Obstetric emergencies

2021 ◽  
pp. 881-892
Author(s):  
Marcus Rijken ◽  
Rose McGready ◽  
Tarek Meguid
Keyword(s):  
Antenatal Care ◽  
Early Pregnancy ◽  
Maternal Care ◽  
Hypertensive Emergencies ◽  
Obstetric Haemorrhage ◽  
Obstetric Emergencies

Respectful Maternal Care, Antenatal care, Early pregnancy bleeding?, Hypertensive emergencies?, Pregnancy-related infection?, Obstetric haemorrhage?, Intrapartum emergencies?

scholarly journals A RETROSPECTIVE STUDY OF FETOMATERNAL OUTCOME IN ECLAMPSIA

2020 ◽  
Vol 4 (9) ◽  
Author(s):  
Shital M Chalaliya ◽  
Dipti C. Parmar
Keyword(s):  
Retrospective Study ◽  
Antenatal Care ◽  
Rural Areas ◽  
Socioeconomic Conditions ◽  
Early Referral ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Review Period ◽  
Obstetric Emergencies ◽  
Primary Management

In India the perinatal and maternal outcome in eclampsia cases is still poor due to inadequate antenatal care in rural areas, financial restraints and non-availability of transportation facilities, and social taboos causing delay in management resulting in poor maternal and neonatal outcome. Aim of the study was to evaluate fetomaternal outcome in patients with eclampsia. This retrospective study was conducted over a period  of 2 years from  May  2018 to  April 2020  at department of obstetrics and gynaecology of Government  medical college and Sir T General hospital,  Bhavnagar , Gujarat , India. During the review period total 50 cases of eclampsia reported.Incidence in our study is 0.43%.Results showed 86 % of eclampsia patients were of age less than 25 years. 82% of patients had antepartum eclampsia , 14 % had postpartum eclampsia and 4% had intrapartum  eclampsia . 90% patients had 1 episodes of convulsion. 8% patients had 2 episodes of convulsions.2% pateint had 5 episode of convulsion. Out of 50 patients 36 patients were delivered by C-section and 14 patients by vaginal delivery.1 patient had twin pregnancy.Out of 51 newborn, 5 were stillbirth and 1 early neonatal death.Maternal mortility was 2 % .Eclampsia is still one of the important and common obstetric emergencies, which has a significant role in maternal and perinatal outcome. Regular Antenatal Care (ANC), proper health education, improvements of socioeconomic conditions and spreading of awareness in the community has major roles in prevention of eclampsia. Timely and appropriate intervention including primary management, early referral and judicious termination of pregnancy help in reducing morbidity and mortality of both mother and fetus. Keywords: Eclampsia, Fetomaternal outcome.

Improving use of maternal care services among married adolescent girls: an intervention study in rural India

2020 ◽  
pp. 1-20
Author(s):  
Ashok Dyalchand ◽  
Rohini Prabha Pande ◽  
Gopal Kulkarni ◽  
Manisha Khale
Keyword(s):  
Antenatal Care ◽  
Community Health ◽  
Community Health Workers ◽  
Adolescent Girls ◽  
Maternal Care ◽  
Health Workers ◽  
Care Delivery ◽  
Scale Up ◽  
Care Services ◽  
Study Sites

