Pyometra is a collection of pus in the uterine cavity. The incidence of pyometra in gynecological patients is 0.05-0.1% and in elderly patients 13.6%. This paper is aimed to report a case of ileo-uterine fistula complicating a pyometra. So far no literature is available to report this complication.
{"title":"Ileo-Uterine Fistula Complicating A Spontaneously Ruptured Pyometra - A Rare Case Report","authors":"H. Bansal, R. Jenaw, R. Mandia","doi":"10.5580/1949","DOIUrl":"https://doi.org/10.5580/1949","url":null,"abstract":"Pyometra is a collection of pus in the uterine cavity. The incidence of pyometra in gynecological patients is 0.05-0.1% and in elderly patients 13.6%. This paper is aimed to report a case of ileo-uterine fistula complicating a pyometra. So far no literature is available to report this complication.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129107063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Gubbala, P. Sinha, J. Zaidi, Lester Janaka De Silva
The incidence of monoamniotic twin pregnancy is estimated at 1 in 25,000 pregnancies. The Perinatal mortality rate in monoamniotic twin pregnancy (MATP) is about 28-70%. Ultrasound assessment should only be performed by skilled practitioners who are able to diagnose zygosity and chorionicity as there is a high mortality and morbidity rate inspite of early diagnosis and intense monitoring. Possible complications include, cord entanglement and knots, Twin-to-twin transfusion syndrome (TTTS) and premature birth. In the absence of TTTS, cord entanglement remains the main issue of concern and therefore current available evidence suggests early delivery by elective caesarean section between 32-34 weeks gestation after administering steroids. Women with monoamniotic twin pregnancy should be counselled regarding the increased risk of a poor perinatal outcome. However careful management throughout pregnancy using a multi-disciplinary team approach can achieve good outcome.
{"title":"Monoamniotic twin pregnancy – A case report and review of literature.","authors":"P. Gubbala, P. Sinha, J. Zaidi, Lester Janaka De Silva","doi":"10.5580/279c","DOIUrl":"https://doi.org/10.5580/279c","url":null,"abstract":"The incidence of monoamniotic twin pregnancy is estimated at 1 in 25,000 pregnancies. The Perinatal mortality rate in monoamniotic twin pregnancy (MATP) is about 28-70%. Ultrasound assessment should only be performed by skilled practitioners who are able to diagnose zygosity and chorionicity as there is a high mortality and morbidity rate inspite of early diagnosis and intense monitoring. Possible complications include, cord entanglement and knots, Twin-to-twin transfusion syndrome (TTTS) and premature birth. In the absence of TTTS, cord entanglement remains the main issue of concern and therefore current available evidence suggests early delivery by elective caesarean section between 32-34 weeks gestation after administering steroids. Women with monoamniotic twin pregnancy should be counselled regarding the increased risk of a poor perinatal outcome. However careful management throughout pregnancy using a multi-disciplinary team approach can achieve good outcome.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116875393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Mustafa, Rabia Khurshid, Mushtaq, I. Shamas, Shahida Mir
The study was conducted among 100 pregnant women who presented with vaginal bleeding before 20 weeks of gestation, 34% of women aborted, 21.2% had preterm delivery, 23.4% had low birth weight babies, apgar score was less than 7 in 20.3% babies and perinatal mortality was 3%. Serum T 3, T 4 levels were in lower range in patients who aborted as compared to those
{"title":"Pregnancy Outcome of Patients Complicated by Threatened Abortion","authors":"G. Mustafa, Rabia Khurshid, Mushtaq, I. Shamas, Shahida Mir","doi":"10.5580/f42","DOIUrl":"https://doi.org/10.5580/f42","url":null,"abstract":"The study was conducted among 100 pregnant women who presented with vaginal bleeding before 20 weeks of gestation, 34% of women aborted, 21.2% had preterm delivery, 23.4% had low birth weight babies, apgar score was less than 7 in 20.3% babies and perinatal mortality was 3%. Serum T 3, T 4 levels were in lower range in patients who aborted as compared to those","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126945576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chandani Dubey, N. Gupta, C. Gupta, R. Arora, P. Sachdeva
A case of a 26 year old G3P2AL2 with previous 2 LSCS with incisional hernia containing gravid uterus. She developed ulceration of abdominal wall at 29 weeks followed by burst abdomen at 35 weeks gestation. An emergency LSCS was done with repair of hernia. A healthy baby girl was delivered.
