Browsing by Author "Arora, S."

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    Adolescent health problems and strategies to improve them
    (Medip Academy, 2023-07) Dara, S.; Arora, S.
    Adolescent as any person between ages 10 and 19. It is a transitional stage of physical, physiological and psychological development from puberty to legal adulthood. The data about important adolescent’s health issues in different areas are limited. Hence detailed investigation and reports on adolescent’s health issues is the need of the hour. To achieve wholesome adolescent health, we need to have a multidimensional approach covering all the adolescent health problems with special emphasis on mental health, behavior change communication towards healthy lifestyle and positive social environment to acquire life skills. Availability of good quality care and healthcare workers trained to deal with adolescents is critical for delivering effective health interventions. Providing health care to adolescents presents a dual challenge: the treatment of immediate health problems, and the opportunity through health promotion and disease prevention, to influence health habits, lifestyle choices, and health status in adulthood because health behaviors originating in adolescence may well have long term health consequences.
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    Effect of non-traumatic first trimester per vaginal bleeding on maternal and fetal outcomes in Indian tertiary care teaching hospital
    (Medip Academy, 2023-09) Arora, S.; Tanveer, R.; Gulati, R.
    Background: Aim of study was to assess the maternal and perinatal outcomes in first trimester vaginal bleeding. Methods: This prospective observational study was done on 112 patients with first trimester vaginal bleeding at a tertiary care teaching hospital in South India over a period of two years. All the patients who satisfied the inclusion and exclusion criteria were evaluated for the outcomes like hypertensive disorders, post partum and anter partum haemorrhage, rupture of menbranes, anemia, gestational diabetes, pre term delivery, low birth weight, small for gestational age, NICU admissions, intra-uterine growth restriction and mode of delivery. Results: Maximum patients with bleeding per vagina in first trimester belonged to 26-30 years age group out of which majority had spotting. No specific significance was found to be associated between gravida score and bleeding or bleeding types. Out of 75 patients who continued pregnancy, 57 (76.0%) patients had one or the other complication in pregnancy which was significant (p<0.05). Regarding fetal outcomes, 19 had preterm delivery, 10 were LBW while 4 were SGA, 26 required NICU admissions and 8 had IUGR. 48 patients had recurrent bleeding PV which showed no significant correlation with abortion or APH. Conclusions: Study shows that per vaginal bleeding in first trimester may lead to maternal and foetal complications. We recommend training pregnant women regarding those complications and their prevention.
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    Haemoglobin measurement by point-of-care devices- a need of the hour: study conducted on antenatal females
    (Medip Academy, 2023-01) Kumar, A.; Arora, S.; Sethi, S.; Ranga, S.
    Background: Haemoglobin measurement in antenatal care can help in timely detection and treatment of anaemia, which is a major contributory factor to maternal mortality in developing countries. The transport of samples for haemoglobin assessment may delay the treatment, resulting in preventable deaths. Haemoglobin measurement by point of care testing (POCT) devices is easy, quick and less invasive. There are very few studies which compare the capillary blood haemoglobin using point of care devices with venous blood samples. This study was conducted to compare capillary blood haemoglobin using POCT device with venous blood haemoglobin using haematology analysers in antenatal Indian females. Methods: One hundred pregnant women were recruited during their first trimester antenatal visits. Hemoglobin by finger prick capillary sample (POCT) was compared with haemoglobin of venous sample analysed by the haematology analyser (Beckman coulter) which was considered as gold standard. Intraclass correlation co-efficient based on Bland Altman analysis was computed using SPSS v21. A p value less than 0.05 was considered statistically significant. Results: The intraclass correlation coefficient of 0.97 was recorded with central laboratory reference standard, with a mean difference of -0.481 gm% and -0.482 gm% by capillary and venous blood samples, respectively (p<0.0001). Conclusions: A good agreement between capillary blood haemoglobin (POCT device) and venous blood (haematology analyser) was achieved.