在生存状态后转到柯达古三级医疗机构的宫内死亡患者危险因素的回顾性研究

YMER Digital Pub Date : 2022-08-09 DOI:10.37896/ymer21.08/32
Somashekar H. K
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引用次数: 0

摘要

宫内节育器是衡量特定人群孕产妇和围产期健康状况的重要指标。产内窒息和Rh免疫导致的胎儿死亡几乎消失。毒血症和GDM是导致胎儿死亡的重要原因。原因不明的死产显著减少。早期胎儿死亡最常见的原因是脐带脱垂、胎盘早剥、脑积水和子宫破裂。如果能够找到IUFD的原因,就可以制定有效的预防IUFD的策略,并预防并发症。方法:在三级医院进行回顾性研究。结果:38例患者中35例年龄在20 ~ 30岁之间。与减少胎儿时刻的历史,背景的先兆子痫和贫血有助于显著胎儿死亡。结论:寻找有胎矩减少病史的医生,积极治疗妊高征和贫血,可减轻本部落地区宫内节育器负担。文盲是培训和教育妇女寻求良好的产前保健和咨询的一大负担。关键词:先兆子痫性高血压(PIH)、宫内致死性死亡(IUFD)、抗产大出血(APH)、浸渍死产(MSB)、早产(PTL)、胎粪染色液(MSL)、妊娠期糖尿病(GDM)、早破膜(PROM)、下段剖宫产(LSCS)、早产死亡(PTD)、先天性畸形(CMF)。
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RETROSPECTIVE STUDY OF RISK FACTORS IN PATIENTS WITH INTRAUTERINE DEATHS AFTER THE STATE OF VIABILITY REFERRED TO THE TERTIARY HEALTH FACILITY IN KODAGU
IUFD is an important indicator of maternal and perinatal Health in a given population. Fetal death from Intra partum asphyxia and Rh is immunization has almost disappeared. Toxaemia and GDM contribute significantly to fetal deaths. There is a significant decline in still birth from unexplained causes. Most frequent reported causes of fetal death earlier were prolapsed of cord, abruptioplacenta, Hydrocephalus and rupture uterus. If the causes of IUFD can be found, an effective strategy for prevention of IUFD can be materialised and complications can be prevented. Methods: Retrospective study in Tertiary Care Hospital. Results: 35 out of 38 of the patients are belong to the age group of 20-30 years. With history of reduced fetal moments, background of pre ecclampsia and anaemia contribute significantly to fetal deaths. Conclusions: to seek treating physicians with history of reduced fetal moments and aggressive treatment of PIH and anaemia can reduce the burden of IUD in this tribal belt. Illiteracy is a big burden to train and educate women to seek good antenatal care and advice. Keywords: Pre Ecclampsia Hypertention(PIH), Intra Uterine Fatal Death(IUFD), Anti Partum Haemorrhage(APH), Macerated Still Birth(MSB), Preterm Labour(PTL), Meconium Stained Liquor (MSL), Gestational Diabetes Mellitus(GDM), Pre matured rupture of Membranes(PROM), Lower Segment caesarean section(LSCS), Pre term death (PTD), Congenital Malformations(CMF).
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