European Journal of Molecular & Clinical Medicine

BACKGROUND: The occurence of meconium in the amniotic fluid, also known as MSAF (Meconium stained AF), is a concerning indicator of fetal impairment and is linked to a worse perinatal outcome. The purpose of this research was to find out what variables affect the mother and the baby when a pregnancy is affected by meconium staining the amniotic fluid.
MATERIAL AND METHODS: This present prospective study was carried out to find out neonatal outcome in cases of meconium stained liquor. In this study, 210 patients with no complicating risk factors and normal obstetric history were selected.
RESULTS: The meconium-stained amniotic fluid substantially influences both mode of delivery and neonatal outcome as compared to the other counterpart.
CONCLUSION: The meconium-stained amniotic fluid substantially influences both mode of delivery and neonatal outcome as compared to the other counterpart. Once meconium has passed vocal cords & entered lung parenchyma, we can not stop MAS.

Background: To assess asymptomatic bacteriuria in pregnant women and treatment effect on outcome of pregnancy.
Materials and Methods: One hundred five pregnant women of age group 18 – 45 years were involved. Collection of clean catch, mid- stream urine sample was done. Urine routine and microscopy was done. Maternal and fetal outcomes was recorded.
Results: Significant bacteriuria was seen in 25, insignificant growth in 10 and negative in 70 cases. There were 10%, 6% and 0 pre- term, 81%, 90% and 100% term and 9%, 90% and 100% post- term birth in patients with significant bacteriuria, insignificant growth and negative bacteriuria. In significant bacteriuria patients, 86% patients had >2.5 kg weight and 14% had <2.5 kg weight. In insignificant growth patients, 91% had >2.5 kg weight and 9% had <2.5 kgs weight. 100% in negative growth patients had >2.5 kgs weight of babies. 91%, 93% and 100% patients had APGAR score between 9-10 at 1 minute and 95%, 99% and 100% had between 9-10 respectively. 10%, 5% and 0 required NICU admission respectively.

Conclusion: Significant bacteriuria was seen in 25 patients. Maximum were term and normal vaginal delivery. Maximum babies were with birth weight of >2.5 Kg and APGAR score of 9 and 10 was seen in patients with significant bacteriuria with minimum NICU admission

Background: To assess asymptomatic bacteriuria in pregnant women and treatment effect on outcome of pregnancy.
Materials and Methods: One hundred five pregnant women of age group 18 – 45 years were involved. Collection of clean catch, mid- stream urine sample was done. Urine routine and microscopy was done. Maternal and fetal outcomes was recorded.
Results: Significant bacteriuria was seen in 25, insignificant growth in 10 and negative in 70 cases. There were 10%, 6% and 0 pre- term, 81%, 90% and 100% term and 9%, 90% and 100% post- term birth in patients with significant bacteriuria, insignificant growth and negative bacteriuria. In significant bacteriuria patients, 86% patients had >2.5 kg weight and 14% had <2.5 kg weight. In insignificant growth patients, 91% had >2.5 kg weight and 9% had <2.5 kgs weight. 100% in negative growth patients had >2.5 kgs weight of babies. 91%, 93% and 100% patients had APGAR score between 9-10 at 1 minute and 95%, 99% and 100% had between 9-10 respectively. 10%, 5% and 0 required NICU admission respectively.

Conclusion: Significant bacteriuria was seen in 25 patients. Maximum were term and normal vaginal delivery. Maximum babies were with birth weight of >2.5 Kg and APGAR score of 9 and 10 was seen in patients with significant bacteriuria with minimum NICU admission

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.