Maternal and Neonatal Outcomes in Pregnancies Complicated by Heart Disease: A 5-Year Retrospective Study at a Tertiary Center Hospital in Klang Valley, Malaysia | Chapter 1 | Recent Updates in Disease and Health Research Vol. 5

Background: Maternal heart disease is a leading cause of indirect maternal mortality worldwide similarly in Malaysia with substantially increment in heart disease related. Due to enhanced childhood survival rates, an increasing number of women with congenital heart disease are entering their reproductive years, contributing to an expanding high-risk obstetric group.
 
Aim: To assess the obstetrical and neonatal outcomes among women with maternal heart disease, encompassing both acquired cardiovascular conditions and congenital heart disease.
 
Materials and Methods: This retrospective cross-sectional study involved pregnant women with heart disease at Hospital Serdang from 2014 to 2018. Maternal sociodemographic information, maternal outcomes, and neonatal outcomes were gathered using a proforma from the hospital registry. Data analysis was conducted using SPSS version 25.0.
 
Results: A total of 255 cases of heart disease in pregnancy were collected, with 183 (72%) cases being acquired heart diseases and 72 (28%) cases being congenital heart diseases. A significant correlation was noted between the presence of additional medical comorbidities in expectant mothers, the birth weight of infants, and neonatal admission to the intensive care unit in relation to the type of heart disease in pregnancy.
 
Conclusion: There is a substantial increase in adverse perinatal outcomes. In a rapidly developing country, enhancing the management of pregnant women with heart disease is crucial. This involves improving resources, establishing quality cardiac care facilities, and adopting a collaborative multi-disciplinary team approach. Early cardiac surgical intervention may be beneficial for severe cases, and pre-pregnancy counselling is advised to prevent pregnancy in women with complex diseases, emphasizing the importance of effective contraception for better maternal and neonatal outcomes.

Author(s) Details:

Habibah Abdul Hamid,
Obstetrics & Gynaecology Department, Faculty of Medicine and Health Science, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.

Karthini Paramasivam,
Obstetrics & Gynaecology Department, Faculty of Medicine and Health Science, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.

Ameerah Izzati Mohamad Hamsan,
Obstetrics & Gynaecology Department, Faculty of Medicine and Health Science, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.

Zulida Rejali,
Obstetrics & Gynaecology Department, Faculty of Medicine and Health Science, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.

Please see the link here: https://stm.bookpi.org/RUDHR-V5/article/view/14026

Maternal Factors and Perinatal Outcome of Preterm Birth: A Prospective Study | Chapter 15 | New Horizons in Medicine and Medical Research Vol. 11

 This study's objective is to examine the distribution of preterm birth risk variables in a Gujarati tertiary centre as well as the burden and results of preterm births there. Preterm birth rates are substantially greater among women in advanced maternal age than among women of adult ages. 100 women who had preterm labour or had already given birth early were included in the study. A medical history, physical examination, and ultrasound were used to evaluate them. Corticosteroids were administered to each patient. The researchers examined perinatal outcomes through discharge, obstetric outcomes, and maternal risk factors. Specialized prenatal programmes for anaemia, malnutrition, infection, and high-order pregnancy can prevent, detect, and treat preterm delivery.

Author(s) Details:

Zalak V. Karena,
Department of Obstetrics and Gynecology, P.D.U. Medical College, Rajkot, Gujarat, India.

Please see the link here: https://stm.bookpi.org/NHMMR-V11/article/view/7150

Comparison between a Single Glucose Challenge Test Procedure and Conventional 2 Hour Oral Glucose Tolerance Test for Diagnosis of Gestational Diabetes Mellitus | Chapter 5 | Highlights on Medicine and Medical Science Vol. 7

 Background: GDM is very common in India, with an estimated frequency of 8-17 percent. As a result, glucose intolerance screening is required to protect both the mother and the kid from negative long-term repercussions. If a significant section of the population develops abnormal glucose tolerance, this is cause for concern. As a result, women with GDM are a good candidate for diabetes prevention.

The purpose of the study was to see how well a single glucose challenge test compared to a typical two-hour oral glucose tolerance test for detecting GDM.

Methods and Materials: This was a one-year prospective cross-sectional study conducted at the Govt. Medical College, Jammu's Obstetric & Gynecology department from November 2010 to October 2011.

Out of a total of 460 pregnant women, 334 volunteered to participate in the study. Out of a total of 334 pregnant women, 200 completed the survey. Subjects between 16 and 32 weeks of pregnancy were tested for GDM using a Single Glucose Challenge Test followed by a traditional 2hr Oral Glucose Tolerance Test three days later.

Conclusion: The current study shows that administering 75 gm GCT to pregnant women is a simple, cost-effective, and time-saving medication. As a result, in a country with limited resources but a need for universal screening, this one-step methodology doubles as a screening and diagnostic tool.

Author (S) Details

Vinod Kumar
GMC Doda, JK, India.

Kavita Sharma
JK Health Services, JK, India.

Ritu Bhagat
Demonstrator Pathology GMC Jammu, JK, India.

Ahmar Javid
GMC Doda, JK, India.

View Book :- https://stm.bookpi.org/HMMS-V7/article/view/2033