{"title":"Successful pregnancy outcome in a case of gravid uterus in an incisional hernia leading to burst abdomen.","authors":"Chandani Dubey, N. Gupta, C. Gupta, R. Arora, P. Sachdeva","doi":"10.5580/1f07","DOIUrl":"https://doi.org/10.5580/1f07","url":null,"abstract":"A case of a 26 year old G3P2AL2 with previous 2 LSCS with incisional hernia containing gravid uterus. She developed ulceration of abdominal wall at 29 weeks followed by burst abdomen at 35 weeks gestation. An emergency LSCS was done with repair of hernia. A healthy baby girl was delivered.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122181079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Serum level of CA-125 turned out to be a valuable parameter not only as a marker of ovarian carcinoma but also in other fields of obstetrics and gynecology. Earlier work suggested that highest level of CA-125 could be detected in the sera of women with threatened abortion. Design : A prospective study. Setting: Private hospital and clinics in Baghdad. Subjects: The study population comprised of 42 pregnant women who were recruited from August 2004 to September 2007 and had a vaginal bleeding in the first trimester ending in abortion. The controls were 20 pregnant women who had normal pregnancy without complications. Intervention: Blood was collected and level of CA-125 antigens (Ags) was estimated in the serum of these women by Enzyme Linked Immuno Sorbent Assay (ELISA) in Immunological laboratories in Central Public Health Laboratories and Teaching Laboratories in Medical city in Baghdad. Ultrasound confirmation of fetal heart activity was done. Main outcome measure: Pregnancy outcome and CA-125 level in the serum. RESULTS: In spite of increased level of CA-125 in aborted patients in first trimester. There was no significant difference between two groups. CONCLUSIONS: CA-125 can not be used as a predictor of outcome of early pregnancy complicated by vaginal bleeding
{"title":"Estimation Of CA-125 Level In First Trimester Threatened Abortion","authors":"B. Mahdi","doi":"10.5580/1fec","DOIUrl":"https://doi.org/10.5580/1fec","url":null,"abstract":"Objective: Serum level of CA-125 turned out to be a valuable parameter not only as a marker of ovarian carcinoma but also in other fields of obstetrics and gynecology. Earlier work suggested that highest level of CA-125 could be detected in the sera of women with threatened abortion. Design : A prospective study. Setting: Private hospital and clinics in Baghdad. Subjects: The study population comprised of 42 pregnant women who were recruited from August 2004 to September 2007 and had a vaginal bleeding in the first trimester ending in abortion. The controls were 20 pregnant women who had normal pregnancy without complications. Intervention: Blood was collected and level of CA-125 antigens (Ags) was estimated in the serum of these women by Enzyme Linked Immuno Sorbent Assay (ELISA) in Immunological laboratories in Central Public Health Laboratories and Teaching Laboratories in Medical city in Baghdad. Ultrasound confirmation of fetal heart activity was done. Main outcome measure: Pregnancy outcome and CA-125 level in the serum. RESULTS: In spite of increased level of CA-125 in aborted patients in first trimester. There was no significant difference between two groups. CONCLUSIONS: CA-125 can not be used as a predictor of outcome of early pregnancy complicated by vaginal bleeding","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131281415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract:The incidence of morbidly adhered placenta (MAP) has increased over the last 20 years due to the rising rate of caesarean sections [1]. This is estimated to be 1 in 533 pregnancies [1]. MAP usually occurs in women who have a placenta previa in the current pregnancy, with previous one or more caesarean sections. Placenta percreta invades the full thickness of the myometrium. We have reported a case of placenta percreta, with no previous caesarean section, which developed at the site of an old perforation scar in the uterine fundus.The incidence of morbidly adhered placenta (MAP) has increased over the last 20 years due to the rising rate of caesarean sections [1]. This is estimated to be 1 in 533 pregnancies [1]. MAP usually occurs in women who have a placenta previa in the current pregnancy, with previous one or more caesarean sections. Placenta percreta invades the full thickness of the myometrium. We have reported a case of placenta percreta, with no previous caesarean section, which developed at the site of an old perforation scar in the uterine fundus.
