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TITLE:

ANALYSIS OF FETO-MATERNAL OUTCOME IN JAUNDICE COMPLICATING PREGNANCY

AUTHORS:

Dr Fatima Arif Butt, Dr Haleema Amjad, Dr Muhammad Umer

ABSTRACT:

Introduction: Jaundice in pregnancy is a known high-risk factor that increases fetomaternal morbidity and mortality. While hepatitis B and C are deepening their roots in the developed world, hepatitis A and E are still more common in the developing world. Aims and objectives: The basic aim of the study is to analyse the feto-maternal outcome in jaundice complicating pregnancy. Material and methods: This cross sectional study was conducted in DHQ Hospital, Sheikhupura during April 2018 to December 2018. This study was done with the permission of ethical committee of hospital. This study include 100 pregnant women who were suffer from jaundice during their pregnancy. Jaundice was diagnosed by physical examination but a confirmation was made using liver function tests. The prevalence of jaundice in pregnancy was calculated along with percentages of hepatitis A, hepatitis B, hepatitis C positivity and hepatic encephalopathy. Results: The data were collected from 100 pregnant female patients. The women with jaundice were studied in detail and data were classified patients who were HBV positive, hepatitis A virus (HAV) positive, HCV positive, HEV positive, and those who did not have positive viral markers but had jaundice due to other causes such as severe preeclampsia, sepsis, typhoid, dengue or no definite cause. The age of the patients ranged between 20-38 years with a mean age of 25 years. The mode of delivery and fetomaternal outcomes were recorded. Conclusion: It is concluded that there are factors responsible for high maternal mortality in our country were poor nutrition, prevalence of anemia, delay in seeking medical advice and delay in referral to the hospital.

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