Online ISSN: 2515-8260

Keywords : Pregnant


Pregnancy outcome among pregnant women with uterine fibroids

Dr K Sowmya, Dr B.Sumalatha, Dr P Manjula, Dr M Laxmiprasanna

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 6, Pages 995-999

Background: The present study was conducted for assessing the pregnancy outcome among pregnant women with uterine fibroids.
Materials & methods: A total of 50 pregnant subjects were enrolled. Complete demographic and clinical details of all the subjects was obtained. Routine investigations were carried out in all the patients. Only those subjects were enrolled in the present study that had fibroids of more than 2 cm in diameter. They were followed during antenatal period clinically and scanned by ultrasonogram which was done at booking visit and during subsequent visits to assess the change in the size of the fibroid and other obstetric complications. Maternal age, parity, size of fibroid, complications during pregnancy, and mode of delivery were noted.
Results: Threatened miscarriage was seen in 24 percent of the subjects while preterm labor was seen in 20 percent of the subjects. Antepartum bleeding and abdominal pain needing admission was seen in 2 percent of the patients each. Postpartum haemorrhage was seen in 4 percent of the patients while one patient required blood transfusion. Spontaneous pregnancy was seen in 4 percent of the patients, while premature delivery was seen in 30 percent of the patients. Vaginal delivery and C section were seen in 6 percent and 94 percent of the patients. Congenital anomaly was seen in 4 percent of the patients while NICU admission was seen in 1 patient.
Conclusion: From the above results, authors concluded that pregnant subjectswith fibroids were subjected to enhanced incidence of complications throughout antepartum, intrapartum, and postpartum period.

ASSESSMENT OF EFFICACY OF PARACETAMOL IN CONTROLLING ANALGESIA DURING LABOUR: AN INSTITUTIONAL BASED STUDY

Pooja Namdeo, Sonil Srivastava

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 1661-1665

Background: The present study was undertaken for assessing the efficacy of paracetamol in controlling analgesia during labour.
Materials &Methods: A total of 50 pregnant subjects were enrolled. All the subjects were broadly divided into two study groups, with 25 patients in each group, as follows: Group A: Patients received IV Paracetamol, and Group B: Patients received matched placebo.  The course of events was studied and decrease in intensity of pain if any during labour was accessed by visual analog score and fetal outcome (i.e., notice Respiratory, APGAR score at 1 min to 5 min after birth). The VAS consists of a 10-cm horizontal line anchored at one end with the words “no pain” and at the other end with the words “worst pain imaginable.” All the results were recorded in Microsoft excel sheet and were analysed by SPSS software. Chi-square test and student t test was used for evaluation of level of significance.
Results: Mean VAS after 30 minutes among subjects of Group A and Group B was 6.25 and 7.13 respectively. Significant results were obtained while comparing mean VAS after 30 minutes among subjects of the study group and the control group. Mean VAS after 60 minutes among subjects of Group A and Group B was 6.12 and 7.96 respectively. Significant results were obtained while comparing mean VAS after 60 minutes among subjects of the study group and the control group.
Conclusion: Intravenous infusion of acetaminophen during labour assists in relieving labour pain without any maternal and fetal adverse effects.

Depression in Hyperemesis Gravidarum: Determinants and Extent in Al-Nasiriyah, Across sectional study

Alaa Hussein Ali Al Nasir

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 35-43

Background: at a global level and among child bearing age women, the first leading disease burden cause is the depression. Nationally, scarce published data was related to the depression prevalence among pregnant especially with hyperemesis gravidarum women. Aim: to assess the depression extent among hyperemesis gravidarum pregnant Thi-Qarnian women. Methodology: A cross sectional, hospital based, analytical study was carried out in two teaching hospitals (Bent Al Huda and Al Habobi teaching hospitals) in from first week of September /2015 to end of July 2016. All attendants sufferer pregnant from HG to the obstetric outpatients included in this study. Based on previous Iraqi study (37.2%) for of depressive symptoms prevalence in pregnant women sample size had been calculated such prevalence rate with precision of 5%, confidence level of 95%, and added extra sample of 10%, to reach to 322. Beck depression inventory-II (Arabic version) (BDI –II score of > 20 depression was considered) had been used as a specialized questionnaire designed for the achieve the aim of the study. SPSS version 23 had been used for data analysis, P

KNOWLEDGE, PREVALENCE AND RISK FACTORS OF ANAEMIA AMONG PREGNANT WOMEN

Sharwini Baskar; Karthik Ganesh Mohanraj; Preetha. S

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 748-763

Pregnancy has some physiological changes which complicate the process of diagnosis and treatment. Over 200 million people suffer from anaemia especially among women of reproductive age. Anaemia is a major health problem among pregnant and non-pregnant women. Anaemia during pregnancy is considered as a public health problem especially in developing countries. The World Health Organization (WHO) defined anaemia during pregnancy as a haemoglobin concentration of less than 11g/dl. In severe anaemia, the haemoglobin level is 6g/dl. Anaemia threatens both mother and foetus. The causes may be multifactorial, such as nutrient deficiency, parasitic infections or chronic infections. It may also be due to acute blood loss. It may also depend on geographical location and economic status. The effects of anaemia on mothers are tiredness, weakness, dizziness and affects the immune system. In children, it may cause preterm delivery, low birth weight. On both the mother and the fetus it can cause mortality and morbidity. Intake of balanced diet and awareness programmes on anaemia is a measure to prevent anaemia. This study is to evaluate the awareness and prevalence of anaemia among pregnant women. A cross-sectional survey was conducted containing a set of self-developed questionnaires. The data was collected and analysed using SPSS software. The results are analysed and tabulated. The result was gained as follows, 25% of the participated population‟s haemoglobin level is less than 11, 75.89% of the population participated are aware that anaemia can affect pregnant women, 66.07% of the population agree that haemoglobin level less than 11 can cause anaemia. From the study, it is obvious that there is an awareness between the effects of anaemia during pregnancy.