Analysis of 348 consecutive cases of primary postpartum haemorrhage at a tertiary hospital in Nigeria

2003 ◽  
Vol 23 (4) ◽  
pp. 374-377 ◽  
Author(s):  
MA IJAIYA ◽  
AP ABOYEJI ◽  
D ABUBAKAR
Keyword(s):  
Postpartum Haemorrhage ◽  
Tertiary Hospital

scholarly journals Magnitude, Trends and Causes of Maternal Mortality: A 7-year Review at a Tertiary Hospital in Rivers State, Nigeria

2020 ◽  
pp. 103-109
Author(s):  
P. A. Awoyesuku ◽  
D. A. MacPepple ◽  
B. O. Altraide
Keyword(s):  
Maternal Mortality ◽  
Postpartum Haemorrhage ◽  
Maternal Mortality Ratio ◽  
Tertiary Hospital ◽  
Sub Saharan Africa ◽  
Annual Reports ◽  
Maternal Deaths ◽  
Middle Income ◽  
Mortality Ratio ◽  
Sub Saharan

Background: Maternal mortality ratios (MMR) are still unacceptably high in many low- and middle-income countries especially in sub-Saharan Africa. Background Data for the causes of maternal deaths are needed to inform policies to improve maternal healthcare and reduce maternal mortality. Objective: This study sought to determine the magnitude and trend in maternal mortality and the causes at a tertiary hospital over a seven-year study period. Methodology: This was a retrospective review of maternal mortality and causes from 2012 to 2018. Data on number of maternal deaths, deliveries and causes of death were retrieved from the departmental annual reports and hospital records and entered into Microsoft Excel 2013. Data were presented as line graphs, charts and frequency tables. Results: One hundred and ten (110) maternal deaths occurred out of 17,080 total births during the study period giving an overall MMR of 644. The MMR increased progressively from 580 in 2012 to 785 in 2018 with a sharp rise to the highest and subsequent decline to the lowest, values at the midpoint. The commonest causes of maternal deaths were Pre-eclampsia (PET) and Eclampsia 44(40%), Postpartum Haemorrhage (PPH) 25(22.7%) and Ruptured Uterus 13(11.8%). Conclusion: The maternal mortality ratio is high and the trend is worsening. The leading causes of maternal deaths were PET/Eclampsia and Postpartum haemorrhage accounting for about two-thirds of all deaths. Efforts must be geared towards improvements in the management of these cases, if this trend is to be reversed.

scholarly journals Obstetric hysterectomy: a retrospective study

2021 ◽  
Vol 10 (12) ◽  
pp. 4522
Author(s):  
Savita N. Kamble ◽  
Yuga M. Jamdade
Keyword(s):  
Analytical Study ◽  
Postpartum Haemorrhage ◽  
Reproductive Potential ◽  
Tertiary Hospital ◽  
Fetal Outcome ◽  
Common Risk Factor ◽  
Early Referral ◽  
Fetal Complications ◽  
Expert Surgeon ◽  
Socio Demographic Factors

Background: Obstetric hysterectomy (OH) is last resort usually opted to save life of a mother in critical obstetric conditions compromising her reproductive potential. With increasing caesarean deliveries incidence of morbidly adhered placenta is increasing, thus increasing need of OH. We aimed to study socio-demographic factors, incidence, indications, complications and feto-maternal outcomes associated with obstetric hysterectomy. Also, we aimed to study factors which affect the maternal and fetal outcome in obstetric hysterectomy case so as to minimize maternal and neonatal mortality and morbidity.Methods: We conducted a retrospective analytical study of 2 years 6 months in Department of Obstetrics and Gynecology at a tertiary and teaching institute of western Maharashtra.Results: The incidence of obstetric hysterectomy was 0.4%. Majority of women were between 25-35 years age group and parity two or more. Most common indication was postpartum haemorrhage (PPH) (41.1%) followed by uterine rupture (29.4%) and adhered placenta (23.5%). Most common risk factor found was previous caesarean delivery. Most common complication was need of intensive care unit (ICU) and vasopressor support.Conclusions: Proper antenatal care, screening for high-risk obstetric cases and registration of those patients at a well-equipped hospital and early referral and delivery at tertiary hospital by expert surgeon with timely decision, timely and adequate transfusions can prevent maternal and fetal complications.

