Volume : 7, Issue : 5, May - 2018

Comparative study of Maternal complications and precursor of deliveries in early term and full term deliveries

Dr. Soniya Saini, Dr. Shyam Lal, Dr. Suman Mittal

Abstract :

<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:&#10;normal;mso-layout-grid-align:none;text-autospace:none"><b><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;color:#08083A">Objectives&mdash; </span></b><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;&#10;mso-fareast-font-family:TimesNewRomanPSMT;color:black">To determine maternal morbidity ratesby precursor leading to delivery in early term and full term deliveries.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:&#10;normal;mso-layout-grid-align:none;text-autospace:none"><b><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;color:#08083A">Study Design&mdash; </span></b><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;&#10;mso-fareast-font-family:TimesNewRomanPSMT;color:black">This was Prospective Study Department of Obstetrics &amp; Gynaecology Zenana Hospital, SMS Medical College, Jaipur from<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:&#10;normal;mso-layout-grid-align:none;text-autospace:none"><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;mso-fareast-font-family:&#10;TimesNewRomanPSMT;color:black">March 2015 to Feuary 2016.. Precursors for delivery were categorized as spontaneous labor, premature rupture of memanes (PROM),<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:&#10;normal;mso-layout-grid-align:none;text-autospace:none"><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;mso-fareast-font-family:&#10;TimesNewRomanPSMT;color:black">indicated, and no recorded indication. Rates of maternal outcome by precursor <span style="mso-spacerun:yes">&nbsp;</span>in term deliveries were compared . Sample size was calculated to 296 subjects in each of the two groups at alpha error 0.05 &amp; study power 80% ,hence for study purpose 300 subjects were taken .<o:p></o:p></span></p> <p class="MsoNormal"><b><span lang="EN-IN" style="font-size:12.0pt;line-height:&#10;115%;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;color:#08083A">Results&mdash;</span></b><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;&#10;color:#08083A;mso-ansi-language:EN-US">Overall 48% of early term births were indicated, followed by 43.33%% spontaneous in onset, 6.33% with PROM, and 2.34% with no recorded indication<b>.</b></span><span lang="EN-IN" style="font-family:&#10;&quot;Arial&quot;,&quot;sans-serif&quot;;mso-fareast-font-family:KeplerStd-Regular">maternal<span style="mso-spacerun:yes">&nbsp; </span>morbidities were more in indicated and early term birth group. Duration of maternal hospital stay was (&gt;8 days ) 25.67% in early term group and 16% in indicated group. PPH were seen more in early term group(3%) and (2.33%) more in indicated deliveries. Genital tract injuries were seen more in early term group(2.1%) and in indicated group(1%). septicaemia was seen more in early term group(1.67%) and in PROM group(1%).</span><b><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;&#10;color:#08083A;mso-ansi-language:EN-US"><o:p></o:p></span></b></p> <p class="MsoNormal"><b><span lang="EN-IN" style="font-size:12.0pt;line-height:&#10;115%;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;color:#08083A">Conclusion&mdash; </span></b><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;&#10;color:#08083A;mso-ansi-language:EN-US">This study demonstrates that precursors of deliveries and gestational age remains a predictor of maternal morbidities.Further studies are needed in this regard in order to establisha perfect correlation between precursor of delivery and maternal morbidities.<o:p></o:p></span></p>