Online ISSN: 2515-8260

Keywords : tertiary care


“A PROSPECTIVE STUDY ON MATERNAL AND FETAL OUTCOME OF ADOLESCENT PREGNANCY AT A TERTIARY CARE CENTRE”

Dr. Brungi Ashajyothi, Dr. P. Vineela, Dr. Sandhya Jullor, Dr. Sirisha Siddula

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 6, Pages 577-599

Introduction: More over 20% of the world's population is in the adolescent age range, which is defined as being between 10 and 19 years old. Around 16 million teenage girls give birth each year, or 11.0% of all births worldwide. Pregnancy among teenagers aged 10 to 19 is referred to as adolescent pregnancy. Teenage birth rates are rising, particularly in developing nations where the consequences for their health are worse. Around the world, adolescent moms were responsible for more than 11% of births. Adolescent pregnancy has been linked to medical, social, and economic issues that affect girls, their families, and nations, according to earlier research.
Aims and Objectives: To look into the impact that being pregnant as a teenager has on both the mother and the unborn child. The purpose of this study is to estimate the frequency of pregnancy among teenage girls and to evaluate its effects on those girls (15-19 years). In order to investigate the factors that lead to pregnancy among adolescents. To investigate the challenges associated with pregnancy and delivery in adolescents.
Methods: The investigation was conducted at Hyderabad's Peltaburz Modern Government Maternity Hospital. Study population: all 15-19-year-old pregnant girls. Cross-sectional prospective study 2019-2020: Studied Used 50 samples. Eligibility: During the study period, all 15-19-year-old pregnant girls were admitted, regardless of parity. Exclude non-obstetric instances. All pregnant women in the research were 20 or older. Before beginning the probe, ethics committee approval was acquired. The study's participants gave signed, informed consent. They had a general checkup, abdominal and vaginal exams. Routine and repeat ultrasonography ruled out congenital defects, placental maturity, amniotic fluid index, biophysical profile, and issues.
Results and discussion: In the study, the prevalence of adolescent pregnancy was determined to be 4.6%. 1260 of the 27376 women who gave birth during this time were in the adolescent age bracket. 50 of these teen pregnancies were examined and evaluated. Adolescent women's pregnancy and childbearing have negative health, demographic, and societal effects. Compared to pregnancy in non-adolescent women, an adolescent mother and her child are more at risk. Adolescent pregnancy is a high risk pregnancy, so organised prenatal care is crucial. In this study, 50% of the patients are from low socioeconomic position, 40% are from middle socioeconomic status, and 10% are from high socioeconomic status. 54% of the cases in this study were illiterate, 16% had only received their primary education, 20% had completed high school, and 10% had attended college.
Conclusion: Adolescent pregnancy and childbirth are associated with negative outcomes across a variety of domains, including health, demographics, and society. When compared to pregnancy in non-adolescent women, the potential dangers to an adolescent mother and her child are significantly higher. Because adolescent pregnancy is a high-risk pregnancy, it is absolutely necessary to have prenatal care that is well organised

OUTCOME ANALYSIS OF PELVIC FRACTURES IN TERTIARY CARE HEALTH CENTRE

Dr. Khizar Khan; Dr. Naresh Dhaniwala; Dr. Y.U. Chitriv

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 1856-1860

Background: Pelvic ring fractures represent 3-8% of all selected injury and have a high mortality rate of around 20%. In Polytrauma patients the occurrence of Pelvis ring fractures is higher which is observed in 20-25%.In young individuals it occurs as a consequence of high energy trauma. The main aim of this study is to assess the functional outcome of pelvic fractures managed operatively and conservatively and providing a basic local data regarding pelvic fracture management and results obtained. Objectives: The main objectives are to note the functional outcome using Majeed pelvic score and to assess the radiological outcome by using suitable parameters. Methodology: This is an observational study in which a minimum of 25 patients presented as pelvic fracture in Casualty of AVBRH are admitted in orthopaedic ward. This study will include both prospective and retrospective domains. Retrospective cases from January 2015 will be enrolled and the data will be collected from MRD department as well as telephonic calls. Period of study is From July 2019 to September 2021 and collection of data is from July 2015 to June 2021.Fracture pattern will be classified as per the Tile’s classification and the functional outcome of patients managed operatively and conservatively will be assessed as per Majeed pelvic score. Expected outcome: By this study we expect that the patients having high intensity injury if managed operatively will have better outcome as compared to the conservative ones.