Background: Routine and continuous electronic monitoring of foetal heart rate (FHR) in labour has become an established obstetric practice. In this study we aim to evaluate if the admission Cardiotocography (CTG) can be used as a predictor in detecting foetal hypoxia at the time of admission in labour and to correlate the results of the admission CTG with the perinatal outcome. Material & Method: Total of 100 patients admitted in the labour room with singleton live pregnancy after 37 weeks of gestation were included in this prospective observational study. Foetal heart tracing was recorded at the time of admission to labor room, for a period of 20 minutes and evaluated using standard procedure. Result: One hundred patients were recruited. The admission CTG were 'reactive' in 67, equivocal in 21, and 'ominous' in 12 women. Occurrence of foetal distress, meconium stained liquor and neonatal intensive care unit (NICU) admission was significantly more frequent among patients with ominous test results compared with equivocal or reactive test results on admission. Incidence of vaginal delivery was more common when the test was reactive.
Conclusion:It is simple and easy test and an effective screening test to identify group of women with greater risk of Intrapartum foetal hypoxia and prevents unnecessary delay in intervention.
With the increasing market for cloud computing and the variety of Cloud Service Providers (CSPs) becoming available, making an appropriate choice of a CSP turns out to be challenging for the consumer. In order to cater to the user’s specific needs of quality, the services provided need to be user-centric. Trust plays an important role in the selection of cloud providers by users. This paper proposes CSP Trust evaluation, Prioritization and Recommendation System (CTPRS) for evaluating the trust of CSPs based on Quality of Service (QoS) parameters, and accordingly ranking and recommending them. MADM methods, namely ARAS, DEA, and GRA are used to evaluate trust by considering the user's preferences across multiple QoS parameters of CSPs. Comparative analysis of all three MADM methods is done using rank conformance, rank correlation, sensitivity, and computational complexity analysis. Experimental results demonstrate that GRA is superior to the other two methods. Thus, GRA is found to be the most suitable method and is therefore used for evaluating trust in CTPRS.
Weil's disease in pregnancy is an uncommon entity. It is a severe form of leptospirosis with the presence of jaundice and renal damage. Leptospirosis is a major zoonotic disease and human infection results from accidental contact with the environment contaminated with the urine of the carrier. The infection ranges from a mild flu like illness to a serious, sometimes fatal disease. Infection in pregnancy may be grave leading to maternal and fetal morbidity and mortality unless treated early. Moreover in pregnancy, the presentation may mimic other viral, bacterial and parasitic infections, Acute Fatty Liver in Pregnancy (AFLP), Pregnancy Induced Hypertension (PIH) and HELLP (Hemolysis, Elevated Liver Enzymes, Low Platelet) syndrome and owing to this unusual presentation, leptospirosis is often misdiagnosed and underreported.
Neurobromatosis type 1 (NF - 1) is one of the most common genetic diseases following on Autosomal Dominant pattern. Maternal & Fetal
complications have been reported. In some diseases, because of hormonal changes during pregnancy, there will be intensi cation of the disease.
PURPOSE: To report, a very two interesting cases of Neurobromatosis – 1 (NF 1) in pregnancy with Abruptioplacenta & IUD.
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.