Background: To compare the maternal and neonatal outcomes between planned induction of labour and expectant management in women with mild gestational hypertension at term.Methods: A prospective hospital based observational study. The 120 pregnant women with mild gestational hypertension were randomized in a 1:1 ratio either to receive immediate induction of labour (group A comprising 60 women) or expectant management (group B comprising 60 women). Primary outcomes were incidence of any maternal mortality, renal failure, pulmonary oedema, need for ICU care or post-partum eclampsia and also composite maternal morbidity like severe gestational hypertension, pre-eclampsia, eclampsia, abruption and PPH. Secondary outcomes were mode of delivery, need for antihypertensives and MgSO4.Results: Though there were no maternal death or renal or pulmonary complications in any group, progression to severe hypertension was more in group B (expectant management) compared to group A (immediate induction) (18.33% vs. 3.33%). Increased incidence of pre-eclampsia and eclampsia were noted in group B (15% and 3%) as compared to group A (0%). Incidence of Abruption and PPH was less in group A 1.67% and 5% compared to group B 3.33% and 10 % respectively. Spontaneous vaginal delivery rate was low and caesarean section rates were high in group A (61.67% and 31.67%) compared to group B (68.33% and 25% respectively). Need for antihypertensive and MgSO4 were less in group A (3.33% each) compared to group B (18.33% and 16.66% respectively).Conclusions: Requirement of antihypertensive, progression to severe hypertension, pre-eclampsia, eclampsia, use of MgSO4, incidence of abruption, PPH were less in group A compared to group B. However, induction at completion of 37 weeks may be associated with increased incidence of operative deliveries.
World has a long history of using Cow dung; bovine animals excreta, as crop nutritional resource in different ways. Cow dung is a source of diverse group of microorganisms that are beneficial to plants and humans as well due to their ability to produce a wide range of metabolites. Several cow dung microorganisms exhibit proven ability to enhance soil health and fertility. This research explained the swift composting methods of cow dung with minimum or no loss to its microbial composition. The process involves inoculation of the cow dung with some microbial inoculants. A combination of pit and heap methods was used in this experiment. The methods applied fastened the composting process and decomposed cow dung within 30 days. Additional enrichment with bio-capsules loaded with concentrated bio-fertilizers has proven an increasement in nutritional value of the cow dung compost. Present research also supported superiority of pit method of composting over heap methods. The research will support farmers and the farmyard manure producers to covert their animal excreta in high nutritional compost which further will enhance soil health and will also help in achieving economic growth. The process will also help municipal corporations in decomposing animal excreta in compost with enhanced potential.
The idea of MANET is basically definite quality because of its unique courses of action and gets the chance to take part. Among different structures which are used in remote methods, flexible ad hoc system is seen as a potential region of work. This system is managed by own resources itself, along these nodes the behavior made for supporting this environment is besides light weighted. When this is a basic functionality has been arrangements which give a basic zone for finding attacker to control the working of the structure and shows effective conduct to avoid interruptions. Over the period of time, particular techniques had been proposed to update the energy issues of recognizing use in MANET. The main idea is to assess effective transmission and each one of the objectives is to make the system full proof which controls the conditions now. Those various issues which highlight the causes of intruder's, missing node and packet dropping all these issues are resolved from the existing methodology. So, this work gives new parameters for more precision in IDS. Fundamentally these works give more right and corrected measure by utilizing the effective use of information for node and improvement in PDR and Throughputs. By the above qualities the reliability in the system will be improved and effective system will be formed. By this packet, drops can be minimized and intruders can be recognized effectively and prove the high performance.
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