scholarly journals A Hospital-Based Cross-Sectional Study Assessing the Relation between Time of Birth and Perinatal Outcome

2020 ◽  
Vol 10 (01) ◽  
pp. 217-223
Author(s):  
Mouhamadou Wade ◽  
Papa Moctar Faye ◽  
Mame Diarra Ndiaye ◽  
Mamour Gueye ◽  
Simon Birame Ndour ◽  
...  
Keyword(s):  
Perinatal Outcome ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Prevalence and Perinatal Outcomes of Singleton Term Breech Delivery in Wolisso Hospital, Oromia Region, Southern Ethiopia: A Cross-Sectional Study

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Temesgen Debero Mere ◽  
Tilahun Beyene Handiso ◽  
Abera Beyamo Mekiso ◽  
Markos Selamu Jifar ◽  
Shabeza Aliye Ibrahim ◽  
...  
Keyword(s):  
Perinatal Mortality ◽  
Perinatal Outcome ◽  
Mode Of Delivery ◽  
Birth Asphyxia ◽  
Perinatal Outcomes ◽  
Cross Sectional Study ◽  
Fetal Weight ◽  
Sectional Study ◽  
Cross Sectional ◽  
Breech Delivery

Background.Breech deliveries have always been topical issues in obstetrics. Neonates undergoing term breech deliveries have long-term morbidity up to the school age irrespective of mode of delivery.Objective. To determine prevalence and perinatal outcomes of singleton term breech delivery.Methods. Hospital based cross-sectional study was conducted on 384 participants retrospectively. Descriptive and analytical statistics was used.Result. A total of 384 breech deliveries were included. Prevalence of singleton breech deliveries in the hospital was 3.4%. The perinatal outcome of breech deliveries was 322 (83.9%). Adverse perinatal outcome of singleton term breech delivery was significantly associated with women’s age of greater than or equal to 35 years (AOR = 2.62, 95% CI = 1.14–6.03), fully dilated cervix (AOR = 0.48, 95% CI = 0.25–0.91), ruptured membrane (AOR = 5.11, 95% CI = 2.25–11.6), and fetal weight of <2500 g (AOR = 6.77, 95% CI = 3.22–14.25).Conclusion. Entrapment of head, birth asphyxia, and cord prolapse were the most common causes of perinatal mortality. Factors like fetal weight <2500 gm, mothers of age 35 years and above, those mothers not having a fully dilated cervix, and mothers with ruptured membrane were associated with increased perinatal mortality.

scholarly journals Relationship between Maternal and Perinatal Outcome with High Vaginal Swab Culture: A Cross-sectional Study

2020 ◽  
Author(s):  
Charu Mahajan ◽  
Devyani Misra ◽  
Mariyam Faruqi ◽  
Rajkumar Mishra
Keyword(s):  
Perinatal Outcome ◽  
Statistical Significance ◽  
Neonatal Resuscitation ◽  
Cross Sectional Study ◽  
Vaginal Swab ◽  
Sectional Study ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Microbiological Study ◽  
Adverse Pregnancy

Introduction: Most of the pregnancies progress normally but unfortunately, few are prone to developing complications. Some antenatal and intra-partum conditions place the mother and the developing foetus or both at risk for complications and infections which undoubtedly play a major role in the same. Vaginal microbiome composition changes during pregnancy. This change is believed to inhibit pathogen growth through secretion of bacteriocins such as lactic acid that maintain acidic pH. Disturbed vaginal environment is associated with complications of pregnancy. Aim: To find the relationship between the microbiological study of High Vaginal Swab (HVS) in pregnancy at term with the maternal and foetal outcome. Materials and Methods: This cross-sectional study was conducted on 200 women who underwent vaginal swab culture during routine prenatal check-up from July 2019 to January 2020, in a hospital in Lucknow, Uttar Pradesh, India.The maternal and perinatal outcome and their relation with microbiological study of HVS were studied. Statistical analysis was done using Statistical Package for the Social Sciences (SPSS) version 11.5. Chi-square test was used for comparison of data for statistical significance. For descriptive statistics percentage, mean and Standard Deviation (SD) was calculated. Results:E.coli (18%) was the most common organism isolated from HVS cultures in this study. Maternal complications, rate of Lower Segment Caesarean Section (LSCS), low APGAR scores (Appearance, Pulse, Grimace, Activity and Respiration), need for neonatal resuscitation and Neonatal Intensive Care Unit (NICU) admission were more in the culture positive group. Conclusion: The study suggests that the abnormal vaginal microbiota is associated with adverse pregnancy outcomes. HVS cultures are simple and non-invasive screening tool which should be used as a routine procedure in all antenatal patients for preventing complications and improving the foeto-maternal outcome.

