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Dashrathi, Rucha
- Maternal and Perinatal Outcome in Hypertensive Disorders of Pregnancy - A Retrospective Study
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PDF Views:83
Authors
Affiliations
1 Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
1 Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 5, No 1 (2018), Pagination: 87-91Abstract
Background: It was a retrospective observational study to know demographic factors, maternal and perinatal outcome in patients of hypertensive disorders of pregnancy admitted in a medical college and tertiary health care center. Introduction: Hypertensive disorders of pregnancy are one of the important cause of maternal morbidity and mortality in India. Hypertensive Disorders of Pregnancy (HDP) account for nearly 18% of all maternal deaths worldwide. Delivery at early gestational age in patients of HDP is associated with high perinatal morbidity and mortality resulting from prematurity. Method: Total number of 120 cases of hypertensive disorders of pregnancy admitted in our hospital was included in the study after satisfying inclusion and exclusion criteria. We studied demographic factors as well as maternal and perinatal outcome. Results: Majority of the patients i.e. 40% were in the age group of 21-30 yrs. 61% of patients were primi gravida and 25% of patients were second gravida. Maximum number of patients had gestational age ≥ 32 weeks at the time of delivery. 26.6% patients, 73.4% patient’s and 12.5% patients were diagnosed as gestational hypertension, preeclampsia and eclampsia respectively. There was high incidence of HELLP and eclampsia in 12.5% each, DIC in (5%), APH in (4.1%), renal complications in (3.3%) and CNS complication were seen in 0.8%. 67.5% patients were delivered by vaginal route, 32.50% patients required LSCS. Majority of patients i.e., 60% underwent preterm delivery, 34% delivered at term. Maternal mortality occurred in 8 patients (6.67%). HELLP and DIC were the leading causes of death. 70% patients had good perinatal outcome. There were 25.83% still births and 4.17% neonatal deaths. Conclusion: Hypertensive disorders of pregnancy are associated with increased maternal and perinatal morbidity and mortality. Good antenatal care, health education, early diagnosis, early referral to higher center and multidisciplinary approach will reduce morbidity and mortality in mother and baby.Keywords
Eclampsia, Hypertensive Disorder of Pregnancy, Pre-Eclampsia, Prematurity.Full Text
References
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- Outcome of High Foetal Station in Primigravida With Vertex Presentation at Term - A Clinical Study in a Tertiary Care Center
Abstract Views :319 |
PDF Views:91
Authors
Affiliations
1 Former PG Resident, Department of Obstetrics & Gynaecology, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
2 Professor and Head, Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
1 Former PG Resident, Department of Obstetrics & Gynaecology, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
2 Professor and Head, Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 7, No 2 (2020), Pagination: 161-169Abstract
Introduction: There is an uncertain relationship between foetal station and mode of delivery. The rise in the rates of caesarean section in unengaged head in primigravida is due to the reason that high foetal station which is considered as a threat to normal progress of labor and so immediately considered as an indication to early caesarean section. A vigilant attitude and timely intervention can help in decreasing chances of C-section and help such cases deliver vaginally. Aims and Objectives: To study the outcome of unengaged head in full term primigravida in labor. 1. To evaluate the causes of unengaged head and analyse progress of labour. 2. To assess maternal and foetal outcome. Material and Methods: 124 Primigravidae at term with unengaged foetal head in labor were undertaken in the study after they met eligibility criteria. After history taking and clinical examination, course of their labor was monitored partographically to study the maternal and neonatal outcome. Results: Out of 124 patients, 84 (67.74%) patients had vaginal delivery while in 40 (32.26%) Lower Segment Caesarean Section (LSCS) was performed. Out of 84 vaginal deliveries, 64 patients had full term normal deliveries while 20 patients needed assisted instrumental deliveries. Thus, out of 124 deliveries, 64 (51.61%) had normal vaginal deliveries, 20 (16.12%) instrumental deliveries and 40 (32.25%) Caesarean sections. Conclusion: We can imply that primigravida at term with high foetal station with spontaneous onset of labor are not all for immediate caesarean section. Watchful expectancy, vigilant intrapartum partographic monitoring can result into normal vaginal delivery with minimal maternal and foetal complications.Keywords
Full Term, In Labour, Primigravida, Unengaged HeadFull Text
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