Postgraduate Institute of Medicine: Colombo University

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Browsing Postgraduate Institute of Medicine: Colombo University by Subject "Abortion, Spontaneous"

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    A Preliminary study of selected indices of pregnancy outcome among nursing officers
    (Post Graduate Institute of Medicine, Colombo: PGIM ., 1989) DE ALWIS SENEVIRATNE, SR
    The objectives of this study were to make a preliminary investigation to determine the prevalence of abortions and still births among nursing officers who are employed in the Teaching Hospitals of Colombo and to study associations, if any between the different types and patterns of exposure and adverse outcomes of pregnancy among this group. The effects of the known risk factors and the influence of work exposure on complications of pregnancy, preterm deliveries and low birth weight was assessed by using a comparative approach where these indices in a sample of nursing officers was studied in relation to, similar information obtained from a comparable group of working women i.e. clerical and related workers. Since data collection depend on questionnaire, an assessment of the validity of the information thus obtained was carried out, by reference to hospital based medical records. A prevalence of 12 percent foetal deaths (9.5 percent abortions and 1.5 percent still births) was observed among nursing officers. However, among them certain places and types of work seemed to be associated with a higher prevalence rate of foetal wastage as shown by 18 percent for those working in operating theatres, 21.9 percent in special care units and 18.1 percent for those doing field work, in comparison with 6 percent among those working in outpatient departments. There were no significant differences seen in the occurrence of complications of pregnancy, preterm deliveries and low birth weight among the nursing officers and the control group which included clerical and related workers. The effect of work exposure as nursing officer seemed to have a protective influence on the occurrence of 'low birth weight' thus mitigating the effect of other factors such as advanced maternal age, short stature and previous history of low birth weight. Questionnaire appeared to be a useful, cheap and valuable method able to elicit valid information in the study of foetal wastage and low birth weight. The findings indicate further studies at national level with a view to identifying intervention programs.
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    Spontaneous Miscarriage and Subsequent Pregnancy Outcome.
    (Post Graduate Institute of Medicine, Colombo: PGIM., 2005) Mohamed, Siraj SH
    A cohort study with external controls was carried out among mothers presented to the De Soysa Hospital for Women. Study cohort consisted of 204 mothers presented in second pregnancy whose first pregnancy ended up as spontaneous first trimested miscarriage(P2 CO) age matched control cohort consisted of 204 mothors wo presented in second pregnancy with previous normal vaginal delivery (P2CO).These mothors were followed up throughout pregnancy and found no statistically significant difference ;in age, eethniity, monthly inocme and the levelof education itween the study cohort and control cohor.. There were statistically significant incresaed incidence of second trimester bleeding, Pregnancy induced hypertension,m complaints of reduced fetal movements, Babies of birth weight less than 2.5Kg and Neonatal Unit Admissions in mothers who had previous first trimester miscarriage than mothers who had normal vaginal delivery.(p\<0.05)