A Study on Effect of Serum bilirubin Levels onMaternal Fetal Outcome in Jaundice Complicating Pregnancy
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 11
Abstract
Context:Jaundice during pregnancy had serious effects on mother, fetus. Pre-eclampsia, viral hepatitis associated anaemia contributes major causes,common in IIIrd trimester.Disseminated intravascular coagulation(DIC), postpartumhaemorrhage(PPH) with multi organ failure are the causes of mortality. Immediate delivery for better outcomes leads prematurity compromises perinatal outcome. Aim:To study the effect of serum bilirubin levels on mother,fetus in jaundice complicating pregnancy Materials and methods:Jaundiced pregnant women46,Prospectivestudy, Government maternity hospital, Tirupati Statistical analysis: M.S. Excel,Epi-info Results:Incidence of jaundice 0.16% and 1.61 per 1000 pregnant women.Commoninwomen of primi gravida,III trimester, rural illiterate,lowsocioeconomic.Commonest factors preeclampsia, HELLP Syndrome ,Hepatitis B infection, associated anaemia .Maternal complications 39.2% - PPH, DIC, abruption, hepatorenal failure. Maternal mortality was0.021%among jaundiced women13.04%. Prematurity 45.65%,perinatal mortality was26.08% Conclusion:Lowsocioeconomicstatus, low hygiene, lack of health awareness was influencing factors. Serum bilirubin levels raises 6 mg% presence of complications, fetomaternal morbidity, and mortality was significantly increased with10 -14 mg%.The higher serum bilirubin levels had significant effect on maternal outcome as morbidityp value is 0.0166, mortality with p value 0.035,fetal outcome p value 0.0021. Recommendations:Serum bilirubin level ensures significant effect on fetomaternal outcome. Early diagnosis, timely treatment reduces maternal,fetal morbidity and mortality
Authors and Affiliations
Dr. S. Geetha Lakshmi, Dr. V. Bhavani, Dr. C. Bindu Reddy
Keywords
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- EP ID EP416504
- DOI 10.9790/0853-1711091925.
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