Women In Tertiary Care Hospital Research Articles

Prevalence and Predictors of Anxiety and Depression among Perinatal Women in Tertiary Care Hospital: A Cross-Sectional Study

Prevalence and Predictors of Anxiety and Depression among Perinatal Women in Tertiary Care Hospital: A Cross-Sectional Study

Incidence of depression in pregnant and postpartum women in tertiary care hospital using Edinburg postpartum depression scale: A prospective observational clinical study

Abstract Background: Depression is a mood disorder characterized by physical symptoms like fatigue, pain, sleep disturbances, and/or a persistently low mood. Antenatal depression refers to a nonpsychotic depressive condition that starts during pregnancy. Postpartum depression, on the other hand, emerges within a month after childbirth and can persist for up to 1 year. The objective of this study is to determine the occurrence of depression among women during both the antenatal and postnatal periods by utilizing the Edinburgh Postnatal Depression Scale (EPDS). Materials and Methods: From 1 August 2022 to 1 September 2023, 246 women responded to the EPDS questionnaire during and after childbirth. Valid consent was obtained from all participating subjects before the study’s commencement. Results: The study revealed that depressive disorders affected 23.2% of women during the antenatal period and 20.3% during the postnatal phase. A higher prevalence of depression was observed among multiparous women (53.7%) and those aged between 25 and 34 years (64.2%). Additionally, significant associations between depression and risk factors like cesarean delivery (54.1%) were identified. Conclusion: Both the postpartum period and pregnancy pose increased risks for the onset of various psychiatric disorders. This research assisted in screening, classifying, and identifying high-risk individuals and providing guidance and support to those requiring additional assistance and counseling. Therefore, regular EPDS screening can potentially enhance maternal and child health outcomes.

Prevalence of dry eye disease among post-menopausal women in Tertiary care hospital of rural area of Panipat

The objective of this study was to assess the prevalence of dry eye disease among post-menopausal women and to know the trend of dry eye disease with increasing age and profession of women.150 post-menopausal women were included in the study and they were subjected to Schirmer’s test and TBUT test. The study was conducted for a period of 6 months from May 2022 to October 2022.Out of 150 post-menopausal women it was found that 83(55.3%) showed signs of dry eye disease and maximum women belong to >60 years age group. It was seen that in Schirmer’s test 45.7% (38) have shown mild signs, 32.5% (27) have shown moderate signs and 21.6% (18) have shown severe signs of dry eye disease. It was also seen that working women (72%) had more chances of dry eye disease than homemaker (28%). Dry eye disease is very common amongst post-menopausal women and it is observed that with increasing age chances of dry eye disease increases and it is more common in working women than homemaker. Early diagnosis and treatment can prevent severe forms and complications.

Awareness Regarding Breast Cancer, Perceptions and Compliance towards Mammography among Women Visiting Tertiary Care Hospitals in Rawalpindi

Objective: To find out awareness about breast cancer, perceptions and compliance towards mammography in women reporting to tertiary care hospitals in Rawalpindi.
 Study Design: Descriptive cross-sectional study.
 Place and Duration of Study: Tertiary care hospitals in Rawalpindi Pakistan, from Nov 2021 to Apr 2022.
 Methodology: A sample size of 120 women was calculated. Sampling technique was non-probability convenient sampling. The data collection tool consisted of demographic information, questions to assess awareness, perceptions and compliance towards mammography. Data were entered and analyzed in SPSS version 26.
 Results: The survey was administered to 120 women in tertiary care hospital. The study showed that majority of population was well-aware of breast cancer. Out of 120, 104(86%) women believed that new breast masses should be evaluated at clinics.According to 113(94%) women breast cancer can be cured and 95(79.2%) had belief that breast cancer can be prevented. Fortyfour (36.6%) women were non-complaint towards mammography having higher barrier scores. There was high significance of occupation (p<0.001), education (p<0.001) in terms of individual compliance towards mammography. Significant association was found among the participants who were compliant towards mammography with respect to occupation (p<0.001) and education (p<0.001).
 Conclusion: Most of women were well-aware of breast cancer and were more likely to participate in breast health activities.Majority had good perception regarding breast cancer and sufficient knowledge. Lesser women were non-complaint having barriers towards mammography.

Estimation of Serum Alkaline Phosphatase, Total Calcium and Urinary Hydroxyproline as Bone turn over marker in Post-Menopausal women in Tertiary care Hospital

Background: Osteoporosis is one of the prevalent diseases of post-Menopausal women. Hence to evaluate the severity of osteoporosis serum calcium, serum ALP and urinary hydroxyproline used as bone resorption marker.Method: 30 post-menopausal women with osteoporosis were compared with healthy pre-menopausal 25-40 years of women. Random Blood sample collected from venipuncture and centrifuged to get serum. Fasting Urine sample was collected and 1.2 drops 6 N HCI was added as preservative. The parameter compared between preand post menopausal were, serum calcium, alkaline phosphatase, total protein, Albumin, Urine test included Hydroxyproline,creatinine and results were noted.Results: Comparison of S. calcium, S.alkalinePhosphatase, S. Protein,S. Albumin and Urinary hydroxyproline. Urinary creatinine were compared and every parameters had highly significant p value (p<0.001).Conclusion: These results demonstrate that biochemical markers of bone turn over like serum total ALP total calcium provide dynamic measure of bone remodelling and helps to predict the changes in bone mass and fracture of risk in post-menopausal women.

