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Obstetric, gynecology, maternal mortality, postpartum haemorrhage

Dilek Uysal, Hakan Cokmez, Cetin Aydin, Tolga Ciftpinar
Postpartum haemorrhage is the most important cause of maternal morbidity and mortality, especially when all conservative measures, including syntometrine oxytocin and Bakri balloons have failed to accomplish haemostasis and expeditious surgical procedures, such as uterine artery ligation and emergency peripartum hysterectomy (EPH) are required. This retrospective study analysed 31 cases of EPH performed between January 2007 and January 2016 in the Department of Gynecology and Obstetrics of Izmir Ataturk Teaching and Research Hospital...
March 2018: JPMA. the Journal of the Pakistan Medical Association
Elizabeth Eliet Senkoro, Amasha H Mwanamsangu, Fransisca Seraphin Chuwa, Sia Emmanuel Msuya, Oresta Peter Mnali, Benjamin G Brown, Michael Johnson Mahande
Background and Objective. Placenta previa (PP) is a potential risk factor for obstetric hemorrhage, which is a major cause of fetomaternal morbidity and mortality in developing countries. This study aimed to determine frequency, risk factors, and adverse fetomaternal outcomes of placenta previa in Northern Tanzania. Methodology. A retrospective cohort study was conducted using maternally-linked data from Kilimanjaro Christian Medical Centre birth registry spanning 2000 to 2015. All women who gave birth to singleton infants were studied...
2017: Journal of Pregnancy
Marrit Smit, Kar-Li L Chan, Johanna M Middeldorp, Jos van Roosmalen
BACKGROUND: Postpartum haemorrhage (PPH) is still one of the major causes of severe maternal morbidity and mortality worldwide. Currently, no guideline for PPH occurring in primary midwifery care in the Netherlands is available. A set of 25 quality indicators for prevention and management of PPH in primary care has been developed by an expert panel consisting of midwives, obstetricians, ambulance personal and representatives of the Royal Dutch College of Midwives (KNOV) and the Dutch Society of Obstetrics and Gynecology (NVOG)...
December 7, 2014: BMC Pregnancy and Childbirth
Ewa Wender-Ozegowska, Dorota Bomba-Opoń, Jacek Brazert, Zbigniew Celewicz, Krzysztof Czajkowski, Agata Karowicz-Bilińska, Aneta Malinowska-Polubiec, Błazej Meczekalski, Agnieszka Zawiejska
Maternal obesity (defined as prepregnancy maternal BMI> or = 30 kg/m2) is a risk factor strongly associated with serious perinatal complications and its prevalence has increased rapidly in a general population during the last decades. Therefore, following international approach to regulate perinatal care in this population, Group of Experts of Polish Gynecological Society developed these new guidelines concerning perinatal care in obese pregnant women, including women after bariatric surgery. The recommendations cover detailed information on specific needs and risks associated with obesity in women of reproductive age, pregnancy planning, antenatal care, screening, prophylaxis and treatment for other pregnancy complications characteristic for maternal obesity fetal surveillance, intrapartum care and post-partum follow-up...
October 2012: Ginekologia Polska
J Kvasnička, M Balík, T Binder, J Blatný, J Bláha, K Cvachovec, V Cerný, P Dulíček, J Feyereisl, Z Hájek, P Janků, J Malý, A Měchurová, A Pařízek, M Penka, M Procházka, A Roztočil, V Reháček, D Seidlová, P Sevčík, J Valenta, P Ventruba
22 experts from the fields of gynecology and obstetrics, anesthesiology and resuscitation, intensive care, hematology and transfusion medicine has developed recommendations for diagnosis and procedure for life-threatening peripartum haemorrhage, which is still one of the most common causes of maternal mortality in childbirth. This guidelines, which is valid for the Czech Republic, supported by a total of 10 professional medical societies. There are based on new knowledge applicable at this time and is focused mainly on eliminating the most common causes of bleeding during delivery and prevention of haemorrhagic shock...
