Aakanksha Kumar - Academia.edu (original) (raw)
Papers by Aakanksha Kumar
Indian Journal of Obstetrics and Gynecology Research
Introduction: The prevalence of vitamin D deficiency has been reported to range from 15% to 80%. ... more Introduction: The prevalence of vitamin D deficiency has been reported to range from 15% to 80%. In present study, we aimed to evaluate the prevalence of vitamin D deficiency in pregnancy and it correlation with the maternal complications and perinatal outcome. Materials and Methods: A hospital based observational study was conducted at Department of obstetrics and gynecology of a tertiary care center. The aim was to evaluate the vitamin D status among pregnant women and its effect on neonatal outcome. Vitamin D levels of 200 ANC females was computed and cases were categorized as per vitamin D levels into following 4 categories: normal, hypovitaminosis, insufficiency and deficiency. Results: Normal vitamin D levels were seen in 5.5% cases only while hypovitaminosis D, vitamin D insufficiency and deficiency was seen in 59.5%, 28% and 5.5% cases respectively while 94.5% cases had decreased levels. A significant association was observed between incidence of caesarean section and vitamin D status with 71.4% caesarean deliveries in deficit group as compared to 18.2% in normal group (p<0.05). Low birth weight was seen in 30.5% cases. NICU admission was seen in 46% cases. Conclusion: We therefore recommend the screening of all pregnant women for vitamin D deficiency. Considering such a high prevalence, routine supplementation of pregnant mothers with daily 400 IU vitamin D with 1000 mg calcium can be considered.
The Journal of Obstetrics and Gynecology of India, 2016
The study was designed to determine the impact of structured counseling by trained contraceptive ... more The study was designed to determine the impact of structured counseling by trained contraceptive counselors in a real-life clinical setting on the adoption of modern contraceptive methods in comparison with past contraceptive experience. Current study was a retrospective, non-interventional design, from the data collected in the time period of March to September 2013 across four clinics with predominant obstetric and gynecological practice. Three hundred and fifty-one women consulting for contraception were counseled by trained counselors using standardized counseling tools. Of the 351 women counseled, 40.74 % (n = 143) had never used a contraceptive (no method) and 42.74 % (n = 150) women whose partner had or were using a &amp;quot;male condom.&amp;quot; Post-counseling by a trained counselor, there was a significant (p &amp;lt; 0.001) increase in modern contraceptive use (91.74 %, n = 322) versus prior counseling (52.14 %, n = 183) proportion of women who had or were using a modern contraceptive. The change observed for each method pre-counseling (usage history) to post-counseling was as follows: combined oral contraceptive (COC) 1.99-5.41 %, progesterone-only pill (POP) 0.85-30.48 %; copper intrauterine device (Cu-IUD) 4.27-29.4 %; injectable contraceptive 1.71-20.51 %; male condom 42.74-1.42 %; no method 40.74-7.41 %; traditional 7.12-0.85 %; and sterilization 0.28-1.71 %. This study is a first of its kind, conducted in the private sector, and clearly highlights the benefits of a trained counselor in contraceptive counseling with a significant proportion of women choosing a modern contraceptive. With a busy private practice, a trained counselor facilitates the clinician&amp;#39;s role and helped the women to choose a suitable modern contraceptive method.
IP innovative publication pvt. ltd, 2019
Introduction: The prevalence of vitamin D deficiency has been reported to range from 15% to 80%. ... more Introduction: The prevalence of vitamin D deficiency has been reported to range from 15% to 80%.
In present study, we aimed to evaluate the prevalence of vitamin D deficiency in pregnancy and it correlation with the maternal complications and perinatal outcome.
Materials and Methods: A hospital based observational study was conducted at Department of obstetrics and gynecology of a tertiary care center. The aim was to evaluate the vitamin D status among pregnant women and its effect on neonatal outcome. Vitamin D levels of 200 ANC females was computed and cases were categorized as per vitamin D levels into following 4 categories: normal, hypovitaminosis, insufficiency and deficiency.
Results: Normal vitamin D levels were seen in 5.5% cases only while hypovitaminosis D, vitamin D insufficiency and deficiency was seen in 59.5%, 28% and 5.5% cases respectively while 94.5% cases had decreased levels.
A significant association was observed between incidence of caesarean section and vitamin D status with 71.4% caesarean deliveries in deficit group as compared to 18.2% in normal group (p<0.05).
Low birth weight was seen in 30.5% cases. NICU admission was seen in 46% cases.
Conclusion: We therefore recommend the screening of all pregnant women for vitamin D deficiency. Considering such a high prevalence, routine supplementation of pregnant mothers with daily 400 IU vitamin D with 1000 mg calcium can be considered.
