ABSTRACT
Background: Adequate Amniotic fluid volume is essential for the normal growth and well-being of the foetus. Diminished liquor or oligohydramnios is quite often associated with abnormal foetal outcomes such as intrauterine growth restriction, foetal anomaly malpresentation, post maturity syndrome and foetal distress in labour Methods: The present study was conducted in the Department of Obstetrics and Gynecology, PMCH, Udaipur during the period of March 2015 to February 2016. The study group comprised of 50 clinically and sonographically proven cases of oligohydramnios in third trimester attending antenatal clinic and those admitted in antenatal ward and clean labour room at random. Results: Maximum no. (72% of patients) were in age group of 20-25 years and only 2 patients were less than 20years of age. 68% cases were from urban and 32% were from rural areas, as urban population is more aware about prenatal care. higher incidence of oligohydramnios cases were belonging to lower and middle class families i.e. 44% and 40% respectively and only 8 patients were from upper socio-economic status. Conclusion: it is suggested that for idiopathic oligohydramnios, intravenous aminoacid may prove useful in reducing maternal morbidity and perinatal morbidity and mortality and improving pregnancy outcome in developing countries.
ABSTRACT
Background: Gestational Diabetes Mellitus (GDM) is the most common complication of pregnancy that may results into chronic hypertension, increased rate of cesarean delivery, fetal mortality and morbidity. Therefore, early diagnosis of GDM is very essential to reduce maternal and fetal morbidity. Moreover, it can reduce the onset of type 2 diabetes. Objectives: The main objective of this study was to determine the prevalence of GDM in pregnant women. Methods: A cross-sectional study was carried out at Department of Obstetrics and Gynaecology, Pacific Medical College & Hospital, Bhilo ka bedla, Udaipur using a sample size of 46 pregnant women. Blood glucose levels were measured using glucose oxidase method with a glucometer. Data were analyzed by using Microsoft Office Excel and SPSS version 20. Results: Out of 46 pregnant women who participated in the study, 10.8% were found to have GDM with the mean ± 2SD of 198.12 ± 35.53 mg/dl of their blood glucose results. The highest proportion of GDM was revealed in pregnant women aged between 21 - 35 years. The lowest proportion of GDM fell in age group of 36 - 45 years. Conclusions: The findings of this study revealed that the prevalence of GDM was 10.8% and the most affected pregnant women were in the age group of 31 - 40 years.