{"title":"A Case Report of a Placenta Percreta Occurred at the Site ofan Old Perforation Scar at the Uterine Fundus","authors":"A. Sayasneh, I. Pandeva, J. Brady","doi":"10.5580/4e6","DOIUrl":"https://doi.org/10.5580/4e6","url":null,"abstract":"Abstract:The incidence of morbidly adhered placenta (MAP) has increased over the last 20 years due to the rising rate of caesarean sections [1]. This is estimated to be 1 in 533 pregnancies [1]. MAP usually occurs in women who have a placenta previa in the current pregnancy, with previous one or more caesarean sections. Placenta percreta invades the full thickness of the myometrium. We have reported a case of placenta percreta, with no previous caesarean section, which developed at the site of an old perforation scar in the uterine fundus.The incidence of morbidly adhered placenta (MAP) has increased over the last 20 years due to the rising rate of caesarean sections [1]. This is estimated to be 1 in 533 pregnancies [1]. MAP usually occurs in women who have a placenta previa in the current pregnancy, with previous one or more caesarean sections. Placenta percreta invades the full thickness of the myometrium. We have reported a case of placenta percreta, with no previous caesarean section, which developed at the site of an old perforation scar in the uterine fundus.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131393370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The history of the Catholic Churchs position on the ordinary-extraordinary means distinction dates back to the 16 th century Dominican moralists. The tradition holds that an ordinary means of preserving life would be all medicines, treatments, and operations, which offer a reasonable hope of benefit for the patient and which can be obtained and used without excessive expense, pain, or other inconvenience. An extraordinary means would be all medicines, treatments, and operations, which cannot be obtained or used without excessive expense, pain, or other inconvenience, or which, if used, would not offer a reasonable hope of benefit. The distinctive element of the tradition is that it is a patient-centered, quality-of-life approach which is consistent with how the 16 th -century-Dominican moralists viewed this distinction. Therefore, a person is not morally obligated to use any means, and this would include natural or artificial means, that does not offer a reasonable hope of ameliorating the patients condition. The ethical issue is whether this distinction can be applied to the issue offrozen embryos. � As a result of in- vitro fertilization it has been estimated that there are 500,000 spare embryos frozen with an additional 20,000 embryos added yearly. The issue is now what to do with the 500,000 frozen embryos that remain asspares. � Various alternatives have been suggested. The embryos could be thawed and then destroyed, continued to be cryopreserved indefinitely, used for embryonic stem cell research, or offered for donation/adoption. From the Catholic perspective, because these embryos are considered �human personsit appears that the only viable ethical option would be to declare the process of cryopreservation an extraordinary means of life support, stop the process, allow the embryos to thaw and then to die naturally with dignity and respect.
{"title":"Frozen Embryos: Application of the Extraordinary/Ordinary Means Distinction from the Catholic Perspective","authors":"P. Clark","doi":"10.5580/623","DOIUrl":"https://doi.org/10.5580/623","url":null,"abstract":"The history of the Catholic Churchs position on the ordinary-extraordinary means distinction dates back to the 16 th century Dominican moralists. The tradition holds that an ordinary means of preserving life would be all medicines, treatments, and operations, which offer a reasonable hope of benefit for the patient and which can be obtained and used without excessive expense, pain, or other inconvenience. An extraordinary means would be all medicines, treatments, and operations, which cannot be obtained or used without excessive expense, pain, or other inconvenience, or which, if used, would not offer a reasonable hope of benefit. The distinctive element of the tradition is that it is a patient-centered, quality-of-life approach which is consistent with how the 16 th -century-Dominican moralists viewed this distinction. Therefore, a person is not morally obligated to use any means, and this would include natural or artificial means, that does not offer a reasonable hope of ameliorating the patients condition. The ethical issue is whether this distinction can be applied to the issue offrozen embryos. � As a result of in- vitro fertilization it has been estimated that there are 500,000 spare embryos frozen with an additional 20,000 embryos added yearly. The issue is now what to do with the 500,000 frozen embryos that remain asspares. � Various alternatives have been suggested. The embryos could be thawed and then destroyed, continued to be cryopreserved indefinitely, used for embryonic stem cell research, or offered for donation/adoption. From the Catholic perspective, because these embryos are considered �human personsit appears that the only viable ethical option would be to declare the process of cryopreservation an extraordinary means of life support, stop the process, allow the embryos to thaw and then to die naturally with dignity and respect.