Abstract This study examined the effect of the Safe Adolescent Transition and Health Initiative (SATHI) programme on the use of maternal care services among rural, pregnant adolescents in India. This was an intensive community-based, multi-site intervention project conducted in Maharashtra state between 2008 and 2011. Its aims were to improve the reproductive health of married adolescent girls and avert the adverse consequences of early motherhood. It had a quasi-experimental, case-control, pre-post design to enable rigorous evaluation. This study used cross-sectional data from 644 married girls aged under 19 years at baseline and 802 at endline to assess the maternal care outcomes of antenatal care, delivery and postnatal services and nutrition during pregnancy. Difference-in-differences analysis showed that all outcomes improved significantly in the study sites between baseline and endline, and the improvement in study sites was significantly larger than in the control sites. Multivariate analysis showed a statistically significant dose–response effect of intervention participation for antenatal care, pregnancy nutrition and postnatal care. Study participation was not statistically significantly associated with higher rates of safe or institutional delivery. The analysis suggests that training and supporting community health workers to work with married adolescent girls using interpersonal communication and interacting frequently with them and their families and communities can significantly improve the use of maternal care services among this population. With almost a million community health workers and 200,000 auxiliary nurse midwives at the community level providing primary level care in India, this intervention offers a proven strategy to replicate and scale-up to reach large numbers of married adolescent girls who do not currently use maternal care services.

Obstetric emergencies

2016 ◽  
Keyword(s):  
Emergency Department ◽  
Pregnant Women ◽  
Early Pregnancy ◽  
Urgent Care ◽  
Medical Problems ◽  
Nursing Assessment ◽  
Care Services ◽  
Obstetric Emergencies ◽  
In Pregnancy

Women often present to emergency and urgent care services with problems or concerns relating to their pregnancy. Additionally, women who are pregnant may also present with acute medical problems or suffer from a range of injuries. Problems in early pregnancy are common and are often a reason for attendance to the emergency department. This chapter provides detailed information regarding the assessment of pregnant women and the differences to that of non-pregnant patients. A range of emergency obstetric problems are covered, including emergency delivery. The nursing assessment and management of medical problems in pregnancy are also covered.

scholarly journals Pattern of utilization of blood and blood components in obstetrics at tertiary care hospital

2017 ◽  
Vol 6 (10) ◽  
pp. 4671
Author(s):  
Vidyadhar Bangal Bangal ◽  
Satyajit P. Gavhane ◽  
Kunal H. Aher ◽  
Dhruval K. Bhavsar ◽  
Priyanka R. Verma ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Blood Donation ◽  
Tertiary Care ◽  
Severe Anaemia ◽  
Blood Bank ◽  
Care Hospital ◽  
Obstetric Haemorrhage ◽  
Obstetric Emergencies ◽  
The Common ◽  
Health Institutions

Background: Obstetric emergencies occur suddenly and unexpectedly. Blood transfusion becomes one of the live saving measures in such situations. Severe anaemia due to nutritional deficiency, obstetric haemorrhage either during pregnancy, labour or in postpartum period are the commonest indications for blood transfusion worldwide. Blood bank services play important role in saving lives in obstetric emergencies. Health institutions must carry out internal blood transfusion audits to reassure optimal and judicious use of blood and blood components.Methods: Analysis of 755 Obstetric patients requiring blood transfusion in eighteen months period was done to find out the incidence and indications for blood transfusion at tertiary care hospital.Results: Overall, 5.33% of obstetric admissions required transfusion of blood or its components. Severe anaemia (36.55%), accidental haemorrhage (20.92%), postpartum haemorrhage (8.34%), placenta praevia (5.03%) and caesarean section (10.33%) were the common indications for blood transfusion. In more than 65% cases, two or three unit of blood were transfused. In majority of cases (96%) components were used.Conclusions: Blood transfusion helped to save many lives in the present study. Severe anaemia and obstetric haemorrhage of varied aetiology were the common indications for blood transfusion. Component therapy helped to correct specific deficiency. Voluntary blood donation should be encouraged in the younger generation to keep adequate stock of blood in blood bank for emergency use. Preventive measures like improving dietary iron intake and prophylactic iron therapy will go a long way in reducing the need for blood transfusion in Obstetrics.

scholarly journals Women’s Views of and Responses to Maternity Services Rendered during Labor and Childbirth in Maternity Units in a Semi-Rural District in South Africa

