Clinical Profile Of Pregnant Women Research Articles

Childbirth hospitalizations in Bipolar disorder patients: a nationwide study protocol

IntroductionBipolar disorder (BD) is usually diagnosed in adulthood, around childbearing age. Research has shown that BD has deleterious effects on pregnant women and birth outcomes. However, few nationwide studies using administrative data have approached this at-risk population focusing specifically on childbirth.ObjectivesThis study aims to characterize hospitalizations of women with BD in the peripartum period regarding sociodemographic and clinical variables and to investigate the impact BD has on hospitalization outcomes.MethodsAn observational retrospective study will be performed using an administrative database that comprises routinely collected hospitalization data from all mainland Portuguese public hospitals. International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes will be used to identify all women’s admissions for childbirth purposes (V27.X) and codes 296.XX (except 296.2X, 296.3X, 296.9X) will be used to ascertain BD. Episodes will be assigned to one of two mutually exclusive groups (with vs without BD). Multivariate methods will be used to compare both groups concerning key variables and outcomes. This work will comply with the RECORD statement recommendations.ResultsDescriptive and analytical statistics will be conducted in order to describe and characterize this group of patients. Results will be presented as crude and adjusted odds ratio quantifying the risk associated with BD in pregnancy, childbirth and hospitalization outcomes. Findings will be disseminated via publication in peer-reviewed journals.ConclusionsWith this nationwide analysis, we expect to contribute to a better understanding of the demographic and clinical profile of pregnant women with BD and to encourage timely medical and psychological interventions during gestation and childbirth.DisclosureNo significant relationships.

Clinical profile of pregnant women during COVID-19: A retrospective analysis

Background: This year, the corona virus disease has affected so many pregnant women and in such a dreadful way. Pregnancy is a known immune compromised state. Aim: In this retrospective analysis, we studied clinical profile of pregnant women during COVID-19. Methods: This was a retrospective observational study done in a community health centre in a rural area of Himachal Pradesh. A total of 470 COVID-19 positive pregnant women were included in the study who were either post abortion, early pregnancy, late pregnancy, laboring and delivered from 1 Jan 2021 to 31 Jun 2021. Results: In this study, majority of the women aged 30-39 years. 50.4% were multigravida and 42.3% had gestational age <34 weeks. In this study, 310 women were symptomatic while 160 were asymptomatic. Mortality was reported in 14 women. Conclusion: In conclusion, with or without COVID-19 each pregnancy is precious. Attending antenatal care remains an integral part of maternity care.

Clinical Profile of Pregnant Women with COVID-19 Hospitalized in Regional Referral Hospital

Objective: To determine the clinical profile of pregnant women with COVID-19 who hospitalized in a referral hospital.Methods: This was a descriptive study conducted on pregnant women with COVID-19 who were hospitalized at Regional Hospital of Bau-Bau and Bahteramas Hospital in Southeast Sulawesi from May to July 2020. The confirmation of COVID-19 was based on RT-PCR. Data including characteristics, clinical profile, laboratory test, imaging, management, and outcomes.Results: There were 41 pregnant women with COVID-19 and no maternal death cases. Maternal age was approximately 19 to 39 years, had middle education levels, and was a housewife. Most of them did not know their closed contacts, had no comorbidities, and referrals from other hospitals. They were 3rd-trimester and hospitalized with complaints related to pregnancy. Only 3 cases had complaints related to COVID-19, namely fever and cough. The majority of laboratory tests were leucocytosis. Chest X-ray shows bronchopneumonia, pneumonia, and normal imaging. Obstetrics management was performed according to the condition of the mother and fetus, including vaginal delivery, cesarean section, and curettage. The treatment was using broad-spectrum antibiotics and antiviral. Complications in the fetus/infant were abortion, fetal distress, LBW, and asphyxia.Conclusion: Pregnant women with COVID-19 have mild or asymptomatic symptoms, hospitalized with complaints related to their pregnancy, and treatment according to the condition of the mother and fetus. There are no complications in the mother, while complications in the baby are not clear.Keywords: COVID-19, pregnant women, referral hospital.
 