Indian Journal of Obstetrics and Gynecology Research
Introduction: The prevalence of vitamin D deficiency has been reported to range from 15% to 80%. ... more Introduction: The prevalence of vitamin D deficiency has been reported to range from 15% to 80%. In present study, we aimed to evaluate the prevalence of vitamin D deficiency in pregnancy and it correlation with the maternal complications and perinatal outcome. Materials and Methods: A hospital based observational study was conducted at Department of obstetrics and gynecology of a tertiary care center. The aim was to evaluate the vitamin D status among pregnant women and its effect on neonatal outcome. Vitamin D levels of 200 ANC females was computed and cases were categorized as per vitamin D levels into following 4 categories: normal, hypovitaminosis, insufficiency and deficiency. Results: Normal vitamin D levels were seen in 5.5% cases only while hypovitaminosis D, vitamin D insufficiency and deficiency was seen in 59.5%, 28% and 5.5% cases respectively while 94.5% cases had decreased levels. A significant association was observed between incidence of caesarean section and vitamin D status with 71.4% caesarean deliveries in deficit group as compared to 18.2% in normal group (p<0.05). Low birth weight was seen in 30.5% cases. NICU admission was seen in 46% cases. Conclusion: We therefore recommend the screening of all pregnant women for vitamin D deficiency. Considering such a high prevalence, routine supplementation of pregnant mothers with daily 400 IU vitamin D with 1000 mg calcium can be considered.
The Journal of Obstetrics and Gynecology of India, 2016
The study was designed to determine the impact of structured counseling by trained contraceptive ... more The study was designed to determine the impact of structured counseling by trained contraceptive counselors in a real-life clinical setting on the adoption of modern contraceptive methods in comparison with past contraceptive experience. Current study was a retrospective, non-interventional design, from the data collected in the time period of March to September 2013 across four clinics with predominant obstetric and gynecological practice. Three hundred and fifty-one women consulting for contraception were counseled by trained counselors using standardized counseling tools. Of the 351 women counseled, 40.74 % (n = 143) had never used a contraceptive (no method) and 42.74 % (n = 150) women whose partner had or were using a &amp;quot;male condom.&amp;quot; Post-counseling by a trained counselor, there was a significant (p &amp;lt; 0.001) increase in modern contraceptive use (91.74 %, n = 322) versus prior counseling (52.14 %, n = 183) proportion of women who had or were using a modern contraceptive. The change observed for each method pre-counseling (usage history) to post-counseling was as follows: combined oral contraceptive (COC) 1.99-5.41 %, progesterone-only pill (POP) 0.85-30.48 %; copper intrauterine device (Cu-IUD) 4.27-29.4 %; injectable contraceptive 1.71-20.51 %; male condom 42.74-1.42 %; no method 40.74-7.41 %; traditional 7.12-0.85 %; and sterilization 0.28-1.71 %. This study is a first of its kind, conducted in the private sector, and clearly highlights the benefits of a trained counselor in contraceptive counseling with a significant proportion of women choosing a modern contraceptive. With a busy private practice, a trained counselor facilitates the clinician&amp;#39;s role and helped the women to choose a suitable modern contraceptive method.
IP innovative publication pvt. ltd, 2019
Introduction: The prevalence of vitamin D deficiency has been reported to range from 15% to 80%. ... more Introduction: The prevalence of vitamin D deficiency has been reported to range from 15% to 80%.
In present study, we aimed to evaluate the prevalence of vitamin D deficiency in pregnancy and it correlation with the maternal complications and perinatal outcome.
Materials and Methods: A hospital based observational study was conducted at Department of obstetrics and gynecology of a tertiary care center. The aim was to evaluate the vitamin D status among pregnant women and its effect on neonatal outcome. Vitamin D levels of 200 ANC females was computed and cases were categorized as per vitamin D levels into following 4 categories: normal, hypovitaminosis, insufficiency and deficiency.
Results: Normal vitamin D levels were seen in 5.5% cases only while hypovitaminosis D, vitamin D insufficiency and deficiency was seen in 59.5%, 28% and 5.5% cases respectively while 94.5% cases had decreased levels.
A significant association was observed between incidence of caesarean section and vitamin D status with 71.4% caesarean deliveries in deficit group as compared to 18.2% in normal group (p<0.05).
Low birth weight was seen in 30.5% cases. NICU admission was seen in 46% cases.
Conclusion: We therefore recommend the screening of all pregnant women for vitamin D deficiency. Considering such a high prevalence, routine supplementation of pregnant mothers with daily 400 IU vitamin D with 1000 mg calcium can be considered.