Volume : VII, Issue : VII, July - 2017

AN OBSERVATIONAL STUDY ON EARLY PREGNANCY COMPLICATIONS, MANAGEMENT PROTOCOLS AND ITS OUTCOME IN A TERTIARY CARE TEACHING HOSPITAL OVER A PERIOD OF ONE YEAR 1

Shanthavibala Athistam, Surya Prabha K

Abstract :

 OBJECTIVE:

To analyse the management  protocols  on  diagnosis ,investigations  and  treatment  options  which  provides  guidance  ,information  and  evidence in optimizing  patient outcome  for  speciality  trainees and interns  .

METHODOLOGY: This study was conducted at the Department of Obstetrics and Gynaecology govt  theni  medical  college THENI.From  jan  2016  to  dec  2016..

All the women with first trimester pregnancy with different complications were included in this study while those women with uneventful first trimester were excluded. The inducted women were registered on pre–designed proforma. Studied variables including demographic details, gestational period, type of complications, risk factors, treatment and outcome.

 RESULTS: Out of a 720 total admissions439 abortions of which incomplete abortion  was262,missed  abortions were132,,threatened  abortion  42and 3 cases of  septic  abortion,ectopic pregnancy  154,molar  pregnancy33,hyperemesis 31.there were  about  63  cases of  non – pregnancy  related  complication  reported  during  early pregnancy like31  with  UTI,9 with  renal colic,2 cases  of appendicitis.,asymptomatic  cholelithiasis 4,2  cases of hepatitis,ovarian  cyst complicating  pregnancy5,ovarian  torsion 2. Their mean age was 29.4+6.8 years. Commonest complications found was  abortion in 439 (76.52%) cases.

 CONCLUSION:

Study was successful in creating a confidence among  trainees  when  following  the  recommended  protocols as well as  delievering clinical  benefits to the hospital, patients and staff. Early gynaecological consultation and bedside ultrasound scanning within the emergency  department   were key requirements  for  any  emergency  concerns. Such  benefits benefits could be reproduced in other institutions and for other clinical scenarios where a need has been identified.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

SHANTHAVIBALA ATHISTAM, SURYA PRABHA K, AN OBSERVATIONAL STUDY ON EARLY PREGNANCY COMPLICATIONS, MANAGEMENT PROTOCOLS AND ITS OUTCOME IN A TERTIARY CARE TEACHING HOSPITAL OVER A PERIOD OF ONE YEAR 1, INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾7 | July‾2017


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