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The Effect of Valvular Heart Diseases on Maternal and Fetal Outcome of Pregnancy

Authors: Nada Salih Ameen --- Nawfal Fawzi Anwer
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 3 Pages: 238-241
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Profound hemodynamic alterations occur during pregnancy, labour and in the postpartum period. These changes can adversely affect both maternal and fetal outcome, if a women encounter a valvular heart disease during her pregnancy.OBJECTIVE:We try to evaluate the effect of valvular heart disease on maternal and fetal outcome of pregnancy.METHODS:This is a cross section descriptive study, carried out in Baghdad teaching hospital, throughout the period from September 2007 to October 2008. Seventy eight pregnant women with valvular heart diseases, in labour, were enrolled in this study. Their medical and obstetrical records were reviewed on admission. We looked for maternal outcome after delivery (method of delivery, heart failure, arrhythmia, need for medication and period of hospitalization), additional to fetal outcome (prematurity, viability and birth weight).RESULTS:Mitral valve disease is predominate valvular heart disease in pregnancy, most of them of mild severity. All maternal and fetal outcome parameters adversely increase among pregnant women with valvular heart diseases.CONCLUSION:Valvular heart diseases carried a higher risk for both mother and fetus. The risk related directly to severity of valvular heart diseases.


Article
Maternal and fetal outcome in gestational diabetic women
النتائج الأمومية والجنينية في السيدات المصابات بسكري الحمل

Authors: Chro Najmaddin Fattah --- Roshna Anwar Aziz
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2018 Volume: 22 Issue: 3 Pages: 401-410
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Gestational diabetes mellitus affects 7% of all pregnancies. It is defined as glucose intolerance that begins or is first diagnosed during pregnancy. It is crucial to detect women with gestational diabetes mellitus because the condition can be associated with several maternal and fetal complications. This study aimed to determine the maternal and fetal outcome of gestational diabetes mellitus in maternity teaching hospital in Sulaimani city, Kurdistan, Iraq.Methods: This prospective observational study had involved 100 pregnant women with gestational diabetes mellitus. Data were collected from 1st January 2014 to 1st July 2014.Results: Most women were in the age group 30-39 years (57%) and were multigravida (75%). Regarding women’s BMI, 69% of women had a BMI of >30 kg/m2. Most of the women delivered by cesarean section (68%). Also, 63% delivered term baby ≥ 37weeks. Of the women who used insulin, 30.6% delivered babies >4 kg. Complications occurred in 10%, 12.9%, and 11.1% of women who treated by diet, insulin, and the group used metformin then insulin, respectively.Conclusion: The results conclude that pregnant women with gestational diabetes mellitus have increased the risk of hypertension in pregnancy, preterm delivery, and cesarean section. Increasing age, family history of diabetes, increasing parity, and increase in BMI are a risk factor for developing gestational diabetes mellitus. Also, most of the maternal complications occurred in those women who were on metformin. The occurrence of macrosomia was low in the treated cases of gestational diabetes mellitus.


Article
The outcome of latent phase vs. Active phase admission to labour room of low risk nulliparous women in labour

Author: Anwar .N. Albassam
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2010 Volume: 52 Issue: 2 Pages: 149-153
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: the first stage ,labour is divided into early (latent phase )when uterine contractions are irregular and cervical effacement and dilatation are gradual, while the active phase of labour commences when cervical dilatation reaches (4) cm .and uterine contractions are more powerful . Our aim from this study is to see the effect of the timing of admission to labour room on mode of delivery and foetal outcome.
Patients and method: 240 nulliparous women at term pregnancy were diagnosed as labour pain and admitted to Baghdad Teaching Hospital from the first of January to the end of December 2006, they were followed during their course of labour to see the effect of admission to the labour room in latent phase in comparison to those in active phase of labour on the mode of delivery and fetal outcome.
Results: Rate of C/Section was significantly higher in those admitted in the latent phase (group 1) than those in active phase [group2] (65% vs16.6%) Major cause of C/Section in group (1) was dystocia (65.3%) while in the group (2) was fetal distress (55%) Rate of C/Section among women whose labour was augmented in group (1) greater than group (2) (74% vs20%) Conclusion: Later admission to labour room increased the rate of spontaneous vaginal delivery in low risk nulliparous women

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