Categories

Volume 4 Issue 6 (November - December, 2016)

Original Articles

Assessment of maternal and fetal outcome in patients with jaundice complicating pregnancy
Aasif Abdullah, Saima Gayas

Background: Jaundice in pregnancy can be due to liver diseases unique to pregnancy, prehepatic causes, hepatic causes, posthepatic causes and underlying chronic liver diseases. The present study was conducted to assess the maternal and fetal outcome in patients with jaundice complicating pregnancy. Materials & Methods: 60women with jaundice complicating pregnancy were included. Parameters such as parity, gestational age, booking status, mode of delivery, maternal complications, Perinatal outcome in terms of birth weight, perinatal morbidity and mortality were studied. Results: Age group <20 years had 15, 20-30 years had 35 and 30-40 years had 20 subjects. The difference was significant (P< 0.05). Parity was Primiseen in 25, Gravia 2 was seen in 15, Gravida 3 in 20. Booking status was booked in 40 and unbooked in 20. Mode of delivery was LSCS in 22, ABD in 14, emergency hysterotomy in 7 and vacuum in 17. Diagnosis was HELLP in 22, hemolytic anemia in 3, HELLP with SPE in 7 and viral infection in 28. Maternal complications was abruption in 5, atonic in 3 and AKI in 1 patient. The difference was significant (P< 0.05). 54 were alive and 6 were dead. The difference was significant (P< 0.05). Conclusion: Jaundice in pregnancy is associated with high maternal mortality and perinatal mortality viral hepatitis is the leading cause of jaundice.

 
Html View | Download PDF | Current Issue