Background: According to UNICEF India, annually 44,000 women die due to preventable pregnancy related causes in India. Globally, this ratio is 830 maternal deaths daily according to a WHO newsletter from 2018. ICU / HDU facility provides simultaneous expert obstetrics care and critical medical care under one roof. The concept of ICU / HDU was introduced as a bridge between routine obstetric care and ICU / HDU in under to bypass and decrease the ICU / HDU burden. ICU / HDU care is required for women requiring more detailed observation, intervention including basic support for a single failing organ system, extended post-op care and those stepping down from higher levels of care. Awareness regarding ICU / HDU care and its benefits need to be improved. This study aims to study the maternal outcome of women admitted in tertiary care hospital, Karimnagar, Telangana. Methodology: This is cross sectional observational study was conducted in the department of obstetrics and gynaecology at Chalmeda Anand Rao Institute of Medical Sciences and hospital, Karimnagar, Telangana from June 2019 to March 2020 after obtaining clearance from the institutional scientific and ethical committees. In this study total 600 patients were recruited, out of these 150 patients not met the inclusion criteria & 450 women recruited for questionnaire based proforma, were selected for the study calculated by SPSS 20 software. They have been subjected to thorough history taking, general, obstetric examination and assessment of antenatal records & management & their outcome. Results: The mean age group is 25 yrs. Also found most admission in age group between 20 to 30 yr. Most of the cases were belong to low socioeconomic status (99.2%), Occupationally maximum were unskilled worker (98.3%) in present study, Most of the cases were have secondary level of education (91.6%). In this present study 180 were hypertensive disorder of pregnancy, followed by 128 were haemorrhage disorder of pregnancy, 108 were medical disorder of pregnancy & 34 were sepsis. Maternal mortality was 8.7% in this study. Conclusion: Commonest cause of mortality was hypertensive disorder of pregnancy & more than one diagnosis on admission were the other risk factors for ICU / HDU admission. A dedicated ICU / HDU will go a long way in reducing maternal mortality as the responses time from onset of acute severe illness to provision of high quality critical care will be substantially reduced. Keywords: ICU / HDU, Maternal Outcome, Mortality, Critical Care Unit.
Background: Preeclampsia is one of the leading causes for the maternal and perinatal morbidity and mortality. Increase level of proteinuria is worsening condition for the pregnant women with hypertension. Objective: Our study aimed to compare urine dipstick method with P/C ratio to know the proteinuria level in hypertensive pregnant women. Material and Methods: This Cross-sectional study was conducted on 100 antenatal women with preeclampsia in Department of obstetrics and gynecology, CAIMS Karimnagar. Antenatal cases with pre-eclampsia of more than 20 weeks gestation were included in the study and Urinary Tract Infection, Diabetic, renal function disorder were excluded from study. After getting patients consent detailed history were taken, general physical and systemic including obstetric examination was done Association between the variable analyzed by using chi-square or fisher exact test and quantitative variable compare using ANOVA and Pearson correlation coefficient. P-value<0.05 considered as significant Result: Among 100 patients admitted, there are 50 cases having mean age was 25±3.266 Years, systolic blood pressure was 156.5±21.94mmhg. Association between P/C ratio and urine dipstick was statistically significant and also correlation between urine dipstick and P/C ratio was moderately correlated (r= 0.564) and highly significant (p-value <0.05) Conclusion: Our study conclude that Urine dipstick method and P/C ratio has strong correlation between them with high accuracy, at 2+or greater level it can used to estimate significant proteinuria or spot urine P/C ratio for screening pregnant women with suspected preeclampsia. Also, this method is convenient and cost effective for patient. Keywords: Preeclampsia, Proteinuria, Urine Dipstick, Antenatal.
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