 Abstrak 
 Tujuan: Mengetahui gambaran klinis ibu hamil dengan COVID-19 yang masuk di rumah sakit rujukan COVID-19.Metode: Penelitian ini bersifat deskriptif yang dilakukan pada ibu hamil dengan COVID-19 yang dirawat di rumah sakit rujukan di Sulawesi Tenggara, yaitu RSUD Bau-Bau dan RSU Bahteramas di Kendari, pada bulan Mei sampai Juli 2020. Konfirmasi positif COVID-19 berdasarkan hasil pemeriksaan RT-PCR. Data berupa karakteristik, gambaran klinis, pemeriksaan penunjang, penatalaksanaan, dan luaran. Hasil: Terdapat 41 ibu hamil dengan COVID-19 dan tidak ada kasus kematian ibu. Usia ibu berkisar 19-39 tahun, tingkat pendidikan menengah, dan sebagai ibu rumah tangga. Sebagian besar kasus pada trimester-3, tidak tahu memiliki kontak erat, tidak memiliki komorbid, dan rujukan dari RS lain. Sebagian besar dirawat dengan keluhan terkait kehamilannya dan hanya 3 kasus dengan keluhan terkait COVID-19, yaitu demam dan batuk. Pemeriksaan laboratorium menunjukkan lekositosis. Gambaran foto toraks menunjukkan bronkopneumonia, pneumonia, dan normal. Tindakan obstetri dilakukan atas indikasi ibu dan janin, yaitu persalinan normal, seksio sesarea, dan kuretase. Terapi yang digunakan adalah antibiotic spectrum luas dan antivirus. Komplikasi pada janin/bayi berupa abortus, gawat janin, BBLR, dan asfiksia. Kesimpulan: Ibu hamil dengan COVID-19 memiliki gejala ringan atau asimtomatik, dirawat dengan keluhan terkait kehamilannya, dan dilakukan tindakan obstetri sesuai dengan indikasi ibu dan janin. Tidak ada komplikasi pada ibu, sedangkan komplikasi pada bayi belum jelas.Kata kunci: COVID-19, ibu hamil, rumah sakit rujukan

Clinical profile of pregnant women with pregnancy induced hypertension

Multisystem disorders of unknown aetiology characterized by development of HTN to the extent of 140/90 mm Hg or more with Proteinuria after 20thwk of pregnancy in a previously normotensive and non proteinuric patient. May appear before 20wks in cases of hydatidiform mole, acute polyhydramnios and multiple pregnancies. BP≥ 140/90 mm Hg before pregnancy or diagnosed before 20 weeks gestation not attributable to gestational trophoblastic disease (OR) Hypertension first diagnosed after 20 weeks gestations and persistent after 12 weeks postpartum. In chronic HTN, the foetus is more prone for growth restriction, preterm delivery, and death of foetus. 50% of the cases belong to The Labetalol Group, while the other 50% comprise The Nifedipine Group, selected randomly. Each group comprised a total of 62 cases, 50 of them are Mild PIH cases while the other 12 cases are the cases of Severe Hypertension, Imminent Eclampsia, Eclampsia, Placental Abruption etc. Most of the cases of Labetalol Group progressed up to term, of which one case crossed the EDD. This woman was discharged at her request and she reported to the hospital only after crossing the EDD. As many as 69.35% (43 cases) delivered vaginally in Labetalol Group, whereas the Caesarean section rate for Nifedipine group is about 48.39%. Emergency Caesarean section rate was 25.80% in Labetalol group where as it was 37.10% in the Nifedipine Group

Syphilis notifications among pregnant women in Campo Grande, state of Mato Grosso do Sul, Brazil, 2011 to 2017.

INTRODUCTION Syphilis is a sexually transmitted infection caused by Treponema pallidum. Considering the high rates of syphilis in pregnancy and congenital syphilis reported in Brazil in the past, and their serious consequences, this study described the epidemiological and clinical profile of pregnant women with a confirmed diagnosis of syphilis in Campo Grande, in the state of Mato Grosso do Sul, Brazil, from 2011 to 2017. METHODS: This is a descriptive study, based on syphilis notifications among pregnant women reported to the Sistema de Informação de Agravos de Notificação (National System of Disease Notification of Brazil).RESULTS: Over the study period, 2,056 confirmed cases of syphilis in pregnancy were reported, resulting in a crude cumulative incidence of 144.76 cases per 1,000 live-born babies. The incidence increased from 9.97 cases per 1,000 live-born babies in 2011 to 36.10 cases per 1,000 live-born babies in 2017. It was more prevalent in women who were young, of mixed race, with low educational attainment. Over one third of women were diagnosed in the first trimester of pregnancy; therefore, they were at risk of reinfection if they or their sexual partners were inadequately treated. Furthermore, syphilis was not well classified according to its clinical stage, which led to inappropriate treatments. CONCLUSIONS: Despite efforts to reduce the incidence of syphilis, syphilis during pregnancy remains a public health problem, reflecting possible inadequacies in antenatal care, especially in vulnerable populations. It is important to include sexual partners in syphilis treatment during pregnancy to prevent reinfection.

Clinical profile of pregnant women with community acquired pneumonia attending tertiary care hospital

Clinical profile of pregnant women with community acquired pneumonia attending tertiary care hospital - IJOGR- Print ISSN No: - 2394-2746 Online ISSN No:- 2394-2754 Article DOI No:- 10.18231/2394-2754.2019.0020, Indian Journal of Obstetrics and Gynecology Research-Indian J Obstet Gynecol Res

Profile of infected pregnant women and children exposed to HIV at a specialized service in the South of Brazil

Abstract Objectives: to characterize the social and clinical profile of pregnant women infected with HIV, the factors associated to the prevention of vertical transmission, and to analyze the quality of the information available in the SINAN notification forms and clinical records of infected pregnant women and children exposed to HIV in a specialized service in the countryside of Rio Grande do Sul. Methods: retrospective documentary study conducted from medical records of 110 HIV mothers and their children born between June/2014 and March/2017. For the analysis, the absolute frequency and the data percentage were taken under consideration. Results: the characterization of infected women represents a Brazilian scenario among young adults, low schooling level and the occurrence of unpaid employment situation. Most mothers underwent treatment during pregnancy and had prenatal care with the intention of applying the prophylactic measures recommended by the national protocols. A greater occurrence of incompleteness of data in the factors of prevention of vertical transmission was identified. Conclusions: the compromise is identified regarding the quality of assistance addressed to the population, which is largely exposed to unfavorable social conditions. The occurrence of data incompleteness shows that there is still not a culture among health professionals that ensures that the information is adequately filled out and favors the exchange of the information among the services.

