Medical Acupuncture and Pain Management Clinic, Brazil
Title: Study on clinical profile and Feto-Maternal outcome of severe pre-Eclampsia
Biography:
Huang Wei Ling has graduated in medicine in Brazil, specializing in infectious and parasitic diseases, a General Practitioner and Parenteral and Enteral Medical Nutrition Therapist. She is the owner of the Medical Acupuncture and Pain Management Clinic.
Introduction: Autoimmune Hepatitis (AIH) occurs when the Liver is attacked by immune cells that mistake it for foreign tissue or pathogen, causing inflammation. Treatment with prednisone is generally used initially and a second medication, azathioprine may be recommended as well. Prednisone, especially when taken long term, can cause a wide range of serious side effects, including diabetes, thinning bones (osteoporosis) and osteonecrosis. Most people need to continue taking the prednisone for at least eighteen to twenty-four months, and many remain on it for life. The disease often returns if the drug is discontinued. In Traditional Chinese Medicine (TCM), Yin deficiency plays a central role in Autoimmune Disease. Purpose: The purpose of this study is to demonstrate that Autoimmune Hepatitis can be treated without the use of corticosteroids or immunosuppressive drugs. Methods: A case report of a female patient who had severe headache in the parietal region, as a symptom. According to TCM, this region corresponds to Liver meridian disharmony. Auricular acupuncture sessions were started, as well as dietary counselling according to the teachings of TCM. Laboratory tests revealed low prothrombin time and the presence of antinuclear antibody. Results: After one month of treatment, the exams were repeated and the antinuclear antibody was negative. Conclusion: The conclusion of this study is that Autoimmune Hepatitis can be treated without the use of corticosteroids and Immunosuppressive drugs according to the teachings of Traditional Chinese Medicine, reducing the side effects caused by these drugs.
Bangabandhu Memorial Hospital, Bangladesh
Title: Study on clinical profile and Feto-Maternal outcome of severe pre-Eclampsia
Biography:
Yasmin Akhter has completed FCPS (Obstetrics & Gynaecology) in 2017 from Bangladesh College of Physician& Surgeons (BCPS) and MBBS from Z.H. Sikder Womens Medical College & Hospital, Dhaka, Bangladesh in 2002. She also completed her professional internship completed in 2003. She is presently working as a Registrar in department of Obstetrics & gynaecology at Mamata Maternity Clinic, Bandartilla, Ctg, Bangladesh. She has been served as an Assistant Registrar, Department of Obstetrics & Gynaecology in 2010.
Pre-eclampsia is a serious medical condition if left untreated can develop into eclampsia, which is yet a left threatening complication. It remains one of the most common reasons for women to die during pregnancy in developing countries like Bangladesh. A total of 50 patients suffering from severe pre-eclampsia were studied to find out the relationship and risk factors among age, parity, antenatal care and mode of delivery in department of obstetrics and gynaecology of Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh, during the period of study, September 2013 to March 2014. Prospective type of cross-sectional study was done on pregnant women with severe pre-eclampsia in labour and in antenatal ward admitted in the hospital during the study period. In the present study, Majority of pre-eclamptic patients in this study was found to be primigravida (60%) and only 40% of the patients were multigravida with age ranging between 15-35 years. A positive family history of hypertension (48%) was found in patients with severe pre-eclampsia. Most of the patients (66%) had no regular antenatal care, only 22% of patients received regular antenatal care. Various symptoms of severe pre-eclamptic patients were studied which revealed swelling of both leg was the most common symptom of all patients (78%), headache(34%), epigastric pain (30%), insomnia (26%), blurring of vision (18%), oliguria (6%). Obstetrical intervention was observed, showing greater incidence of caesarean section (70%) in comparison to vaginal delivery (22%) in severe pre-eclamptic patients. Overall outcome of neonates showed as healthy, premature, intra-uterine growth retardation (IUGR), stillbirth, and neonatal death as 52%, 18%,12%,10%,8% respectively. Pre-eclampsia contributes to high mortality and morbidity of both mother and the neonates in our country. Therefore, proper health education and regular antenatal care must be provided to all pregnant women in order to prevent and screen pre-eclampsia. Measures must be taken to control this condition through Behavioral Change Communication (BCC) regarding antenatal care, danger signs, delivery plan, involving both private and public awareness.