Prevalência de oligomnio em pacientes internadas no alto-risco de Maternidade Pública do Estado de Sergipe no período de 2004 a 2006 / Oligoamnios prevalence among high-risk patients at a public maternity hospital in State of Sergipe, Brazil, 2004-2006

O objetivo do trabalho é determinar, em relação ao oligoâmnio na Maternidade Nossa Senhora de Lourdes (MNSL), no período de 2004 a 2006, a sua prevalência, analisar algumas variáveis clínico-epidemiológicas, determinar as suas causas mais frequentes e verificar a associação com o bito fetal. O estudo é uma análise retrospectiva descritiva do tipo corte transversal. Foram selecionados 1.006 prontuários com o diagnóstico de oligoâmnio e, destes, escolhidos 690 que se adequavam aos critérios de inclusão. Foram estudadas variáveis quanto a: idade materna, idade gestacional na admissão, número de gestações, tempo de internamento, causa do oligoâmnio, intercorrências no internamento, terminação do parto e condições de nascimento do recém-nascido e âmbito fetal. A prevalência de oligoâmnio foi de 16,16% (1.006 casos), a média de idade da gestante foi de 20 anos, houve predomínio de tercigestas (40,1%) e nulíparas (43,3%) e oligoâmnio mais frequente no terceiro trimestre. O tipo de parto mais comum foi a cesárea (p<0,05), em 52,3% dos casos, e a maior causa de oligoâmnio foi a amniorrexe prematura (p< 0,0205), com 63,6% de frequência. O tempo de internamento (p<0,00) foi mais longo nas gestantes com oligoâmnio devido à amniorrexe prematura, 233 (53,1%), que permaneceram internadas durante dois a sete dias. A taxa de óbito fetal foi de 22,0%.

This paper investigates oligoamnios at Nossa Senhora de Lourdes Maternity Hospital from 2004 through 2006 aiming at analyzing some clinical-epidemiological variables and determining its prevalence, most common causes and association with fetal death. This study consists of a descriptive, cross-sectional retrospective analysis of 690 medical reports that met inclusion criteria out of 1,006 medical reports indicating oligoaminios diagnosis. The variables studied were: mother?s age, gestational age at admission, number of pregnancies, duration of inpatient care, oligoamnios cause, inpatient complications, delivery termination, and birth conditions of newborns and dead fetuses. Oligoamnios prevalence was 16.16 % (1,006 cases), mothers? mean age was 20 years, most of them had delivered three times (40.1 %) or never before (43,3 %), and oligoaminios was most frequent in the third quarter. The most common type of delivery was by Caesarean section (p<0.05) in 52.3 % of the cases, and the main oligoamnio cause was premature aminiorrhexis (p<0.0205) in 63.6 % of the cases. Duration of inpatient care (p<0.00) was longer among women with oligoamnios ? 2-7 days ? because of premature amniorrhexis, 233 (53.1 %). Fetal death rate was 22.0 %.

Fetomaternal outcome of cases referred to Nishtar Hospital, Multan

To determine feto-maternal outcome and to identify factors associated with adverse obstetric outcome. This descriptive case series study was conducted in the Department of Obstetrics and Gynecology Unit lit. Nishtar Hospital, Multan. During the period from 18[th] July 2007 to 17[th] January 2008. One hundred patients who were admitted through emergency after a trial of labour by traditional birth attendants [TBAs], lady health visitors [LHVs] or doctors at home or private clinics were managed and followed in the department of gynecology and obstetrics Unit-II. Mean age of the patients was 27.28 +/- 5.13 years. Fever was the most common complication found in 69[69%] patients. Antepartum hemorrhage occurred in 22 [22%] cases. Postpartum hemorrhage complicated 46 [46%] pregnancies leading, to shock in 51 [51%] patients. Oligohydramnios was observed in 35 [35%] patients and uterine rupture in 5[5%] cases. There were 3 [3%] maternal deaths. Low Apgar score was observed in 36 [36%] patients. Meconium staining was common in 34 [34%] cases and 34 [34%] patients needed for hospitalization. Fetal growth restriction was found in 23 [23%] patients. There were 23 [23%] fetal deaths. Postpartum hemorrhage led to maternal and fetal complications in majority of the patients which was not handled