MATERNAL AND FETAL OUTCOME IN PATIENTS WITH OBSTETRIC CHOLESTASIS
OBJECTIVE: To determine maternal and fetal outcome in patients with obstetric cholestasis
MATERIALS AND METHODS: In this study,total 100 patients were included.During study period,al patients presenting with pruritis and or deranged liver function tests were included.Patients with gestational amenorrhea more than 20 weeks with raised ALT and AST along with normal ultrasound abdomen and no preexisting liver disease were said to have obstetric cholestasis.Maternal and fetal outcome was observed.Maternal outcome include mode of delivery.Fetal outcome include prematurity,meconium staining of liquor and fetal distress.All data was recorded in performa attached.
RESULTS: Out of 100 patients,38 had spontaneous vaginal deliveries with percentage of 38%.Lower segment caesarean section rate was 62%.7% of patients had premature delivery.There were 2 intrauterine deaths and Neonatal Intensive Care Unit admission rate was 49%.45% of patients had meconium staining of liquor.11% of patients went in to postpartum haemorrhage.There were 45 primigravidas and 55 multigravidas.
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