Building a Better Simulation to Improve Outcomes in High-Risk Obstetric Emergencies

2021 ◽  
Vol 50 (5) ◽  
pp. S17-S18
Author(s):  
Rachelle Nauta ◽  
Andi Springett
Keyword(s):  
High Risk ◽  
Obstetric Emergencies

scholarly journals Review of obstetrical emergencies and fetal out come in a tertiary care centre

2018 ◽  
Vol 6 (5) ◽  
pp. 1554
Author(s):  
Dipali Prasad ◽  
Huma Nishat ◽  
Bhawana Tiwary ◽  
Swet Nisha ◽  
Archana Sinha ◽  
...  
Keyword(s):  
High Risk ◽  
Post Partum ◽  
Tertiary Care ◽  
Medical Science ◽  
Fatal Outcome ◽  
Multiple Pregnancy ◽  
Ventilatory Support ◽  
Child Health Services ◽  
Risk Pregnancy ◽  
Obstetric Emergencies

Background: Obstetric emergencies can occur suddenly and unexpectedly. Obstetrics is unique in that there are two patients to consider and care for, a mother and a baby or fetus. Identification and referral of high risk pregnancies are an integral part of maternal and child health services. Timeliness and appropriateness can reduce the incidence of obstetric emergencies. Present study was carried out to know the incidence, nature and outcome of obstetric emergencies.Methods: Retrospective study of obstetric emergencies admitted to Obstetrics and Gynaecology department of Indira Gandhi Institute of Medical science, Patna from March 2015 to September 2017.Results: The common clinical presentation was Ectopic Pregnancy (19.64%), Heart Disease (16.64%), Abortion (13.69%), Severe Anaemia (16.66%), Purpureal Sepsis (9.52%), Sever pregnancy induced hypertension (3.57%), Eclampsia/ HELLP Syndrome (2.38%), Multiple Pregnancy (1.19%) Malignancy Disorder with Pregnancy (2.97%) and HIV in pregnancy (0.59%). Intervention done include Dilation and evacuation (13.69%), Caesarean section (28.57%), Vaginal delivery (22.62%), Caesarean Hysterectomy (2.38%), Exploratory Laparotomy (20.83%) and conservative management in (11.90%) of patients. Maternal outcome include shock due to rupture ectopic and post-partum (16.68%), Blood Transfusion done in (27.99%), Septicaemia (15.48%), ICU admission (8.92%), HDU (12.5%), Pulmonary oedema (6.54%), DIC (4.16%), CCF (3.57%), Ventilatory Support (1.78%) and Maternal Mortality (2.38%). Fatal outcome includes live birth (58.8%), NICU Admission (27.45%), Ventilatory Support (7.84%) and Neonatal mortality (5.88%).Conclusions: High risk pregnancy identification and proper antenatal, intranatal and postnatal care will reduce the incidence of obstetrical emergencies. Peripheral health care system need to be strengthen and early referral need to be implemented for better maternal and fetal outcome.

scholarly journals An observation checklist for facility-based normal labor and delivery practices: The Galaa study

2003 ◽  
Keyword(s):  
High Risk ◽  
North America ◽  
Data Collection ◽  
Critical Analysis ◽  
Developing World ◽  
Hospital Staff ◽  
Ministry Of Health ◽  
Maternal Deaths ◽  
Obstetric Emergencies ◽  
Delivery Practices

Globally, almost 515,000 women die every year from maternal causes related to pregnancy or childbirth. Most research focuses on identifying high-risk cases or managing obstetric emergencies, in an attempt to reduce women’s risk of dying of maternal causes. While facility practices for normal labor were extensively examined and revised in Europe and North America in the 1970s and 1980s, little is known about facility practices for normal labor in many parts of the developing world. It is important for practitioners and policymakers to know the nature and frequency of common facility practices for normal labor. Substandard care has been identified by the Egyptian Ministry of Health and Population as the leading avoidable factor contributing to maternal deaths in Egypt. Much progress has been achieved regarding management of obstetric emergencies, however facility practices for normal labor are unexplored and undocumented in Egypt. With the support and collaboration of El Galaa hospital staff, a study was conducted in 2001 and yielded comprehensive data. This monograph presents one of the data collection tools—the observation checklist—and describes the process of developing the checklist and a critical analysis of its performance.