Primary postpartum haemorrhage in an Australian tertiary hospital: a case-control study

2005 ◽  
Vol 45 (3) ◽  
pp. 233-236 ◽  
Author(s):  
Amanda HENRY ◽  
Mary-Rose BIRCH ◽  
Elizabeth A. SULLIVAN ◽  
Sue KATZ ◽  
Yueping Alex WANG
Keyword(s):  
Postpartum Haemorrhage ◽  
Case Control Study ◽  
Tertiary Hospital ◽  
Case Control ◽  
Control Study

scholarly journals Immediate maternal complications associated with thrombocytopenia among women delivering at a tertiary hospital in Southwestern Uganda

2021 ◽  
Vol 10 (2) ◽  
pp. 448
Author(s):  
David Ruiru ◽  
Emmanuel Nzabandora ◽  
Robinson Ssebuufu ◽  
Simon Byonanuwe
Keyword(s):  
Postpartum Haemorrhage ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Maternal Outcomes ◽  
Sectional Study ◽  
Maternal Complications ◽  
Cross Sectional ◽  
International University ◽  
Southwestern Uganda

Background: Thrombocytopenia is a serious threat both to the mother and the fetus world over. We established the prevalence and associated immediate maternal complications of thrombocytopenia among women delivering at Kampala International University Teaching Hospital (KIUTH) so as to help us draw a platform for provision of appropriate interventions.Methods: A prospective cross-sectional study involving 386 women was conducted in the months of May 2019 to August 2019. Questionnaires and laboratory result forms were used to obtain the data. Data analyses were conducted using STATA version 14.2.Results: The prevalence of thrombocytopenia was 15.8%. Significant immediate maternal outcomes were placenta abruption which was higher among women with thrombocytopenia (44.3%) than those with no thrombocytopenia (2.2%; p<0.001) and postpartum haemorrhage which was higher among those with thrombocytopenia (45.9%) than those with no thrombocytopenia (6.8%; p<0.001).Conclusions: Thrombocytopenia is a serious obstetric issue worth paying extra attention at this facility.

Healthcare associated infections caused by non-fermenting Gram negative rods (NFGNR): six years of experience of a tertiary hospital

2013 ◽  
Vol 7 (2) ◽  
pp. 06-12
Author(s):  
Zahidul Hasan ◽  
Md. Kamrul Islam ◽  
Arifa Hossain
Keyword(s):  
Blood Stream Infection ◽  
Tertiary Care ◽  
Blood Stream ◽  
Tertiary Hospital ◽  
Healthcare Associated Infections ◽  
Care Hospital ◽  
Gram Negative ◽  
Acinetobacter Spp ◽  
Tract Infections ◽  
Healthcare Associated

Recently non-fermenting Gram negative rods (NFGNR) are playing an important role in healthcare associated infections. This observational study in a tertiary care hospital of Dhaka city conducted during 01August 2007 to 30 June 2013 found that 34.8% isolated organisms from patients with healthcare associated infections were NFGNR. Majority (74.3 %) of these infections were occurring inside critical care areas. Pseudomonas and Acinetobacter together constituted 79.6% of the total NFGNR whereas Burkholderia cephacia complex (15.4%), Stenotrophomonas (4.3%) and Chryseobacterium species (0.7%) combined constituted remaining 20.4%. Out of total NFGNRs, Pseudomonas was responsible for highest number of catheter associated urinary tract infections (55.6%), ventilator associated pneumonia (46.3%), respiratory tract infection (65.8%) and surgical site infection (70.6%). Blood stream infection was predominantly caused by Burkholderia cephacia complex (33.5%) and Acinetobacter spp. (39.5%). Other than colistin most of the organisms were resistant to antibiotics commonly recommended for NFGNR.DOI: http://dx.doi.org/10.3329/bjmm.v7i2.19326 Bangladesh J Med Microbiol 2013; 07(02): 6-12

Diabetes admissions in a tertiary hospital: A one year review

2016 ◽  
Author(s):  
Olubukola Ojo ◽  
Olalekan Ojo ◽  
Adebola Omosehin ◽  
Kayode Oluwatusa ◽  
Sulaeman Okoro ◽  
...  
Keyword(s):  
Tertiary Hospital ◽  
One Year
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