ABSTRACT
Even after the recent advances and new technologies, prevalence of malnutrition has remained unchanged over the last two decades in India. Both overfeeding and underfeeding affect the outcome of critically ill patients. Hence the assessment of nutritional status becomes the important aspect in critically ill patients and with prolonged ICU stay. The objective of the study was to assess the nutritional status of critically ill patients with prolonged ICU stay before intervening with enteral feeds and parenteral feeds. MethodsThis prospective, observational study was conducted in the Neurosurgical Intensive Care Unit of a tertiary care rural hospital in central India over a period of 6 months after the institutional ethical committee approval. The study included adult patients admitted for more than 72 hours in the Intensive Care Unit who were initiated on Ryles tube feeding. ResutlsAmong 60 patients, 27 patients come under class A of the Subjective Global Assessment (SGA) Scale, 24 patients come under the class B. 9 patients came under class C. ConclusionsIncidence of malnutrition was found to be 60 % as per the of the Subjective Global Assessment (SGA) scale. Of these, 40 % of patients were categorized under class B (mildly malnourished), 15 % of patients were categorized under class C (moderate malnutrition).
ABSTRACT
Background: Postpartum hemorrhage (PPH) is globally one of the most common causes of maternal death, especially in developing country like India. Pregnancy and childbirth involve significant health risks, even to women with no preexisting health problem. The objective of this study was to analyze the role of various interventions in the management of PPH and its complications.Methods: This prospective observational study was conducted in the department of obstetrics and gynecology of Department of Obstetrics and Gynecology, Dr. D Y Patil Medical college, Pimpri, Pune, Maharashtra, India. A total number of 80 cases of postpartum hemorrhage that fulfilled the selection criteria were included. Data collected and analyzed in PPH patients with medical and surgical management.Results: In present study, most of cases were multigravida (60%) and more than 50 percent of patients required blood and blood products. In present study, most of the postpartum bleeding or postpartum hemorrhage (PPH) cases managed by medical methods. Uterotonic drugs (42.5%) This was possible due to early identification and timely intervention.Conclusions: Active management of third stage of labour is recommended in all cases. Seventy percent cases were managed by medical methods while rest of the cases required surgical management. Among the medical management uterotonic drugs and bimanual uterine compression was used while among the surgical methods repair of cervical and vaginal laceration was mostly required.