Maternal outcome in thyroid dysfunction in admitted antenatal women in tertiary care centre: an observational study

Background: Thyroid disorders constitute one of the most common endocrine disorders in pregnancy. Aim of this study was to identify thyroid dysfunction as a maternal health problem. Objective of this study was to study the maternal outcomes in these patients.Methods: The main source of data are the patients admitted in Sultania Zanana Hospital, GMC Bhopal. The study was an observational prospective study conducted from March 2018 to February 2019.Results: The present study was conducted in department of obstetrics and gynecology, Gandhi Medical College and associated Sultania Zanana Hospital Bhopal for the period of 1 year. The study could enroll 400 females fulfilling the inclusion criteria during the study period.Conclusions: In developing countries like India where there is prominent micronutrient deficiency, iodine deficiency further aggravates the condition and carries a great potential to show deleterious impacts on maternal and fetal outcomes, thus serving a major health problem. Considering the substantial increase in short term as well as long term perinatal morbidity, a felt need for creating awareness not only on adverse outcomes but also detection of the disorder in first trimester is required. The desired perinatal outcome can be achieved by early detection and prompt treatment of the disorder. Henceforth, universal screening of all antenatal women in the first trimester rather than targeted case finding should be recommended at all the health care facilities

Premenstrual syndrome and its association with menstrual profile among female students of colleges in Ujjain city, Madhya Pradesh, India

Background: Premenstrual Syndrome (PMS) is a common psychosomatic disorder which affects 30%-50% of women in child bearing age. Symptoms’ have devastating effect which starts early in life. So, the study was conducted to estimate the prevalence of premenstrual syndrome (PMS) and its association with menstrual profile among female students of colleges situated in Ujjain city.Methods: Observational follow-up study was conducted at 4 colleges selected by convenience sampling located in Ujjain city. PMS and menstrual profile related data from 250 girls (18-25years) who consented to participate were collected using a modified version of daily record of severity of problems for atleast 2 consecutive menstrual cycles. Diagnosis of PMS was made using ACOG criteria. Data analysis was done using SPSS version 16.0.Results: The prevalence of PMS was 39.6% and was found to be negatively associated with any history of mothers having menstrual problems.Conclusions: Frequency of PMS is relatively common in young girls and has negative association with any history of mothers having menstrual problems. Measures should be adopted so that mothers can condition their daughters about premenstrual symptoms which will influence the quality of life of young females

Study to assess the association of PMS with sociodemographic factors and various coping behaviors adopted for premenstrual symptoms

Background: Some women get through their monthly periods easily with few or no concerns. However, other women experience a host of physical and/or emotional symptoms just before and during menstruation (heavy bleeding and missed periods to unmanageable mood swings). These premenstrual syndrome (PMS) symptoms usually start to be problematic in the adolescent years and decline in the climacteric. Symptoms have a devastating effect which starts early in life. Aims and Objectives: The study was conducted to estimate the prevalence of PMS and its association with sociodemographic factors among female students of colleges situated in Ujjain city and coping behavior adopted to alleviate these symptoms. Materials and Methods: An observational follow-up study was conducted at 4 colleges selected by convenience sampling located in Ujjain city. PMS and menstrual profile-related data from 250 girls (18–25 years) who consented to participate were collected using a modified version of the Daily Record of Severity of Problems for at least 2 consecutive menstrual cycles. The diagnosis of PMS was made using the American College of Obstetrics and Gynecology criteria. Data analysis was done using SPSS version 16.0. Results: The prevalence of PMS was 39.6% and was not associated with any of the sociodemographic factors. It was found that majority of participants turned to healthy way of dealing with symptoms, i.e., taking hot or cold beverages and talking to family members. Conclusion: The frequency of PMS is relatively common in young girls, and most of the girls adopt home remedies to alleviate symptom

A CROSS-SECTIONAL STUDY TO ASSESS IMMUNIZATION COVERAGE AND KNOWLEDGE, ATTITUDE and PRACTICE OF MOTHERS REGARDING IMMUNIZATION IN SEEPAT BILASPUR

Objective: To assess immunization coverage in up to 23 mo old children with respect to economic status and Knowledge, Attitude and Practice of mothers regarding immunization. Methods: A cross-sectional study was conducted, including 125 mothers who had children aged grouped between 0-23 mo from 7 fully functional anganwadis. The data was collected using a semi-structured questionnaire and analyzed using Microsoft Excel. The chi-square test/Fisher exact test was applied, and results were presented in the form of tables. Findings were compared against standards and/or findings from similar studies and discussed. Results: Immunization coverage was found to be 79%. Almost 85% of mothers believe that the vaccine prevents communicable diseases, and 82.4% agree that immunization at birth is important. The majority of mothers (92%) agreed that their children should be vaccinated as soon as possible. Related to the attitude of mothers towards immunization, a maximum (93.6%) percent of mothers believed that even a healthy child should be fully immunized for protection from diseases, and 86% had no fear related to vaccinating their child. More than half (72.8%) of mothers informed that they would contact anganwadi workers for the next dose of vaccine. Almost 62% of mothers agreed to breastfeed their children after an oral vaccine, and 87.2% of mothers said that they would take their children for regular vaccination. No association (P>0.05) was found between the child’s immunization status and the socioeconomic status of the family. Conclusion: The study concludes immunization coverage is 79% and there is a positive attitude towards immunization, but less knowledge is related to the age appropriate vaccine. So services focusing on immunization education and provision need to be improved

SYMPTOMATOLOGY FOLLOWING COVID-19 VACCINATION – A CROSS-SECTIONAL STUDY IN CENTRAL INDIA

Objective- A successful COVID-19 vaccine should survive the safety, efficacy, and potency testing phases without causing any negative side effects, especially in high-risk individuals, such as the elderly, pregnant women, people with co-morbidities, healthcare workers, and others.  The present study was conducted to determine common symptoms following the COVID-19 vaccine, the intensity of symptoms after the first and second dose and estimate the prevalence of acquiring Covid-19 infection after getting vaccinated with the Covid-19 vaccine.   Methods- An observational cross-sectional study was conducted in the rural field practice area including 445 participants from nineteen villages. Statistical analysis was done using Microsoft excel and data was represented in frequency and graphs.   Results- In the present study maximum (74%) of participants were Covishield recipients. The top three symptoms experienced after 1st dose were headache (189), fever (130) and pain in the arm at which the vaccine was given (77). After the second dose top three symptoms were fever (281), headache (137) and fatigue (73). The top three psychosomatic symptoms were increased sleep (162), decreased sleep (122) and the third ranker was anxiety (93). More subjects reported having severe symptoms after the first dose than after the second. Three percent of research participants contracted Covid-19 infection after the first dose, and 2% after the second.   Conclusion- Fever and headache were common symptoms after the first and second doses but symptoms were more severe after administration of the first dose of the Covid-19 vaccine. Following vaccination, Covid-19 infection was extremely rare among subjects. &nbsp