2020 ◽  
Vol 17 (14) ◽  
pp. 5035
Author(s):  
Elizabeth Zitha ◽  
Mathilda M. Mokgatle
Keyword(s):  
South Africa ◽  
Antenatal Care ◽  
Maternal Care ◽  
Computer Software ◽  
Care Utilization ◽  
Major Barrier ◽  
Maternity Services ◽  
Antenatal Care Utilization ◽  
Positive Experiences ◽  
Depth Interviews

Facility-based delivery is an important strategy to prevent poor labor outcomes, and midwives are at the center of maternal care. However, disrespectful and abusive maternal care by midwives is prevalent and leads to poor antenatal care utilization and increased numbers of home deliveries. The objective of the study was to assess the views of women about the care they received during labor and childbirth and describe the interactions between the women and the midwives. This was a qualitative study using in-depth interviews with women who had delivered in midwife obstetric units at a district hospital in Tshwane District, South Africa. Twenty-six women aged 18–41 years, and had delivered within the previous six months were selected, using purposive sampling. A thematic content analysis approach and NVivo11 computer software were used to identify emergent themes. Most women had had negative experiences of the maternity services they had received during labor and childbirth. Shouting and rude remarks by midwives caused tension between the midwives and the women and had created a major barrier for communication. The abuse and disrespect that the women were subjected to had created a hostile and uncaring environment for them. They felt stressed, fearful, and anxious throughout labor and childbirth. In response to the hostile environment, they employed manipulative tactics such as pushing before time in the hope of getting attention. These acts resulted in punitive responses from the midwives who joined forces against them, reprimanded, or ignored them. Good interactions, described as being respectful, approachable, and polite, and the sharing of information yielded positive experiences of maternity care. The state of maternity services rendered during labor and childbirth is counterproductive to the existing plan of increasing early antenatal care bookings and presentation to the facilities for labor and childbirth. There is a need to retrain midwives in the respectful care of women during labor and childbirth to facilitate a change in their attitudes.

scholarly journals ABC of antenatal care, Vaginal bleeding in early pregnancy--I.

BMJ ◽  
1991 ◽  
Vol 302 (6785) ◽  
pp. 1141-1143 ◽  
Author(s):  
G Chamberlain
Keyword(s):  
Antenatal Care ◽  
Early Pregnancy ◽  
Vaginal Bleeding

scholarly journals Antenatal care during the COVID-19 pandemic

2020 ◽  
Vol 9 (10) ◽  
pp. 4052
Author(s):  
Devdatt Laxman Pitale
Keyword(s):  
Antenatal Care ◽  
Daily Living ◽  
Severe Disease ◽  
Cost Effective ◽  
Antenatal Clinic ◽  
High Risk Population ◽  
Exclusion Criteria ◽  
Normal Delivery ◽  
Increased Risk ◽  
Obstetric Emergencies

Background: COVID-19 pandemic has affected the daily living globally. It has added to the stress of day to day life. COVID-19 is associated with severe disease in high-risk population groups with increased mortality risk. COVID-19 and it’s impact on pregnancy needs extensive research. Early research data does not suggest any increased risk in the pregnant population and Vertical transmission is yet to be confirmed. As of now no standard protocol is available for management of COVID-19 .Social distancing is the best possible mechanism available to protect patients and health care personnel from COVID-19. The aim of this study is to know the effectiveness of protocol based Antenatal care during COVID-19 pandemic.Methods: This study was conducted at the Antenatal clinic. A total of 40 antenatal cases who satisfied inclusion and exclusion criteria were selected for the above study. They were assessed at the antenatal clinic following a modified protocol.Results: Majority of the pregnant women in the study group were primigravidas and belonged to the age group of 21-25 years. They were called for Antenatal check-ups as per the protocol specifically modified taking into consideration the COVID-19 pandemic. 80% of the deliveries in present study were normal delivery and only in obstetric emergencies LSCS was performed.Conclusions: Antenatal care in COVID-19 pandemic is challenging yet essential. Following a protocol based approach is the key to management of Antenatal care amidst the pandemic. It is cost-effective and has an easy learning curve. 

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