A high-grade malignant placental site trophoblastic tumour with aggressive clinical course occurred at an extrauterine site. It complicated calcified abdominal pregnancy and resulted in repeated rectal perforation and peritonitis.
Context and Aims: Antepartum depression in women is common and is of immense public health importance, as it can adversely affect both the mother and child; therefore it is necessary to identify women suffering from antepartum depression. The associated risk factors can be used for the screening to identify and manage the problem in time. This study was planned to evaluate women attending the hospital for Antepartum depression and to identify the probable risk factors. Methods and Materials: Pregnant mothers in second and third trimester coming for antenatal checkup Inclusion-criteria: All Antenatal women willing to participate in study. Exclusion-criteria-H/O any psychotic disorder, diabetes,any obstetric complication. Sample-size: 665, Sampling-Technique: Two stage sampling: Hospitals selected randomly. Purposive sampling for Study-subject. Study-duration: 6 months Study-tools: i. Edinburgh Postnatal Depression Scale [EPDS]. ii.Pre designed, pilot tested questionnaire. Results: There were 665 mothers with age ranging from 18 to38 years, mean 25.42± SD 3.57. Possible depression (EPDS score ≥ 10) was present in 71 (10.7%) of mothers. Possible Depressionwas significantly high in age 34-38yrs (33.3%, x²=59.02, p=0.00), third gravida (42.9%, x 2 =83.516, p=0.000), mothers with 5-10std education (20%, x²=7.723, p=0.02), in employed women (33.9%, x²=42.62, p=0.00), in mothers whose husbands with 5-10 std education (18.2%, x²=16.98, p=0.000), in joint family type (14.5%, x²=6.917, p=0.009), having previous female child (92.9%, x²=71.626, p=0.000), financial constrains (50%, x²=6.52, p=0.011) and stressful life events (71.4%, x²=27.37, p=0.00). Strong Predictors of antenatal depression were employed mothers and female sex of previous child. Conclusion: Possible antepartum depression was common as nearly 11% of mothers were having EPDS score above or equal to 10. Risk factors were previous female child and mother working as a employee.
In most developed countries, pregnancies are planned, complications are few and outcomes are generally favourable for both mother and infant. Adverse outcomes are far more frequent in the developing world. The most severe adverse outcome of pregnancy is the death of the mother or her offspring. The adverse pregnancy outcome means those pregnancies which terminate causing high risk to the mother and child's health and life. Worldwide the number of neonatal deaths decreased from 5.1 million in 1990 to 2.5 million in 2017. However, the decline in neonatal mortality from 2000 to 2017 has been slower (41%) than that in post-neonatal mortality (60%) globally. This survey was carried out in the Kudathini Village, which is the rural field practice area situated 16 kms from VIMS Ballari. Ballari is a district in the southern part of Karnataka. There are 19.2% of study subjects who got married below the age of 18 years and the remaining 80.7% were married after 18 years of age. The percentage of consanguinity in marriage is 5.6% and rest 94.3% are non-consanguineous marriage. The duration of married life of most of the study subjects' i.e, 48.6% belonged to 1-5 years duration followed by more than 5 years i.e, 28.2% and rest of 4.2% were married for less than a year.
BACKGROUND India is doubly burdened with communicable and non-communicable diseases (NCD). Knowledge regarding morbidity profile is important for timely intervention so as to improve the quality of life. For effective health strategies, it is important to know the disease burden of a community. As for the effective preventive strategies, it’s important to know the information regarding disease burden and changing trends of diseases in the locality. Hence this study was done to find the morbidity pattern of urban population in Bellary district, Karnataka. METHODS A cross sectional study was carried out in Millerpet, urban health training centre (UHTC), Bellary, Karnataka. The respective UHTC covers 69195 populations, which has eight wards. Simple random sampling technique was adopted to select the ward. The study was carried out in the selected ward and the study duration was for a period of 3 months. Based on the estimated sample size, 416 houses were selected using random number method. Statistical package for social sciences (SPSS) software version 26 was used for analysing data. Descriptive statistics were used to describe socio demographic and morbidity conditions. RESULTS The most common morbidity among 416 houses were found to be diabetes (22.8 %) followed by hypertension (20 %) and musculoskeletal problems (9 %). Majority of the houses were of nuclear type and the most common age group was 31 - 60 (91.8 %) years followed by 13 - 30 years (80.8 %). 167 (40.1 %) houses had at least one morbidity and 451 (41.4) subjects had at least one morbidity. Socio-demographic variables like age group, family size, monthly income, occupation of head of the family and type of the family were found to be statistically significant. CONCLUSIONS The study revealed that non communicable are the most common diseases present and there is a need to further evaluate the factors responsible so that preventive measures can be taken at the earliest so as to improve the quality of life. KEYWORDS Morbidity Pattern, Urban, Bellary
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