Frequency of Low Acceptance of Postpartum IUCD and its Contributing Factors among Women in Tertiary Care Hospital

Background: Post-partum intra uterine device insertion is the trend to increase the importance of family planning services immediately after delivery, to enhance motivation and acceptance among women. It has additional advantage to provide best care in terms to escalate health of woman and increasing healthy timing and space among children Aim: To determine frequency of women accepting immediate PPIUCD insertion and frequency of contributing factors in those refusing insertion of PPIUCD. Methods: A Cross-sectional study, in setting of Gynaecology Services Hospital, Lahore/SIMS was carried out over a period of six months from 03-10-2019 to 02-04-2020.A total of 215 antenatal women, women admitted in labour room for delivery either vaginal (including vaginal birth after C/section) or caesarean delivery were included in this study. The women refusing insertion of PPIUCD were interviewed by using a predesigned questionnaire. Results: Mean age of the patients was 26.38±2.91 year. Majority of the patients 130(60.5%) delivered vaginally while in 85 patients (39.5%) caesarean section was carried out. Immediate PPIUCD insertion accepted by 71 patients (33%). Distribution of contributing factors in patients who refused insertion of PPIUCD as follows: Age 18-25 years, 56(38.9%), low educational status 103 (71.5%), misconception 93(64.6%), partner’s wish 33(22.9%), Primiparity 16(11.1%), fear of side effects 11(7.6%) and other contraceptive method 41(28.5%). Stratification with regard to age, parity and mode of delivery was carried out. Conclusion: Our study demonstrated frequency of women accepting immediate PPIUCD insertion 33%. Keywords: Post-partum IUCD, Low acceptance, Pregnant women

A RETROSPECTIVE STUDY ON PREVALANCE OF ANEMIA IN PREGNANCY IN A TERITIARY CARE HOSPITAL

Objective: To study about prevalence in anemia among the antenatal women, its clinical features, and access the severity and its treatment response. Methods: A hospital-based retrospective study on the prevalence of anemia among the antenatal women in tertiary care hospital for 6 months duration in gynecology and obstetrics department. In evaluating pregnant women with anemia, it is essential to do a complete history and physical examination, as well as complete blood count with indices and a blood smear examination. Based on these findings, other test such as ferritin and serum or red cell folate may be ordered. Because of normal physiologic changes in pregnancy that effect the hematocrit, indices, and some other parameters, diagnosing true anemia, as well as the etiology of anemia, is challenging. Results and Discussion: In this retrospective study, the prevalence of Anemia in pregnancy in a tertiary care hospital was evaluated and determined in fifty patients. The most common age group was between 21 and 25 years i.e., (21 patients) 42%. Among 50 patients, majority of them, i.e., 35 patients (70%) were treated with Injection. Iron Sucrose (200 mg). In this study, increase in prevalence were seen majorly in the third trimester, i.e., 25 patients (50%) of which 22 patients (88%) were with moderate anemia with 7.9 gm/dl average hemoglobin (Hb) percentage and 3 patients (12%) were with mild anemia with 9.3 gm/dl average Hb percentage. Conclusion: The plan of management for anemia complicating pregnancy depends on the type of anemia. Oral iron therapy is the route of choice in women with mild to moderate anemia and for severe anemia in pregnant women <30 weeks of gestation. The rise of Hb with parenteral iron therapy is almost the same (avg: 1gm/dl/week) as that of oral iron therapy.

Prevelence of recurrent Urinary tract infection in pregnant women in Tertiary care Hospital of central India

Prevelence of recurrent Urinary tract infection in pregnant women in Tertiary care Hospital of central India

Varied Clinical Presentations of COVID-19 in Pregnant Women in Tertiary Care Hospital of Lahore-Pakistan

Background: The whole world is facing one of the biggest health related disasters of the century. As a novel disease, Covid-19 has so many parameters yet to explore. Aim: To explore varied pattern of clinical presentation of COVID-19 in obstetric population in tertiary care hospital. Study design: Cross-sectional study. Methodology: This study with enrolled pregnant females (n=36) was carried out after ethical review committee’s (ERC) approval at Department of Gynecology & Obstetrics, Sir Ganga Ram Hospital, Lahore-Pakistan over a period of 3 months in 2020. Data was analyzed by SPSS software, version-20. Presenting symptoms of subjects were presented as frequency and percentage. Results: Total 36 patients were selected. Twenty four (66.66%) patients were symptomatic while the rest 12 (33.33%) patients were asymptomatic. Conclusion: We concluded that clinical presentation of COVID-19 pregnant patients is similar as in rest of the world and it is also same as in general population. Keywords: Covid-19, Pregnant Patients and Clinical Presentation.

