Effectiveness of safe child birth checklist on maternal and perinatal outcomes in tertiary level hospitals

Background: The World Health Organization (WHO) estimates nearly 2,87,000 maternal deaths, 1 million intrapartum related stillbirths and another 3 million new born deaths during the neonatal period against more than 130 million births each year. Intrapartum perinatal mortality, the deaths that occur during the period around birth, is a major problem in developing countries Objective of this study is to study the effectiveness of safe child birth checklist on maternal and perinatal outcomes in tertiary level hospitals.Methods: This study is a hospital based prospective interventional study conducted at MGMH, Petlaburzu hospital, Hyderabad, Telanagana, which is a tertiary care hospital comes under Osmania medical college. 635 deliveries were followe up without SCC and 620 deliveries were followed up with SCC.Results: There was significant improvement in starting of partograph at the time of admission with SCC (20% vs 32.2%), more number of cases required to start antibiotics in with SCC group compared to without SCC. Just Before and during Birth (or C-Section) without SCC group significantly more need to start Antibiotic compared to with SCC group (15.7% vs 11.3%) and active management of third stage of labour was significantly more among with SCC group (94.5% vs 96.9%).Conclusions: In final mortality and morbidity outcomes of delivery i.e. maternal and perinatal, the effectiveness of implementation of safe child birth check list has no significant effect though there were improved set of certain practices during the child birth process

Study on factors influencing caesarean section delivery in urban field practice area of Kamineni Institute of Medical Sciences, Narketpally, Nalgonda, India

Background: Caesarean section is one of the most commonly performed major surgeries in obstetric practice intended to save the mother and child in turn reducing maternal and perinatal mortality. The steadily increasing global rate of caesarean section has become one of the most debated topics in maternity care. The objective of this study is to identify the factors influencing caesarean section delivery in the study area.Methods: This is a community based cross sectional study conducted among 66 women who underwent caesarean section in urban slum of field practice area of KIMS Nalgonda from January 2017 to February 2017. Information regarding socio demographic factors, indication of caesarean section, maternal and neonatal outcome was recorded in pre-designed pretested questionnaire.Results: The rate of caesarean section (CS) in this study was 55.9%. The commonest indication for elective caesarean was previous caesarean section (59.5%) and for emergence caesarean section the commonest indication was fetal distress (50%). 47.6% in elective group and 62.5% in emergency underwent caesarean section in government hospitals, 52.38% in elective group and 37.5% in emergency underwent caesarean section in private nursing homes.Conclusions: Elective caesarean sections are more common than emergency sections. Most of the caesarian sections were in the age group of 18-25 years, Hindus, BC community, house wives, who have studied up to intermediate and above, below poverty line group and in multigravida women. Common indication for elective CS was previous CS and for emergency CS was fetal distress

Nutritional Status among Adolescent Girls in Rural Areas of Tirupati – A Cross Sectional Study

Background: Adolescent is the period of the life between the ages of 10-19 years. Adolescence is time to learn and adopt healthy habits to avoid many health and nutritional problems later in life. Objective of this study is to assess the nutritional status of adolescent girls by anthropometric measurements and to determine the association between different individual and family level factors with under nutrition. Methods: It is a community based cross-sectional study conducted among adolescent girls of age between 10-19 years in rural areas of Tirupati. The study sample was 188. BMI for age <-2SD is considered as thinness. A pre tested semi structured questionnaire was used to collect individual and family level factors and analysed using appropriate statistical tests with SPSS26th version. Results: Prevalence of thinness and overweight/obese among adolescent girls in this study was 17% and 17.6%. Thinness was significantly high among girls with family size is more than five(23.8% vs 8.4%), who attained menarche at >11 years (17.1% vs 0%) and who are not doing regular physical activity(22.3% vs 9.2%). Multivariate binary logistic regression showed socioeconomic status, family size and physical activity are significant predictors of thinness. Conclusions: It can be concluded from this study that thinness was significantly high among adolescent girls with family size >5, who attained menarche at >11 years and who does not have the habit of doing regular physical activity

A Study on Depression, Anxiety and Stress Among Medical Undergraduate Students of a Women’s Medical College, South India

