Background:The aim of the study was to study the sociodemographic factors in cases of pregnancy induced hypertension and its associated risk factors in a tertiary care hospital. Method: The present retrospective study was conducted in the Obstetrics and Gynaecology department of IMS & SUM Hospital, Bhubaneswar, Odisha from June 2017 to May 2018. A total of 120 cases of pregnant women with PIH were studied. The sociodemographic data like age, parity, gestational age of presentation, mode of delivery, maternal and perinatal complications were noted from the hospital records and studied. Results: The incidence of PIH was found to be 7.2% in pregnant women attending the IMS& SUM Hospital.52% cases were in the age group of 25-30 years and 27% were in the age group of 19-24 years. In the present study, incidence of PIH was found to be highest among primigravidas (65%) as copmpared to multigravidas (35%).Most cases were delivered by caesarean section (71%) and 29% were delivered vaginally. Out of 120 cases, 10 % of cases were complicated by eclampsia, Severe PIH in 6%, Abruptio placentae in 1.6% and HELLP Syndrome in 0.8% cases. Conclusion: PIH is a very common complication encountered in pregnancy associated with adverse maternal and fetal outcome. The risk ia higher among young primigravidas and in rural population. Better health care facilities and awareness among the pregnant women will help in reducing the incidence of PIH and its associated complications.
Introduction: In developing countries like India, low birth weight is a major public health issue. It is a leading cause of disease and mortality in infants. Low birth weight can be avoided by identifying at-risk pregnant women and taking the necessary precautions. Methods: From January to June 2019, a facility based retrospective case control study was conducted among pregnant women who gave birth at the hospitals. The information was gathered from the antenatal care files and the delivery room register and records. SPSS version 24.0 was used to process the data. To find an independent predictor of low birth weight, researchers used binary and multiple bivariate logistic regressions. Result: An aggregate of 450 neonatal birth records were reviewed in this study of which 150 were low birth weight babies and 300 were of normal birth weight. The mean ± SD and median [IQR] for birth weight of case group was [2.0±0.4kg, 2.2[1.8-2.4] kg] and that for control [3.1±0.4kg, 3.0[2.7-3.3] kg] respectively. Conclusion: Preterm delivery, mothers with hypothyroidism have an increased chance of having low birth weight babies whereas mothers with regular antenatal check-up and mothers with primary and secondary education have a lesser possibility of having low birth weight babies.
Background: The aim of the study was to find out the incidence, maternal and fetal outcome of breech presentation in a tertiary care hospital. Methods: The present retrospective study was carried out in the department of Obstetrics and Gynaecology of IMS & SUM HOSPITAL, Bhubaneswar, Odisha from March 2016 to April 2018. Total 97 cases were included in this study. The demographic data like age, parity, gestational age, mode of delivery, maternal and perinatal outcome were noted from hospital records and studied. Results: The incidence of breech was found to be 2.6% in patients attending the IMS & SUM HOSPITAL. 47 % cases were in the age group of 20-25 years and 28% were in age group of 26-30 years. In the present study, primigravidas constitute 52%of cases. Most of the cases were delivered by caesarean section (88%) which were associated with PIH, oligohydramnious and PROM. Perinatal morbidity was seen to be higher in babies delivered vaginally (63%) as compared to 16 % in cases delivered by caesarean section. Conclusion: Breech presentation is associated with adverse maternal and fetal outcome. Caesarean section does not totally eliminate the associated maternal and perinatal morbidity. The mode of delivery in breech presentation should be specified based on type of breech, stage of labour, fetal wellbeing and availability of skilled obstetrician.
To watch the maternal and Perinatal result in eclampsia. Material and Methods: Data was gathered from eclamptic ladies admitted to the crisis ward of Obstetrics and gynecology of IMS and SUM doctor's facility, Bhubaneswar, India amid the time of Sept 2013 Aug 2015.Maternal and fetal complexities were noted. Results: The occurrence of eclampsia was 1.58% amid the examination time frame. Greater part of the patients were under 30 years old (80.7%). There were a fundamentally higher number of ladies (n=42) from poor financial strata of the general public. Dominant part of the patients (55.7%) had no antenatal checkups. Cesarean conveyance rate in our foundation was 57.69%. 38.4% patients required admission to ICU. Perinatal passing rate was 285/1000 live births. There were 4 maternal passings (7.69%) amid the investigation time frame. Decision: Eclampsia is a noteworthy obstetric crisis that needs sufficient administration to maintain a strategic distance from calamitous occasions. Early determination and referral of cases from essential human services unit alongside organization treatment and convenient mediation can enhance the visualization.
Medical end of pregnancy has been legitimized in India for more than 40 years, yet the greater part of all premature births are hazardous. Restorative fetus removal pill is well compelling in early long stretches of pregnancy .Despite all the control, it has been seen by the general public that, therapeutic premature births are to a great degree safe alternative. In any case, it is protected just when it is utilized under therapeutic supervision. Self-organization for fetus removal is exceptionally unsafe whenever disregarded or hid. Our investigation goes for discovering the extent and result of self-prescription of premature birth pills. Material and Method: This is an imminent observational examination led in Institute Of Medical Science and SUM healing facility Bhubaneswar, Odisha from January 2017-December 2017. This investigation included aggregate 204 numbers of cases with a background marked by self prescription of mifepristone and misoprostol who exhibited to the clinic with some intricacy. The information was factually broke down. Results: In our examination period, add up to 204 instances of ladies with a background marked by self-drug of restorative premature birth pill,presented to healing center with some intricacy. The most continuous complaintwas sporadic draining and held result of origination (54.9%). The dominant part of patients were inside the age gathering of 20-30 yrs (66.2%) and55.39% cases were second gravida.63.7% cases had taken deficient dose.Laparatomy was required in 5 cases (2.3%).Blood transfusion was required in 45 cases(22%).68.6% cases required minor careful mediation like suction and clearing. Conclusions: Medical fetus removal pill is a viable strategy for end of early pregnancy yet it is sheltered just on the off chance that it is taken under therapeutic supervision. Self prescription and over the counter (OTC) moving of these pills ought to be confined.
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