Kazi Sanzida Haque, Tripti Rani Das, Shah Noor Sharmin, Rakiba Sultana, Mossa. Nupur, Marfoonnahar Smriti, Tasnim Binte Ahmed, Sabikun Naher Urmy
{"title":"Comparison of Mean Serum Ferritin Levels between Non-severe and Severe COVID-19 Infection Groups During Third Trimester of Pregnancy","authors":"Kazi Sanzida Haque, Tripti Rani Das, Shah Noor Sharmin, Rakiba Sultana, Mossa. Nupur, Marfoonnahar Smriti, Tasnim Binte Ahmed, Sabikun Naher Urmy","doi":"10.36348/sijog.2024.v07i01.003","DOIUrl":"https://doi.org/10.36348/sijog.2024.v07i01.003","url":null,"abstract":"Background: Despite the fact that, ferritin is commonly regarded as a representation of total body iron reserves; its predictive value is also connected to COVID-19 severity. COVID-19 disease can manifest itself in pregnant women in a variety of ways. Comorbid conditions have a significant impact on the progression of COVID-19 severity. Several studies have showed that, serum ferritin level was associated with severity of COVID-19 infection. So, we conducted this study to evaluate the comparison of mean serum ferritin levels between non-severe and severe COVID-19 infection groups during third trimester of pregnancy. Objectives: The aim of this study is to compare the mean serum ferritin levels between non-severe and severe COVID-19 infection groups in third trimester of pregnancy. Methods: This cross-sectional study was carried out in Department of Obstetrics and Gynaecology, COVID-19 Unit, BSMMU and DMCH. Sampling method was purposive. Total 154 cases were included in this study after matching eligibility criteria. After collecting intravenous blood, serum ferritin level was measured. Results: Among 154 cases, 24.7% cases were asymptomatic, 40.3% cases were mild, 24.7% cases were moderate and 10.4% cases were severe COVID-19 infection during third trimester of pregnancy. The non-severe COVID-19 infection group consisted of 100 cases of asymptomatic and mild COVID-19 infected patients, with a mean serum ferritin level of 51.48 ng/ml. The severe COVID-19 infection group consisted of 54 cases of moderate and severe COVID-19 infected patients, with a mean serum ferritin level of 478.37 ng/ml. The independent samples t-test revealed a p-value of ≤0.05 (0.0000000002), when comparing the mean values of these two groups. Conclusion: Serum ferritin level rises significantly in severe COVID-19 infection during third trimester of pregnancy.","PeriodicalId":394508,"journal":{"name":"Scholars International Journal of Obstetrics and Gynecology","volume":"106 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139614614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of Clinical and Laparotomy Findings of Ovarian Tumor","authors":"Habiba Akther, Rabeya Begum, Jafrin Yasmin Choudhury","doi":"10.36348/sijog.2024.v07i01.002","DOIUrl":"https://doi.org/10.36348/sijog.2024.v07i01.002","url":null,"abstract":"Background: In Bangladesh, ovarian malignancy is quite common. Given the growing emphasis on improving female health, the prevention, early detection & and early treatment of female cancer will undoubtedly become more important at present & and in the future. Objective: To evaluate the clinical and laparotomy findings of ovarian tumor. Method: This cross-sectional study was conducted in the Department of Obstetrics and Gynaecology in a Tertiary Medical College and Hospital from July 2021 to December 2022. 50 consecutive patients who attended the outpatient and who were admitted to this Hospital during this period, were taken as the study population. Results: During this study, out of 50 cases 32 (64%) complained of vague abdominal discomfort and occasional pain in the lower abdomen and 23 (46%) complained of a lump in the lower abdomen. Anemia was present clinically in 45 (90%) Mass was present in the abdomen of 44 (88%) patients. There were unilateral neoplasm in 43 (86%) cases and (14%) cases were bilateral. In 7 (14%) cases, neoplasms were solid, in 7 (14%) cases adhesions to the surrounding structures, partly cystic partly solid were 7 (14%) cases, clear peritoneal fluid in 5 (10%) cases and peritoneal seedling in 3 (6%) cases. Conclusion: Incidence of hospital admission of ovarian neoplasm in this study was 5.8%. Regarding nature of the neoplasm, 86 percent were found benign and 14 percent malignant. The mean age of the patients having neoplasm 35.5 years. As ovarian neoplasm is a silent killer disease, if we can provide some information through mass media, it may be of some help in early diagnosis of ovarian neoplasm and thereby could help our youthful victims.","PeriodicalId":394508,"journal":{"name":"Scholars International Journal of Obstetrics and Gynecology","volume":"3 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139628661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Karyotypic