Saturday February 16, 2019

Open defecation affects pregnancy, reveals study

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Photo from www.unwater.org

Bhubaneswar: Poor sanitation practices, such as open defecation, are affecting pregnancy outcomes of Indian women, especially premature birth, says a study.

Photo from www.unwater.org

The research, published in the journal PLOS Medicine, studied pregnancy outcomes in two rural areas of Odisha.

Bijaya K. Padhi from the Asian Institute of Public Health, Bhubaneswar, and colleagues enrolled 670 women during the first trimester of their pregnancy, recorded information about toilet access and sanitation practices for each woman at enrollment, and followed them through pregnancy until birth.

They found that compared with women who used a latrine, women who defecated in the open had a significantly greater risk of adverse pregnancy outcomes overall and preterm birth, but not low birth weight.

Although the researchers adjusted for numerous confounding factors in their analysis, including poverty, social class, and caste, the women who defecated in the open may have shared other unknown characteristics that were actually responsible for their increased risk of an adverse pregnancy outcome.

“This study indicates that in the context of maternal and child health prevention research, sanitation is an important dimension of women’s health and distinct from social class and caste,” said senior study author Pinaki Panigrahi from the University of Nebraska in the US.

(IANS)

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Removal of Gallblader During Pregnancy May Spike Up Risk of Preterm Delivery

Also, women who underwent the operation during the third trimester were twice as likely to deliver a preterm baby and almost twice as likely to have abnormal maternal outcomes

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A model wears the Owlet Band pregnancy monitor at the Owlet booth at CES International, Jan. 9, 2019, in Las Vegas. The device can track fetal heart rate, kicks and contractions. VOA

Getting The gallbladder removed during pregnancy may increase the risk of preterm delivery and hospital re-admissions among others, researchers said.

Also, women whose gallbladder has been removed during pregnancy are more likely to experience longer hospital stays than those who delay the operation until after childbirth.

As pregnant women produce extra progesterone, the risk of development of gallstones increases. When these stones become problematic, causing extreme pain, a surgeon may recommend removal of gallbladder by performing cholecystectomy, a type of surgery.

But women who postponed cholecystectomy until after childbirth had better maternal outcomes.

“In light of these findings, whenever possible, women with symptomatic gallstones during pregnancy should wait as long as possible to let the baby mature before having cholecystectomy,” said Henry A. Pitt, Professor at Temple University in the US.

Pregnant Women
Lady with her baby. Pixabay

For the study, the researchers compared 403 pregnant women who underwent the operation within 90 days prior to childbirth with 17,490 women who had the procedure within three months after childbirth.

The findings, published in the Journal of the American College of Surgeons, showed that maternal delivery outcomes, including eclampsia and haemorrhage for the mother, and preterm delivery were significantly worse when cholecystectomy was done during pregnancy as opposed to postpartum.

Eclampsia is a potentially dangerous pregnancy complication characterised by high blood pressure. The eclampsia rate for pregnant women who underwent cholecystectomy in the third trimester was one per cent higher than those who chose to wait until after childbirth.

Also Read- New Software Can Spot Potentially Lethal Heart Diseases

Additionally, the haemorrhage and preterm delivery rates for women who had the cholecystectomy during pregnancy was three per cent and 12 per cent higher, respectively.

Also, women who underwent the operation during the third trimester were twice as likely to deliver a preterm baby and almost twice as likely to have abnormal maternal outcomes. (IANS)