scholarly journals Pregnancy-induced hypertension and the neonatal outcome

2008 ◽  
Vol 21 (1) ◽  
pp. 53-58 ◽  
Author(s):  
Solange Regina Perfetto Chaim ◽  
Sonia Maria Junqueira Vasconcellos de Oliveira ◽  
Amélia Fumiko Kimura
Keyword(s):  
Blood Pressure ◽  
Perinatal Outcome ◽  
Neonatal Outcome ◽  
Maternity Hospital ◽  
Cross Sectional Study ◽  
Pregnancy Induced Hypertension ◽  
Sectional Study ◽  
Cross Sectional ◽  
Normal Birth ◽  
Induced Hypertension

OBJECTIVES:This cross-sectional study were to identify the prevalence of pregnancy-induced hypertension and to verify diastolic blood pressure (DBP) association with type of birth and perinatal outcome. METHODS: The data were collected from the mothers' records, in the governmental maternity hospital indicated for high-risk pregnancies, in São Paulo city. RESULTS: During hospitalization, 62.1% had systolic blood pressure > 160 mmHg and 49.6% had a DBP < 110 mmHg. There was no significant association of DBP (p=0.799). The frequency of caesarean section was 64.5%, 28.9% for normal birth, and 6.6% for forceps; 93.4% were live born, 81.0% weighed > 2,500 g, 10.6% were premature, 68.1% were born with adequate gestational age, 84.0% and 99.2% had APGAR score > 7 at 1st and 5th minutes, respectively. CONCLUSION: The DBP e" 110 mmHg was associated with low birth weight (p=0.002) and prematurity (p=0.013).

scholarly journals Fetomaternal outcome of eclamptic parturient in a tertiary care center: A descriptive cross-sectional study

2021 ◽  
Vol 12 (7) ◽  
pp. 94-99
Author(s):  
Aashika Shrestha ◽  
Junu Shrestha ◽  
Sangeeta Gurung ◽  
Anjali Subedi Adhikari
Keyword(s):  
Developing Countries ◽  
Perinatal Outcome ◽  
Early Recognition ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Nicu Admission

Background: Eclampsia is still a leading cause of maternal death second to postpartum hemorrhage in developing countries. It is also associated with poor perinatal outcome. Aims and Objective: The objective of this study was to find the incidence, maternal and perinatal outcome of patients admitted in a tertiary hospital, Pokhara with diagnosis of eclampsia. Materials and Methods: A descriptive cross sectional study was conducted in department of obstetrics and gynecology, MTH, Pokhara for duration of 1 year from 1st January 2020 to 30th December 2020. A total of 22 patients were enrolled in the study irrespective of timing of occurrence of fits, age, parity, gestational age and status of booking on admission. Results: During the study period the incidence of eclampsia at our center was 0.85% .Majority of the patients 17(77.27%) were primigravida and 16(72.68%) delivered at less than 37 weeks of gestation. Only 4 patients had her antenatal checkup done in MTH. According to timing of occurrence of fits Antepartum and postpartum eclampsia comprise 50% each with no cases of intrapartum eclampsia. Caesarean section was done in 17(77%) cases. Among the cases 10, (45.45%) patients required ICU admission and 6(27.27%) required ventilator support. HELLP, acute renal failures, PRES, PPH were causes of maternal morbidity. Three (13.63%) babieswere born stillbirth. Sixteen (72.72%) babies were born preterm and 13(59.09%) had birth weight less than 2.5kg. Six (27.27%) babies needed NICU admission. Conclusion: Eclampsia continues to be one of the prime etiological factors for maternal and perinatal morbidity and mortality in developing countries like ours. This is mostly due to the delay in seeking and reaching the care. Regular antenatal checkup, early recognition, its prevention and proper management of eclamptic cases are vital to tackle this challenge.

scholarly journals Study of perinatal outcome in twin gestation in rural referral hospital in Maharashtra (India): a cross sectional study

2017 ◽  
Vol 6 (11) ◽  
pp. 5074
Author(s):  
Mahesh Asalkar ◽  
Bijal Kasar ◽  
Swapnil Dhakne ◽  
Patit Paban Panigrahi
Keyword(s):  
Perinatal Outcome ◽  
Twin Pregnancy ◽  
Hyaline Membrane Disease ◽  
Cross Sectional Study ◽  
Multiple Gestation ◽  
Intrauterine Death ◽  
Sectional Study ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Twin Pregnancies

