SPIROMETRIC EVALUATION OF ANTENATAL WOMEN AND THEIR OUTCOME AT A TERTIARY CARE CENTRE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 42
Abstract
BACKGROUND Pregnancy represents one of the best examples of selective adaptation in terms of respiratory physiology. Understanding of the maternal pulmonary function and their precise knowledge allows the clinician to verify the extent of the adaptation in pregnant women and helps to avoid unnecessary treatment of physiological changes misinterpreted as pathological changes in reference to pre-pregnancy standards. Objectives- This study was undertaken to identify physiological changes in respiratory system in normal and high-risk pregnancy, which may help in modifying mode of delivery and foetal outcome. MATERIALS AND METHODS This was a prospective longitudinal study, undertaken in the Department of Obstetrics and Gynaecology at Indira Gandhi Government Medical College, which is a tertiary care centre for over a period of 2 years, which included 100 antenatal patients between 19 to 35 years age and without any obstetric complications or pre-existing respiratory and cardiovascular disorders. RESULTS In this study the mean values of FVC, PEFR and MVV showed a significant decrease from first to third trimester; whereas there was a significant increase in the mean value of FEV1/FVC from first-to-third trimester. There was no significant difference in FEV1 in between the three trimesters of pregnancy. CONCLUSION The results obtained in our study suggest that in pregnant women at term respiratory distress is rarely sufficient to interfere with ordinary physical activity. However, impaired pulmonary function in pregnant women may pose additional risk during parturition as well as during operative procedures like caesarean section, which require anaesthesia.
Authors and Affiliations
Amar Karia, Kshama Kedar, Radha Munje, Nivedita Goverdhan
Keywords
Related Articles
- EP ID EP214030
- DOI 10.14260/Jemds/2017/709
- Views 87
- Downloads 0
MDCT FINDINGS IN IATROGENIC DUODENAL PERFORATION
Iatrogenic duodenal perforation following ERCP/ endoscopic sphincterotomy is a rare complication. Prompt diagnosis and management will help reduce the morbidity and mortality associated with this condition. CT...
A COMPARATIVE EVALUATION OF ELECTRONIC FOETAL MONITORING VS INTERMITTENT AUSCULTATION AFTER AN INITIAL SCREENING ADMISSION TEST AND ITS IMPACT ON NEONATAL OUTCOME
BACKGROUND Continuous electronic foetal monitoring is presumably a superior method of screening for foetal hypoxia as it detects subtle changes in the foetal heart, which can be missed on auscultation. However, in develo...
FOETOMATERNAL OUTCOME AMONG ELDERLY PREGNANT WOMEN ATTENDING A PERIPHERAL TEACHING INSTITUTION OF WEST BENGAL, INDIA- A PROSPECTIVE OBSERVATIONAL STUDY
BACKGROUND Advances in assisted reproductive technology, delayed marriage and increase in the rate of divorce followed by re-marriage all lead to an increased number of women giving birth for the first time at the age of...
ASSESSMENT OF KNOWLEDGE, ATTITUDE AND PRACTICES AMONG MOTHERS REGARDING THE RECOGNITION, MANAGEMENT AND PREVENTION OF CHILDHOOD DIARRHOEA AND THE FACTORS INFLUENCING THEM
BACKGROUND Diarrhoea remains a leading killer of children under 5, accounting for about 1.5 million deaths annually. The management of diarrhoea depends on the knowledge, attitude and practices of the mother which in tur...
AN ASSESSMENT OF PATIENT WAITING AND CONSULTATION TIME IN THE OUTPATIENT DEPARTMENT AT A SELECTED TERTIARY CARE TEACHING HOSPITAL
BACKGROUND Outpatient department has become an essential part of the hospital due to the fact that it is the first step of the treatment system and point of contact between a hospital and community. Waiting time refers t...