ABSTRACT
In a retrospective study the obstetric behaviour and outcome in 80 teenage pregnancies (< or = 19 years of age) were compared to a control group (n = 80) of women (20-30 years) of same parity. There were 32 booked cases (40%) in study group and 45 (56.2%) in control group (p < 0.05). The overall teenage pregnancy was 3.2%. Majority of patients were 18 years (27.5%) and 19 years (65.0%) in study group and most of them (87.5%) were primiparas. Of all cases 27.5% were grouped under Kuppuswamy classification III in assessing socio-economic status. Anaemia (27.5%), intra-uterine growth retardation (27.5%) and hypertension (15%) were mostly found as complications in study group as compared to controls (11.2%, 8.7% and 8.7% respectively). The incidence of forceps delivery was higher (17.4%) in the study group as compared to controls (6.2%). Stillbirth rate was 1.25% and there was no maternal mortality.
Subject(s)
Adolescent , Cross-Sectional Studies , Developing Countries , Female , Humans , Incidence , India/epidemiology , Infant, Newborn , Obstetric Labor Complications/epidemiology , Pregnancy , Pregnancy Complications/epidemiology , Pregnancy Outcome , Pregnancy in Adolescence/statistics & numerical data , Pregnancy, High-RiskABSTRACT
Perinatal outcome and the factors affecting it were studied in 140 pregnant women with hypertension. Perinatal mortality rate (PNM) was 140/1000 and the stillbirth rate was 8.7%. In severe hypertension PNM was 52.3% and all perinatal deaths were 8.7%, when the serum uric acid level were more than 4.5 mg%.
Subject(s)
Birth Weight , Female , Fetal Death , Humans , Hypertension/epidemiology , Infant Mortality , Infant, Newborn , Pregnancy , Pregnancy Complications, Cardiovascular/epidemiology , Pregnancy Outcome , Prospective StudiesSubject(s)
Adult , Calcinosis , Female , Fetus/pathology , Humans , Pregnancy , Pregnancy, Ectopic/complications , Rupture, Spontaneous , Uterus/abnormalitiesABSTRACT
One hundred and two cases of viable pregnancies with threatened abortion were studied in the department of obstetrics and gynaecology, Kamla Nehru Hospital, IG Medical College, Shimla between November 1987 and February 1989 and their perinatal outcome was evaluated. The pregnancies continued beyond 28 weeks in 61.7% of the cases. The incidence of prematurity was 19.0%. The incidence of low birth weight (LBW) babies was 23.8%. Apgar score was less than 7 in 22.3%. The incidence of neonatal complications was 25.3%. There was no perinatal mortality. In a control group of 50 cases, the incidence of prematurity and LBW was 8% and 4% respectively. Apgar score less than 7 was noted in 4% and neonatal complications were observed only in 4% of newborns.
Subject(s)
Abortion, Threatened/epidemiology , Birth Weight , Developing Countries , Female , Fetal Death/epidemiology , Fetal Growth Retardation/epidemiology , Gestational Age , Humans , India/epidemiology , Infant, Newborn , Obstetric Labor, Premature/epidemiology , Pregnancy , Pregnancy Outcome , Risk FactorsABSTRACT
A controlled prospective study was conducted on 300 postmenopausal women attending the Kamla Nehru Hospital from November, 1990 to August, 1992. The incidence of gynaecological neoplasms was 31.3% in both the study group (300 postmenopausal women) and the control group (300 premenopausal women). The incidence of malignant neoplasms was 24.6% in study group and 8.6% in control group. This difference was highly significant (p < 0.001). Carcinoma cervix (16%) was the commonest gynaecological malignancy followed by ovarian cancer (6%). The incidence of benign neoplasms was lower in the study group (6.6%) as compared to the control (22.6%).
Subject(s)
Female , Genital Neoplasms, Female/epidemiology , Humans , Incidence , India/epidemiology , Middle Aged , Postmenopause , Prospective StudiesSubject(s)
Cause of Death , Developing Countries , Female , Humans , India/epidemiology , Infant Mortality , Infant, Newborn , Male , Risk FactorsABSTRACT
Two hundred and three consecutive cases of prolonged labour have been retrospectively reviewed from January 1984 to December 1986. The incidence of prolonged labour was 4.39%. It was noted that 66.5% of the patients with prolonged labour were unbooked emergency admissions, and 73.3% were primipara. The causes of prolonged labour were the occipitoposterior position (10.8%), relative cephalopelvie disproportion (18.2%), uterine dysfunction (44.5%), and in 26.1% an obstructive cause was present. A spontaneous vaginal delivery occurred in 34.4%, a forceps delivery in 22.6% and the caesarean section rate was 29%. The maternal mortality, febrile and non-febrile morbidity were 9.7 per 1000 total births, 42.8% and 17.2% respectively, which showed a direct relation to the duration of labour, and a significant increase in the patients with obstructed labour, and after an abdominal delivery. The corrected perinatal mortality was 165 per 1000 total births, which was also directly related to the duration of labour, and 74.3% of the perinatal deaths occurred in the patients with obstructed labour. The perinatal mortality in the study group was nearly three times higher than the overall hospital group. Neonatal morbidity occurred in 48.8% of the newborns.