Study of cases of pregnancy with jaundice in a tertiary care teaching hospital in Western India
Objective: This study was undertaken to evaluate incidence, etiological factors and fetomaternal outcome in pregnancy with jaundice in a tertiary care teaching hospital. Methods: Antenatal patients with jaundice admitted to Civil hospital, Ahmedabad between January 2018 to January 2020 were included...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Barpeta Obstetrics and Gynaecological Society
2023-02-01
|
| Series: | New Indian Journal of OBGYN |
| Subjects: | |
| Online Access: | https://journal.barpetaogs.co.in/pdf/09319.pdf |
| _version_ | 1797902071030087680 |
|---|---|
| author | Shital N Kapadia Monica Dixit Kartikeya G Parmar Neelam Joharwal |
| author_facet | Shital N Kapadia Monica Dixit Kartikeya G Parmar Neelam Joharwal |
| author_sort | Shital N Kapadia |
| collection | DOAJ |
| description | Objective: This study was undertaken to evaluate incidence, etiological factors and fetomaternal outcome in pregnancy with jaundice in a tertiary care teaching hospital. Methods: Antenatal patients with jaundice admitted to Civil hospital, Ahmedabad between January 2018 to January 2020 were included in the study. Results: Incidence of jaundice in pregnancy was found to be 0.65% in present study. Most common cause of jaundice was viral hepatitis. Most commonly involved patients belonged to age group 25 - 29 years, primigravida belonging to lower socioeconomic class presenting with yellowish discolouration of sclera and/or urine as most common presenting symptom with altered liver enzyme levels. DIC, PPH were amongst the most common factors causing morbidity. Neonatal hyperbilirubinemia, perinatal mortality, meconium stained liquor, fetal distress were main causes involved in perinatal outcome and morbidity. The maternal mortality rate was 21% and perinatal mortality rate was 23 %. Conclusion: Jaundice in pregnancy has adverse fetomaternal outcome. Improvement in health awareness, education & routine and regular antenatal check-up, early referrals can result in early diagnosis and treatment of jaundice in pregnancy thus reducing the fetal and maternal morbidity and mortality. |
| first_indexed | 2024-04-10T09:12:00Z |
| format | Article |
| id | doaj.art-42a3e67784474530aded3e1722703ec9 |
| institution | Directory Open Access Journal |
| issn | 2454-2334 2454-2342 |
| language | English |
| last_indexed | 2024-04-10T09:12:00Z |
| publishDate | 2023-02-01 |
| publisher | Barpeta Obstetrics and Gynaecological Society |
| record_format | Article |
| series | New Indian Journal of OBGYN |
| spelling | doaj.art-42a3e67784474530aded3e1722703ec92023-02-21T04:31:03ZengBarpeta Obstetrics and Gynaecological SocietyNew Indian Journal of OBGYN2454-23342454-23422023-02-019231932210.21276/obgyn.2023.9.2.25Study of cases of pregnancy with jaundice in a tertiary care teaching hospital in Western IndiaShital N Kapadia 0Monica Dixit 1Kartikeya G Parmar 2Neelam Joharwal 3Assistant Professor, Department of Obstetrics and Gynaecology, BJ Medical College, Civil Hospital , Ahmedabad , Gujarat, IndiaPG Resident. Department of Obstetrics and Gynaecology, BJ Medical College, Civil Hospital , Ahmedabad , Gujarat, IndiaAssosiate Professor, Department of Medicine, BJ Medical College, Civil Hospital , Ahmedabad, Gujarat, IndiaPG Resident. Department of Obstetrics and Gynaecology, BJ Medical College, Civil Hospital , Ahmedabad , Gujarat, IndiaObjective: This study was undertaken to evaluate incidence, etiological factors and fetomaternal outcome in pregnancy with jaundice in a tertiary care teaching hospital. Methods: Antenatal patients with jaundice admitted to Civil hospital, Ahmedabad between January 2018 to January 2020 were included in the study. Results: Incidence of jaundice in pregnancy was found to be 0.65% in present study. Most common cause of jaundice was viral hepatitis. Most commonly involved patients belonged to age group 25 - 29 years, primigravida belonging to lower socioeconomic class presenting with yellowish discolouration of sclera and/or urine as most common presenting symptom with altered liver enzyme levels. DIC, PPH were amongst the most common factors causing morbidity. Neonatal hyperbilirubinemia, perinatal mortality, meconium stained liquor, fetal distress were main causes involved in perinatal outcome and morbidity. The maternal mortality rate was 21% and perinatal mortality rate was 23 %. Conclusion: Jaundice in pregnancy has adverse fetomaternal outcome. Improvement in health awareness, education & routine and regular antenatal check-up, early referrals can result in early diagnosis and treatment of jaundice in pregnancy thus reducing the fetal and maternal morbidity and mortality.https://journal.barpetaogs.co.in/pdf/09319.pdfjaundicefetomaternal outcomepregnancy |
| spellingShingle | Shital N Kapadia Monica Dixit Kartikeya G Parmar Neelam Joharwal Study of cases of pregnancy with jaundice in a tertiary care teaching hospital in Western India New Indian Journal of OBGYN jaundice fetomaternal outcome pregnancy |
| title | Study of cases of pregnancy with jaundice in a tertiary care teaching hospital in Western India |
| title_full | Study of cases of pregnancy with jaundice in a tertiary care teaching hospital in Western India |
| title_fullStr | Study of cases of pregnancy with jaundice in a tertiary care teaching hospital in Western India |
| title_full_unstemmed | Study of cases of pregnancy with jaundice in a tertiary care teaching hospital in Western India |
| title_short | Study of cases of pregnancy with jaundice in a tertiary care teaching hospital in Western India |
| title_sort | study of cases of pregnancy with jaundice in a tertiary care teaching hospital in western india |
| topic | jaundice fetomaternal outcome pregnancy |
| url | https://journal.barpetaogs.co.in/pdf/09319.pdf |
| work_keys_str_mv | AT shitalnkapadia studyofcasesofpregnancywithjaundiceinatertiarycareteachinghospitalinwesternindia AT monicadixit studyofcasesofpregnancywithjaundiceinatertiarycareteachinghospitalinwesternindia AT kartikeyagparmar studyofcasesofpregnancywithjaundiceinatertiarycareteachinghospitalinwesternindia AT neelamjoharwal studyofcasesofpregnancywithjaundiceinatertiarycareteachinghospitalinwesternindia |