BACKGROUNDSerum LDH level is a useful predictive biochemical marker of cellular injury which reflects the severity of preeclampsia. It is a prognostic marker for both mother and foetus. Hence, its assay is useful to decide management of preeclampsia.The aim of the present study was to evaluate the LDH levels in normal pregnancy and in preeclampsia.
Background: Eclampsia is a life threatening emergency that continues to be a major cause of maternal and perinatal mortality. The present study was undertaken to analyse the maternal and fetal outcome in patients of eclampsia and to evaluate various factors influencing this outcome.
Methods: A retrospective observational epidemiological study was undertaken in the Department of Obstetrics and Gynecology, Mysore Medical College and Research Institute, Mysore, for a period of three years from January 2020 to December 2022. All women who presented as eclampsia or developed eclampsia during hospital stay were included in the study. Data analysed included various maternal parameters, fetal parameters, and the outcome of pregnancy.
Results: The incidence of eclampsia was 7.14% which is relatively high, attributing to the fact that being tertiary care centre many cases are referred. Higher incidence seen in primigravida (72.4%) and low maternal age (48%). Caesarean section was indicated in 50% deliveries indicating immediate action was necessary for better fetomaternal outcome. 58.6% had an uneventful maternal outcome.There was 7.65% maternal mortality most common cause of death was intracranial hemorrhage. 53% were preterm deliveries and 29.4% stillbirths, respiratory distress in the newborn was seen as the major complication (41.9%).
Conclusions: In our study, maternal complications were recorded in 41.3% of the patients with a case fatality rate of 7.65%. Respiratory distress, prematurity, growth restriction and low birth weight are the neonatal complications to be anticipated. We infer from our study that better antenatal care, early recognition of disease, timely referral, early initiation of treatment and termination of pregnancy in eclamptic women could improve maternal and fetal outcome.
Background: Pregnancies that occur below the age of 20 years are called teenage pregnancies. Teenage pregnancy is a common public health problem worldwide which is detrimental to the health of both the mother and the new-born. This study aims to evaluate the obstetric and perinatal outcomes of teenage pregnancy in the Indian rural and semi urban population.
Methods: A retrospective observational study was undertaken in the department of obstetrics and gynecology, Mysore Medical College and Research Institute, Mysore, for a period of one year from August 2021 to September 2022. All the teenage mothers during the study period were included in the study. Data was analysed included various maternal parameters, fetal parameters, and the outcome of pregnancy.
Results: Study showed the incidence of teenage pregnancy is 12.6%. About 88.3% were primgravida, 74% were booked cases. 51.6% of the teenage mothers had varying grades of anaemia, 29.09% of teenage mothers had spectra of hypertensive disorders if pregnancy, 27.92% had PROM. Caesarean section rates were 25%, Fetal distress being the most common indication in 47.3% followed by fail induction in 29.8%. Preterm delivery rates were as high as 13.6%. Postpartum complications included postpartum hemorrhage in 2.5%, puerperal pyexia in 1.9%, postpartum eclampsia in 1.38%. Respiratory distress was seen in 17.6% neonates, prematurity in 15.49%, IUGR in 13.6%, 2.99% were stillborn send 3.36% succumbed due to pre-maturity, respiratory distress, and sepsis.
Conclusions: From the present study we infer that the prevalence of teenage pregnancy is still high in rural and semi urban population and they suffered from a significant number of complications in pregnancy including anemia pre-eclampsia and preterm labour, neonatal respiratory distress and early onset sepsis. To surmount these problems a multidisciplinary team involving health and social workers, obstetrician and gynaecologist are required to improve adolescent reproductive health.
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