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Title: Medical disorders in pregnancy a tertiary care hospital experience.
Authors: Samina Naseem Khattak, Amera Tariq, Muhammad Irfan Khattak, Tariq Mahmood Malik, Rana Shahid, Shumaila Hadi
Journal: The Professional Medical Journal (TPMJ)
Publisher: Independent Medical College, Faisalabad- Pakistan
Country: Pakistan
Year: 2022
Volume: 29
Issue: 8
Language: English
DOI: 10.29309/TPMJ/2022.29.08.6837
Keywords: PregnancyHypertensionAnaemiaMedical DisorderLiver disorders
Objective: To determine the exact magnitude of the problem in our setup which will help to develop consensus guidelines with the contribution from various specialists especially obstetric medical specialist. Study Design: Prospective Observational study. Setting: It was conducted on 2448 patients who were ill due to various medical conditions during pregnancy and admitted to PNS Shifa and CMH Kharian. Period: 1st Jun 2019 till 31st May 2021. Material & Methods: Data was collected from the patients in the wards and delivery room and analysed using SPSSV28. Descriptive statistics were applied and means, and frequencies were calculated for different variables. Results: The total number of antenatal admissions was 8775, in which 2488 (28%) were patients. The mean age of our study population was 28 S.D (+ 4.78) years while the mean parity was 4 (S.D + 1.407). Hypertensive disorders were the most common medical disorder followed by haematological and liver disorders. Endocrine disorders were found in 372 (15%) of the study population. A total of 864 (38%) patients in the total study population had haematological abnormalities. Among these, anaemia was the most common haematological abnormality. Regarding respiratory disorders COVID-19 336(14%) was the most common respiratory medical disorder during pregnancy. Conclusions: All medical conditions in pregnancy are common and require a multidisciplinary approach which should be managed by a team involving Obstetric medical specialist.
To determine the exact magnitude of medical disorders in pregnancy in a tertiary care hospital setting to aid in the development of consensus guidelines.
Prospective observational study conducted at PNS Shifa and CMH Kharian from June 1, 2019, to May 31, 2021. Data was collected from 2448 pregnant patients admitted with various medical conditions and analyzed using SPSS v28 with descriptive statistics.
graph TD
A[Patient Recruitment] --> B[Data Collection: Medical History, Examination, Records];
B --> C[Data Entry into Proforma];
C --> D[Data Analysis using SPSS v28];
D --> E[Calculation of Descriptive Statistics: Means, Frequencies];
E --> F[Identification of Key Findings];
F --> G[Interpretation and Discussion];
G --> H[Conclusion and Recommendations];
The incidence of medical disorders in pregnancy was found to be high, potentially due to the tertiary care setting attracting complicated cases and the inclusion of conditions like hypertension and anemia in the definition of medical disorders. The study highlights the need for a multidisciplinary approach and the potential introduction of obstetric medicine specialists in Pakistan.
Hypertensive disorders were the most common medical disorder (39.66%), followed by hematological disorders (38%), with anemia being the most frequent hematological abnormality (29.4%). COVID-19 was the most common respiratory disorder (13.50%). Endocrine disorders were present in 15% of the study population, with gestational diabetes mellitus being the most common.
Medical disorders in pregnancy are common and require a multidisciplinary approach. Anemia, hypertensive disorders, and renal disorders are the most frequent. The establishment of an obstetric medical specialty in Pakistan is recommended for better management of these complex cases.
- The study included 2448 patients.
- Hypertensive disorders were found in 971 (39.66%) patients.
- Anemia was the most common hematological abnormality, affecting 732 (29.4%) patients.
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