Background: Incidence of twin pregnancy is increasing all over the world. It can occur after Assisted Reproductive Technology (ART) or spontaneously and associated with increased maternal and neonatal complications both in the developed and developing countries.Methods: A descriptive (Cross sectional) study of 64 cases of twins was undertaken between January 2013 till December 2015. Data collection was done prospectively from the patients admitted to the hospital with twin gestation. Inclusion criteria: All pregnancy with twin gestation more than 28 weeks of gestation. Twin pregnancies with both fetuses alive are included. Exclusion criteria is multiple gestation other than twins, cases with congenital malformation and intrauterine death (in one or both twins) were excluded. Data included thorough antenatal history, demographic details and intrapartum and postpartum maternal and neonatal details.Results: Prevalence of twins in our study was 1.61% (95% CI 1.3-2%). Out of 69 cases of twin pregnancy 64 cases fulfilled the inclusion criteria. History of ovulation induction was associated with 23% cases. Commonest complications observed were preterm labour (56.5%) anaemia (43.4%) and PIH (22.3%). 30.2% cases delivered vaginally whereas 69.8% patients required c. section, malpresentation being commonest indication. No intrapartum still birth was recorded. Early neonatal death was seen in eight cases, causes were prematurity, hyaline membrane disease and neonatal jaundice. Diamnoitic-dichorionic twins were 90% and 3% cases were monoamniotic monochorionic. Zygosity was calculated by Weinbergs formula and 84% cases were dizygotic while 16% cases were monozygotic. No maternal mortality related to twin pregnancy was reported in present study.Conclusions: All twin pregnancy should be considered as high risk pregnancies and should have mandatory hospital delivery. Early diagnosis, adequate antenatal, intrapartum and postpartum care as well as good NICU back up are the key factors in reducing the complications and improving the perinatal outcome in twin pregnancies.

scholarly journals Maternal risk factors and perinatal outcome in meconium stained amniotic fluid: a cross sectional study

2018 ◽  
Vol 7 (10) ◽  
pp. 4103
Author(s):  
Meera Mohan ◽  
Deepak A. V.
Keyword(s):  
Amniotic Fluid ◽  
Perinatal Outcome ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Maternal Risk Factors ◽  
Cross Sectional ◽  
Maternal Risk ◽  
Grade 3 ◽  
Meconium Stained Amniotic Fluid

Background: Meconium staining of amniotic fluid has long been regarded as a sign of fetal distress and fetal asphyxia. Although exact cause is unknown, meconium is thought to be passed from fetal gastro-intestinal tract as a response to hypoxia, mesenteric vasoconstriction induced gut hyper peristalsis, vagal stimulation and normal physiologic function of a mature fetus. Overall frequency has ranged from 5 to 24.6%. Present study is undertaken to detect incidence, mode of delivery, fetal heart rate variability and neonatal outcome in neonates born through MSAF. The objective of the study was to maternal risk factors, mode of delivery and perinatal outcome in labors complicated with meconium stained amniotic fluid.Methods: This is a cross sectional study done at Government Medical College, Thrissur on term, singleton pregnancies complicated with meconium stained amniotic fluid satisfying the inclusion criteria. Patients detailed history, gestational age, per abdominal examination, per speculum and per vaginal examination, admission tests including intrapartum cardiotocography (CTG) was recorded in a predesigned proforma.Results: The age of the patients varied between above 19 and 30 years. Majority of the study population were 69.3% Primi gravidas. Out of 130 cases, 56.2% were grade 2 meconium stained liquor, 30.7% were grade 3 meconium stained and 13.1% were grade 1 meconium stained. Association between neonatal complications in relation to grades of meconium was found to be statistically significant (p = 0.001). NICU admission was 24.7% in grade 2 meconium group. Hypoxic Ischemic encephalopathy was high in grade 3 meconium group, 45%. Majority of babies born through grade 1 meconium were asymptomatic and 10% of babies in grade 3 meconium groups were asymptomatic. Meconium aspiration syndrome, Respiratory distress were more in babies born through deliveries complicated with grade 3 meconium.Conclusions: The study indicated meconium stained amniotic fluid during labour increases the prevalence of abnormal intrapartum CTG, Caesarean section, lower Apgar score, increased duration of NICU and hospital stay, poor perinatal outcome and non-significant difference in incidence of lower birth weight in babies.

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