scholarly journals How often will midwives and obstetricians experience obstetric emergencies or high-risk deliveries: a national cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e050790
Author(s):  
Stinne Høgh ◽  
Line Thellesen ◽  
Thomas Bergholt ◽  
Ane Lilleøre Rom ◽  
Marianne Johansen ◽  
...  
Keyword(s):  
High Risk ◽  
Healthcare Professionals ◽  
Clinical Skills ◽  
Cross Sectional Study ◽  
Time Interval ◽  
Sectional Study ◽  
Cross Sectional ◽  
Emergency Caesarean ◽  
Obstetrics And Gynaecology ◽  
Obstetric Emergencies

ObjectiveTo estimate how often midwives, specialty trainees and doctors specialised in obstetrics and gynaecology are attending to specific obstetric emergencies or high-risk deliveries (obstetric events).DesignA national cross-sectional study.SettingAll hospital labour wards in Denmark.ParticipantsMidwives (n=1303), specialty trainees (n=179) and doctors specialised in obstetrics and gynaecology (n=343) working in hospital labour wards (n=21) in Denmark in 2018.MethodsCategories of obstetric events comprised of Apgar score <7/5 min, eclampsia, emergency caesarean sections, severe postpartum haemorrhage, shoulder dystocia, umbilical cord prolapse, vaginal breech deliveries, vaginal twin deliveries and vacuum extraction. Data on number of healthcare professionals were obtained through the Danish maternity wards, the Danish Health Authority and the Danish Society of Obstetricians and Gynaecologists. We calculated the time interval between attending each obstetric event by dividing the number of events occurred with the number of healthcare professionals.Outcome measuresThe time interval between attending a specific obstetric event.ResultsThe average time between experiencing obstetric events ranged from days to years. Emergency caesarean sections, which occur relatively frequent, were attended on average every other month by midwives, every 9 days for specialty trainees and every 17 days by specialist doctors. On average, rare events like eclampsia were experienced by midwives only every 42 years, every 6 years by specialty trainees and every 11 years by specialist doctors.ConclusionsSome obstetric events occur extremely rarely, hindering the ability to obtain and maintain the clinical skills to manage them through clinical practice alone. By assessing the frequency of a healthcare professionals attending an obstetric emergency, our study contributes to assessing the need for supplementary educational initiatives and interventions to learn and maintain clinical skills.

A Community Based High Risk Register for Hearing Loss

1982 ◽  
Vol 47 (4) ◽  
pp. 373-375 ◽  
Author(s):  
James L. Fitch ◽  
Thomas F. Williams ◽  
Josephine E. Etienne
Keyword(s):  
Hearing Loss ◽  
System Identification ◽  
High Risk ◽  
Language Learning ◽  
Education Program ◽  
Communication System ◽  
Auditory Signal ◽  
Early Age ◽  
Community Based ◽  
Children With Hearing Loss

The critical need to identify children with hearing loss and provide treatment at the earliest possible age has become increasingly apparent in recent years (Northern & Downs, 1978). Reduction of the auditory signal during the critical language-learning period can severely limit the child's potential for developing a complete, effective communication system. Identification and treatment of children having handicapping conditions at an early age has gained impetus through the Handicapped Children's Early Education Program (HCEEP) projects funded by the Bureau of Education for the Handicapped (BEH).

A Community Based High Risk Register for Hearing Loss

1983 ◽  
Vol 48 (1) ◽  
pp. 110-110
Keyword(s):  
Hearing Loss ◽  
High Risk ◽  
Community Based

For the November 1982 JSHD article, "A Community Based High Risk Register for Hearing Loss," the author would like to acknowledge three additional individuals who made valuable contributions to the study. They are Marie Carrier, Gene Lyon, and Bobbie Robertson.

Sign in / Sign up

Export Citation Format

Share Document