A Prospective study of etiology and outcome of Preterm Labour in a Rural Medical College
Journal Title: Obs Gyne Review: Journal of Obstetric and Gynecology - Year 2016, Vol 2, Issue 4
Abstract
Introduction: Preterm birth is a major problem in developing countries contributing significantly to perinatal mortality. Preventing preterm labor is still a great challenge in modern obstetrics .Every year an estimated 15 million babies are born too early (more than 1 in 10 babies are preterm). 1 million neonates dies each year due to complication of preterm birth. Many who survive face a life time of disability. Aim & Objective: To study the etiological factors and to assess the Neonatal Mortality and Morbidity associated with preterm labor and delivery. Methods: This prospective study was conducted from December 2014 to September 2015 in rural medical college where 107 antenatal women admitted with threatened preterm labor with or without rupture of membranes were followed till delivery and discharge. Gestational age at onset of preterm labor, associated risk factors, response to Tocolytics, Gestational age at delivery, and neonatal outcome were recorded and analysed. Results: Pregnancy Induced Hypertension, Anaemia, Infections, Oligohydramnios, were the commonest causes of preterm deliveries. Neonatal morbidity and mortality was less in steroid covered group. Birth asphyxia, Respiratory Distress Syndrome, Hyaline Membrane Disease were the commonest causes of morbidity. Respiratory Distress Syndrome was significantly reduced in those who were on steroid cover. Conclusion: There is a high incidence of preterm labor and preterm births in our set up. Infection and anaemia are important factors which can be prevented. Prolongation of delivery for 48 hrs by giving Tocolysis for getting the benefit of betamethasone coverage reduces morbidity due to RDS.
Authors and Affiliations
Sunita. Sudhir P, Sunita Mishra
Keywords
Related Articles
- EP ID EP228318
- DOI 10.17511
- Views 246
- Downloads 0
Knowledge, attitude and practice towards exclusive breast feeding among lactating mothers in a South Indian Hospital
Background: Exclusive breast feeding (EBF) isconsidered when the infant does not receive any additional food or nutriment other than breast milk. Aims and Objectives: The object of the study was to assess knowledge, atti...
Correlation of cardiotocography results and perinatal outcome in gestational hypertension
Background: Early recognition of foetal distress in labour is the primary concern for the obstetrician to avoid adverse perinatal outcome. cardiotocograph is a simple non-invasive test that can serve as a screening tool...
Study to assess the prevalence of antiphospholipid syndrome (APS) among women with adverse pregnancy outcome in a tertiary care centre
Introduction: Antiphospholipid syndrome is an autoimmune condition characterized by vascular thrombosis and /or pregnancy morbidity in the presence of antiphospholipid antibodies. A failure or significant delay in recogn...
Primary amenorrhoea – a single centre experience of 38 cases
Introduction: Primary amenorrhoea is defined as absence of menstruation by the age of 14 in absence of secondary sexual characteristics & by age 16 regardless of the presence or absence of secondary sexual characteristic...
Placental histopathology in high-risk pregnancy
Introduction: Placenta is a vital organ for the wellbeing of the fetus. Pregnancies with preganancy induced hypertension (PIH), diabetes, anemia etc. are associated with adverse neonatal outcome. Objective: This study ex...