Pregnant women are particularly vulnerable to Iron deficiency because of the increased metabolic demands imposed by pregnancy involving a growing placenta, fetus and maternal tissues, coupled with associated dietary risks. Maternal iron deficiency has effects on fetal iron stores. The fetus receives iron indirectly from the maternal circulation through a rapid and unidirectional process. Thus, this study was planned to determine association between maternal serum ferritin and new born serum ferritin levels. In this observational cross sectional study randomized sample of 100 antenatal women, >20years of age with Hb <11gm/dl and period of gestation >37 weeks was taken for study. Serum ferritin was estimated by ELISA technique. Hb levels ranged from 3.8-10.7grams/dl with a mean value of 9.77±1.55gram/dl. Parity is of significance for severity of Anaemia (p=0.002). Mean gestational age was 38.35±0.85. No correlation was found between the maternal haemoglobin and maternal serum ferritin levels in women with mild and moderate Anaemia. But in cases of severe Anaemia a positive correlation was found with a p<0.001. The mean cord blood serum ferritin was 57.36±19.48 micrograms. This study establishes the effect of iron deficiency anaemia on neonatal iron status with increasing severity of anaemia and emphasizes on the need for iron supplementation during pregnancy.
Background: The objectives of antepartum fetal surveillance are to prevent fetal death and avoidance of unnecessary intervention. This study using NST as a tool for routine antepartum fetal surveillance is we will be trying to catch up those fetuses who might be at risk in womb and provide prompt intervention in otherwise considered normal pregnancies without any obvious high-risk factor thus giving the best outcome in mothers.Methods: The objective of this study was to evaluate the correlation of the non-stress test with fetal outcome in pregnancies from 37-42 weeks of gestation. This was a prospective observational study at RNT Medical college Udaipur (Rajasthan) from November 2021 to March 2022. This study included 100 normal pregnant mothers from 37 weeks to 42 weeks who were subjected to NST.Results: The parameters of poor fetal outcome like apgar score <7 at 5 minutes had increased incidences in the non-reactive group.Conclusions: This study suggests that the NST was found to be a good predictor of the healthy foetus even in normal pregnancies between 37-42 weeks of gestation and the probability of an adverse outcome such as poor Apgar score increases with a non-reactive strip.
Background: Sustainable development goal 3 includes an ambitious target of reducing the global maternal mortality rate (MMR) to less than 70 per 100,000 births by 2030. Understanding the causes of and factors contributing to maternal deaths is critically important for development of interventions that reduce the global burden of maternal mortality and morbidity. The International classification of diseases-maternal mortality has proven to be easily applicable and helps clarify the cause of maternal death. Methods: Retrospective study of 100 maternal death cases was done in a tertiary medical centre of Rajasthan from December 2020 to November 2021 for determining the causes of maternal death and their classification according to ICD-MM. Results: A total of 100 maternal mortality cases were analyzed in this study for causes of death. Classification of causes of death according to WHO ICD-MM is represented in study results. Direct causes of maternal deaths were observed in 82 % cases whereas indirect causes were present in remaining 18%. Hypertensive disorders (29%), obstetric haemorrhage (27%) and pregnancy related infection (12%) constituted the major groups of direct cause of maternal deaths whereas systemic infections were the most common indirect cause (15%). During the study period, COVID-19 was attributable to 12 cases of maternal death.Conclusions: Hypertensive disorders (29%), obstetric haemorrhage (27%) and pregnancy related infection (12%) were the major causes of direct obstetric death and systemic infections (15%) was the most common cause of indirect obstetric death. All of these causes are preventable with targeted interventions.
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