Fever in pregnancy and its maternal and fetal outcome at tertiary care level

Poovathi, M; Prasanna, Naveen

doi:10.18203/2320-1770.ijrcog20181919

Cited by 6 publications

(7 citation statements)

References 5 publications

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“…This agreed with the study of Poovathi and Ramalingam 8 Ciavattini et al noted a raised preterm delivery , cesarean delivery, and abnormal presentation rates in cases with multiple fibroids as compared to those with single or no fibroids 9 . The PPH rate was directly related with the increased size of uterine fibroid, and was also influenced by the location of fibroids .…”

Section: Introductionsupporting

confidence: 91%

Effect of Uterine Fibroid on Mode of Delivery

Javed

Shahid

Tariq

2016

Pak Postgrad Med J.

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Introduction: Uterine fibroids are the commonest benign tumors occurring in the female reproductive tract. They occur in 30%–70% of women in their Reproductive age. The fibroids incidence rises as the age increases. Its prevalence in pregnancy is 0.1%–10.7%.In such pregnancies, obstetric complication occur in 10%–30% . Studies show that in such pregnancies delivery occur at an earlier gestational . Fetal malpresentation, placenta previa, intrauterine growth restriction, labor dystocia, placental abruption, cesarean delivery , retained placenta, and postpartum hemorrhage (PPH) are common obs compications occurring in pregnancies with fibroids. Objective: The objective of our study is to determine the frequency of cesarean delivery in pregnancies with uterine fibroids. Materials and Methods: It is a Descriptive type cross sectional study which was carried out in Obstetric and Gynae unit 1 of Lahore General Hospital, Lahore for Six months from 06-08-2015 to 06-02-2016. Sample size of 100 cases was calculated with 95% confidence level, 10% margin of error and taking expected percentage of cesarean section i.e. 40% of cesarean section in patients with uterine fibroid. Results: In our study, 59%(n=59) were between 20-30 years while 41%(n=41) were between 31-40 years of age, mean+sd was calculated as 28.31+5.67 years. Gestational age(in weeks) of the patients was calculated . 64%(n=64) were between 34-36 weeks while 36%(n=36) were between 37-39 weeks, mean+sd was calculated as 36.83+1.75 weeks of gestation. Regarding Parity of the patients, 63%(n=63) were between 1-3 paras and 37%(n=37) were having parity between 4-5. Frequency of cesarean delivery in patients with uterine fibroids performed in 57%(n=57) cases while 43%(n=43) had normal vaginal delivery. Conclusion: The frequency of cesarean delivery is higher among patients with uterine fibroids. So, it is recommended that every patient who present with uterine fibroids, should be sort out for the mode of delivery. However, it is also required that every setup should have their surveillance in order to know the frequency of the problem.

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Section: Introductionsupporting

confidence: 91%

Effect of Uterine Fibroid on Mode of Delivery

Javed

Shahid

Tariq

2016

Pak Postgrad Med J.

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“…This correlate with study done by Shrestha N et al (3.15%). 7 In contrast to my study higher incidence (6%) was seen in study by MPoovathi et al 8 This is probably due to our centre being tertiary care centre located in centre of city so all type of low risk as well as high risk cases admitted here and admission rate is quite high (Table 1).…”

Section: Incidence Of Pyrexia In Pregnancycontrasting

confidence: 72%

“…10 In our study incidence of abortion was 4.3%, as compared to study conducted by More VS, Poovathi M et al where incidence of abortion was 14% and 13% respectively. 8,10…”

Section: Outcome Of Deliverymentioning

confidence: 99%

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Study on pyrexia in pregnancy and labour with special emphasis on fetomaternal outcome

Sultan¹,

Parihar

Badkur

2020

Int J Reprod Contracept Obstet Gynecol

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Background: Pyrexia in pregnancy is a very common clinical problem worldwide. Fever during pregnancy causes significant maternal and fetal complications. Fetus being an integral part of the feto-maternal unit and pregnancy involving numerous physiological changes and adaptations, pyrexia during the pregnancy affects both the mother and her foetus adversely. Effect of pyrexia on pregnancy depends on the extent of the rise in the temperature.Methods: This is a prospective observational hospital-based study conducted over a period of 1 year from march 2018 to February 2019 Department of Obstetrics and Gynaecology, Sultania Zanana Hospital, Gandhi Medical College, Bhopal.Results: Total no. of antenatal admission in Hospital during study period were 15354. Total 306 cases of pyrexia in pregnancy were found during the study period. Incidence of pyrexia in pregnancy in our study during study period was found 2%.Conclusions: The present study has demonstrated a need for multidisciplinary approach in cases of pregnancy complicated with pyrexia and also higher risk of maternal morbidity and mortality in un-booked patients. We found that pregnancy outcomes were good in booked cases with regular checkup. Early detection and management of patients with pyrexia can certainly help to improve maternal and fetal outcome. This also shows that multidisciplinary approach should extent throughout antenatal, intra-partum and postpartum period.

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“…Maternal mortality was 25%, most of it were associated with DIC, IUD and one or two combined risk factors 22. …”

mentioning

confidence: 99%

Maternal and fetal outcome of febrile morbidity in pregnancy at tertiary care level

K.,

Antony,

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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Background: Fever in pregnancy is a common clinical problem worldwide. Effects of hyperthermia depends on the extent and duration of temperature elevation, timing of exposure in pregnancy and possibly on maternal nutritional status, comorbidities, medications, socio-economic background and several other factors. The exposure of maternal temperature has been reported to lead to cell disruptions, vascular disturbance and placental infarction which can lead to the risk of structural and functional defects in progeny. The underlying maternal cytokine polymorphism is strongly associated with both intrapartum fever and neonatal outcome. Hence there is a need to detect the various life-threatening medical complications of febrile morbidity leading to severe maternal morbidity and its impact on fetal outcome. Aim of study were to study the etiology of fever in pregnancy during the study period and to know the effect of fever on both the mother and the fetus. Methods: A prospective observational study. Results: Out of the 60 cases of fever in pregnancy, most common cause of fever was urinary tract infection (30%), followed by dengue fever (25%) and upper respiratory tract infection (23.3%). Fever was associated with complications as such PROM, PPROM, preterm labour, PPH, thrombocytopenia, anemia and abortions. Fetal outcome were preterm birth (25%), low birth weight (36%), neonatal sepsis (20%) and perinatal death (13.8%). Conclusions: Febrile morbidity in pregnancy leads to numerous maternal and fetal complications can occur due to fever in pregnancy from various causes. The most common cause of fever was UTI followed by dengue fever. The maternal and fetal complications can be avoidable if the cause for the fever is diagnosed and treated early.

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Fever in pregnancy and its maternal and fetal outcome at tertiary care level

Cited by 6 publications

References 5 publications

Effect of Uterine Fibroid on Mode of Delivery

Effect of Uterine Fibroid on Mode of Delivery

Study on pyrexia in pregnancy and labour with special emphasis on fetomaternal outcome

Maternal and fetal outcome of febrile morbidity in pregnancy at tertiary care level

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