Analysis of Individuals with Unassigned Sex: First Report from Jammu and Kashmir, India","authors":"Wahied Khawar Balwan, Neelam Saba","doi":"10.36348/sijog.2023.v06i12.001","DOIUrl":"https://doi.org/10.36348/sijog.2023.v06i12.001","url":null,"abstract":"Every minute of every day, a baby is born. Most babies are easily seen to be a girl or a boy. Imagine how confusing it must be when we don’t know the sex of a newborn? This is rare and it can be very upsetting for parents. During the present study, a total of 47 individuals with unassigned sex were enrolled for chromosome study. These 47 individuals in different age group were categorized into three groups namely ambiguous genitalia, Intersex and Hypospadias. In Ambiguous genitalia group, a total of seventeen individuals were enrolled for chromosome study. Of these, thirteen individuals reared as males were found to have 46, XY karyotype. In the remaining four cases reared as female sex, three were found to have 46, XX karyotype and one which was phenotypically a female was found to have 46, XY karyotype. In Intersex group, a total of fourteen individuals were enrolled for chromosome study. Of these fourteen cases of Intersex reared as male sex by their parents, thirteen were found to possess 46, XY karyotype where as one cases was found possessing 46, XX. In Hypospadias group, a total of sixteen individuals were enrolled for chromosome study and were found to have 46, XY karyotype. The purpose of the present study was to find out the chromosomal sex in these individuals. The study is first of its kind from Jammu region of Jammu and Kashmir, India.","PeriodicalId":394508,"journal":{"name":"Scholars International Journal of Obstetrics and Gynecology","volume":"6 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139145410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarker A, Tamanna Sjb, Akhter H, Akther T, Parveen M
{"title":"Characteristics and Outcomes of Abortion Cases at a Tertiary Care Hospital in Bangladesh","authors":"Sarker A, Tamanna Sjb, Akhter H, Akther T, Parveen M","doi":"10.36348/sijog.2023.v06i12.007","DOIUrl":"https://doi.org/10.36348/sijog.2023.v06i12.007","url":null,"abstract":"Introduction: Abortion is a critical public health issue, particularly in developing countries like Bangladesh, where access to safe abortion services is often limited. This study aimed to analyze the characteristics and outcomes of abortion cases in a tertiary-level hospital setting, providing insights into the demographic profile of patients, nature and type of abortions, treatment methods, and post-abortion complications. Methods: This cross-sectional observational study was conducted at the department of Obstetrics and Gynecology, Uttara Adhunik Medical College and Hospital, Dhaka, Bangladesh, from June 2022 to July 2023. A total of 100 patients were consecutively sampled based on specific inclusion and exclusion criteria. Data were collected through patient medical records and interviews, focusing on demographic information, details of the abortion, and subsequent outcomes. Result: The majority of patients were in the 26-30 age group (42%), with 58% being primigravida. Most abortions occurred in the early stages of pregnancy (<13 weeks, 75%). Incomplete abortions were the most common type (83%), and the majority of cases were spontaneous (84%). Surgical intervention (D&C) was the predominant treatment method (83%). While most patients (84%) did not experience complications, a minority faced significant health challenges, including shock (5%) and septicemia (3%). Conclusion: The study highlights a high incidence of incomplete abortions and a preference for surgical treatment in abortion cases at the tertiary hospital level in Bangladesh. These findings underscore the need for improved abortion care, enhanced patient education, and better access to comprehensive abortion services. The study's insights are crucial for informing policy and practice to improve reproductive health services and address the challenges of unsafe abortion practices in Bangladesh.","PeriodicalId":394508,"journal":{"name":"Scholars International Journal of Obstetrics and Gynecology","volume":"27 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139167966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abdullahi Abba Habib, M. Ibrahim, Y. Kani, Nabila Ado Ya’u, Abubakar Muhammad Balili
