RESUMEN
To analyze the feto-maternal complication in multiple pregnancy and strategy for its prevention and treatment. Descriptive study. This study was carried out at DHQ Hospital, Faisalabad over a period of one year from December 2004 to December 2005. There were 60 cases of multiple pregnancies out of a total 3000 pregnant women. Patients with multiple gestations were referred from emergency as well as from outpatient department to labor room and out come and any associated complications were recorded. During one year study period there were 60 cases of multiple pregnancy. Most of multiple pregnancies [91%] were spontaneous. 96% patients were carrying twin pregnancies while 2 cases [3.3%] of triplet pregnancies were recorded. Recorded maternofetal complications of multiple pregnancies were miscarriage [5%], preterm delivery [33.3%], pregnancy induced hypertension, pre-eclampsia, eclampsia [33.3%], intrauterine growth restriction [16.6%], intrauterine death [6.6%] and postpartum haemorrhage [6%]. 35% delivered vaginally while 41.6% were delivered by ceasarean section. Multiple pregnancies are high risk pregnancies with associated feto-maternal morbidity and mortality due to accompanying complications. Chances of a successful outcome may be improved by appropriate preventive, diagnostic and management strategies, by the availability of specific skill and experience and by a multi-disciplinary approach
RESUMEN
To determine the effect of maternal anemia on placental ratio. Cohort study. Unit-1, Department of Gynaecology and Obstetrics 1, Sir Ganga Ram Hospital, Lahore from August 2002 to August 2003. One hundred pregnant women, 50 anemic and 50 having normal range of Hb were included in the study. After delivery, weight of the new born and weight of placenta was recorded. The fetoplacental ratio was calculated for both groups and compared. The mean weight of the newborn [+/-SD] in anemic group was 3.12 +/- 0.45 kg and 3.18 +/- 0.35 Kg in control group. The difference was statistically non-significant [P=0.445]. The mean placental weight of anemic groups was 0.58 /- 0.13 Kg and that of control group was 0.52 +/- 0.088 Kg showing a significant increase [P<0.009]. Feto-placental ratio was 0.193 +/- 0.035 [Mean +/- SD] in anemic patients and 0.166 +/- 0.024 in control group. FP ratio of anemic patients was significantly higher than control group [P<0.001]. This study confirms that anemia during pregnancy is associated with significantly large placental weight and a high fetoplacental ratio
RESUMEN
Every women can experience sudden and unexpected complications during pregnancy, child birth and just after delivery. Although high quality accessible health care has made maternal death a rare event in developed countries, these complications can often be fatal in the developing world. Safe motherhood as a priority for action can not be identified without properly assessing maternal mortality. The aims of this study were toanalyse the causes of maternal mortality and thus determine the preventable factors responsible for maternal deaths. Descriptive study. This study was carried out at DHQ Hospital Faisalabad from June 2002 to December 2004. Patients were admitted through emergency and Obstetrics and Gynaecology out-patient department. Patient age, parity, education, socio-economic status, antenatal booking level of care, whether come from rural or urban area, and distance from hospital were noted. Contributing and causative factors leading to maternal mortality were evaluated. All these information were recorded on a specially design Performa. Results: Total number of maternal deaths recorded during 2 V[2] years study period were 70. The causative factors of maternal mortality were sepsis 19[27%], post partum hemorrhage 18 [25.7%], eclansia 11[15.7%], pulmonary embolism 7[10%], liver disease 6[8.5%] heart disease 5[7.1%], anaesthetic complications [3][4.2%] and one death [1.4%] due to miss match] blood transfusion in a private hospital. Patient's age ranged between 18-45 years. 40[57.1%] patients were <31 years old. 15[21.4%] patients were prmigravida or Para one and 55 [78.5%] were multigravida or multi para. All patients were unbooked, uneducated and belonged to poor socio-economic setup. Majority of them came from distance between 20-60 km. 40[57.1%] were attended by traditional birth attendant, 18 [25.7%] by lady health visitors, [3][4.2%] by doctors in private clinics and 9[12.8%] received no level of care. Sepsis, obstetrical hemorrhage, eclampsia and pulmonary embolism are major causative factors of maternal mortality