Medical disorders in pregnancy a tertiary care hospital experience.

Abstract

Objective: To determine the exact magnitude of the problem in our setup which will help to develop consensus guidelines with the contribution from various specialists especially obstetric medical specialist. Study Design: Prospective Observational study. Setting: It was conducted on 2448 patients who were ill due to various medical conditions during pregnancy and admitted to PNS Shifa and CMH Kharian. Period: 1st Jun 2019 till 31st May 2021. Material & Methods: Data was collected from the patients in the wards and delivery room and analysed using SPSSV28. Descriptive statistics were applied and means, and frequencies were calculated for different variables. Results: The total number of antenatal admissions was 8775, in which 2488 (28%) were patients. The mean age of our study population was 28 S.D (+ 4.78) years while the mean parity was 4 (S.D + 1.407). Hypertensive disorders were the most common medical disorder followed by haematological and liver disorders. Endocrine disorders were found in 372 (15%) of the study population. A total of 864 (38%) patients in the total study population had haematological abnormalities. Among these, anaemia was the most common haematological abnormality. Regarding respiratory disorders COVID-19 336(14%) was the most common respiratory medical disorder during pregnancy. Conclusions: All medical conditions in pregnancy are common and require a multidisciplinary approach which should be managed by a team involving Obstetric medical specialist.

Medical Disorders in Pregnancy Among Inpatients at a Tertiary Level Hospital of Peshawar (Khyber Pakhtunkhwa)

“…11 Similarly, another study reported that Chronic hypertension occurs in approximately 1 to 5% of pregnancies, gestational hypertension in around 5 to 6%, and pre-eclampsia in nearly 3 to 6% of pregnancies based on population data. 16 10 Similarly, another study reported a similar result of 10.84% GDM occurrence. 4 The present study identied renal and urinary tract infections as the fourth major group of medical disorders aecting 175 (9.67%) patients.…”

“…showed a low incidence of 5.22%. 10,14,15 In a study conducted in Nigeria, hypertensive disorders ranked second, after malaria, with a frequency of 29.2%. 11 Similarly, another study reported that Chronic hypertension occurs in approximately 1 to 5% of pregnancies, gestational hypertension in around 5 to 6%, and pre-eclampsia in nearly 3 to 6% of pregnancies based on population data.…”

“…This nding is closely reliable to the study by Khattak SN et al; however, in the developed regions, very low incidence of HBV and HCV (Eastern Europe -0.366%, Southern areas of Asia -0.162% and United Kingdom -0.019%) have been recounted which is indicative of a robust antenatal and postnatal health care in these countries. 10,18…”