Browsing by Author "Yaliwal, Rajasri"

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    A Rare Case Of Antepartum Eclampsia With Cardiac Arrest Successfully Managed With Multidisciplinary Approach
    (Indian Society for Health and Advanced Research, 2024-12) Sowmya, Manchineni; Bidri, Shailaja; Yaliwal, Rajasri
    Antepartum eclampsia, a rare but severe complication of pregnancy, can lead to life-threatening maternal and fetal outcomes, especially when compounded by conditions like pulmonary oedema, cardiac failure, and peripartum cardiomyopathy. This case describes a 23-year-old primigravida at 31 weeks and 6 days of gestation who presented with tonic-clonic seizures, cardiac arrest, and respiratory distress. Prompt cardiopulmonary resuscitation and multidisciplinary management, including antihypertensive therapy, magnesium sulphate infusion, and emergency lower-segment cesarean section, were crucial in stabilising the patient and delivering a live preterm infant. Echocardiography confirmed peripartum cardiomyopathy with reduced left ventricular ejection fraction, necessitating long-term cardiac care. The patient recovered steadily postoperatively with tailored medical management and was discharged on day seven in stable condition. This case underscores the importance of early recognition, timely intervention, and a collaborative approach in managing severe obstetric emergencies to optimise maternal and neonatal outcomes.
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    Study of maternal and fetal outcome in pregnancy beyond 40 weeks: a prospective observational study at a tertiary institute
    (Medip Academy, 2020-10) Kori, Shreedevi; Biradar, Dayanand; Biradar, Aruna; Yaliwal, Rajasri; Mudanur, Subhashchandra R.; Patil, Neelamma; Pujeri, Shivakumar
    Background: Prolonged pregnancy is one that exceeds 42 0/7weeks. Management of prolonged pregnancy is very challenging in modern obstetrics.Methods: It is prospective observational study in department of Obstetrics and Gynecology, Shri B.M Patil medical college and Research center, deemed to be University, Vijayapur, North karnataka. Study period was from January 2018 to January 2019.Results: Total of 186 pregnant women were included in the study. Results in terms of age, gravidity, gestational age, time of induction, mode of delivery, neonatal outcome and maternal complications.Conclusion: Pregnancies beyond 40 weeks require early detection, effective fetal monitoring and proper planning of labour. In pregnancies beyond 40 weeks, decision of induction should be taken cautiously as early induction leads to failure of induction and increased rates of lower (uterine) segment Caesarean section (LSCS), while delayed induction leads to increased fetal complications.