ABSTRACT
Background: In the developing world Nutritional deficiency anaemia is the commonest finding in pregnant women. Lack of balanced diet, poor socio-economic status, repeated pregnancies and illiteracy are seen associated with Anaemia commonly. Anaemia itself results in maternal morbidities and poor pregnancy outcomes. Neonatal morbidities also have a direct equation with anaemia. It is a study done on pregnant women in labour with the sole objective to estimate the prevalence of anaemia amongst them and associated fetomaternal morbidities.Methods: It is a prospective observational study done on 300 pregnant women presenting in labour from October 2019-Decemebr 2019, in Government Doon Medical College, Dehradun. These women belonged to Dehradun and surrounding hilly areas of Uttarakhand. Their haemoglobin levels (complete blood count) were assessed at the time of admission along with other routine investigations. They were also assessed for associated pre and post-delivery morbidities and mortality.Results: In this study, out of 300 pregnant women presenting in labour from October 2019 to December 2019, in Government Doon Medical College Dehradun, the incidence of anaemia was found to be very high (70%). Severely anaemic patient group was found to have maximum number of fetomaternal complications and blood transfusion requirements.Conclusions: Despite all the maternal welfare programmes being run at National levels, it is being observed that there is a high unacceptable prevalence of anaemia in pregnant women. This increases their morbidity and mortality. It is a huge burden on hospital finances and blood bank for blood transfusions which are preventable. There is need to strengthen our health care system at primary level for pregnant women and teenage girls.
ABSTRACT
Background: Percentage of previous C-section undergoing repeat section is close to 90%-92%, morbidity associated with repeat surgery is bringing an altogether new set of challenges for the upcoming future obstetricians. Object of this study is to highlight high incidence of repeat section required and also growing new indications of C-section due to advanced availability of investigative tools.Methods: Retrospective study of 500 patients who underwent C-section and their indications from April 2019 to July 2019 in Govt Doon Medical college, Dehra Dun.Results: Out of total 500 C-sections carried from April 2019 to July 2019, patients with previous section were found to undergo a repeat C-section in 95% of the cases. Another common indication being oligohydramnios followed by cephalopelvic disproportion and failed induction.Conclusions: After assessing the results it is hereby concluded that the commonest indication of C-section in present time is having a previous C-section, which alarms us to take careful judicious decision in performing primi C-sections in order to prevent patients into entering a vicious cycle of repeat surgeries.