Background: Referral services for identification and referral of high risk pregnancies are an integral part of maternal and child health services. The aim of this study was to review the pattern of obstetric cases referred to tertiary care center, to identify their clinical course, mode of delivery, maternal and perinatal outcomes.Methods: It is a prospective observational study carried out from January 2017 to July 2017. Study population was all Obstetrics patients referred to Department of Obstetrics and Gynecology of B.J Medical College, Ahmedabad, Gujarat, India a tertiary care center during the study period.Results: The total number of referred cases in above study period was 100. Mode of transport used by the referred patients was by 108 ambulances (75%) and private vehicles (25%). Most common diagnosis at the time of referral was hypertensive disorders of pregnancy (31%). Out of the total referred cases, 57% had vaginal delivery, 42% had caesarean section. Hypertensive disorders of pregnancy constitute the leading cause of maternal deaths amongst the referred cases.Conclusions: The present study has shown that inadequate antenatal and intra-natal care at the periphery level is responsible for increased maternal and perinatal morbidity and mortality. Even today, hypertensive disorders of pregnancy are the leading cause of maternal mortality. Health education to the community will definitely reduce maternal and perinatal morbidity and mortality.
Pregnancy complicated with Eisenmenger syndrome is associated with high risk to the mother and the fetus. There is approximately 50% risk of sudden maternal death, frequently occurring a few days postpartum and the overall fetal wastage is reported to be up to 75%. Patients with Eisenmenger syndrome are advised to refrain from pregnancy or to terminate pregnancy by the end of rst trimester itself. Management of these patients requires a coordinated multi-specialist care when such pregnancies reach a stage where safe termination is not advisable. However, inspite of all the risks, a few patients delivered successfully with a good maternal and neonatal outcome. Here we report a case of a 20 years old primi patient with 36 weeks gestational age and known case of Ventricular Septal Defect with Eisenmenger syndrome and Tricuspid Regurgitation and Pulmonary Hypertension. Her doppler study suggestive of utero placental insufency with reversal of umbilical artery ow. Patient was delivered normally with full support of oxygen with good neonatal outcome. Patient and her baby were transferred to cardiology department and patient was discharged on post partum day 5 from cardiology hospital
Background: To study of prevalence of gestational diabetes mellitus in the community, demographic parameters like age, gestational age at diagnosis, parity, complications related to gestational diabetes mellitus, and plan the management of gestational diabetes mellitus and to reduce the maternal and perinatal morbidity and mortality.Methods: In this prospective observational study we included 50 patients with gestational diabetes mellitus were studied for feto-maternal outcome. The study was conducted from October 2018 to October 2020 at department of Obstetrics & Gynaecology, B. J. Medical college and Civil Hospital, Ahmedabad.Results: Total 50 cases of gestational diabetes mellitus were studied. It was observed that gestational diabetes mellitus were more common in elderly age group (60%), multigravida patients wer more commonly involved (48%). Past history of gestational diabetes melllitus was present in 42.2% of cases, 74% of cases required insulin for glycemic control,64% cases required delivery by caesarean section, maternal complications like preeclampsia (10 cases), polyhydramnios (22), uteroplacental insufficiency (4), macrosomia, sudden intrauterine death (3) and operative delivery were more common. 6 neonates developed respiratory distress syndrome, 10 developed hypoglycemia, and 13 neonates required NICU admission, 6 neonates underwent perinatal mortality.Conclusions: Gestational diabetes mellitus has become a global public health burden. Gestational Diabetes Mellitus is one of the leading causes of morbidity and mortality for both mother and infant worldwide. Early detection of gestational diabetes mellitus, timely referral, frequent antenatal visits, management of the identified cases at tertiary centres can lead to decreased maternal and fetal morbidity and mortality.
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.