RESUMEN
Objective@#To determine the effectiveness of utilizing the Zhang's criteria as compared to Friedman's criteria in increasing the rate of successful vaginal delivery among primigravid parturient in a tertiary government hospital. @*Material and Methods@#This is a prospective cohort study conducted in a tertiary hospital. The population consisting of primigravid parturient of any age admitted at term pregnancy with a gestational age between 37 and 42 weeks. Included were singleton pregnancy, with no co-morbidities, vertex position on admission, with intact amniotic membranes, and in active phase of labor (either 4cm or 6cm cervical dilatation), who consulted at the emergency room of the institution. Multigravid patients, those with multiple pregnancy and ruptured membranes were excluded from the study. Two groups of cohorts were recruited based on the internal examination of the principal investigator upon admission. Cohort A is composed of pregnant women admitted at 6cm cervical dilatation fulfilling the Zhang's criteria whereas Cohort B is composed of pregnant women admitted at 4cm cervical dilatation fulfilling the Friedman's criteria. Socio-demographic characteristics were recorded. Their course of labor was monitored; contractions were augmented accordingly if needed. The mode of delivery was noted such as spontaneous vaginal delivery or cesarean section. The neonatal outcome was recorded as to apgar scores obtained for both groups. @*Results@#A greater proportion of parturients were young, single and with normal body mass index. A higher proportion of those under Friedman's group was augmented with oxytocin (100% vs. 53.4%). A greater proportion of those in Zhang's group had successful vaginal delivery (98.2% vs. 81.8%) (p=0.011, OR=18.167, 95% CI: 1.943, 169.867). Parturients under Zhang's group had achieved less hours of active labor. @*Conclusion@#The rate of successful vaginal delivery is significantly different between the two groups. A greater proportion of pregnant women under Zhang's group achieved successful vaginal delivery as compared to Friedman's group.
Asunto(s)
Embarazo , Mujeres EmbarazadasRESUMEN
Background@#The Philippines is endemic to soil-transmitted helminthiasis, a neglected tropical disease which is inadequately diagnosed and treated especially in the pregnant and lactating population. It is important that the prevalence of STH is monitored routinely to assess the effectiveness of control programs and the provision of adequate treatment, hence decreasing its associated adverse outcomes.@*Objective@#To determine the prevalence of STH among pregnant patients consulting for antenatal care in a tertiary provincial hospital using microscopic stool analysis. @*Methods@#This is a cross-sectional study performed on 270 patients attending antenatal care from a tertiary provincial hospital. Microscopic stool analysis using the Kato-Katz technique was the diagnostic tool used to identify presence of intestinal parasites. Data were analyzed using Stata 15. Chi Square and Mann U Whitney Tests were utilized to determine statistical significance. Variables under the adverse perinatal outcomes were subjected to odds ratio to determine correlation among those tested positive for STH. @*Conclusion@#The cumulative prevalence rate of STH is 20.7% and the most common organism identified is A. lumbricoides. Factors related to a high suspicion of STH are: older individuals; higher obstetric score; greater number of living children; increased maternal weight; anemic; underweight; lived in a family with higher number of household members; lived in a family with member treated with antihelminthics; lived in houses without water and toilet; lived in the areas of Maragondon, Mendez, Bailen, Cavite City, Noveleta and Bacoor. Moreover, preterm labor and small for gestational age fetus are the adverse perinatal outcomes identified suggestively related to STH.