Study of fetomaternal outcome in pre-eclampsia at tertiary care centres, South Gujarat

Background: Hypertensive disorders are among the most common medical disorder during pregnancy and continue to be a serious challenge in obstetric practice. It affects about 7-15% of all gestations. In India it accounts for the third most important cause of maternal mortality. Aim if this study was to study the prevalence of pre-eclampsia and feto-maternal outcome in cases of pre-eclampsia. Methods: This was a descriptive observational study conducted over a period from February 2019 to July 2021. This study enrolled 106 cases of pre-eclampsia, cases were selected by inclusion and exclusion criteria, data were entered and analysed by using SPSS version 20. Results: A total of 106 patients were analysed. It was observed that it was more common in age group of 26 to 30 years 51%, 56% were unbooked patients. Maximum number of patients were primigravida 60%, 96% patients were from lower socioeconomic class, 37% patients had normal vaginal delivery, 63% had caesarean delivery. The most common maternal complication was eclampsia (12%), HELLP Syndrome 12%, abruptio occurred in 8% of patients. Maternal mortality occurred in 4 cases. Out of 106 babies 37 (34.93%) babies had normal outcome while 29% (27.35%) had low birth weight, 16 (15.09%) babies were IUGR, 15 (14.5%) babies were IUFD, 7 (6.6%) babies had RDS and 2 (1.8%) babies were stillbirth 40 (44.94%) babies were admitted in NICU. Conclusions: This study concludes that foetal and maternal outcome were markedly affected by pre-eclampsia and also the grave complications were more common in pre-eclampsia. So proper antenatal care, early diagnosis of pre-eclampsia and timely intervention will decrease maternal perinatal morbidity and mortality

ROLE OF UTERINE SHAPE AND VOLUME ABNORMALITIES IN RECURRENT PREGNANCY LOSS (RPL)

Background: Certain uterine factors like bicornuate, unicornuate and septate uterus being prime examples are more predictably associated and repeated pregnancy loss. These can be accurately investigated by HSG, 2D Transabdominal Sonography and Transvaginal Sonography. Methodology: The present study is a cross-sectional study conducted on the patients of Recurrent Pregnancy Loss (RPL) with history of two or more abortion with no live issue coming to the Outdoor Patient Department (OPD) of Sheth K.M.School of Post Graduate Medicine and Research, Ahmedabad. The study was based on the interview consisting of preformed questionnaire with the cases of RPL followed by the detail investigation by hysterosalpingography (HSG), 2D ultrasonography (Transabdominal Sonography (TAS) and Transvaginal Sonography (TVS)). Results: It was found that 11.8% of the cases of RPL were due to uterine malformations. Decrease in the uterine volume was observed in 3 out of 35 cases of RPL patients. HSG and 2D TVS were correctly able to diagnose all the 4 cases of uterine malformations. Conclusion: It is concluded that 10 percent of our cases of recurrent pregnancy loss are due to uterine malformations. HSG and 2D TVS has equal sensitivity in detecting uterine malformations

Profile Of HIV Positive Antenatal Women in Tertiary Care Hospital in Surat City

Background: HIV infection is a global epidemic that now affect 35 million people worldwide. Its rate is increasing in female day to day as well as 95% of pediatrics HIV infection occur through parent to child transmission .despite prenatal ART treatment still morbidity and mortality is rate is still high so the present study was conducted to identify HIV in ANC women and her husband for providing apparent care of ANC women and decrease risk of transmission to fetus as well as uninfected partners. Methods: This cross sectional study was carried out in tertiary care hospital of surat city include 1000 ANC women and her husband coming at ANC clinic for routine check up .all the women and husband counsel and tested for HIV before taking prior consent, also taken detail history to asses sociodemgraphic profile, obstetric profile and associated co morbidity in ANC women. Results: Among study population 0f 1000 women 19 women were HIV positive. seroprevalence is more in age less than 25 years illiterate(78.9%)unskilled(100%) coming from urban area(78.9%). 83.5% regularly registered multigravida(78.9%)and vaginally delivered (68.9%) ANC women were HIV positive. None of the seropositive women were hbsag positive, out of 19 seropositive 7(36.84%) anemic and 12 (63.6%) non anemic. Conclusion: Seroprevalence is more in younger multiparous, illiterate, unskilled registered ANC women. So proper counseling and timely management of delivery is needed by health personnel