Association Between Maternal Risk Factors and Low Birth Weight: A Hospital Based Cross-Sectional Study in Western Odisha, India

ABSTRACTBackground: World Health Organization has defined low birthweight (LBW) as birth weight less than 2,500 grams. LBW is animportant indicator of reproductive as well as general healthstatus of a given population. The aetiology of LBW ismultifactorial. The current study was conducted to find out thematernal risk factors associated with LBW delivered in V.S.SMedical College& Hospital, Burla.Materials and Methods: It was hospital based cross -sectionalstudy comprising of 1030 postnatal women and their newbornswho delivered single live baby in V.S.S Medical College&Hospital, Burla. Selection of study participants done bysystematic random sampling. The study was conducted fromOct 2012 to September 2014.Results obtained was expressedin simple number and percentages. Chi-square test was usedto measure the association between LBW and variousmaternal risk factors.Results: The proportion of LBW was found to be 27.76%. Theproportion of LBW was found high and significant in Primimothers (31.09%), birth spacing < 36 months (28.93%),gestational age < 37 weeks (62.94%), obstetric complications(31.12%), major medical illness (44.07%), Haemoglobin<11gms (34.32%), weight gain <10 kg during pregnancy(41.60%), late registration (33.62%), < 4 ANC visit (52.79%),<100 IFA tab. Consumption (44.70%) and without calciumsupplementation (33.60%).Conclusions: The finding of the present study indicates thatLBW can be tackled by maternal education, socioeconomicdevelopment and providing adequate antenatal care topregnant women in time.

Outcome and Consequences of Uterine Rupture among Women with Prior Caesarean Section in Jalalabad Ragib Rabeya Medical College Hospital, Sylhet

Introduction: Rupture uterus is an uncommon and frequentlycalamitous circumstance. It is connected with a highoccurrence of fetal and maternal mortality and morbidity.Objective: Our primary objective of this investigation is toassess results of uterine rupture among women with earliercesarean section.Method: This cross-sectional study was done at JalalabadRagib Rabeya Medical College Hospital, Sylhet from January2016 February to 2019 February. All out 63 instances ofruptured uterus were recorded in this investigation and everyone of the instances of ruptured uterus who were eitherconceded with complain or who developed it in medical clinicwere incorporated into the examination.Results: During the examination most events of ruptureduterus was the gestational age 37-40 weeks, (66.67%) andamong 63 patients, most (65.08%) had no antenatal checkup.(34.92%) had unpredictable antenatal checkup. Likewise therupture was bound to lower segment in the abdominal uterus.Conclusion: Lack of antenatal care, misuse of oxytocin, andinappropriate counseling of patients with history of previouscaesarian section for hospital delivery are the main causes fora ruptured uterus in this study.

Predictors for antenatal services and pregnancy outcome in a rural area: A prospective study in Wardha district, India.

Background :Antenatal care is essential to reduce morbidity and mortality among newborn babies and pregnant women. Aims: To study the pattern of utilization of antenatal services and to find out the potential predictors, their distributions and their association with antenatal care utilization and pregnancy outcomes. Settings and Design :A prospective longitudinal study was conducted in Deoli, a rural teaching area of a medical college of Wardha district, Maharashtra state. Materials and Methods : Medical social workers contacted all the registered 305 pregnant women in 1 month. A total of 274 women were included in the study. The response rate was 89.83%. Statistical Analysis Used : Percentages, rate ratio. Results : Mean age at marriage was 19.8±3.6 years, and the average age at first pregnancy was 21.6± 4.5 years. Of the 274 pregnant women, 156 (56.9%) were pregnant for the first time (gravida 1), and the remaining 118 (43.1%) pregnant women, gravida 2 and above, had an average of 2.1 living sons and 1.9 living daughters. Only 92 (33.6%) women had undergone the minimum recommended antenatal checkup during their current pregnancy, and 188 (68.6%) women had institutional deliveries. A large proportion of women in Deoli do not receive proper health care during pregnancy and childbirth. Conclusion : In Deoli, antenatal services, in spite of being essential to the care of pregnant women, are being poorly delivered.

Analysis on the status of antenatal checkup program in certain areas of China, 2005 / 中华流行病学杂志

he families, knowledge on hospital delivery and health education provided during pregnancy were related to the rates of antenatal checkup. Conclusion The quality of antenatal checkup, especially at the first 1 weeks, should be improved.

Eleven eclampsia cases in a Bangladesh hospital / 国際保健医療

There were 651 deliveries and 4 maternal deaths at Christian Hospital Chandraghona between October 2000 and August 2001. Eleven eclampsia patients were admitted and the mean age was 22.1 years. Ten patients were primipara and 1 patient was multipara. Among those eclampsia cases, 2 maternal deaths were observed and 10 patients delivered babies (8 live babies and 2 stillbirths). Delivery methods were 8 normal deliveries, 1 forceps delivery and 1 cesarean section. Ten patients had never consulted a doctor before eclampsia occurred. Eclampsia occurred at the third trimester of pregnancy in 9 patients and after delivery in 2 patients. Nine patients came to the hospital within 5 hours after the onset of eclampsia. Those who came late to the hospital progressed to be maternal death. To reduce maternal death, it is necessary to promote antenatal checkup and provide education about obstetrical complications at the grassroots level.