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A Study of Causes and Factors Responsible for Maternal Mortality in a Tertiary Care Institute of Central Gujarat
Kanika P. Kachhwaha,
Mahima Jain
Issue:
Volume 7, Issue 4, July 2019
Pages:
100-103
Received:
10 April 2019
Accepted:
4 June 2019
Published:
20 June 2019
Abstract: Maternal mortality is still a big health concern in developing world. The state of maternal health represents overall state of women’s right in health, social and economic realms. If the causes of death can be addressed and are found to be preventable it indicates negligence on the part of government and the entities that have the power to implement the changes. To determine factors and causes of maternal mortality this retrospective observational study was conducted in the department of obstetrics and gynaecology, BJ medical college. Maternal mortalities from October 2016 to March 2018 (18 months) were analysed with respect to factors like locality, literacy, parity, ANC care, time after admission, type of delay (according to maternal death review form) and causes of death (direct and indirect causes of MMR). Total 92 maternal deaths were studied and that gave a MMR of 468 per 1,00,000 live births. Maximum deaths occurred in patients who were in the age group of 20-34 (83.1%), rural locality (71%), Irregular with ANC visits (74%), multigravida (56.5%), within 24 hours of delivery (46.7%) and those who had type 1 delay (delay in decision making to seek help, 78.3%). More of deaths occurred in post partum (84.8%) and in vaginal mode of delivery (47.4) Vs Caesarean section (46.3). Direct obstetric causes of death (57.6%) were of deaths which included hypertensive disorders (29.3%), haemorrhage (19%) and others. Indirect causes accounted for 42.4% deaths which included hepatitis (21.7%), heart diseases (9.8%) etc. Early intervention and diagnosis with timely management are essential to reduce morbidity and hence maternal mortality. Special attention should be given to Routine Antenatal care (RANC) and more specifically to Focussed Antenatal Care (FANC)). Lack of expertise at primary level with lack of proper referral system adds to the cause.
Abstract: Maternal mortality is still a big health concern in developing world. The state of maternal health represents overall state of women’s right in health, social and economic realms. If the causes of death can be addressed and are found to be preventable it indicates negligence on the part of government and the entities that have the power to implemen...
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Insomnia in Perimenopausal Women: A Study at TuDu Hospital, Vietnam
Issue:
Volume 7, Issue 4, July 2019
Pages:
104-108
Received:
20 May 2019
Accepted:
19 June 2019
Published:
29 June 2019
Abstract: Insomnia with direct or indirect influences on perimenopausal illnesses was recorded in various studies. In order to improve the quality of treatment, a study is needed to define insomnia prevalence and related factors in perimenopausal clients at Tu Du Ob/Gyn Hospital. A cross-sectional study was conducted during October – December 2017 in 45-to-52-years-old clients seeking routine gynecology examination at Tu Du Hospital. Insomnia-disorder scoring from Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was used to screen insomnia. Interviews were made on household, sociology, history of perimenopausal illness, economic conditions, marital status, family and social relationship, which, then, was compared between the two groups with diagnostic screening as having insomnia versus no insomnia. 386 cases were admitted into the study, the prevalence of insomina was 27.72%. Insomnia related to age when comparing age groups of 50-52 against 45-49 (PR = 1.9; 95%CI= 1.1 – 3.5), economic status (PR = 2.99; 95%CI = 1.2 – 7.6), hot flush (PR = 3.65; 95%CI = 2 – 6.6). Those findings indicated that Perimenopausal women should be screened on insomnia for counseling and early treatment.
Abstract: Insomnia with direct or indirect influences on perimenopausal illnesses was recorded in various studies. In order to improve the quality of treatment, a study is needed to define insomnia prevalence and related factors in perimenopausal clients at Tu Du Ob/Gyn Hospital. A cross-sectional study was conducted during October – December 2017 in 45-to-5...
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Anaemia Among Refugees Pregnant Women in Gaza Strip: Perceptions, Awareness and Opinions and Attitudes
Marwan Mosleh,
Koustuv Dalal
Issue:
Volume 7, Issue 4, July 2019
Pages:
109-115
Received:
23 May 2019
Accepted:
25 June 2019
Published:
10 July 2019
Abstract: Anaemia in pregnancy is the most common public health concern in both developed and developing worlds like Palestine. Little is known about this significant health issue. Therefore, the purpose of this study was to investigate the perception, opinions and attitudes of anaemia among refugees pregnant women in Gaza strip. A cross-sectional study was employed among a random sample of 164 women or subjects, with a response rate of 81%. The survey was conducted at UNRWA antenatal health centers at refugee camps in Gaza strip. The study was approved by United Nations Relief and Work Agency (UNRWA) health department. The study elucidated that a higher rate of women were knowledgeable and had ideas on anaemia, however, some women had inadequate knowledge on anaemia during pregnancy. There were a concern and misconception regarding some issues on anaemia such as; lack of knowledge on the effect of drinking tea on iron absorption; and on the side effects of iron pills during pregnancy. Highly positive opinions and attitudes toward anaemia were observed in most women. The study found that a high proportion of women were dissatisfied with the volume of health education sessions on anaemia at UNRWA antenatal health centers and many women had not attended or joined such sessions. In general, the study declined to find a significant differences regarding anaemia between women with and those without health education sessions on anaemia. Finally, the study suggests that, an effective and a clear health education strategy is needed in order to improve women perceptions, awareness, opinions and attitudes regarding anaemia in Palestine. Further researches are important and needed in this scope.
Abstract: Anaemia in pregnancy is the most common public health concern in both developed and developing worlds like Palestine. Little is known about this significant health issue. Therefore, the purpose of this study was to investigate the perception, opinions and attitudes of anaemia among refugees pregnant women in Gaza strip. A cross-sectional study was ...