Maternal and Neonatal Outcomes among Obese Pregnant Women in Tertiary Care Hospital, Jodhpur: A Retrospective Study

Maternal and Neonatal Outcomes among Obese Pregnant Women in Tertiary Care Hospital, Jodhpur: A Retrospective Study

Assessing the Effect of Patterned Breathing Techniques for Reducing Pain during Active Stage of Labour among Pregnant Women in Tertiary Care Hospital, Bhubaneswar

A study was undertaken to evaluate the effect of patterned breathing techniques in reducing pain during active stage of labour among pregnant women in tertiary care hospital, Bhubaneswar (Odisha). The conceptual framework adopted for this study was based on JW Kenny Open System Model. A randomised control trial design was used and consecutive sampling technique was used to select 50 pregnant mothers. Patterned breathing exercises were taught and practised individually to the mothers of experimental group during latent stage of labour and the mothers with 4 cm cervical dilatation were made to practice breathing exercise at each contraction for 1 hour. Pain intensity level was assessed in ve subsequent observations at an interval of 1 hour both in experimental and control group using modi ed numeric pain intensity scale. Five post-tests scores after intervention were recorded using numeric pain intensity scale for assessing pain level after pre-test during the contraction. Findings revealed that in experimental group 80 percent people experienced mild pain and 20 percent experienced moderate pain. As p value was<0.005, so there was signi cant difference between the mean scores of two groups. Thus, patterned breathing techniques have signi cant effect in reducing of labour pain during active stage of labour. But demographic variables do not have signi cant association with the level of pain with patterned breathing exercises.

Medical abortion by Mifepristone with vaginal Misoprostol in women in tertiary care hospital of North India: A comparative study

Medical abortion by Mifepristone with vaginal Misoprostol in women in tertiary care hospital of North India: A comparative study

Knowledge, attitude and practices of breast feeding in primigravida women in tertiary care hospital in central India

Introduction: There are gaps between UNICEF and BFHI recommendations and actual implementations of breastfeeding practices due to inadequate counseling of primigravida on breastfeeding, reflected nationally as poor infant nutritional status. Objectives: The study aims to assess the knowledge, attitude and practices of primigravida about breastfeeding, counsel the primigravida women on the prescribed scientific breastfeeding methods, to analyze the change in their perspective about breastfeeding after counseling and to suggest recommendations based on findings. Methods: Questionnaire based descriptive cross sectional study conducted on selected 75 primigravida with gestational age of 36 weeks or more, attending ANC OPD or admitted to NKPSIMS during April and May 2014 after consent. A structured validated pre/posttest questionnaire was administered to assess the knowledge, attitude and practices of breastfeeding of participants. Demographic variables were recorded. Pretest was conducted, followed by counseling on the importance of breastfeeding, maternal nutrition, duration of exclusive breastfeeding, mother’s and baby’s position during breastfeeding using flashcards which was followed by posttest on the same questionnaire. The data was analyzed using SPSS software Open Epi Info version 2.3 year 2009. P values < 0.05 were considered as statistically significant. Results: Comparison of pre/posttest results showed statistically significant change in importance of exclusive breast feeding, colostrum, early initiation, suitable position and duration of breastfeeding, perception of baby’s satisfaction and stool color, maternal nutrition and breast problems during lactation after counseling. Conclusion: Antenatal breastfeeding counseling must be strengthened by a multi pronged individualized approach, reinforcement focusing on the recommended practices of breastfeeding to promote and sustain breastfeeding.

Clinical pharmacists involvement in hypertension management among women in tertiary care hospital

Clinical pharmacists involvement in hypertension management among women in tertiary care hospital

Risk Factors for Stress During Antenatal Period Among Pregnant Women in Tertiary Care Hospital of Southern India.

The well-being of an infant may be affected when the mother is subjected to psychosocial stress during her pregnancy. Mothers exposed to stressful conditions were more prone for preterm birth than those without any stress. In this study perceived stress has been used as an indicator of levels of stress. There are very few studies published from developing countries on the levels of perceived stress and its causes in pregnant women. This study employed a cross-sectional assessment of pregnant women attending the outpatient services of a tertiary care hospital for regular antenatal check-up. Women not known to have any risk factors at 28 weeks to 34 weeks of pregnancy who agreed to participate in the study were interviewed to assess the perceived stress score. Among the total patients 57.7% were primigravida and the mean score on perceived stress scale was 13.5±5.02. The majority of the group (102; 65.4%) scored higher than the mean value of total score on the perceived stress scale. Unplanned pregnancy and husband's employment status were associated with high levels of perceived stress in multivariate analysis in this set of women. Individual as well as pregnancy related factors can contribute to perceived stress in pregnant women. With the established relationship between maternal mental health, pregnancy outcome and infant growth, the assessment and management of stress early in the pregnancy is crucial.