Advertisement!
Author Information Pack
Editorial Board
Submit article
Special Issue
Editor's selection process
Join as Reviewer/Editor
List of Reviewer
Indexing Information
Most popular articles
Purchase Single Articles
Archive
Free Online Access
Current Issue
Recommend this journal to your library
Advertiser
Accepted Articles
Search Articles
Email Alerts
FAQ
Contact Us
Indian Journal of Obstetrics and Gynecology

Volume  8, Issue 1, January-March 2020, Pages 9-14
 

Original Article

Fetomaternal Outcome in Jaundice Complicating Pregnancy

Archish Desai1, Sonam Parikh2, Smriti Mishra3, Shivangi Gondaliya4, Sejal Patel5, Nidhi Patel6

1Associate Professor, 2Assistant Professor, 3,4Third year Resident, 5,6First year Resident, Department of Obstetrics and Gynaecology, SMIMER Hospital & Medical College, Umarwada, Surat, Gujarat 395010, India.

Choose an option to locate / access this Article:
60 days Access
Check if you have access through your login credentials.        PDF      |
|

Open Access: View PDF

DOI: http://dx.doi.org/10.21088/ijog.2321.1636.8120.1

Abstract

28Introduction: Jaundice affects a small share of pregnant women, yet it takes a serious toll on health of both mother and fetus particularly in developing countries like India. Jaundice is responsible for 10% of maternal deaths. Aim: To find out the maternal and fetal outcome in pregnancy complicated with jaundice in a tertiary care hospital. Material and methods: Prospective observational study of fetomaternal outcome included 50 ANC patients with jaundice (Serum bilirubin > 1.2 mg/ dl; SGOT > 40 IU/L; SGPT > 40 IU/L) admitted in SMIMER hospital during January 2018 to December 2018. Parameters like age, socioeconomic status, LFT and Viral markers were recorded. Patients were treated in line with standard protocol and fetomaternal outcome were then studied. Results: Fifty patients had jaundice during pregnancy. The incidence of jaundice was 0.63%. Sixty-eight percent of patients were between 21 and 29 years of age. The most common cause of jaundice in pregnancy was viral hepatitis seen in 52% cases. Maternal mortality was seen in 5 (10%) cases. The common maternal complications were DIC, atonic postpartum hemorrhage, PET, hepatic encephalopathy and multiorgan failure. Perinatal mortality was seen in 16 (32%) cases. Conclusions: Jaundice in pregnancy has adverse fetomaternal outcome. Viral hepatitis is the most common cause of jaundice in pregnancy. Maternal morbidity and mortality increases with rise in serum bilirubin level. Improvement in health awareness, education and regular antepartum checkups, early referrals end in early diagnosis and careful management of jaundice during pregnancy therefore reducing maternal and fetal mortality and morbidity.


Keywords : Jaundice; pregnancy; Hepatitis; Morbidity; Mortality.
Corresponding Author : Sonam Parikh