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Parturient Anemic: Epidemiology and Outcome of Pregnancy in Three Maternities of Brazzaville (Republic of Congo)
Itoua Clautaire,
Ngaliba Olivia Firmine,
Buambo Gauthier Régis Jostin,
Ngami Ariane Glore,
Mokoko Jules César,
Ngakengni Neli Yvette,
Eouani Max Lévy Eméry,
Iloki Léon Hervé
Issue:
Volume 7, Issue 4, July 2019
Pages:
116-119
Received:
25 June 2019
Accepted:
18 July 2019
Published:
5 August 2019
Abstract: Objective: Anemia during childbirth remains a concern for reproductive health personnel, both in terms of frequency and the risks involved in all periods of pregnancy and childbirth. This work aims to analyze the epidemiological profile of anemic parturient and the outcome of their pregnancy. Methods: A multicenter case-control study conducted from February 1st to July 31st, 2017, in three Brazzaville maternity clinics, comparing the ratio of one case for two controls, the anemic parturient (n = 67) to those without anemia (n = 134). Any parturient with a hemoglobin level < 11 g / dl was considered anemic. The variables studied were sociodemographic and reproductive, related to anemia, per and postpartum. Results: Sixty-seven anemic parturient were recorded among 10,106 deliveries, a frequency of 0.7%. Anemic female parturient were older (30.1 ± 1.6 years vs 27.5 ± 1.9 years, p < 0.05), out of school (OR = 13.1 [1.5-111], p < 0.05) and unemployed (OR = 3.8 [2.1-7.2], p < 0.05). The mean hemoglobin level was 8.1 ± 0.1g / dl vs 12.1 ± 0.8g / dl. Anemia was microcytic hypochromic (28.4%) and normochromic normocytic (71.6%). Anemia was mild (40.3%), moderate (44.7%) and severe (15%). Delivery was more by caesarean section in cases (97% vs 1.5%, p < 0.05) with a higher recourse to blood transfusion (55.4% vs 3.8%, OR = 29.9 [10.8-82.6], p < 0.05). Maternal lethality was 13-fold higher in case of anemia (OR = 13 [1.5-111], p < 0.05). Neonatal morbidity was represented by poor adaptation to extrauterine life (OR = 40.7 [9.1-180.7), p < 0.05), hypotrophy (OR = 21.9 [7.2-67.1], p < 0.05), prematurity (OR = 6.6 [2.6-16.9], p < 0.05), neonatal resuscitation (OR = 35.4 [10.2-122.5), p < 0.05) and neonatal transfer (OR = 2.8 [2-4], p < 0.05). Neonatal lethality was three times higher in case of anemia (OR = 3.3 [2.6-4.8], p < 0.05). Conclusion: Maternal and neonatal prognosis is poor in anemic female parturient. Reducing the maternal and fetal impact of anemia during childbirth requires early detection and case management during prenatal contact.
Abstract: Objective: Anemia during childbirth remains a concern for reproductive health personnel, both in terms of frequency and the risks involved in all periods of pregnancy and childbirth. This work aims to analyze the epidemiological profile of anemic parturient and the outcome of their pregnancy. Methods: A multicenter case-control study conducted from...
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Influences of Maternal Weight Gain During Pregnancy on Selected Fetal Outcomes
Raguraman Sivalingarajah,
Wimalasiri Abeykoon
Issue:
Volume 7, Issue 4, July 2019
Pages:
120-124
Received:
11 July 2019
Accepted:
10 August 2019
Published:
23 August 2019
Abstract: Weight gain in pregnant mothers has several influencing factors. Studies have shown that maternal weight gain influenced both maternal and fetal immediate and future outcomes. However, the recommended amount of weight gain for optimum maternal and fetal outcome is still uncertain. A cross sectional descriptive study was carried out at Teaching Hospital Kandy, for a period of one-year to describe the influence of maternal weight gain during pregnancy in selected fetal outcome such birth weight and APGAR score at birth. 425 participants with normal pre gestational BMI (18.5 kg/m2 - 24.9 kg/m2) were selected by a systematic random sampling technique. Medical disorders complicating pregnancies, twins, previous miscarriages and fetal abnormalities were excluded. Data was extracted from the antenatal record, bed head ticket and by measuring relevant variables (birth weight and APGAR score). Maternal age distributed from 17 to 43 years (Mean=27.97 years: SD=5.72 years). Maternal height distributed from 125cm to 172cm (Mean=154.4cm: SD=5.83cm). Pre pregnancy BMI distributed from 18.5 kg/m2 to 24.9 kg/m2 (Mean=21.67 kg/m2: SD=2.2 kg/m2). Maternal body weight at delivery distributed from 36 kg to 116 kg (Mean=63.8kg: SD= 11.82). Pregnancy weight gain distributed from 3.5kg to 24.5 kg (Mean=9.03kg: SD=3.87). Birth weight distributed from 1.24kg to 4.04 kg (Mean=2.93: SD=0.438). All exposure parameters had a positive linear correlation with birth weight. Almost all the study participants (N=423:99.5%) had achieved an APGAR score of >7 within 10 minutes of birth. In conclusion, maternal weight gain does not affect the birth weight of the newborn and no conclusion is derived on maternal weight gain causing any hypoxic situation at the time of birth. These findings are only applicable to normal pregnancies due to the exclusion criteria. Further studies are recommended with a larger sample size and a prospective cohort design with continuous follow up during the antenatal period.
Abstract: Weight gain in pregnant mothers has several influencing factors. Studies have shown that maternal weight gain influenced both maternal and fetal immediate and future outcomes. However, the recommended amount of weight gain for optimum maternal and fetal outcome is still uncertain. A cross sectional descriptive study was carried out at Teaching Hosp...
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