The impact of post-partum haemorrhage in “near-miss” morbidity and mortality in developing countries

2006 ◽  
Vol 2 (3) ◽  
pp. 161-169 ◽  
Author(s):  
Rashmi Bagga ◽  
Vanita Jain
Keyword(s):  
Developing Countries ◽  
Post Partum ◽  
Near Miss ◽  
Morbidity And Mortality ◽  
Post Partum Haemorrhage ◽  
The Impact

scholarly journals The Impact of RSV-Associated Respiratory Disease on Children in Asia

2018 ◽  
Vol 14 (03) ◽  
pp. 079-088
Author(s):  
Maduja Divarathne ◽  
Rukshan Ahamed ◽  
Faseeha Noordeen
Keyword(s):  
Risk Factors ◽  
Developing Countries ◽  
Disease Burden ◽  
Heart Diseases ◽  
Epidemiological Studies ◽  
Morbidity And Mortality ◽  
Life Years ◽  
Rsv Infection ◽  
Tract Infections ◽  
The Impact

AbstractAcute respiratory tract infections (ARTIs) are leading contributors to the global infectious disease burden, which is estimated to be 112,900,000 disability adjusted life years. Viruses contribute to the etiology of ARTIs in a big way compared with other microorganisms. Since the discovery of respiratory syncytial virus (RSV) 61 years ago, the virus has been recognized as a major cause of ARTI and hospitalization in children. The morbidity and mortality attributable to RSV infection appear to be higher in infants < 3 months and in those with known risk factors such as prematurity, chronic lung, and congenital heart diseases. Crowded living conditions, exposure to tobacco smoke, and industrial or other types of air pollution also increase the risk of RSV-associated ARTI. Many epidemiological studies have been conducted in developed countries to understand the seasonal patterns and risk factors associated with RSV infections. Dearth of information on RSV-associated morbidity and mortality in Asian and developing countries indicates the need for regional reviews to evaluate RSV-associated disease burden in these countries. Epidemiological studies including surveillance is the key to track the disease burden including risk factors, seasonality, morbidity, and mortality associated with RSV infection in these countries. These data will contribute to improve the clinical diagnosis and plan preventive strategies in resource-limited developing countries.

scholarly journals Determinants, Treatment and Consequences of Post-Partum Haemorrhage in Osun State, Nigeria

2019 ◽  
Vol 17 (1) ◽  
pp. 133-152
Author(s):  
Nurat Kehinde Adeyemi
Keyword(s):  
Developing Countries ◽  
Post Partum ◽  
Group Discussion ◽  
Dairy Product ◽  
Health Sector ◽  
Home Delivery ◽  
Respiratory Disorder ◽  
Southwestern Nigeria ◽  
Birth Attendants ◽  
Post Partum Haemorrhage

Despite concerted efforts made by United Nations and other health agencies to reduce Maternal Mortality Rate (MMR) through Skilled Birth Attendants (SBAs) and use of healthcare facilities, report reveals that Traditional Birth Attendants (TBAs) still have a place in maternal healthcare in developing countries. This paper examines causes, treatment and consequences of Post-Partum Haemorrhage (PPH) from TBAs’ perspectives in Osun State, Southwestern Nigeria. The study adopted qualitative method of data collection (In-depth Interview and Focus Group Discussion). Results show some similar (Tone, Trauma, Tissue and Thrombin) as obtained from medical literature and some divergent causes of PPH which includes: consumption of Potassium, intoxicants, dairy product, junks and iron tablets at advanced stage of pregnancy. This implies that substance/food consumption has implication on maternal health. TBAs’ treatment techniques for PPH include: use of powdery substances, concoctions, herbs and roots, and sometimes use of animal parts. Consequences of PPH include: organ failure, respiratory disorder, infection, fever, vomiting, anaemia and loss of fertility. WHO has revealed that misoprostol is effective in treating PPH in home delivery in developing countries. Reducing MMR due to PPH and achieving development in health sector in Nigeria therefore, requires training Nigeria TBAs on the proper administration of misoprostol.

A Multidimensional Measure of Diarrheal Disease Load Changes Resulting from Access to Improved Water Sources in Honduras

2009 ◽  
Vol 32 (1) ◽  
pp. 15-20 ◽  
Author(s):  
Jeffery Deal ◽  
Sylvia Nazar ◽  
Ronald Delaney ◽  
Micah Sorum ◽  
Thomas Leatherman ◽  
...  
Keyword(s):  
Developing Countries ◽  
Diarrheal Disease ◽  
Water Sources ◽  
Morbidity And Mortality ◽  
Multidimensional Measure ◽  
Quality Of Water ◽  
Waterborne Illnesses ◽  
Access And Quality ◽  
The Impact

Waterborne illnesses continue to be a major source of morbidity and mortality in developing countries. A myriad of interventions to improve both access and quality of water for household use has been used. The impact of these interventions is most commonly measured by self-reported frequencies of diarrhea, a method prone to significant reporting bias.

scholarly journals Obstetric Emergency Drill: Does it Change our Knowledge and Skill?