{"title":"Prevalence and Outcome of Repeat Caesarean Delivery: A Retrospective Review in Rasheed Shekoni Federal University Teaching Hospital Dutse, North-west Nigeria","authors":"Abdullahi Abba Habib, M. Ibrahim, Y. Kani, Nabila Ado Ya’u, Abubakar Muhammad Balili","doi":"10.36348/sijog.2023.v06i12.006","DOIUrl":"https://doi.org/10.36348/sijog.2023.v06i12.006","url":null,"abstract":"Background: Caesarean section is the most common Obstetric surgical procedure. Repeat CS has been a significant contributor to the overall increase in CS rate and accounts for about one- third of all caesarean deliveries worldwide. Objective: This study aimed to determine the prevalence and outcome of repeat Caesarean section. Materials and methods: The study was a 3-year retrospective review of Caesarean sections, carried out between 1st July 2020 and 31st June 2023 in the department of Obstetrics and Gynecology of Rasheed Shekoni Federal University Teaching hospital. The case files of the participants were retrieved from the record department. Data analysis was carried out using IBM statistical package for social sciences (SPSS) version 26. Measured variables were expressed in frequencies and percentage. Test for association was done using chi-square non-parametric test, setting P-value at <0.05. Results: A total of 144 were repeat caesarean deliveries were performed out of 344 Caesarean sections done during the review period, giving an incidence rate of 41.9%. The mean age of the patients was 30.42 ± 50 years and the mean parity was 4.47±2.62. Most (51.39%) of the repeat CS were elective. Majority (93.06) of the patients had EBL ≤1000ml and most (82.6%) of the babies delivered had 5th minute Apgar score of ≥7. Conclusion: The repeat Caesarean section rate in this study is high. Similarly, the emergency Caesarean section rate at first and second order repeat Caesarean deliveries is high. Additionally maternal and fetal complications are higher among women lower order Caesarean deliveries.","PeriodicalId":394508,"journal":{"name":"Scholars International Journal of Obstetrics and Gynecology","volume":"92 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139175552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Most Atikunnahar Chowdhury, Razia Begum, Sunjeda Akhter, Marium Jamila, Sharmin Ali Tithy
{"title":"To Identify Common Risk Factors Associated with IUFD in Rangpur Medical College Hospital, Rangpur, Bangladesh","authors":"Most Atikunnahar Chowdhury, Razia Begum, Sunjeda Akhter, Marium Jamila, Sharmin Ali Tithy","doi":"10.36348/sijog.2023.v06i12.005","DOIUrl":"https://doi.org/10.36348/sijog.2023.v06i12.005","url":null,"abstract":"Introduction: Intra uterine fetal death is always an unacceptable event not only by the expecting mother and family but also by the obstetrician. Both the woman & the obstetrician become desperate to know the cause of IUFD & its prevention in future pregnancy. In more than 50% cases causes of fetal death cannot be determined. Objective: To identify common risk factors associated with IUFD. Methods: It was a cross sectional study was conducted in the department of Obstetrics & Gynaecology, Rangpur Medical College Hospital, Rangpur over the period of 6 months dated from July 2017 to December 2017. Sample size: 50 cases. All pregnant woman after 28 weeks of gestational age who were admitted in antenatal ward of the Gynae & Obstetric department of Rangpur Medical College Hospital, Rangpur. During the study period all the patients with IUFD & Fetuses who does not show any signs of births were the study population of this study. Result: Total 50 patients included in your study. Table-I shows that most of the women with IUFD cases fall in the age group of 20-30years 76% and 72% of women had primary level of education. Most of the patient 70%were from middle class. All were housewife. Majority (88%) were from rural area. Majority 52% were primigravida, 50% were>36weeks of gestational age, history of abortion were in 14% cases & IUFD in 04% cases. None of the patient took regular antenatal care, most of the Patient (72%) took irregular ANC, and 28% of patient did not take any ANC. Hypertensive disorder was the major risk factors 34% which include chr. HTN. 08%, preeclampsia 10% & eclampsia 16%, Other risk factors were PROM 16%, Prolong labor and obstructed labour 12%, GDM 06%, Rupture uterus with previous C/S 10%, Placental factor 08%, Cord prolapse 06%, Severe IUGR 04%, no risk factors found in 04% cases. 72% of the cases had mild anaemia, 60% were normotensive & 40% had high blood pressure, Scar tenderness were found in 20% cases who had H/O C/S. the patient 58% had Hb% 08-10gm/dl, all were Rh+ve mother, PPBS raised in 06% cases. In USG liquor volume normal 20%, mild to moderate oligohydramnios in 44%, moderate to severe oligohydramnios in 20% & severe oligohydramnios in 16% cases. Shows vaginal delivery had occurred in 86% cases. 14% need operative intervention among which 10% laparotomy were due to rupture uterus & 04% LSCS were due to scar tenderness. Maternal outcome in 84% cases were uneventful. Wound infection occured in 12% cases & Puerperial sepsis occurred in 04% cases. Conclusions: PIH, PROM were leading causes of IUFD. Majority of women who had IUFD were emergency admission who had not received adequate antenatal care. A significant proportion of IUFD is preventable by health education to patients and community for regular antenatal care, about warning signs during antenatal period, hospital delivery and early referral.","PeriodicalId":394508,"journal":{"name":"Scholars International Journal of Obstetrics and Gynecology","volume":"45 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139008092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sathi Khanom, Mursheda Akhter, Kamrun Nahar, Sajid Bin Ashraf Sami, Mitu Debnath, B. H. Ara
