Rajamani, K (2022) Fetomaternal Outcome of Patients with Fever during Term Pregnancy. Masters thesis, Government Mohan Kumaramangalam Medical College, Salem.
|
Text
220601022rajamani.pdf Download (2MB) | Preview |
Abstract
Fever during pregnancy is a common clinical condition around the world, and when it is worsened by infection, it poses a considerable risk to both the mother and the foetus. Pyrexia during pregnancy might be difficult to manage because of its unusual symptoms. Because of the loss in maternal immune function, the strongest antibiotics must be administered with caution in pregnant women, due to the teratogenic risk. • In our study, 20% were belongs to the age group of 16-20 years, 24% were belongs to the age group of 21-25 years, 36% were belongs to the age group of 26-30 years and 20% were belongs to the age group of 31-35 years. Majority of the cases represented from the 26-30 years age group. Kaushik Banerjee [et al.] also found the same most of the patients are in the age group of 20-30 years. • In our study, most of them had due to respiratory infections 24 (48%), followed by Urinary tract infection 18 (36%), Typhoid 3 (6%) and Others 5 (10%). In the current study, fever pregnant women 44% were primi mothers and 56% were Multi gravida. Regarding control, 60% were Primi mothers and 40% were Multi gravida. This observation correlates with the study conducted by Chambers CD [et al.] the fever group consisted 38% of primigravida. • In our study of 50 fever cases, 24% cases were Previous LSCS cases, 44% cases went into spontaneous labour, only 32% cases required induction. Out of 32% cases induced, 50% cases were delivered vaginally and 50% Cases underwent caeserean sections. So, Fever did not significantly affect onset of labour and the mode of delivery. • In our study, 92% were in Term and 4 (8%) was Post-dated. Among the pregnant women with fever IUGR was slightly higher (16%) than the non-fever pregnant women. Though it’s statistically insignificant (0.0627). • In the present study 16% had IUGR and in control only 6% had IUGR. Among the pregnant women with fever IUGR was slightly higher than the non-fever pregnant women. Though it’s statistically insignificant (0.0627). According to Lieberman [et al.], there is a substantial link between intrapartum fever and a low Apgar score. In our study the mean APGAR score for One minute was 6.75 +0.54 and for control 6.98+ 0.46 it was found to be statistically significant (P value 0.0240). Nath J [et al.] found low APGAR score (<7) in 18.6% cases. However, Biswas J and associates found a higher proportion of cases, i.e. 44.8% with similar low APGAR scores. • In our study 15% had Low birth weight among the pregnant women with fever. Low birth weight was the most common foetal result (56.8%), followed by pre-term birth, according to Biswas J et al. IUDs are used in 36 percent of cases, IUGR in 30% of cases, and stillbirth in 2.1 percent of cases (1.4 percent). Nath J [et al.] found almost identical results, with 52.6 percent low birth weight cases, 27.8 percent preterm deliveries, 20.3 percent IUGR, 5% stillbirths, and 2.8 percent IUDs. Preterm labour was found to be 33 percent in a study conducted by Zeeman [et al.], and 28 percent in a study conducted by Chambers CD [et al.]. Cotch and colleagues discovered that women with chorioamnionitis had a higher rate of premature labour in their neonates (30 percent). • In this study, 50% clear Liquor and other half had Meconium stained liquor. The association was found to be statistically significant (p value 0.0412). Pregnant women with fever, 32% had Gestational Hypertension, 16% had Anaemia and only 8% had Pedal oedema. The association was found to be statistically significant (p value < 0.0001). Only 8% had maternal complications such as Postpartum haemorrhage. In this study, 8% of the newborn had respiratory distress and 88% required NICU admission. CONCLUSION: • Majority of the cases represented from the 26-30 years age group.The mean duration of the fever in days was 2.22 + 1.01. The mean temperature of the fever in Fahrenheit was 100.68+ 0.74. • Most common cause of fever in pregnancy was respiratory tract infections. Urinary tract infection was the second common cause. Pregnant women with fever 24% had Hypotension and 56% had Tachycardia. • Pregnant women with fever had almost half the delivery with meconium stained significantly. Among 50 delivered fever mothers, 24% cases were Previous LSCS cases, 44% cases went into spontaneous labour, only 32% cases induced. Out of 32% cases induced, 50% cases were delivered vaginally and 50% Cases underwent caeserean sections. So, Fever did not significantly affect labour onset and the mode of delivery. • Significantly NICU admission was required among the fever cohorts. • This study was conducted in a full year to cover all seasons, since many febrile illness are seasonal, coverage of full year remove this bias and it reflects the true incidence of various causes of fever. • The current COVID-19 pandemic demonstrates performing a rapid diagnosis in pregnant women presenting with fever allow for appropriate care including Hospitalization, Out patient management and prescribing antibiotics. • Fever during pregnancy is a common occurrence that can lead to a wide range of issues for both the mother and the foetus and newborn. Because the most prevalent causes of fever are preventable, there has to be a greater emphasis on the importance of being aware of how to avoid such illnesses in order to avoid life-threatening foeto-maternal consequences. • Early diagnosis and therapy can be aided by simple laboratory testing. Standard infection control procedures in homes, communities, and healthcare settings, as well as increased health education and awareness, will go a long way toward reducing such negative foeto-maternal effects.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221916707 |
| Uncontrolled Keywords: | Fetomaternal Outcome, Patients, Fever, Term Pregnancy. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology > MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Subramani R |
| Date Deposited: | 17 May 2021 16:54 |
| Last Modified: | 10 Dec 2023 06:30 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/16959 |
Actions (login required)
 |
View Item |
