Online ISSN: 2515-8260

Keywords : Cases

Demographic Profile of Booked and Unbooked Cases of Pregnant Women at a Tertiary Care Hospital

Dr. Nilima Tikkas, Dr. Manjari Jain, Dr. Neeraj Kumar Jain, Dr. Rajesh Tikkas

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 1, Pages 3201-3207

In Indian continent when a female becomes pregnant after a successful meet of a healthy sperm and an egg it is considered to a demarcation of new happy beginning for the married couple. In anticipation of new incoming baby physical and psychological developments starts to occur in women’s life. These changes would but obviously need medical help to land up in a effortless and well deserved post-natal period.
This study was undertaken to observe demographic values of pregnant women coming to hospital which may benefit further strategies of health care sector for making a healthier tomorrow.
Material methods: All the patients who were getting admitted during their labour were finally considered for the collection of data. Primarily subjects were provided with informed and written consent to participate in the study after that patient’s demography data was recorded to make the final observations. While recording data primarily age, height and weight of the patients were recorded amongst booked (496) and unbooked (508) categories. Then starting with history of present illness obstetrical history, residential address (Urban ,rural), literacy of both husband and wife with optimal educational level, occupation, religion, distance of home from hospital and socio-economic status of the patient was recorded on a pre-structured case record form.
Conclusion: By providing the standard maternity and child care services much can be done for betterment of women. Improving the literacy status of the women and providing proper transport and communication help in better utilization of antenatal care services. Reference centers should be developed close to the homes with well-equipped clinical facilities, proper instrumentation and trained staff which will benefit the outcome of pregnant women to make a healthier India.

Serum Electrolytes as Mortality Indicators in Hypertension Cases

Syeda Parveen Fatima, Deva Pragna Prashanthi

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 3721-3727

Background: According to the pressure natriuresis theory, monogenic hypertension, and dietary salt reduction studies, Na+ is a primary predictor of blood pressure and mortality. The evolved response to a salt or water shortfall is more efficient than the response to salt surplus. Cl is the most abundant anion outside of cells and derives from food. The current epidemiological investigation examined the relationship between blood electrolyte levels and hypertension in a salt-consuming community. Fluid and electrolyte balance is necessary for postoperative and critically ill patients' metabolic care, gastrointestinal function, and nutrition. Artificial nutrition should be prescribed with the same care as other nutritional and pharmaceutical needs.
Materials and Methods: Secondary study of epidemiological study was carried out at the Government Medical College, Jagitial, India, which was carried out between the December 2021 to November 2022. Using regression models, the relationship between the amounts of sodium, potassium, chloride, total calcium, phosphate, and magnesium in the serum and blood pressure and the presence or absence of hypertension was investigated.
Results: 81 previously diagnosed hypertension patients were included in this study. 56% of participants experienced electrolyte problems. 62% of hypercalcaemic subjects had hypertension, followed by hypokalaemia (56%) and hypernatremia (54%). Hypercalcemia was linked to IH and PDH. Higher serum calcium quartile increased IH and PDH risk. Serum salt and hypertension were unrelated. PDH U-shaped serum potassium. Higher chloride quartile had lower PDH chances. Highest phosphate quartile was solely related with lower IH probabilities, although higher magnesium lowered IH and PDH odds.
Conclusions: We found a link between IH/PDH and serum calcium, magnesium, and chloride. Patients with IH may have concurrent electrolyte issues, such as hypercalcemia, which may reflect additional underlying etiologies. When prescribing fluid and electrolytes, it's important to understand the relationship between internal and external balance, starvation, and injury to reduce physiological and clinical side effects. Prescriptions need detail and education