3 (1.5%) patients informed consent was not taken. Detailed procedure was explained to only 29 patients (14.5%) whereas 171 patients (85.5%) had no clue about the detailed nature of the procedure. 193 patients (96.5%) were satisfied with the given informed patients; 7 patients (3.5%) were not satisfied.Conclusions: Women need consistent and adequate information for consent. Sessions should be held regarding the procedure, its risks and benefits; in this way patient will undergo the procedure with proper knowledge, awareness and confidence.
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