Socioeconomic and clinical profile of pregnant women with Gestational Hypertension Syndrome

Objective: to know the socioeconomic and clinical profile of pregnant women with Gestational Hypertensive Syndrome. Methods: descriptive and exploratory study, carried out in Primary Care, with 50 pregnant women, using form. Data analyzed by descriptive statistics. For dichotomous questions a binomial test was used. Results: pregnant women aged between 18 and 35 years (76.0%), married (52.0%), housewife (44.0%), with high school education (64.0%), non-smokers (88.0%) and non-alcoholic (96.0%) predominated. They had never had an abortion (68.0%), had previous cesarean deliveries (37.0%), Diabetes Mellitus (24.0%), chronic Hypertension (60.0%), and were heart disease patients (6.0%), overweight (56.0%) and had bleeding during pregnancy (12.0%). Conclusion: young pregnant women of childbearing age prevailed with high school education and other comorbidities and important risk factors.

Perfil clínico de gestantes con amenaza de parto pretérmino que concluyen en parto pretérmino

Objetivo. Describir el perfil clínico de gestantes con amenaza de parto pretérmino que concluyen en parto pretermino. Materiales y métodos. Estudio observacional y descriptivo. Participaron 46 gestantes de 24 a <37 semanas de gestación con amenaza de parto pretérmino cuya gestación concluyo en parto pretérmino, atendidas en el servicio de maternidad del Hospital Víctor Lazarte Echegaray—Essalud de Trujillo durante el periodo mayo a octubre del 2015.

Clinical profile of pregnant women with systemic lupus erythematosus of the Hospital de Clínicas of the UFPR

Model study: descriptive, observational, cross-sectional and partially retrospective study. Objective: The aim of this study was to evaluate the clinical profile and maternal-fetal outcomes of pregnant women with systemic lupus erythematosus (SLE) followed at Hospital de Clínicas of the UFPR. Methodology: The study described the clinical and preconception obstetric history, clinical and laboratory aspects during pregnancy and maternal-fetal outcomes of 30 pregnant women with SLE assisted at Prenatal Clinic of the Hospital de Clínicas of the UFPR, between March 2012 and November 2015. Results: It was found that 46,7% of the pregnant women presented renal manifestation of the SLE, history of maternal or fetal complications was observed in 50% of them and 13,3% of the patients had preconception active disease. During pregnancy, 26,7% had disease activity and 46,7% developed maternal or fetal complications (gestational hypertension, preeclampsia, pregnancy loss, delayed intrauterine growth, prematurity birth, low birth weight or neonatal death). There was statistical significance between disease activity during pregnancy and preconception active disease, as well between prematurity and the presence of antiphospholipid antibodies and antiphospholipid syndrome and also between the maternal and fetal complications as a whole and preconception activity and the use of prednisone >10mg/day. Conclusions: In this study we found a high frequency (46.7%) of maternal and/or fetal complications in pregnancies of lupus patients, therefore, pregnant women with SLE are considered to be at high risk. It is recommended that pregnancy in SLE patients should be planned and monitored by professionals who are experts in the disease management.

Antenatal Emergency Care Provided by Paramedics: A One-Year Clinical Profile

Objective: To report on clinical and socio-demographic factors of a one-year caseload of women attended by a statewide ambulance service in Australia, who presented during pregnancy, prior to the commencement of labor. Methods: Retrospective clinical data collected via in-field electronic patient care record (VACIS®) by paramedics during clinical management was provided by Ambulance Victoria. Cases were electronically extracted from the Ambulance Victoria Clinical Data Warehouse via comprehensive filtering followed by case review. Results: Over a 12-month period, paramedics were called to 2,098 women with pregnancy as a primary or non-primary clinical consideration. Women's ages ranged from 14 to 48 years. The majority were multigravidas (86%). There was a greater chance that ambulance services would be required during business hours than any other time of the day. Paramedics noted pregnant women required ambulance services for a range of primary presenting symptoms both obstetric (n = 1137) and non-obstetric (n = 961). Some women had pre-existing conditions including asthma, hypertension, and diabetes potentially complicating their pregnancies. Paramedics administered analgesia to one third of the women. Paired t-tests revealed significant improvement in the pain relief and overall vital signs of the women encountered. Less than half the women (n = 986, 47%) required interventions. Conclusions: This is a unique population wide analysis of ambulance service resource use exploring the clinical profile of pregnant women requiring ambulance services in one calendar year. To manage obstetric and non-obstetric complications in this population safely and effectively, paramedics require an understanding of the unique physiological adaptions during pregnancy. This study therefore has both educational and practice implications.