September 2012: Vnitr̆ní Lékar̆ství
Nazli Hossain, Nusrat Khan, Syeda Seema Sultana, Nazeer Khan
OBJECTIVE: To determine the risk factors in pregnancies complicated with abruptio placenta METHODS: Case-control study. The study was conducted at department of Obstetrics and Gynecology Unit 3, Civil Hospital, Dow University of Health Sciences Karachi. The study period was from January to December 2008. All pregnant women who were diagnosed with abruptio placenta after 28 weeks of gestation were included in the study. They were compared with women who had live birth during the study period...
June 2010: JPMA. the Journal of the Pakistan Medical Association
Karen Sanga, Caroline de Costa, Glen Mola
BACKGROUND: Papua New Guinea is a developing country with a population of six million, facing significant geographical, cultural and economic barriers to the provision of antenatal and intrapartum care. The maternal mortality ratio (MMR) is an internationally regarded index of the quality of a country's maternity services; the most recently reported MMR for Papua New Guinea of 773 deaths per 100 000 births is one of the highest in the world. AIMS: To review information about women who died from pregnancy-related causes, both direct and indirect, in the Goroka General Hospital (GGH) during the period 1st January 2005 to 31st May 2008...
February 2010: Australian & New Zealand Journal of Obstetrics & Gynaecology
Joost J Zwart, Just R O Dupuis, Annemiek Richters, Ferko Ory, Jos van Roosmalen
PURPOSE: As part of a larger nationwide enquiry into severe maternal morbidity, our aim was to assess the incidence and possible risk factors of obstetric intensive care unit (ICU) admission in the Netherlands. METHODS: In a 2-year nationwide prospective population-based cohort study, all ICU admissions during pregnancy, delivery and puerperium (up to 42 days postpartum) were prospectively collected. Incidence, case fatality rate and possible risk factors were assessed, with special attention to the ethnic background of women...
February 2010: Intensive Care Medicine
D Castiel, P-H Bréchat, B Benoît, B Nguon, E Gayat, P Soyer, R Rymer, E Barranger
OBJECTIVE: Reduction of maternal mortality is a major priority in the public health domain. One of the main causes of maternal mortality is postpartum haemorrhage. Because economic pressures favour the use of less expensive strategies, it is becoming now critical to know exactly the cost of the surgical procedures involved in the treatment of postpartum haemorrhage, in order to provide future guidelines in Implementing reforms in hospital. MATERIALS AND METHODS: Evaluation was made on multiple data collected in the Gynecology-Obstetrics and Central Sterile Supplies departments of a tertiary care Hospital...
May 2008: Gynécologie, Obstétrique & Fertilité
Gillian Penney, Victoria Brace
PURPOSE OF REVIEW: Over the past decade, there has been increasing interest internationally in studying maternal near misses, or severe morbidity, to complement traditional audit of maternal mortality. This review summarizes studies in this field published during 2005-2006. RECENT FINDINGS: There is wide variation among published studies in terms of definitions of near miss, sources of data, and assessment of quality of care. Some investigators focus on single categories of near miss (e...
April 2007: Current Opinion in Obstetrics & Gynecology
D Kaye, F Mirembe, F Aziga, B Namulema
BACKGROUND: Many maternal deaths (as well as related severe morbidity) are of women who do not attend antenatal care in a given health unit but are referred there when they develop life-threatening obstetric complications. OBJECTIVE: To determine the reproductive characteristics of emergency obstetric referrals, and determine the contribution of emergency obstetric referrals to severe acute maternal morbidity (near-misses) and maternal mortality. STUDY DESIGN: Descriptive cross-sectional study...
March 2003: East African Medical Journal
B Hibbard, D Milner
An audit of facilities recommended to be available in consultant obstetric units (COUs) in the United Kingdom (UK) received responses from 248 (95%) of all 260 COUs. Of the respondents, 86% were on the site of an acute general hospital, 76% had an intensive therapy unit on site, and 87% had a blood bank on site. Eighty-two per cent had a protocol for management of massive haemorrhage, and 91% had a local protocol for the management of severe pre-eclampsia/eclampsia. The development of Regional protocols and advisory centres for the management of hypertensive disorders is at present fragmentary...
1994: Health Trends
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