Labour induction with gestational hypertension: a great obstetric challenge

Objective: To observe the fetomaternal morbidity and mortality with induction of labour in pregnant women with gestational hypertension

Methods: The subjected study population included was 138 pregnant women with gestational hypertension. These pregnant women were between 34-40 weeks of gestational period in whom labour was induced, while the pregnant women who had labour induction for other reasons were excluded. These women were registered on the predesigned proforma. The data was collected and analyzed on SPSS version 21

Result: Out of the 138 cases, mean age of the women was 25.93 +/- 5.037, prim gravid women were 78[56.5%], gestational period in majority of these women 71[51.4%] varied between 35-38 weeks. The common presenting symptoms were oedema 119[86.23%], headache 90[65.21%]. Labour induction in majority of the cases 81[58.7%] was carried with prosten pessary. The Caesarean section was needed in 39[28.3%] women in emergency due to maternal and fetal reasons or due to failed induction. Maternal complications were uncontrolled hypertension 23[16.7%], intensive care unit admission 21[15.2%], fits 15[10.9%], post partum haemorrhage 13[9.4%]. Fetal complications were birth asphyxia 49[35.5%], neonatal intensive care unit admission 17[12.3%], neonatal death 14[10.1%]

Conclusion: The emergency Caesarean section rate was quite high with induction of labour in pregnant women with gestational diabetes. The maternal morbidity as well as fetal morbidity and mortality rate was also high

Acute renal morbidities with obstetrical emergencies: an important women health issue

Objective: To observe the impact of acute renal morbidities with obstetrical emergencies on maternal health

Methods: In this study pregnant women between 28-40 weeks gestational period and delivered women in their puerperal period up to 42 days after delivery having acute renal problems associated with obstetrical emergencies were included. Pregnant and delivered women with obstetrical emergencies and associated other morbidities were excluded. These women were registered on the predesigned proforma after taking written informed consent and taking approval from institutional ethic research committee. The data was collected and analyzed on SPSS version 21

Result: Out of these 196 total registered women, majority of these women 81[41.32%] were between 21-30 years of age and multiparous women with parity four and above were 83[42.34%]. Commonest presenting symptoms were generalized oedema 123[62.75%] and oligouria 92[46.93%]. Frequent obstetrical emergencies observed were pre-eclampsia 53[27.04%], post partum haemorrhage 48[24.48%] and ante partum haemorrhage 36[18.36%] women. The complete recovery was observed in 86[43.87%] women, while mortality was seen in 56[28.57%] women

Conclusion: Renal morbidities were more frequently observed in obstetrical emergencies leading to high morbidity and mortality rate

Iron deficiency anaemia is still a major killer of pregnant women

Objective: To observe the effects of iron deficiency anaemia on the health and life of pregnant women

Methods: This cross sectional study was conducted at the Department of Obstetrics and Gynaecology Unit IV, Liaquat University of Medical and Health Sciences Jamshoro from 1st June 2015 to 30th November 2015, for the period of 6 months. During this study period all the pregnant women from 13-40 weeks of pregnancy with iron deficiency anaemia having haemoglobin level less than 9 gram% were included, while the pregnant women with other medical disorders were excluded from the study. The data was collected and analyzed on SPSS version 21

Result: Out of the 305 pregnant registered women with iron deficiency anaemia most women were young 170[55.73%] between 20-30 years, belonged to low socioeconomic group 254[83.27%], they were multiparous 104[34.09%], having very low haemoglobin level between 1-3 gram % in 54[17.70%] women and between 4-6gram% in162 [53.11%] women. These women were prone to high complications such as ante partum haemorrhage 49[16.06%], renal failure 48[15.73%], disseminated intravascular coagulation 54[17.70%] and 16[5.24%] women died

Conclusion: Iron deficiency anaemia is common in pregnant women with higher rates of complications

Acute hepatitis E viral infection in pregnancy and maternal morbidity

Objective: To determine the maternal morbidity in pregnant women with acute hepatitis E viral infection

Study Design: Observational, cross-sectional study

Place and Duration of Study: Departments of Obstetrics and Gynaecology and Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, Red Crescent General Hospital and Saint Elizabeth Hospital, Hyderabad, from January 2011 to December 2013

Methodology: The study population was pregnant women with acute hepatitis E infection confirmed by ELIZA technique. Pregnant women with other hepatic viral infections were excluded. All medical and obstetric conditions, and mortality were noted on the predesigned proforma

Results: Out of the total 45 admitted pregnant women with hepatitis E viral infection, 22 women [48.9%] had severe morbidity. The most common were hepatic coma in 8 [36.36%] cases and disseminated intravascular coagulation in 14 [63.63%] cases. Highest mortality rate was seen in women with hepatic coma [100%], while in those with disseminated intravascular coagulation, one out of the 14 cases [7.14%] died

Conclusion: The acute viral hepatitis E infection in pregnant women is associated with maternal morbidities and high mortality rate