{"title":"The Impact of Lower Apgar Scores on Perinatal Outcomes: A Study of Neonatal Health in Bangladesh","authors":"Sathi Khanom, Mursheda Akhter, Kamrun Nahar, Sajid Bin Ashraf Sami, Mitu Debnath, B. H. Ara","doi":"10.36348/sijog.2023.v06i12.004","DOIUrl":"https://doi.org/10.36348/sijog.2023.v06i12.004","url":null,"abstract":"Introduction: The relationship between Apgar scores and perinatal outcomes is a critical area of study in neonatal health, particularly in developing countries like Bangladesh. This study aims to explore the impact of lower Apgar scores on perinatal outcomes, providing valuable insights into neonatal health and the effectiveness of prenatal assessments. Methods: This cross-sectional study involved 150 pregnant women from a medical facility in Dhaka, Bangladesh. Participants were assessed using the Biophysical Profile (BPP) score and Apgar scores at 1 and 5 minutes post-delivery. The study focused on the association between these scores and perinatal outcomes, including birth asphyxia, neonatal death, and INCU admissions. Statistical analysis was conducted to determine the significance of these associations. Result: The majority of the study population were young, with 62% aged between 18-25 years. A significant correlation was found between lower Apgar scores at 1 minute and adverse perinatal outcomes. Specifically, 100% of neonates with a BPP score of 6 had an Apgar score of less than 7 at 1 minute, compared to only 2.65% in the BPP score 10 group. Additionally, 52% of neonates with an Apgar score of less than 7 at 1 minute experienced birth asphyxia, and 48% required INCU admission. Conclusion: The study highlights the critical role of Apgar and BPP scores in predicting adverse perinatal outcomes. Lower Apgar scores at 1 minute post-delivery are significantly associated with negative neonatal health outcomes, emphasizing the need for vigilant prenatal monitoring and preparedness for immediate neonatal care, particularly in resource-limited settings like Bangladesh. This research contributes to the understanding of neonatal health in such contexts and underscores the importance of predictive assessments in improving perinatal health outcomes.","PeriodicalId":394508,"journal":{"name":"Scholars International Journal of Obstetrics and Gynecology","volume":"504 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138983239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of Comorbidities on Patients with COVID-19: A Cross-Sectional Study","authors":"Progga Mahajabin, Zakia Sultana, Fahmida Khanom, Tanjina Sarmin, Md. Husnaion Zubery, Falguni Binte Rahman, Mst Maksuda Parvin, Mossa Nupur Aktar","doi":"10.36348/sijog.2023.v06i12.003","DOIUrl":"https://doi.org/10.36348/sijog.2023.v06i12.003","url":null,"abstract":"Introduction: The COVID-19 pandemic has emerged as a global health crisis, affecting millions of individuals worldwide. As the pandemic has evolved, a critical aspect that has garnered significant attention is the impact of comorbidities on the severity and outcomes of COVID-19. Aim of the study: The aim of this study was to explore the impact of comorbidities on patients with COVID-19. Methods: This cross-sectional study was conducted in Department of Reproductive and Child Health, National Institutes of Public Health and Social Medicine in Mohakhali, Dhaka, Bangladesh, during the period from January to December 2020. Total 202 women diagnosed with Covid-19 were included in this study. The patients were divided into two groups; patients with comorbidities and patients without comorbidities, each containing 101 patients. Result: Patients with comorbidities were older and had higher BMI compared to those without comorbidities. Common symptoms like fever and cough showed no significant difference between groups, but shortness of breath and dyspnea were more prevalent in patients with comorbidities. Hypertension (64.4%) and diabetes (51.5%) were the most frequent comorbidities. Laboratory findings indicated higher inflammation and organ stress in comorbid patients, with elevated white blood cell count, C-reactive protein, D-dimer, ferritin, and liver enzymes. Clinical outcomes