Maternal and fetal outcome in pregnancy specific liver disorders
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 4
Abstract
Background and aim – Normally some hepatic changes occurs in pregnancy, but they needed to be differentiated from pathologies which carry significant risk to the mother and fetus. Liver dysfunction during pregnancy is multifactorial in origin and diagnosis is often challenging. So, we did this study to know the effect of pregnancy specific liver disorder on the maternal and fetal outcome. Methods - This was a hospital-based prospective observational study done over a period of 12 months from January 2017 to December 2017. All pregnant women booked or unbooked, who presented with pregnancy related liver dysfunction to our antenatal clinic or admitted in the obstetrics ward based on clinical and laboratory parameters were included for the study. Results - Incidence of pregnancy specific liver disorder was 0.89%. Preeclampsia (74) was the common cause of liver dysfunction in pregnancy followed by ICP (46) and HELLP syndrome (22). There were 2 spontaneous abortions. 25.5% patients delivered vaginally and 74.5% underwent the cesarean section. The most common maternal complication was DIC (9.39%). There were 5 maternal deaths. Among the 152 births (3 twin pregnancies), 131 were live births, 89 had low birth weight. There were 8 intrauterine deaths, 13 stillbirths, and 11 neonatal deaths. Perinatal mortality was 21.05%. Conclusion - Pregnancy with liver disorder results in very high fetal as well as maternal morbidity and mortality.
Authors and Affiliations
Dr. Suryawanshi Shatabdi
Keywords
Related Articles
- EP ID EP503165
- DOI -
- Views 98
- Downloads 0
Foot Ulcers and Risk Factors Among Diabetic Patients.
Introduction: Diabetes Mellitus (DM) is one of the most widespread non communicable diseases across the world. Two types of complications are encountered usually with DM: microvascular and macrovascular. Material and Me...
Bilateral Tubal Ectopic Pregnancy: A Case Report
Bilateral simultaneous Tubal Ectopic Pregnancy (BTP) is the rarest form of ectopic pregnancy. The incidence is higher in women undergoing assisted reproductive techniques or ovulation induction. A 30 year old woman G3P1L...
Cultural Factors and Decision Making Process on the Choice and Uptake of Contraceptive Among Women in Sokoto state, Nigeria
Culture as a way of life has impact on verities of women`s lives and determines the decision making process and health seeking behavior. This study describes the cultural factors affecting the uptake of contraceptives a...
Hematological and Biochemical Results of Patients with Campylobacter Infection At King Fahd Hospital, Riyadh, Saudi Arabia.
Objectives: The hematological and biochemical changes due to multi-organ involvement in enteritis are common. The aim of this study was to determine the frequency and severity of the above changes in p...
Distance and temporal characteristics of jump gait in children with spastic diplegia.
Background and Objective: Cerebral palsy is the leading cause of loco motor disability in children around the world 1. Four frequently described gait patterns in cerebral palsy are jump gait , crouch gait ,equinus gait a...