Status of Obstetric Morbidities in Maharashtra
Journal Title: The Indian Practitioner - Year 2015, Vol 68, Issue 7
Abstract
Introduction: Obstetric (maternal) morbidity is any health condition attributed to and/or aggravated by pregnancy and childbirth that has a negative impact on the woman’s wellbeing. Its prevalence status and trend in Maharashtra is reviewed to inform the medical fraternity. Method: Literature search with keywords was carried out through computerized databases – Pubmed, Cochrane library and Google for the studies conducted in the last two decades. State and central health ministry websites were searched for relevant service records (HMIS). The findings of studies and databases were compiled, tabulated and interpreted to describe the status of obstetric morbidities in Maharashtra. Results: Studies for review were found to be very limited. The major acute obstetric morbidities were Hypertensive disorders of pregnancy (2% to 7.8%); Eclampsia (0.25% to 0.60%); Post-partum haemorrhage (3.2%); Antepartum haemorrhage (4.1%); and Obstructed labour (1.9%). Major chronic obstetric morbidities were Genital Prolapse (0.9% to 7.1%); Chronic PID (2.5%); Secondary infertility (1.7%); and Genital fistula (0.08% to 1.6%). A high level of anaemia (69.5%) with severe anemia (12%) is prevalent among women. Over the last five years, there has been good improvement in maternal health indicators in Maharashtra indicating a possible eduction in the level of obstetric morbidities. Conclusion: The availability of very few studies for review limits the conclusive evidence on the current magnitude of obstetric morbidities in Maharashtra; however, it does indicate the existence of major obstetric morbidities. Fresh studies are needed to capture the current status within the improving background of maternal health indicators.
Authors and Affiliations
S Chauhan, R Kulkarni
A Retrospective Study about Relapse among MDT Treated Leprosy Patient
Background: New skin or nerve lesions may develop despite the fixed duration of multi drug therapy (MDT), in multibacillary (MB) and paucibacillary (PB) leprosy. The lesions could be due to reaction, relapse or reinfecti...
Twin Pregnancy Consisting of a Complete Hydatidiform Mole and Coexistent Foetus: Report of Two Cases
Hydatidiform moles are relatively uncommon. The complete mole with a coexistent foetus (CMCF) is a rare event, occurring in about 1 in 22000 to 100000 pregnancies.1 Morphologically, these twin pregnancies consist of two...
Evans Syndrome – The diagnosis of exclusion
Evans Syndrome (ES) is a rare disease characterized by the simultaneous or sequential development of autoimmune hemolytic anemia (AIHA) and immune thrombocytopenia (ITP) and/or immune neutropenia. We present a case of wo...
Management of acute upper Gastrointestinal bleed
Even in case of previous history of bleed or minor bleed, upper GI score is needed to ascertain cause of bleed. As initial small bleed may be followed by a massive bleed later on or cause malignancy can be missed if scop...
Abdominal Colic in Gynaecological Practice: A cross sectional survey of practices and preferences in the diagnosis and management of abdominal colic in Indian women and usage of Anafortan Tablets in gynaecological practice
Objective: To understand the preferences and practices in the diagnosis and management of abdominal colic in Indian women from a gynaecologist perspective and the usage of Anafortan Tablets in gynaecological practice. D...