Pregnancy In Tertiary Care Hospital Research Articles

Clinical profile and outcome of chronic ectopic pregnancy in tertiary care hospital

Clinical profile and outcome of chronic ectopic pregnancy in tertiary care hospital

Clinical profile and outcome of ectopic pregnancy in tertiary care hospital

Clinical profile and outcome of ectopic pregnancy in tertiary care hospital

Pattern of Presentation and Management of Ectopic Pregnancy in Tertiary Care Hospital

Background: Ectopic pregnancy is a life threatening complication of the first trimester of pregnancy that arises in 1.3 – 2.4% of all pregnancies.
 Objective: The aim of this study was to determine the frequency of ectopic pregnancy and to evaluate the clinical presentation, risk factors and management outcomes of ectopic pregnancies.
 Methods: This was a retrospective, descriptive study of ectopic pregnancies managed at Dhaka Community Medical College Hospital during the period of January 2013 to December 2017. Total 70 cases of ectopic pregnancies were included. The medical records of the patients managed for ectopic pregnancies were retrived and data were collected from registers. The relevant data were analyzed with simple descriptive statistics and presented in frequency chart and tables.
 Results: Total 70 cases of ectopic pregnancies were managed during the study periods which constituted 3.6% of all gynaecological admissions. Most of the patients (35.7%) were between 25 – 29 years age group. It was most common in multiparae with a percentage of 85.7% . The commonest (92.9% ) clinical presentation was abdominal pain. Almost 14.3% were in a state of shock at admission. Among the identified risk factors 28.6% had a previous history of induced abortion and 22.9% had pelvic inflammatory disease. Out of 70, 60 patients (85.7%) had ruptured ectopic pregnancies, 4 (5.7%) were unruptured and 5 (7.1%) produces a complex tubo-ovarian mass. Only 1(1.4%) case was presented early & treated with intramuscular methotrexate injection. Surgery by open method in the form of salpingectomy 64(91.4%) and salpingo-oophorectomy 5(7.1%) were the mainstay of management. No maternal mortality found in this series.
 Conclusions: Since ectopic pregnancy remains a gynaecological catastrophe in developing countries and a major challenge to the reproductive performance of women worldwide, it should be considered a relevant public health issue. Early diagnosis, identifying of underlying risk factors and timely intervention in the form of conservative or surgical treatment will help in reducing the morbidity and mortality associated with ectopic pregnancy.
 Bangladesh J Obstet Gynaecol, 2021; Vol. 36(1): 28-32

Study of Perinatal Outcome in Oligohydraminos in third Trimester of Pregnancy in Tertiary Care Hospital

Introduction: Oligohydraminos, often due to impaired placental function, has been associated with an increased risk ofcaeserean delivery for fetal distress, low Apgar score, post maturity and high perinatal morbidity and mortality.Material and methodology: The prospective Longitudinal study was carried out over the period of two years in theDepartment of Obstetrics and Gynaecology of Rural Medical College, Loni. 170 pregnant women in 3 trimester ofpregnancy, presenting clinically as oligohydramnios with AFI less than 5cm and intact membranes; were included in thestudy. All cases were evaluated on indoor basis.Results: In the present study, Eight babies were admitted in NICU for further management, five babies gestational age>37 weeks and associated with asymmetrical IUGR they were kept in NICU for birth asphyxia (apgar<7 at birth) andbirth weight was <2kg. all were delivered by caesarean sectionConclusion: All cases of Oligohydramnios rise suspicion about perinatal outcome. Unessessary Intervation in the form ofInduction of Labour can result into increased operated intervention.

Study of category of drugs used in pregnancy in tertiary care hospital- a prospective observational study

Study of category of drugs used in pregnancy in tertiary care hospital- a prospective observational study

Prevalence of Bacterial Vaginosis During Pregnancy in Tertiary Care Hospital, Lahore

Introduction: Pregnancy is a condition usually associated with increased vaginal discharge including vaginal infections like bacterial vaginosis, leading to adverse perinatal outcomes due to disturbance in vaginal ecosystem that warrants further evaluation and timely management.Aims & Objectives: The study was conducted to determine the prevalence of bacterial vaginosis in pregnancy and its contributing factors.Place and duration of study: Out Patient Department of Obstetrics & Gynecology, Shaikh Zayed Hospital, Lahore. Duration of the study was six months.Material & Methods: 120 pregnant females with age 20-40 years with singleton pregnancy of more than 12 weeks’ gestation were included. Women who were immunosuppressed and history of diabetes and hypertension and recent history of use of antibiotics were excluded. Vaginal swab specimen was taken & bacterial vaginosis was labelled after fulfilling Amsel criteria. Data was analyzed using SPSS version 21.Results: In this study, 120 cases were taken and mean age of participants was 27.55±3.97 years. The mean duration of gestation was 18.76±6.14 weeks. Bacterial vaginosis (BV) was seen in 24 (20%) of the cases. BV was seen in 19 (20.65%) cases with age 20-29 years’ vs 5 (17.86%) cases in age group 20-40 years with p= 1.0. Bacterial vaginosis was nearly significantly high in multiparous women where this was seen in 13 (27.65%) cases as compared to 11 (15.06%)cases in primiparous women with p= 0.11. Out of 20 cases of bacterial vaginosis, low education was seen in 12 (60%) of the cases.Conclusion: The prevalence of bacterial vaginosis in pregnancy at local setup is high and is seen nearly in 1 out of 5 cases. This demands health educational programs to enlighten women regarding screening and early detection & treatment to prevent complications during pregnancy.

Study of different modes of presentation, diagnosis and management of ectopic pregnancy in tertiary care hospital

Study of different modes of presentation, diagnosis and management of ectopic pregnancy in tertiary care hospital

Drug utilization study of antihypertensive drugs used in the treatment of second and third trimester of pregnancy in tertiary care hospital

Background: Hypertensive disorders are major cause of the perinatal and maternal mortality and morbidity worldwide. Aim of study was to evaluate current trend of antihypertensive drugs and to assess frequency and distribution of antihypertensive drugs in pregnancy.Methods: A retrospective observational study was conducted in a tertiary care hospital for period of six months in collaboration with department of obstetrics and gynaecology. Patients data recorded in case report form and analysed to study prescription pattern and related information.Results: Total of 104 cases were enrolled in this study. Prescribed antihypertensive drugs in pregnancy were Labetalol, Nifedipine, MgSO4 and furosemide. Most commonly prescribed drug was labetalol. In this study, Gestational hypertension was most common diagnosis in hypertensive disorder. Majority of drug prescribed from category C and A. In present study, Single drug therapy was most commonly prescribed for hypertension in pregnancy was 64.42% whereas multiple drug therapy was 35.57%. Most common maternal complication was anaemia i.e. 54.05% followed by placental abruption in 24.3%. Neonatal outcome was low birth weight i.e.36% followed by preterm birth i.e.24%.Conclusions: Labetalol found to be most common prescribed drug. Single drug therapy prescription was high as compared to multiple drug therapy prescription in hypertensive disorders in pregnancy. Gestational hypertension was most common cause of hypertensive disorder. Anaemia was found to be most common maternal complication encountered in hypertensive disorders in pregnancy. Most common adverse neonatal outcome was low birth weight.

Study of Mifepristone and Misoprostol Vs Misoprostol alone in mid trimester termination of pregnancy in tertiary care hospital

Study of Mifepristone and Misoprostol Vs Misoprostol alone in mid trimester termination of pregnancy in tertiary care hospital