ABSTRACT
Background:Liver diseases account for 3-10% of all conditions during pregnancy. Jaundice is known to affect only a small number of pregnant women but it gravely affects both maternal and foetal health. The aim of the present study was to evaluate the causes and to determine the maternal and foetal outcome in pregnancies which were complicated by Jaundice. Methods: The present prospective study was conducted among 25 pregnant females who reported to the Mahatma Gandhi Hospital, Bhilwara, Rajasthan (India) and showed clinical laboratory audience of Jaundice were included in the study. Liver function test of all the patients were carried out. These include SGOT, SGPT levels, Serum bilirubin, alkaline phosphatise levels. Required blood test like bleeding time, clotting time and platelet count were also done. Method termination of pregnancy, associated complications and end result were used to assess maternal outcome. All the results were recorded in a tabulated form and SPSS software was used for analysis. Data was recorded in percentage and Chi square test was applied as a test of significance. P value of less than 0.05 was considered as significant. Result: The study involved 25 female patients whose mean age was 24.27±4.82 years. The age range of females was between 18-30 years. Majority of females were between the ages of 21-25 years (60%). Very few were between 18-20 years (12%). 96% of females had icterus. There were 36% patients who presented with petechiae and abdominal pain. There were 16% of patients who had hepatitis B and 8% of the patients had hepatitis E. Only 4% of the patients (n=1) had hepatitis A. There were 32% of the patients who had PPH. There were 12% patients (n=3) who had shock. Conclusion: From the above study we can conclude that liver disease is a fatal and fulminating condition which is responsible for maternal and foetal morbidity. Early and timely recognition of the symptoms is life saving. In our study there were 16 % cases of patients who had hepatitis B and 8% cases of the patients had hepatitis E.
ABSTRACT
Background: Polyhydramnios is the term for abnormal increase in the amniotic fluid. It has been shown that AFI is quite reliable in determining normal or elevated volumes. The aim of this study to evaluated the perinatal and maternal outcome in pregnant women with polyhydramnios. Material & Methods: This analytical study was conducted on 300 unselected pregnancies attending in Mahatma Gandhi Hospital, Bhilwara, Rajasthan. Most of the cases of polyhydramnios were admitted in the hospital till they delivered, other patients were followed up as outpatient and they were admitted to the hospital for delivery. Pregnancy outcome were recorded for the patients who were classified as having an excess amount of amniotic fluid. Results: In our study showed that out 0f 300 patients, 168 (56%) were in the age group of 21-25 yrs, 62.3% cases were multigravida in our study. In our study 73% of the cases were delivered vaginally. Out of which 15% were induced and 58% were delivered spontaneously. 27% of the cases were delivered by LSCS, out of which 16% were emergency LSCS and 11% were elective LSCS. In our study there were many perinatal complications. Out of them preterm birth was the most common complication. Conclusion: The conclusion of this prospective study was occurrence of polyhydramnios is directly related to advanced maternal age with multigravida. Caesarean section as a mode of delivery was found to be higher in cases of polyhydramnios.