2019 ◽  
Vol 2 (1) ◽  
pp. 74-81
Author(s):  
Rosina Manandhar ◽  
Rachana Saha ◽  
Dipty Shrestha ◽  
Rumina Malla
Keyword(s):  
Clinical Skills ◽  
Post Partum ◽  
Clinical Skill ◽  
Shoulder Dystocia ◽  
P Value ◽  
Obstetric Emergency ◽  
Emergency Training ◽  
Obstetric Emergencies ◽  
Post Partum Haemorrhage ◽  
The Impact

Introduction: Obstetric emergencies are unpredictable and inappropriate management of such events can result in serious maternal and neonatal morbidity and mortality. Simulation and drill provides obstetric emergency training in a safe environment with an aim of improving clinical outcome. The aim of this study was to evaluate the impact of obstetric emergency training on the change in the knowledge, clinical skill and teamwork performance of the participants in the management of common obstetric emergencies: eclampsia, shoulder dystocia and post-partum haemorrhage. Methods: A hospital based interventional study was conducted amongst 11 residents, 4 medical officers and 45 interns. Pre-training and post-training assessment of the knowledge by using Multiple choice questions (MCQs), clinical skills by using Objective Structured Clinical Examination (OSCE) and teamwork performance by using Mayo High Performance Teamwork Scale (MHPTS) was undertaken in each of the modules: Eclampsia, Shoulder dystocia and Post-partum haemorrhage. Training intervention was undertaken by using standardized lectures and simulated clinical emergency scenarios. The changes in MCQs, OSCE and MHPTS scores were analyzed. Results: There was a significant improvement in the mean MCQ score (p-value ˂0.001) and OSCE score (p-value ˂0.001), overall and individually, in each module. After the training, a greater number of participants could perform the clinical skill components. There was also a significant improvement in post training MHPTS score (p-value˂0.001). Conclusions: Obstetric emergency drill and training significantly increased the knowledge, clinical skills and teamwork performance of participants in the management of important obstetric emergencies. Keywords: eclampsia; obstetric emergency; post-partum haemorrhage; shoulder dystocia; simulation.

scholarly journals Clinical study of post partum haemorrhage from a teaching hospital in Maharashtra, India

2017 ◽  
Vol 6 (6) ◽  
pp. 2366 ◽  
Author(s):  
Fasiha Tasneem ◽  
Shyam Sirsam ◽  
Vijayalakshmi Shanbhag
Keyword(s):  
Teaching Hospital ◽  
Postpartum Haemorrhage ◽  
Post Partum ◽  
Care Center ◽  
Tertiary Care ◽  
Morbidity And Mortality ◽  
Active Management ◽  
Surgical Interventions ◽  
Maternal Morbidity And Mortality ◽  
Post Partum Haemorrhage

Background: To study the cases of postpartum haemorrhage, their causes and management in a tertiary care centre.Methods: A retrospective study of cases of postpartum haemorrhage for a period of 3yrs was conducted in Dept. of OBGY at a rural tertiary care center and teaching hospital in Maharashtra. The major causes, management modalities, morbidity and mortality associated with it were discussed.Results: Out of 37515 deliveries over the period of 3 years (2014-2016), there were 1333 cases of PPH out of which accounted for a prevalence of 3.55%. Study showed that 86% of cases were due to atonic PPH, 9.9% due to traumatic PPH, and 0.97% were due to both atonic and traumatic PPH. 2.7% of cases were due to retained placenta, 0.07% were due to bleeding diathesis.Conclusions: In an era with availability of excellent uterotonics and active management of 3rd stage of labour even today postpartum haemorrhage stands first as the cause of maternal morbidity and mortality. Even though with excellent medical and surgical interventions, maternal mortality due to PPH has been significantly reduced, the field still needs extensive research and new modalities to prevent and manage post-partum haemorrhage.

scholarly journals Morbidity and mortality associated with emergency obstetric hysterectomy: a three year retrospective study in a tertiary care centre of India

2018 ◽  
Vol 7 (9) ◽  
pp. 3534
Author(s):  
Swati . ◽  
Vineeta . ◽  
Ahmad Nadeem Aslami
Keyword(s):  
Retrospective Study ◽  
Post Partum ◽  
Tertiary Care ◽  
Near Miss ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Medical College ◽  
Life Saving ◽  
Post Partum Haemorrhage ◽  
Live Baby

Background: Emergency obstetric hysterectomy (EOH) continues to remain an important life saving procedure in the era of modern obstetrics. EOH acts as a near miss marker as a proxy for maternal mortality. The objective of this study was to analyze 52 EOH done in a tertiary care centre of Ajmer, Rajasthan, India.Methods: A retrospective study was done using hospital records of 52 EOH done in a three year period in the Department of Obstetric and Gynaecology, LNJ Medical College, Ajmer, Rajasthan, India.Results: The incidence of obstetric hysterectomy was 1.25 in 1000 deliveries. The average age of the patients was 27.8 years. Most common reason for EOH was post partum haemorrhage (PPH). 86.5% patients went under subtotal hysterectomies. Several complications occurred in these patients, severe anemia being most common. 28.8% patients died after the operations. More than half patients delivered a live baby while 40.4% had still births.Conclusions: EOH is a life saving procedure. The outcome depends on timely decision and apt clinical judgement because delay can lead to high maternal as well as infant mortality.

Studying the Birth Outcome in Tikrit Teaching Hospital

2018 ◽  
Vol 1 (1) ◽  
pp. 55-57
Author(s):  
Areej Noaman
Keyword(s):  
Risk Factors ◽  
Developing Countries ◽  
Teaching Hospital ◽  
Birth Outcome ◽  
Morbidity And Mortality ◽  
Healthy Baby ◽  
Factors Affecting ◽  
Neonatal Deaths ◽  
Healthy Mother

  Background : A successful birth outcome is defined as the birth of a healthy baby to a healthy mother. While relatively low in industrialized world, maternal and fetal morbidity and mortality and neonatal deaths occur disproportionately in developing countries. Aim of the Study: To assess birth outcome and identify some risk factors affecting it for achieving favorable birth outcome in Tikrit Teaching Hospital

Sign in / Sign up

Export Citation Format

Share Document