Objective: To evaluate the frequency of adverse maternal and perinatal outcomes in teenage pregnancies at secondary hospital Hyderabad. Methods: Retrospective record review was conducted between January 2012 to January 2016. Total No. of deliveries was 15,395 out of which No. of teenage was 452. Results: Rate of teenage pregnancy in our hospital during study period was 2.93%. Majority of women were uneducated. Teenage mother more likely to develop pregnancy induced hypertension 19.5%, frequency of mild, moderate, and severe anemia were reported to be 69.9%, 28.8% and 1.3% respectively. Conclusion: Fetal and neonatal outcome was not adversely affected. Teenage pregnancy outcome can be achieved favorable with good antenatal care.
Labor is induced to stimulate the uterine contraction in effort to have vaginal birth. Induction may be advocated to reduce fetal or neonatal morbidity and mortality. Indication of labor needs to be considered when risk and benefits analysis indicates that delivering the baby is safe option for mother or both rather than continuing the pregnancy and when there are no clear indications for caesarean section and no contraindication for vaginal delivery.
Objective: To evaluate increasing rate of caesarean section due to non-reassuring cardiotocography. Methods: This study is carried out in obs/gyn department of Liaquat university hospital from 2012 to 2013. After permission from ERC, patients enrolled for study meeting inclusion criteria with nonreactive cardiotocography undergo caesarean section, and results are analysis through SSPS version 17. Results: There was wide variation of maternal age ranging from a minimum of 20 years to 30 years. The mean age was 26 ± 2.1 years. In our study mostly patients were primigravida 58 (58%) between 2 -4 were 22 (22%) more than para 5 were 20 (20%) patients. In our study mostly patients undergone caesarean section 81 (81%) 19 delivered vaginally (19%). In our study the gestational age was >37 weeks, ranging from a minimum of 37 weeks to 42 weeks. The mean age was 37 + 2.4 week. Mostly patients observed 37 -38 wks in (52.67%), 39 -40 wks in (32.14%) and 41 -42 wks in (15.17%). In our study mostly Apgar score were more than 7 was 63 (63%) cases and less than 7 Apgar score in 37 (37%). Conclusion: Cardiotocography is a useful and indispensable adjunct to monitor the condition of endangered fetus. However, there is a need to develop a standardized and unambiguous definition of FHR tracing to reduce the incidence of false positive findings that may result in increased incidence of unnecessary intervention particularly caesarean section.
Impact of maternal weight on success of VBAC. Introduction: WorldwideCesarean section is the commonest obstetrical procedure to be performed and same situationis in Pakistan. One strategy is to offer vaginal birth after cesarean section to reduce the alarmingcesarean rate. Many factors have been Identified which can affect success of trial of labor.Maternal weight has an important relation with the reproductive health of women, as obesityduring pregnancy is associated with increased maternal and fetal risk. Maternal obesity hasbeen shown to be associated with increased rates of primary cesarean delivery and failed trialof vaginal birth after cesarean delivery. Objectives: To determine the effect of maternal weighton success of VBAC. Study Design: Cross sectional study. Period: May 2012 to October 2013.Setting: Liaquat university hospital, Hyderabad. Material and Methods: a total of 96 womenwhich fulfilled the selection criteria were included in the study. Results: The women included inthe study had a mean age of SD (range), 29.94+ 4.41 (20-40 years) successful vaginal birthswas observed in 57(59.4%) women and 39(40.6%) had an emergency repeat cesarean delivery.Body mass index was noted among all the women, 23(24.0%) were obese and 73 (76.0%)were non-obese. Out of 23(24.0), 7(30.4%) had successful VBAC and 16(69.6%) women hadsuccessful trial of labor and 23(31.5%) delivered by repeat Caesarean delivery. (P.0.002) P value= 0.001 is statistically significant and calculated by Fisher’s exact X2 test. Conclusions: Obesityis associated with decreased chances of successful VBAC, making it a risky option for obesewomen.
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