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126440208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abnormal uterine bleeding is one of the common conditions encountered by gynecologists. The major task of the clinician is to identify organic pathology in order to manage it effectively. The transvaginal ultrasound has been used in diagnosing intra uterine pathologies with 83% sensitivity %and 70.6%specificity. However ,it does sometimes produce ambiguous findings especially when the thick endometrium is mistaken for a physiological state. Use of contrast enhancement with physiological saline -sonohysterography -has shown to improve diagnostic accuracy with a sensitivity of 95% and a specificity of 88%.Sonohysterography not only aids in diagnosis of intra uterine pathology and in determination of appropriate site for endometrial biopsy, but also helps in making decision regarding surgical versus medical management of patients and directs the approach and instrumentation required when surgical treatment is warranted. Sonohysterography is as good as hysteroscopy in detecting intra -cavitry abnormalities with sensitivity and specificity of 81.3%, 100% and 87.5%and 100% respectively. It can be performed in outpatient clinics with minimal inconvenience to the patient ,in short time; with simple and inexpensive instruments .This makes it a suitable option over diagnostic office hysteroscopy. The use of Sonobiopsy catheter for sonohysterography and endometrial biopsy at the same sitting, can thus decrease the number of patients requiring diagnostic hysteroscopy and curettage.
{"title":"Role of Sonohysterography in Evaluation of Abnormal Uterine Bleeding","authors":"P. Renjhen, Sachchithanantham Kanagasabai","doi":"10.5580/14e1","DOIUrl":"https://doi.org/10.5580/14e1","url":null,"abstract":"Abnormal uterine bleeding is one of the common conditions encountered by gynecologists. The major task of the clinician is to identify organic pathology in order to manage it effectively. The transvaginal ultrasound has been used in diagnosing intra uterine pathologies with 83% sensitivity %and 70.6%specificity. However ,it does sometimes produce ambiguous findings especially when the thick endometrium is mistaken for a physiological state. Use of contrast enhancement with physiological saline -sonohysterography -has shown to improve diagnostic accuracy with a sensitivity of 95% and a specificity of 88%.Sonohysterography not only aids in diagnosis of intra uterine pathology and in determination of appropriate site for endometrial biopsy, but also helps in making decision regarding surgical versus medical management of patients and directs the approach and instrumentation required when surgical treatment is warranted. Sonohysterography is as good as hysteroscopy in detecting intra -cavitry abnormalities with sensitivity and specificity of 81.3%, 100% and 87.5%and 100% respectively. It can be performed in outpatient clinics with minimal inconvenience to the patient ,in short time; with simple and inexpensive instruments .This makes it a suitable option over diagnostic office hysteroscopy. The use of Sonobiopsy catheter for sonohysterography and endometrial biopsy at the same sitting, can thus decrease the number of patients requiring diagnostic hysteroscopy and curettage.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125698882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND: Female sterilisation has an important role to play in reducing the high rate of maternal mortality in developing countries.OBJECTIVE: To determine the incidence, sociodemographic characteristics, timing, technique, type of anaesthesia, effectiveness and complications associated with minilaparotomy sterilization at the Federal Medical Centre Makurdi, Nigeria.METHODS: A retrospective analysis of the clinical records of 36 patients who accepted female sterilisation by minilaparotomy out of 1346 acceptors of contraceptive methods at the Federal Medical Centre Makurdi over a five year period between November 2002 and October 2007.RESULTS: The incidence of Minilaparotomy female sterilisation was 2.7%. Interval sterilisation was done for 72.2% of patients. Tubal occlusion was achieved with the modified Pomeroy’s technique in all patients. Heavy sedation was used in 69.4% of cases. Effectiveness was 100% with no mortality. Wound infection and anaesthetic complications each occurred in 5.5% of patients.CONCLUSION: Female sterilisation through Minilaparotomy is relatively low at the Federal Medical Centre Makurdi, Nigeria. Training of healthcare providers and scaling up counseling of patients for surgical contraception will improve acceptability.
