Lavina Chaubey

Abstract

Introduction: India has high prevalence of gestational diabetes mellitus (GDM). However, there is also a high prevalence of poor nutritional status in antenatal women. Either conditions, separately or combined have been known to have deleterious effect on maternal, perinatal morbidity and mortality. Objectives: This study was undertaken to assess the demographic profile and glycaemic status of antenatal women attending the district combined hospital (DCH), Chakia. Materials and Methods: 319 antenatal women were assessed regarding certain demographic variables. The glycaemic status was assessed by single point random blood sugar (RBS) at first point of care visit. Results: It was seen that only 10% women registered in first trimester whereas 66% in their second trimester. Older women (28-37 years) registered less as compared to 82% younger women (18-27 years). Only 5% women ? 4th gravida and 2% having ? 3 live births registered for antenatal care. Approximately 28.5% women had RBS ? 100 mg% and women with prior abortions had lower RBS (78.57±14.61 mg%) as compared to those with no abortions (91.63±17.12 mg%). Conclusion: Antenatal registration in the first trimester was appreciably less, specifically for groups at higher risk. This evidence can provide the basis for a more targeted approach towards these woman regarding interventions needed to reduce maternal, perinatal morbidity and mortality. Using RBS values ? 100 mg%, 28.5% pregnant women could be segregated for further testing as recommended by Bowen et al. This may form a way to more cost-effective resource utilization in low resource settings for the screening of GDM. Key words: Random blood sugar, Pregnancy, Demographic profile, Gestational diabetes mellitus.

Open full article page

Abstract

Introduction: Infertility is defined as the failure to achieve clinical pregnancy after 12 months or more of regularly unprotected sexual intercourse. According to a systematic analysis of National Health Survey-2010, approximately 10.5% of women around the world experienced secondary infertility and roughly 2% experienced primary infertility. Objectives: To analyse the risk factors for infertility in eastern part of North India. Materials and Methods: This cross-sectional, analytical pilot study was done from January 2018 to March 2018 as a schedule based survey involving 65 couples with infertility attending Sir Sunderlal hospital, Varanasi, U.P., that primarily caters to patients from eastern part of north India. Sixty valid couples were analysed. Results: Seventy per cent couples resided in eastern U.P. and 60% belonged to middle socioeconomic status. Treatment was sought ? 3 years by 86.7%. Among a total number of 60 females partners in their reproductive age (15-49 years), 31 (51.7%) had primary infertility and 29 (48.3%) had secondary infertility. The age group of 27-38 years comprised of 53.3% females and 65.6% of these had secondary infertility. Those females with regular menstrual cycles had a predominance of primary infertility (70%) and irregular cycles was associated more with secondary infertility (66.7%). Conclusion: Association of primary and secondary infertility was found with age & menstrual irregularity, hence these may be considered as risk factors. BMI and amount of menstrual flow were not significantly associated with either types of infertility and need further evaluation in a larger study. Keywords: Primary infertility, Secondary infertility, Risk factors, North India.

Open full article page