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Artigo | IMSEAR | ID: sea-232806

RESUMO

Background: We studied the gynaecological, obstetrical and family history, complications arisen, timing and mode of delivery, and post-delivery maternal and neonatal health conditions for preeclamptic patients in Rajshahi, Bangladesh. Methods: Using a cross-sectional longitudinal design, 90 women hospitalized with preeclampsia in 7 hospitals of Rajshahi, Bangladesh were considered, of which two-thirds were from tertiary referral Rajshahi medical college hospital. The data were collected by interviewing the patients, physical examinations and analyzing patients� pathological profile. For statistical analyses, SPSS software was employed. Results: The 58% of the preeclamptic patients became pregnant earlier, of which 56% had NVD, 24 % C/S and 20% abortion. The 85% patients had history of chronic constipation, ashma, blood transfusion, UTI, hypertension, liver disease, diabetes and preeclampsia. Regarding past surgical history, 40% had Appendisectomy, DE and C, MR, left Salphingo-oophorectomy and CS. Their gestational age ranged 40-32 weeks, averaging 37 weeks. About three-fourths of the patients� deliveries were made by CS. Generally, patients� BP fell down after delivery. One patient out of 88 had died after giving birth, but her female infant (weighing 2.0 kg) was in good condition. Only one case of twin-pregnancy was recorded. After giving births, 28% of mother had no complications, whereas 56% had mild complications and 16% had severe complications. Male children dominated (60%) over female children (40%). A total of 9 (10%) neonatal deaths were recorded. Among alive infants, 42% were premature. About 28% of the newborn infants had no complications, while 16% had mild complications and 56% had severe complications including asphyxia, IUGR, etc. Conclusions: After delivery (CS was 75%), mothers� health was good, but the infants� health deteriorated. Consequently, 1% maternal death and 10% neonatal deaths were recorded.

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