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Category: Volume 07 Issue 11 November 2019
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Title: Prevalence of Medical Disorders in Pregnancy and Pregnancy Outcome at a Tertiary Level Hospital: A Retrospective Analysis

Authors: Rajasingh Revathi, Davidbaskaran Sherin Raja Janaki

 DOI: https://dx.doi.org/10.18535/jmscr/v7i11.158

Abstract

Background: When Pregnancy is associated with an underlying medical disorder, it has a large impact on the well-being of a mother. So to determine the prevalence and pattern of various medical disorders in pregnancy is very important.

Aim: This study seeks to retrospectively determine the incidence of medical disorders in pregnancy, and also determine their impact on fetal and maternal outcome.

Materials and Methods: This was a retrospective study of all medical cases in pregnancy managed in TAGORE MEDICAL COLLEGE AND HOSPITAL from 1st of January 2017 to 31st October 2019. Data were analyzed and results were presented in simple tables. Test statistics was set at 95% confidence interval.

Results: A total of 198 medical cases in pregnancy of 2418 admissions were managed during the study period (8.2%). Mean (SD) age of the women was 30 years and age ranged 18-42 years for about 198 cases that had the age documented. Most common medical disorder was pregnancy induced hypertension and its complication seen in 38.85% of the females, followed urinary tract infection  seen in 19.19% patients. Caesarean section rate in women with medical condition in pregnancy was higher than in the control group (69.6% vs. 34.2%). Maximum perinatal morbidity was seen in females suffering with hypertensive disorders (53.4%), with 12 (54.5%) IUGR and 2(40%) intra uterine demise respectively.

Conclusion: There is relatively little change in the incidences of medical complication over the period of time. Preventive strategies may have reduced the prevalence over the years. However, more effort is needed to markedly reduce the medical complications in pregnancy.

Keywords: Medical disorders, Pregnancy, Prevalence, Hypertension, Fetal outcome, Maternal outcome

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Corresponding Author

Dr Sherin Raja Janaki Davidbaskaran

Assistant Professor, Department of General Medicine, Tagore Medical College And Hospital. Rathinamangalam, Chennai-600127, India