Placental Abruption: Management in a Low Resource Setting Country | Chapter 5 | Research Developments in Medicine and Medical Science Vol. 8

 This phase aims to describe the epidemiological, dispassionate and prognostic factors and evaluate treatment of placental abruption in the obstetrics gynecology area of the Dakar Principal Hospital, Senegal.This retrospective practical study included 130 following cases of placental abruption, which occurred from January 2015 to December 2017 at the Level 3 Maternity Unit of the Dakar Principal Hospital. The facts was gathered from non-electronic obstetric records and analysed with Excel and Epi information software.  There were 130 occurrence of placental abruption, which shows a 1.5% repetitiveness.  The average age of onset of placental abruption was 30 age. The history of hypertension worried 32.3% of patients, the average gestational age of 32.5 weeks concurrently with an activity of diagnosis, grade 3 of Sher about 48.5% of cases. The pregnancy resulted in a surgical fetus delivery in 79.2% of cases, with newborns consideration an average of 2058g. The complications made necessary a blood transference as well as exhaustive care. A haemostasis hysterectomy was performed in 6.2% of cases. Stillbirth rate was 53.7% and nothing maternal humanness.  Based on the finding concerning this study, it can be decided that Placental abruption, a severe obstacle of pregnancy, is associated with extreme perinatal morbidity and humanness linked to the asperity of the clinical picture, in spite of an improved motherly prognosis.

Author(s) Details:

Ngom Papa Malick,
Obstetrics Gynecology Department, Dakar Principal Hospital, Senegal.

Faye Marie Edouard,
Aristide Le Dantec Gynecological and Obstetrical Clinic, Senegal.

Gaye Yaye Fatou,
Obstetrics Gynecology Department, Dakar Principal Hospital, Senegal.

Sylla Mafing Aya,
Obstetrics Gynecology Department, Dakar Principal Hospital, Senegal.

Tine Marguerite Ndew,
Obstetrics Gynecology Department, Dakar Principal Hospital, Senegal.

Inzale Mohamed Amine,
Obstetrics Gynecology Department, Dakar Principal Hospital, Senegal.

Bentaleb Hajar,
Obstetrics Gynecology Department, Dakar Principal Hospital, Senegal.

Fall Khadidja,
Neonatology Department, Dakar Principal Hospital, Senegal.

Kone Madjiguene,
Anesthesia Department, Dakar Principal Hospital, Senegal.

Fall Mouhamadou Mansour,
Resuscitation Service, Dakar Principal Hospital, Senegal.

Please see the link here: https://stm.bookpi.org/RDMMS-V8/article/view/10204

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

Evaluating the Stillbirth Rate and Risk Factors at Zanana Hospital and P. D. U. Medical College, Rajkot: An One Year Observational Study | Chapter 12 | New Horizons in Medicine and Medical Research Vol. 11

 The majority of perinatal deaths are stillbirths, and India has the largest absolute number of stillbirths. Women in the most disadvantaged categories, such as those who are impoverished, have less education, live in rural regions, and are not actively employed, are most at risk for stillbirths. This study's main goal was to evaluate the stillbirth rate at our institution as well as its causes and risk factors. All stillbirths born at or above 28 weeks of gestation or weighing more over 1000gm in P.D.U. Medical College and Hospital, Rajkot, were included in the study during the study period of one year. The stillbirth rate at the institute was looked at. The rise in stillbirths was highly correlated with socioeconomic deprivation indicators. 70% of patients were from rural areas, and 48% of cases were referral cases. Multigravida women had stillbirth rates of 67.2 percent. Male newborns made up 57.01 percent of stillborn infants, and 34.71 percent of them were preterm and had extremely low birth weights. Maceration affected 54.78 percent of stillbirths. In 24.8% of instances, the cause of the stillbirth was not known. In our study, pre-eclampsia caused 12.1% of stillbirths, hypoxia caused 16.8%, and antepartum haemorrhage caused 19% of stillbirths. Focusing on modifiable risk factors, comprehensive screening, prenatal and intrapartum supervision, and prompt referral to a tertiary care facility can all help reduce the number of stillbirths.

Author(s) Details:

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

Kruti D. Shah,
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/7147