RESUMO
Background: Amniotic fluid is contributed by both mother and foetus. It plays a vital role in foetal growth. The main purpose of this study was to evaluate the foetomaternal outcome in pregnant females with oligohydramnios beyond 36 weeks of gestation.Methods: This study was conducted on 230 pregnant females beyond 36 weeks of gestation with decreased liquor clinically and confirmed sonographically. It was conducted from May 2018 to May 2019. Females with leaking per vaginum, patients who did not give consent and with intrauterine foetal death were excluded. Complete labour record was made. Assessment of maternal outcome was done in terms of mode of delivery and foetal outcome was done in terms of birth weight, Apgar score at one and five-minute, respiratory distress, meconium aspiration, seizures in first 24 hours of life, congenital malformations, neonatal intensive care unit admission and death of baby.Results: A total of 230 pregnant females met the inclusion criteria who were having AFI <5. 121 (53%) females were primigravida and 119 (52%) underwent for caesarean section. Most common indication of LSCS was foetal distress. Apgar score at 1 minute was <7 in 97 (42%) babies and after 5 minutes, it was <7 in 93 (40%) babies. Other neonatal outcome results were IUGR in 59 (26%) babies, meconium aspiration syndrome in 52 (23%) babies, respiratory distress in 92 (40%) babies, congenital malformation in 6 (3%) babies, NICU admission of 93 (40%) babies and neonatal death of 11 (5%) babies.Conclusions: Oligohydramnios increases the chances of maternal morbidity and perinatal morbidity and mortality.
RESUMO
Background: Amniotic fluid plays a vital role during foetal life. The main purpose of this study was to evaluate the foetomaternal outcome in relation to amniotic fluid index in pregnant females beyond 36 weeks of gestation.Methods: This prospective type of study was conducted for one-year duration from May 2018 to May 2019 in 350 pregnant females beyond 36 weeks of gestation with clinically significant abnormal liquor volume. Clinical diagnosis was later on confirmed with ultrasonography and patients were categorized in three categories as patients with Amniotic fluid index (AFI) 5 to 24, AFI <5 and AFI > or = 25. Complete labour record was made and fetomaternal outcome was assessed.Results: In this study, incidence of oligohydramnios was found to be more than polyhydramnios at term. No significant differences were found in relation to age, parity, religion, residence and booking status in all the study groups. Mostly patients 119 (52%) delivered by caesarean section in oligohydramnios group whereas vaginal delivery was commonly seen in patients with normal AFI (80%) and polyhydramnios (55%). Growth restriction 59 (26%) and malpresentation 18 (8%) were commonly seen with oligohydramnios. In the polyhydramnios group, 14 (35%) babies had malformations whereas only 6 (3%) babies had malformations in patients with oligohydramnios. Significant differences were found in the foetal outcome between the patients with oligohydramnios and polyhydramnios in comparison to patients with normal AFI.Conclusions: In pregnant females with abnormal liquor volume increases the chances of maternal morbidity and perinatal morbidity and mortality.
RESUMO
The disorders of gastrointestinal tract are responsible for a great deal of morbidity and mortality. The present study was conducted to determine lesions of gastrointestinal tract. Methods: This present study was conducted on 62 specimens of GIT tract. Biopsies from the gastrointestinal sites such as esophagus, pharynx, stomach, duodenum, liver, small intestine, colon, rectum and anal canal were obtained. Results: Maximum specimens were obtained from age group 21-30 years (24), followed by 11-20 years (16), 31-40 years (10), 41-50 years (8) and >50 years (4). 50 lesions were nonneoplastic and 12 were neoplastic. Most common non- neoplastic lesions were seen in gall bladder followed by esophagus (10) and small intestine (5). In neoplastic lesions, most common organ involved was gall bladder (5) followed by esophagus (3). In non- neoplastic lesions, chronic inflammatory lesion of oesophagus was seen in 10, appendicular lesions in 3, gall bladder lesions in 26, colonic perforation in 4, crohn’s disease of small intestine in 5 and peptic ulcers in 2. Neoplastic lesions were SCC of esophagus in 3, adenocarcinoma of small intestine in 1, adenocarcinoma of large intestine in 1, SCC of stomach in 2 and adeonma of gall bladder in 5 cases. Conclusion: Authors found that most commonly non- neoplastic lesions were seen involving gall bladder and in age group 21-30 years.