MATERNAL AND FETAL OUTCOME IN PREGNANCY WITH JAUNDICE
Main Article Content
Abstract
ABSTRACT
Introduction: Jaundice in pregnancy is an essential medical issue encountered more commonly in underdeveloped nations than in industrialized countries. Pregnancy- specific conditions include acute fatty liver, recurrent cholestatic jaundice, and jaundice exacerbating pregnancy-related toxemia.
Aim: To evaluate the effects of jaundice on a pregnant patient's fetal and maternal outcomes in a tertiary care hospital. To review the findings and clinical manifestations for this patient.
Methods: The Prospective observational clinical study was conducted in Bankura Sammilani Medical College and Hospital, Obstetrics and gynaecology department, Bankura, West Bengal. All Antenatal women with jaundice complicating pregnancy cases during 18 months period were studied. Different parameters including age, parity, and gestational age, mode of delivery, maternal complications, and perinatal outcome in terms of birth weight, perinatal morbidity and mortality were studied.
Results: In our study, 62(86.7%) patients were delivered patients and 6(13.3%) patients were undelivered patients. The value of z is 9.6039. The value of p is <.00001. The result is significant at p < 0.05 In our study, 13(20.9%) patients had Preterm deliveries, 47(69.1%) patients had Term delivery, and 2 (3.2%) patients had abortion. The value of z is 8.266. The value of p is <.00001. The result is significant at p <.05. In above table showed that the mean HR (bpm) (mean±s.d.) of patients was 82.3± 6.4. In above table showed that the mean SBP (mm of Hg) (mean±s.d.) of patients was 122±15.7.
Conclusion: Pregnancy complications caused by jaundice have a substantial impact on both the mother's and the fetus's outcomes and are linked to higher rates of maternal death and morbidity in underdeveloped nations like India. Since there are many cases of jaundice and abnormal liver function tests during pregnancy, which negatively affect fetomaternal outcome, it becomes necessary to raise awareness about the significance of regular antenatal care, health education, early diagnosis, and appropriate timely treatment to ameliorate many cases and to bring out a satisfactory mother and fetal outcome.