A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Karya, Urmila
- Prevalence of Asymptomatic Bacteriuria among Pregnant Women and its Association with Pregnancy Outcome
Authors
1 LLRM Medical College, Meerut, IN
2 Deptt of Obst & Gynae, LLRM Medical College, Meerut, IN
3 Deptt. Of S.P.M. SIMS Medical College, Hapur, IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 1 (2013), Pagination: 211-215Abstract
Objective: To study the prevalence of asymptomatic bacteriuria (ABU) in pregnant women & its association with pregnancy outcome.
Method: A Descriptive Study (Cross Section) was done in 800 antenatal women up to 28 weeks during the year 2009-2010. Urine culture was done after recording patient obstetrical, personal, past history, clinical examination. Out of which 48 (Group-A) found having ABU (>1 × 105 CFU/ml), while 752 (Group-B) were not having any bacteriuria. Both the Groups were further followed monthly up to delivery. At the time of delivery perinatal outcome recorded.
Result: Prevalence of ABU is 6% (48/752). E.coli (75%) was common pathogen followed by Staph.saprophyticus, Klebseilla. It is associated with increased risk of Symptomatic UTI as 12.5% bacteruric & 2.93% non-bacteruric women develop symptomatic UTI (p<0.001). ABU was found to be associated with Preterm Labour as 20.83% bacteruric & 4.8% non-bacteriuric women have preterm labour (p<0.044). It is also associated with Low Birth Weight babies as 16.67% in bacteriuric & 6.12%nonbacteriuric women have LBW babies (p<0.049).
Conclusion: ABU is a common infection during pregnancy & it increases the risk of Preterm birth, Low birth weight babies & Symptomatic UTI.
Keywords
Asymptomatic Bacteriuria, CFU-Colony Forming Unit, E.coli, Urinary Tract Infection, Preterm LabourReferences
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- Cervical Length and Risk of Hemorrhage in Pregnancies with Placenta Previa
Authors
1 Department of Obstetrics and Gynecology, L.L.R.M. Medical College, Meerut, IN
2 Department of Obstetrics and Gynecology, L.L.R.M. Medical College, Meerut, UP, IN
3 Department of Obstetrics and Gynecology, L.L.R.M. Medical College, Meerut, UP, IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 3 (2013), Pagination: 81-85Abstract
Aim: To find out the relationship between ultrasonographic cervical length and risk of antepartum hemorrhage, preterm delivery and emergency caesarean section in pregnancies with placenta previa.
Material and Methods: We performed transvaginal cervical-length measurements on all singleton gestations with placenta previa admitted in our hospital at or beyond 24 weeks of gestation over a span of one year. A complete follow-up of pregnancy was obtained in all cases till delivery and a retrospective chart review was then performed for these cases to investigate the relationship between cervical length and maternal and neonatal outcome.
Results: Overall 70 patients comprised the study, in whom placenta previa persisted till delivery. Cervical length measurement was 30 mm in 43 (61.4%) cases. Cervical length ranged from 20 to 50 mm with a mean of 35.6±0.90 mm. Majority of subjects (51.9%) in whom measurements were done between 28-32 weeks had cervical length 30 mm. The association between gestational age and cervical length was statistically significant.
Conclusion: In pregnancies with placenta previa, a third-trimester transvaginal sonographic cervical length of 30 mm or less is associated with increased risk for hemorrhage, emergency caesarean section and preterm birth.
Keywords
Placenta Previa, Antepartum Hemorrhage, Transvaginal Sonography, Cervical LengthReferences
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