{"title":"Minilaparotomy Female Sterilisation At A Nigerian Tertiary Health Centre","authors":"T. Swende, B. Akinbuwa","doi":"10.5580/f4c","DOIUrl":"https://doi.org/10.5580/f4c","url":null,"abstract":"BACKGROUND: Female sterilisation has an important role to play in reducing the high rate of maternal mortality in developing countries.OBJECTIVE: To determine the incidence, sociodemographic characteristics, timing, technique, type of anaesthesia, effectiveness and complications associated with minilaparotomy sterilization at the Federal Medical Centre Makurdi, Nigeria.METHODS: A retrospective analysis of the clinical records of 36 patients who accepted female sterilisation by minilaparotomy out of 1346 acceptors of contraceptive methods at the Federal Medical Centre Makurdi over a five year period between November 2002 and October 2007.RESULTS: The incidence of Minilaparotomy female sterilisation was 2.7%. Interval sterilisation was done for 72.2% of patients. Tubal occlusion was achieved with the modified Pomeroy’s technique in all patients. Heavy sedation was used in 69.4% of cases. Effectiveness was 100% with no mortality. Wound infection and anaesthetic complications each occurred in 5.5% of patients.CONCLUSION: Female sterilisation through Minilaparotomy is relatively low at the Federal Medical Centre Makurdi, Nigeria. Training of healthcare providers and scaling up counseling of patients for surgical contraception will improve acceptability.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"273 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134308256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background Low birth weight (LBW) babies are significantly at risk of death, contributing to the high perinatal morbidity and mortality in low resource countries. ObjectiveTo determine the incidence of LBW babies in our hospital, identify predisposing factors with a view to proffering solution.MethodA one year prospective study of Singleton LBW babies delivered at Enugu State University Teaching Hospital(ESUTH), Parklane, Enugu from 1 November 2007 to 31st October 2008 was carried out. ResultThere were 168 LBW babies and 1630 live births giving an incidence of 10.76%. Of these, 116 (69.05%) were preterm and 52 (30.95%) were term, small for gestational age. The mean birth weight was 3.13kg. Six (3.57%) of the mothers of LBW babies were teenagers. Nulliparity, illiteracy, lack of antenatal care and preterm delivery significantly increased the incidence of LBW (p-value<0.05) while maternal weight and height at booking, and fetal sex did not (p-value>0.05).Identified predisposing factors included hypertensive disease in pregnancy, malaria and anaemia in pregnancy, preterm prelabour rupture of membranes and antepartum haemorrhage.
{"title":"Singleton Low Birth Weight Babies At A Tertiary Hospital In Enugu, South East Nigeria.","authors":"E. Ec, Onah He, Odetunde Io, Azubuike Jc","doi":"10.5580/20d9","DOIUrl":"https://doi.org/10.5580/20d9","url":null,"abstract":"Background Low birth weight (LBW) babies are significantly at risk of death, contributing to the high perinatal morbidity and mortality in low resource countries. ObjectiveTo determine the incidence of LBW babies in our hospital, identify predisposing factors with a view to proffering solution.MethodA one year prospective study of Singleton LBW babies delivered at Enugu State University Teaching Hospital(ESUTH), Parklane, Enugu from 1 November 2007 to 31st October 2008 was carried out. ResultThere were 168 LBW babies and 1630 live births giving an incidence of 10.76%. Of these, 116 (69.05%) were preterm and 52 (30.95%) were term, small for gestational age. The mean birth weight was 3.13kg. Six (3.57%) of the mothers of LBW babies were teenagers. Nulliparity, illiteracy, lack of antenatal care and preterm delivery significantly increased the incidence of LBW (p-value<0.05) while maternal weight and height at booking, and fetal sex did not (p-value>0.05).Identified predisposing factors included hypertensive disease in pregnancy, malaria and anaemia in pregnancy, preterm prelabour rupture of membranes and antepartum haemorrhage.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129526580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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