14 research outputs found
Placenta praevia: Preach and perception
Placenta praevia is a known obstetric condition that causes complications to mother and
fetus. This study was done to evaluate the knowledge of placenta praevia amongst the
obstetric patients. A cross sectional study was carried out in Hospital Ipoh, Perak among
323 antenatal and postnatal patients. Socio-demographic parameters (ie age, race, parity,
occupation, educational level) and history of placenta praevia were studied in relation to
level of knowledge and attitude towards placenta praevia. Twenty (6.2%) from 323 women
had current or past history of placenta praevia. Three had history of placenta praevia while
17 had current placenta praevia with prevalence of 5.3%. The mean score of knowledge
achieved by patients was 11.8 which indicated overall poor knowledge. Occupation, level of education and history of placenta praevia were found to have a relationship with level of
knowledge regarding placenta praevia in all obstetric patients. There was a significant
relationship between attitude of patients with current and history of placenta praevia to
level of knowledge regarding placenta praevia. (p=0.037, <0.05). In conclusion, the
knowledge and attitude towards placenta praevia among obstetric patients in Hospital Ipoh
was better in those who had higher education status, white-collar occupation and currently
pregnant with placenta praevi
Comparison between metformin and glybenclamide in the treatment of gestational diabetes: a preliminary report.
Early second trimester hCG of maternal serum as predictor marker for pregnancy induced hypertension
Pregnancy induced hypertension (PIH) is commonly encountered in hypertensive
disease in pregnancy (HDP) and important cause of feto-maternal morbidity and
mortality. Abnormal changes of placenta development in PIH leads to abnormal
elevation of second trimester maternal hCG level. Thus, it may have a role in
prediction of PIH. The objective of this study was to evaluate the ability of serum
hCG levels during early second trimester to predict PIH and obstetric outcome at
later gestation. We conducted a cohort study which comprised 34 pregnant women
varying from 14–20 weeks of gestation with serum hCG level taken at points of
recruitment. Serum hCG was measured by a chemiluminescent immunoassay.
Three (8.8%) pregnant women developed late onset PIH while the remainder were
normotensive. The diagnostic performance of second trimester hCG in predicting
PIH as assessed by receiver operator characteristic curve was poor (AUC = 0.398).
Multiple of median (MoM) were used to improve the hCG performance and MoM
of >2 MoM were considered as elevated hCG level. All pregnancies with PIH had
<2 MoM. In normotensive pregnancy, 29 (93.5%) women had hCG <2 MoM and
2 (6.5%) women had hCG >2 MoM (p>0.655). There was no significant association
of hCG level and pregnancy outcome. In conclusion, estimation of second trimester
hCG is a poor predictive marker for PIH. These findings are limited by the less
number of hypertensive cases
Graphical displays for effective reporting of evidence quality tables in research syntheses
Women’s attitudes, experiences and compliance concerning the use of Mindfetalness- a method for systematic observation of fetal movements in late pregnancy
Antenatal scoring system in predicting the success of vaginal delivery after one previous caesarean section.
Morbidly adherent placenta at extreme prematurity: can major haemorrhage and hysterectomy be prevented?
Morbidly adherent placenta with spontaneous rupture of membrane at extreme prematurity poses poor pregnancy outcome. Various issues on different management modalities still remain perplexed and individual consideration is vital. Two cases of morbidly adherent placenta with symptomatic per vaginal bleeding and spontaneous rupture of membrane at severe prematurity were reviewed and discussed. We found that, active intervention by termination of pregnancy and methotrexate therapy at early gestation can prevent the need of hysterectomy following major obstetrics haemorrhage
Re-evaluation of serum beta human chorionic gonadotropin follow up in patients with molar pregnancy
A Successful Antenatal Myomectomy
Complications that may occur while performing myomectomy in pregnancy can be prevented in a well-optimised surgery. Counselling and comprehensive peri-operative preparations are mandatory to minimise litigations and untoward events. Myomectomy in pregnancy remains a contentious issue. Degeneration of fibroid during pregnancy is common. However, conservative management suffices in majority of cases. In nonresponsive conservative treatment, myomectomy may be an option. this article discusses our experience in treating a 38-year-old woman in her fourth pregnancy at 15 weeks gestation with symptomatic uterine fibroid. she had persistent abdominal pain since nine weeks gestation. she developed fever and acute abdomenat at 15 weeks and the uterus was larger than dates.Ultrasound scan confirmed single pregnancy with a large intramural fibroid showing degenerative changes. A myomectomy was performed as a preventive measure to prevent massive haemorrhage. Although performing myomectomy during pregnancy is considered controversial, complications can be minimised with properly-planned surgery