were more severe in the comorbid group, with higher rates of hospitalization (94.1% vs. 74.3%), ICU admission (39.6% vs. 19.8%), and mortality (19.8% vs. 5.0%). Conclusion: This study concludes that patients with comorbidities are in higher risk. Patients with comorbidities manifests more severe symptoms and clinical feature with higher mortality rate.","PeriodicalId":394508,"journal":{"name":"Scholars International Journal of Obstetrics and Gynecology","volume":"32 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138983837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Practice of Cervical Cerclage at a University Teaching Hospital in Southern Nigeria","authors":"C. John, J. Alegbeleye","doi":"10.36348/sijog.2023.v06i10.008","DOIUrl":"https://doi.org/10.36348/sijog.2023.v06i10.008","url":null,"abstract":"Background: Although the aetiology of preterm deliveries is largely unknown, it is said to be multifactorial and cervical insufficiency has been implicated. Hence, cervical cerclage is a necessary and common prophylactic obstetric procedure for preventing prematurity and associated recurrent second trimester miscarriages. Objectives: To evaluate the pattern, indications, and fetal outcome of cervical cerclage. Methodology: This was a retrospective study of 50 women who had cervical cerclage insertion at the University of Port Harcourt Teaching Hospital between January 1, 2021, and December 31, 2022. Data was obtained from the ward registers, theatre records, and case notes of the women, and entered into a structured proforma. Data analysis was done with SPSS version 25, and results are presented as frequency tables and charts. Results: The mean age of the patients was 35 ± 2.07 years. The mean of number of previous miscarriages was 2.46 ± 2.07, 56.8% were multiparous and 50% had a previous manual vacuum aspiration. Majority 35 (70%) of the women had prophylactic cerclage, 10 (20%) had cerclage following in-vitro fertilization and embryo transfer pregnancy, while 5(10%) had rescue cerclage. Most 29 (58%) of the prophylactic cervical cerclage insertion were done between 11-15 weeks, with MacDonald technique being the most common technique practiced. Of these, only 18 (36%) carried the pregnancy up to 36 weeks of gestation. Conclusion: Many of cervical cerclage procedures were performed for prophylaxis and resulted in improved fetal outcomes in women who had previously experienced mid-trimester losses or preterm delivery.","PeriodicalId":394508,"journal":{"name":"Scholars International Journal of Obstetrics and Gynecology","volume":"204 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139203258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perinatal Outcomes of Pregnant Women with Hypertensive Disorders: A Single Center Study in Bangladesh","authors":"Sonia Ahmed, Md. Abdur Rashid, Fathima Sultana","doi":"10.36348/sijog.2023.v06i11.005","DOIUrl":"https://doi.org/10.36348/sijog.2023.v06i11.005","url":null,"abstract":"Background: Hypertensive disorders during pregnancy, including gestational hypertension and preeclampsia, can lead to adverse outcomes for both the mother and the baby. Exploring the perinatal outcomes of pregnant women with hypertensive disorders is crucial for improving maternal and neonatal health. Aim of the study: This study aimed to assess the perinatal outcomes of pregnant women with hypertensive disorders. Methods: This cross-sectional study was conducted at the Department of Gynecology & Obstetrics, 250 Bed General Hospital, Meherpur, Bangladesh from January 2021 to December 2021. A total of 87 pregnant women with hypertensive disorders were enrolled in this study as the study subjects purposively. For data analysis, MS Office tools were used. Results: In this study, the majority of participants underwent cesarean delivery (55%), with 38% having a normal vaginal delivery, and 7% undergoing instrumental delivery. Maternal complications included HELLP (Hemolysis, elevated liver enzymes, and low platelets) syndrome in 18% of cases, abruption placenta in 8%, and pulmonary embolism in 6%. Normal perinatal outcomes were observed in 51% of cases, while 26% experienced preterm birth, 15% had low birth weight, 6% resulted in stillbirth, and 2% led to intrauterine fetal death (IUFD). Conclusion: By administering appropriate interventions, the incidence of cesarean delivery may be reduced in pregnant women with hypertensive disorders. Physicians are strongly encouraged to pay special attention to prevent HELLP (Hemolysis, elevated liver enzymes, and low platelets) syndrome in these cases.","PeriodicalId":394508,"journal":{"name":"Scholars International Journal of Obstetrics and Gynecology","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139209349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}