Online ISSN: 2515-8260

Keywords : Perinatal


A PROSPECTIVE STUDY ON MATERNAL FETAL OUTCOME IN TEENAGE PREGNANCY

Duggasani Padmaja, A. Sudharani, Unnam Bhavitha

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 2073-2084

Background: To find out the strategies for prevention of problems associated with teenage pregnancy.
Materials and Methods: A Prospective study was conducted over a period of one year from January 2020 to December 2020 at Government General Hospital, Kurnool in the Department of Obstetrics and Gynecology which is being a tertiary care centre.
Results: The incidence of teenage pregnancy during the study period from January 1 2020 – December 31 2020 in Government Medical College, Kurnool was 9.86% 57.1% of the study population were 19 yrs, 38.5% were 18 yrs and the age of 3.9% & 0.5% of the teenage mothers was 17 years and 15 years respectively. Mean age was 18.52 years. 79.5% of the teenage mothers were primigravida. 1.5% of the teenage pregnancies were out of wedlock pregnancy, the rest 98.5% were married. 43.5% of the teenage mothers were married at the age of 18 years, 39.5% of them at 17 years of age, 10.5% at 16 years and 4% and 1% at 15 and 14 years of age respectively. 71% of the teenage pregnant were residing in rural areas and 29% in urban areas. 70% of the teenage pregnant were Hindus, 26.5% were Muslims and 3.5% were Christians. About 56% had primary education, 32.4% had secondary education and 11.6% were illiterate. 87.5 % of the study population belonged to lower class of socio-economic status. Cephalopelvic disproportion is the most common indication for LSCS. 2.8% of the teenage pregnant women had breech presentation as an indication for LSCS. 89.7% of the study population had an Apgar of 8-10 at 5min. 44.1% of the newborn required NICU admission and the reason for admission was low birth weight, preterm, IUGR, hyperbilirubinemia, birth asphyxia and meconium aspiration syndrome. 89.8% of the newborn had good neonatal outcome. 99.88% of the teenage pregnant women had good maternal outcome. Only one maternal death was seen during 1 year period in teenage pregnant women.
Conclusion: Good prenatal, intranatal, and postnatal services, as well as good neonatal, contraceptive, and abortion choices, all contribute to reduce the dangers associated with teenage pregnancies to a considerable extent. With all of these measures in place, we may expect a global drop in teen pregnancy rates and difficulties in the next years.

Risk factors of intrauterine growth restriction in term pregnancy

Dr. Sahana PR, Dr. Jeevitha H, Dr. Prajwal M, Dr. Chandrashekar K

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 1620-1624

Fetal growth restriction (FGR) is a pathological condition in which a fetus has not achieved his genetic growth potential, regardless of fetal size (1) Worldwide FGR is observed in about 24% of newborns; approximately 30million infants suffer from FGR every year. The burden of FGR is concentrated mainly in Asia which accounts for nearly 75% of all affected infants. National neonatal perinatal database of India reported the incidence of FGR to be 9.65% among hospital born live birth infants. Study was conducted for all cases with clinical/ Sonological term FGR admitted under department of OBG. A detailed history as per questioner will be taken with general physical examination and investigations will be done as per requirement. The accumulated data was evaluated and statistically analyzed. In the present study 70 patients with term gestation with FGR were recruited. Maternal (74.28%) was the commonest cause followed by Idiopathic (11.43) and Placental (10%) and Fetal (4.29%) causes. Among Maternal causes Pre Eclampsia was found to be in 50% cases. Most of the patients (50.7%) required caesarean section. A total of 9 (12.86%) neonate had birth weight of <1.5 kg, 48.6% had Birth weight between 1.6 to 1.9kg, 38.5% had birth weight between 2-2.4kg and 95.8% had asymmetrical FGR, 4.2% were symmetrical. 26 (40%) neonates had morbidity with 17(24.3%) neonatal mortality with Respiratory distress syndrome (41.18%) being most common cause. No Maternal Mortality.

Comparison Of Doppler And Non-Stress Test In Oligohydramnios For Assessment Of Perinatal Outcome Beyond 34 Weeks

Dr. Puja Singh, Dr. Ratna Tejaswi Papola, Dr. Maryada Jain, Dr. Shubhra Agarwal, Dr. Rehana Najam

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 9783-9789

Background: Oligohydramnios has been associated with a higher risk of labor induction
and cesarean birth, as well as a higher risk of maternal morbidity. This study was done
to compare between Non-Stress Test and Doppler Velocimetry in oligohydramnios for
maternal & fetal outcome beyond 34 weeks of pregnancy.
Methods: Patients with oligohydramnios <5cm with more than 34 week of gestation and
having normal NST and Normal color doppler were managed conservatively and
followed up to term.After collection of all data in Microsoft Excel and statistical analysis
was done by using SPSS version 22 with significant value (P value < 0.05).
Results: The majority (54.7%) of patient with oligohydramnios were in the age group
between 26-35 years. APGAR less than 7 was significantly more among groups C
(Doppler Normal/NST Abnormal) and D (Doppler Abnormal/NST Abnormal). NICU
admission was significantly more among group D. The mean NICU stay was
significantly more among groups B (Doppler Abnormal/NST Normal) and D. The mean
weight at birth was significantly more among groups A (Doppler Normal/NST Normal)
and C. The sensitivity and specificity of Doppler (78.60, 82.50) was more as compared to
NST (62.5, 61) in prediction of perinatal outcome.
Conclusion: This study concluded that Doppler is a stronger indication of early Fetal
impairment than NST because NST detects acute events in the presence or absence of
chronic hypoxia, but Doppler detects chronic alterations.