scholarly journals EARLY PREDICTION OF PREECLAMPSIA ÎN PREGNANCY

2017 ◽  
Vol 64 (1) ◽  
pp. 34-37
Author(s):  
Oana Mihaela Iordache ◽  
◽  
Liliana Neştianu ◽  
George Erick Neştianu ◽  
◽  
...  
Keyword(s):  
Biochemical Markers ◽  
Perinatal Outcome ◽  
Early Prediction ◽  
Low Doses ◽  
Perinatal Morbidity ◽  
Maternal Risk Factors ◽  
Major Health Problem ◽  
Major Health ◽  
Maternal Risk ◽  
In Pregnancy

Preeclampsia is a major health problem because it determines higher incidence in maternal and perinatal morbidity. Early prediction of preeclampsia in pregnancy can improve both the maternal and perinatal outcome by ensuring appropriate management. There are multiple algorithms using maternal risk factors, biophysical markers, biochemical markers and they try to predict preeclampsia. Low doses of aspirin can improve the prognostic of preeclampsia.

scholarly journals Women’s Knowledge, Attitudes and Behavior about Maternal Risk Factors in Pregnancy

PLoS ONE ◽  
2015 ◽  
Vol 10 (12) ◽  
pp. e0145873 ◽  
Author(s):  
Giuseppe Esposito ◽  
Rossella Ambrosio ◽  
Francesco Napolitano ◽  
Gabriella Di Giuseppe
Keyword(s):  
Risk Factors ◽  
Maternal Risk Factors ◽  
Maternal Risk ◽  
And Behavior ◽  
Attitudes And Behavior ◽  
Women's Knowledge ◽  
Women’S Knowledge ◽  
In Pregnancy

scholarly journals A study of maternal and perinatal outcome in cases of HELLP and partial HELLP syndrome

2017 ◽  
Vol 6 (12) ◽  
pp. 5491 ◽  
Author(s):  
Kanchan Durugkar
Keyword(s):  
Prospective Study ◽  
Hellp Syndrome ◽  
Perinatal Outcome ◽  
Liver Enzymes ◽  
Severe Preeclampsia ◽  
Perinatal Morbidity ◽  
Elevated Liver Enzymes ◽  
Low Platelet Count ◽  
Laboratory Investigations ◽  
In Pregnancy

Background: The HELLP syndrome is a serious complication in pregnancy characterized by haemolysis, elevated liver enzymes and low platelet count occurring in 0.5 to 0.9% of all pregnancies and in 10-20% of cases with severe preeclampsia. The objective of the present prospective study is to study on incidence, diagnosis, and variable presentations of HELLP syndrome in preeclampsia to analyse the severity and complications, as it is associated with maternal, perinatal morbidity and mortality. HELLP syndrome is difficult to diagnose when it presents with atypical clinical features.Methods: In the prospective study of 300 admitted cases with more than 20 weeks of gestation, were having preeclampsia. The selected cases were analyzed clinically with relevant history, clinical data and detailed laboratory investigations made for better analyses of complications and outcome in HELLP syndrome.Results: Under further clinical diagnosis of 300 cases of preeclampsia, 34 cases (11.33%) were of HELLP Syndrome and 44 (14.66%) cases were of partial HELLP syndrome. The present study shows 2.9% maternal mortality in HELLP and 4.5% in partial HELLP syndrome. Perinatal mortality was 17.6% with HELLP and 25% with partial HELLP.Conclusions: The diagnosis of HELLP syndrome has been made as a severe variant and complication of severe preeclampsia and eclampsia. It needs early diagnosis, timely intervention to arrest further progress and complications like multi organ dysfunction, renal failure, DIC, abruption etc and to improve maternal and perinatal outcome.

scholarly journals Effect of Maternal Gestational Diabetes on Infant Feeding and Growth

Proceedings ◽  
2019 ◽  
Vol 37 (1) ◽  
pp. 26
Author(s):  
Manerkar ◽  
Harding ◽  
Conlon ◽  
McKinlay
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Infant Feeding ◽  
Health Problem ◽  
Major Health Problem ◽  
Major Health ◽  
Obesity And Diabetes ◽  
In Pregnancy

Gestational diabetes mellitus (GDM) is a major health problem not only in pregnancy but alsofor lifelong health, with increased risks of obesity and diabetes in offspring [...]

Adverse perinatal outcome and maternal risk factors in population versus customized defined SGA babies

2011 ◽  
Vol 25 (4) ◽  
pp. 369-373 ◽  
Author(s):  
Eva Anne Marije Van Eerd ◽  
Alphonse Joseph M. Roex ◽  
Payam Nikpoor ◽  
Gustaaf A. Dekker
Keyword(s):  
Risk Factors ◽  
Perinatal Outcome ◽  
Maternal Risk Factors ◽  
Maternal Risk ◽  
Adverse Perinatal Outcome

scholarly journals Maternal determinants affecting perinatal mortality: a multivariate statistical approach

2017 ◽  
Vol 6 (3) ◽  
pp. 1052
Author(s):  
Manish Agrawal ◽  
Kriti Bhatnagar
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Child Health ◽  
Pregnant Women ◽  
Perinatal Outcome ◽  
Maternal Age ◽  
Maternal Risk Factors ◽  
Maternal Risk ◽  
Grass Root ◽  
Antenatal Visits

Background: India has made considerable progress over the last two decades in the area of maternal and child health, through innovative and comprehensive health packages that covers the spectrum of Reproductive Child Health (RCH). Awareness of the special vulnerability of the cohort of mothers with ‘high risk factor’ has led to the popular recognition of ‘risk approach’, involving the optimal use of existing MCH services, providing essential obstetrical care for all with early detection of complications and emergency services for those who need it, thus reducing the need for intensive care along with reduction in perinantal mortality. The objective was to assess the prevalence of various maternal risk factors in pregnant women in hospital admissions and their correlation with perinatal mortality.Methods: The present study was carried out on 2050 consecutive deliveries from 1st April 2015 to 31st March 2016 at Department of Obstetrics and Gynecology and Department of Pediatrics, Muzaffarnagar Medical College, Muzaffarnagar Uttar Pradesh, India. All the pregnant women were interviewed and examined in detail at the onset of labor regarding various biosocio-economic characteristics, history of past and present medical and obstetrical complications.Results: The PNMR (93.66/1000 birth) observed in present study was still at a higher level and comparable to that in other studies done by various authors in past in this region. A significantly higher PNMR was observed with increase in maternal age and parity (3 times higher PNMR at >35 years and 2 ½ times higher PNMR at parity >5). Similarly, medical illnesses (3 times higher PNMR) and obstetrical complications (1.5 times higher PNMR) during present pregnancy were showing significant effect on perinatal outcome. In a multivariate analysis, residence (rural /urban), place and number of antenatal visits, gestational age and type of delivery remained as most significant maternal risk factors (p<0.005) after multiple logistic regression of other factors viz. maternal age, height, weight, parity, education, socio-economic status and antepartum anemia.Conclusions: It is heartening to observe that highest risk is associated with simple and easily identifiable factors like, unbooked cases, <3 antenatal visits, severe anemia, age >35 years, parity >5, weight <40 kg, height < 140cm , poor dietary calories, medical and obstetrical complications. These can identified from history only by grass root workers like traditional birth attendants and even elderly female family members. These risk determinants, labeled as simple but ‘high’ high risk are associated with poor perinatal outcome. If these factors are timely identified at community level and appropriately referred by grass root workers, it will significantly reduce perinatal mortality and improve neonatal survival.

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