Reduced fetal movement is a worrisome common complaint, not only for mothers but also for the attending medical personnel. The aim of this study was to analyse the pregnancy outcomes of women who presented primarily with reduced fetal movements (RFM). A retrospective study was performed based on patients' perception alone. Obstetric, past medical history, current presentation and outcomes of pregnancy were analysed. A total of 230 case notes were reviewed, with the majority being primigravidae. Less than half (48.7%) of the women had spontaneous labour, 45.7% had induction and 5.6% had elective caesarean section. There were no maternal complications in 97.4% (n = 224) of them. About 0.9% (n = 2) and 1.7% (n = 4) had primary postpartum haemorrhage and extended perineal tear, respectively. Although there was no major neonatal mortality and morbidity, until a randomised trial with a significant sample is conducted in the management of RFM, careful selections for elective delivery or conservative management would prevent untoward complications.
Background Gestational diabetes mellitus (GDM) is on the rise globally and there are various screening guidelines with regard to patients' criteria. Materials and methods We conducted a prospective cross-sectional study to determine the prevalence of GDM amongst low-risk pregnant women above the age of 25 years. A modified glucose tolerance test (MGTT) was performed between 24 and 36 weeks of gestation. Women with GDM were divided into two groups for analysis: age between 25 and 34 years (group A) and above 35 years (group B). They were managed as per hospital protocol and followed-up until delivery. The women's demographic data, treatment and subsequent pregnancy outcomes were analysed. Results The overall prevalence of GDM in our low-risk women was 14%. GDM was less common in the younger age group (25-34 years) in comparison to those aged above 35 years (9.7% vs. 26.3%, p = 0.001). There was a non-significant increase in the induction of labour (IOL) rate amongst those aged below 35 years compared to the older group (46.7 % vs. 38.5%). The insulin requirement in the age group 25-34 years and above 35 years, were 6.7% and 23.1%, respectively. There was no significant difference between both age groups with regard to caesarean delivery, birth weight above the 95th centile and neonatal hypoglycaemia. Conclusion In low-risk women, the prevalence of GDM is significantly lower in those aged less than 35 years. Diagnosing GDM had resulted in the increment of IOL in this group, although with no significant increase in maternal and neonatal morbidity.
Medical evacuation using intra-vaginal misoprostol 800 mcg eight hourly for a maximum of three doses in an outpatient setting is as effective as in inpatient setting with tolerable side effects.
In this paper sustainable analysis is performed due to the increasing demand for fuel efficiency. Current research focuses on high strength-light weight components in automobile which lead to the development of advance material parts with improved performance. A specific class of advanced material which has gained a lot of attention due for its potential is aluminium based metal matrix composites (Al-MMCs). Al-MMCs have some prospects for several applications in automobile parts. The analysis in this paper is a part of product development which plays a crucial role in determining a product's environmental impact. The objective was accomplished and thus to identify the potential of Al-MMCs rake disc for replacement of the conventional cast iron brake disc. The result indicated that the Al-MMCs have the potential to substitute the cast iron brake disc.
Unique properties of thermoelectric materials enable the conversion of waste heat to electrical energies. Among the reported materials, Zinc oxide (ZnO) gained attention due to its superior thermoelectric performance. In this review, we attempt to oversee the approaches to improve the thermoelectric properties of ZnO, where nanostructuring and doping methods will be assessed. The outcomes of the reviewed studies are analysed and benchmarked to obtain a preliminary understanding of the parameters involved in improving the thermoelectric properties of ZnO.
This paper discusses the mechanical properties of Titanium Carbide (TiC) particulate reinforced aluminium-silicon alloy matrix composite. TiC particulate reinforced LM6 alloy matrix composites were fabricated by carbon dioxide sand molding process with different particulate weight fraction. Tensile strength, hardness and microstructure studies were conducted to determine the maximum load, tensile strength, modulus of elasticity and fracture surface analysis have been performed to characterize the morphological aspects of the test samples after tensile testing. Hardness values are measured for the TiC reinforced LM6 alloy composites and it has been found that it gradually increases with increased addition of the reinforcement phase. The tensile strength of the composites increased with the increase percentage of TiC particulate.
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