Study of 24 weeks antenatal visit as predictor of perinatal outcome
Introduction:Once the pregnancy progresses to 24weeks, almost all the congenital anomalies and teratogenicity are ruled out. The progress there after is influenced by the maternal and obstetric factors. There is a need to establish the significance of all these variables with perinatal outcome and for thorough analysis. This study was focused on all low risk patients at 24 weeks of gestations to determine maternal factors affecting the perinatal outcome.
Methods: The present study was a prospective observational study of 50 cases conducted in the Outpatient department of Obstetrics &Gynecology of Padmashri Dr. D. Y Patil, Hospital and research institute, Kadamwadi, Kolhapur. The patients were advised all the regular investigations and thedata collected was analyzed to determine maternal or fetal factors affecting the perinatal outcome.
Results: 82% had normal Blood pressure and 18% patients had signs of pre-eclampsia. Factors leading to high risk pregnancy were 8% with oligohydramnios with preeclampsia with IUGR, 6% preeclampsia with IUGR, 4% each anemia; Doppler changes with preeclampsia with IUGR, oligohydramniosrespectively.
Conclusion:In this study, late onset preeclampsia and anemia are the factors that are not detected at 24 weeks. It is also observed preeclampsia and anemia leads to IUGR. All the complications occurred after 36 weeks of gestational age, that means patient needs definite and regular follow up after 36 weeks.
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