Background: Mental health of a medical student remains affected throughout training due to long study and working hours, extensive course content, examinations, peer competition, uninspiring environments, sleep deprivation. Objectives of this study is to estimate the proportion of Depression, Anxiety and Stress among Women medical undergraduate students and to determine the association between the Depression, Anxiety, Stress and Socio demographic factors among Women medical undergraduate students. Materials and methods: This were a cross sectional Study conducted among First, second, third and fourth year MBBS students of SVIMS - Sri Padmavathi Medical College for Women, Tirupati, Andhra Pradesh. Medical students who were present and willing to participate voluntarily on the day of data collection were included. Sample size calculated was 375. Information collected was socio-demographic details and Depression Anxiety Stress scale [DASS 42] was used to assess depression, anxiety and stress levels. Results: The present study assessed Depression, Anxiety and Stress among 588 medical undergraduates, by using DASS 42 scale which revealed prevalence of depression was 34.7%, anxiety 44% and stress 30.3% and their association year of study, not satisfied, partially satisfied with own education, less consumption water, less sleeping hours and hours of usage of gadgets. Conclusion: The present study found that prevalence of depression 34.7%, anxiety 44% and stress 30.3% among medical undergraduates. Medical students under strain are either unaware of their situation or reluctant to seek help

A study of quality of life among the elderly in urban areas of Tirupati

Background: The objectives of the study are to evaluate quality of life (QoL) among the elderly and to determine the association between socio-demographic factors and QoL. Methods: A community-based cross-sectional study was conducted in elderly subjects (aged 60 years and above) (n = 120) in the urban field practice areas of our tertiary care teaching institute in southern India. QoL was assessed using World Health Organization-QoL BREF Questionnaire. Results: Most of the study population were aged 60–69 years (65.8%), males (51.7%), from nuclear families (78.3%), Hindus (67.5%) and were literates (78.3%). Majority of families belong to the upper lower socio-economic group (45%). Most of them belonged to the backward caste communities (30%). The mean total QoL score was high among ≥80 years, males, illiterates and upper class. All these differences were statistically non-significant. However, the mean total QoL score showed significant relation with socio-economic class. The domain correlation ranged between 0.238 and 0.690 and was statistically significant. Conclusions: Most of the study population were leading moderate QoL, followed by good QoL. Based on total domain QoL scores, it is concluded from this study that overall QoL is good among elderly ≥80 years, males, illiterates and the population in the upper socio-economic class. The mean total QoL score showed a significant relation with socio-economic class

Association of female Breast carcinoma, its prognostic factors and ABO blood group: A retrospective study

Back ground: Association between ABO blood group antigens and cancer has been described since 1953. Association of breast carcinoma and ABO group is not clear. Aims and objectives: To study the association between blood group type and breast carcinoma, its prognostic factors and molecular subtypes. Material and methods: This is retrospective study which includes 273 breast cancer cases. Association between prognostic factors, molecular subtypes of breast carcinoma and blood group type was assessed. Results: Out of 273 cases of breast carcinoma, maximum number of cases were of O group (41.5%).Among grade 1 and grade 2 patients majority were having blood group O and grade 2 patients were having B group. All the blood groups showed tumor size of 2 to 5cms and were in stage 2 in maximum cases. Maximum cases with lymphnodal metastasis were seen in O group (45.1%).Her2 rich cases were commonly observed in B group (38%) where as Luminal A, Luminal B, and triple negative were commonly seen in O group (43.2%,46.3% and 39% respectively). Conclusion: Women with blood group O are at more risk of developing breast carcinoma followed by blood group B, A and AB. There was no statistical significance for association between the blood groups and prognostic factors of breast carcinoma. Lymph nodal metastasis was seen more in blood group O patients. Maximum number of Her2 rich cases were seen in B group whereas Luminal A, Luminal B and triple negative were seen in O group

Depression And Quality of Life Among Type-2 Diabetes Mellitus Patients: A Case Control Study

Background: Diabetes is accompanied by a distinct decreased in subject’s quality of life (QOL) and it shows to elevated disability-adjusted life years than most diseases. Depression shows the degrade QOL and is associated with wretched treatment outcomes and lesser the glycaemic control in diabetes. Objective of this study is to study the association between Quality of Life (QoL) and depression among type2 diabetes mellitus in Andhra Pradesh.  Methodology: The present study is a case control study. There were 300 participants including 150 type2 diabetes mellitus patients, & 150 healthy individuals (age and gender matched) were also selected as a control to meet the purpose of the study. Subjects age range was set between 35-65 years. Beck depression inventory (BDI-II) and WHO quality of life scale (QOL BREF) were used for data collection, SPSS-26(v). Results: The study findings showed that significant but negative relation between depression scores and quality of life. 65% have Poor Quality of life & 57% have high depression in Diabetes Patients. 54% have good Quality of life & 78% have Mild Depression in Healthy Individuals. Conclusion: It is concluded that association between depression and sub-scales of quality of life indicating that high depression scores may lead to lower physical and psychological health impacting social relationship and environmental health