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Study of Bad Obstetric History with Specific Reference to TORCH Profile

Kranti Venkatrao Kendre* , Kranti Venkatrao Kendre* , Chandrakala S. Patil*

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Indian Journal of Obstetrics and Gynecology 5(1):p 89-93, January - March 2017. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5117.15

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Abstract

 Every married couple is desirous to have full term newborn without any congenital anomalies and medical or surgical disorder. Recurrent miscarriage is the most distressing problem in many couples. Intrauterine infection remains one of the major challenges for the obstetrician during pregnancy. TORCH infection correlates with bad obstetric history (BOH). It may produce spontaneous abortion, intrauterine fetal death, congenital anomalies, IUGR and still birth. 83 patients with BOH were evaluated. These patients were investigated for presence of TORCH, IgG and IgM antibody by ELISA Test. In this study, 29.39% of cases were IgG TORCH positive whereas 3.01% IgM positive. 26.51% were Rubella IgG positive and 4.62% were Rubella IgM positive. 21.69% were CMV IgG positive and 15.61% Herpes simplex IgG positive. It was observed that incidence of preterm deliveries and congenital anomalies was more in toxo-positive titers while incidence of spontaneous abortion was more in Rubella, CMV and HSV positive titers. Outoff 83 patients 28 had still birth with congenital anomalies. It was concluded that TORCH screening is must and consulling for adverse effects may be of help to reduce ill effects of the infection.

Keywords: Screening in Pregnancy; ANC Checkup; TORCH Infection; Congenital Malformation; Still Birth.

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5117.15

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