Background Anterior abdominal wall defects, including gastroschisis and omphalocoele, are common fetal anomalies. The management remains complicated, and their diagnosis may lead to significant parental distress. Effective parental counselling may impact on parental perceptions of the defect and help guide pregnancy management. Aims Using contemporary data, we aimed to describe clinical outcomes of patients with gastroschisis or omphalocoele in order to provide information for clinicians to assist in parental counselling. Materials and Methods We followed a case‐series of patients with anterior abdominal wall defects referred to our regional Maternal Fetal Medicine services from 2011 to 2016. Outcomes of interest antenatally included details of diagnosis, associated anomalies and outcomes of pregnancy and postnatally included the nature of surgical repair, hospital stay and secondary complications until initial discharge. Results Eighty babies with gastroschisis were referred antenatally, and 72 were liveborn. Forty‐nine babies with omphalocoele were referred antenatally, and 24 were liveborn. One further neonate with omphalocoele was postnatally diagnosed. Seventy‐one neonates with gastroschisis progressed to operation, 30 developed complications post‐surgery, and 68 survived until initial discharge. Twenty‐two neonates with omphalocoele progressed to surgery, only two developed complications, and 21 survived until initial discharge. Eight of the surviving neonates with omphalocoele had associated structural abnormalities. The median hospital stay was 27 and eight days for gastroschisis and omphalocoele, respectively. Conclusion Neonates with gastroschisis can have complex postnatal periods. Omphalocoele is associated with high antenatal mortality, especially in the presence of associated abnormalities; however, surviving neonates may have uneventful postnatal periods.
Objectives-A woman is pivot of a family, but they hardly pay attention to their health. The present study aimed to screen the women for common health problems under one roof. A programme "Swasth Mahila, Swasth Pariwar" was conducted in a small hospital set up and cost effective manner. Material and Methods-408 women, above 18 years were screened for the study after obtaining their consent, 294 were enrolled and were subjected to a questionnaire regarding sociodemographic factors, dietary habits and medical history. Anthropometry and clinical examination was followed by laboratory investigations including Hb%, TLC, DLC, P/S for anaemia, Urine analysis, Blood Glucose. Vaginal cytology with special staining in patients complaining of vaginal discharge (n=128). After screening, patients were referred to separate special clinics accordingly for homoeopathic treatment and follow up. Collaboration with family planning department was done to educate them about family planning practices. Results-The prevalence of anaemia was 40.14% (mean haemoglobin 10.1g/dl). 64.4% had mild, 33.1% had moderate and 2.5% had severe anaemia. 92 % women had iron deficiency anaemia. The prevalence of diabetes was 11.57% and prediabetes was 28.9 %. 13 new diabetic and 35 UTI cases were identified. 45.3% women had bacterial vaginosis, 10.9% had trichomoniasis, 17.2% had candidiasis and 0.8% had candidiasis with bacterial vaginosis. All the facilities including consultation, medical examination and laboratory testing were free of charge. The expenditure on laboratory testing for each patient was Rs 300 (approx). Conclusion-This programme helped to identify nutritional, lifestyle disorders and to generate awareness to improve the sexual health status of women in a cost effective manner.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.