Nonobstetrical Emergencies in the Obstetrical Unit

2013 ◽  
Vol 27 (1) ◽  
pp. 5-7
Author(s):  
Jackie Tillett
Keyword(s):  
Obstetrical Unit

scholarly journals Uterine torsion of 90 degrees: case report

2020 ◽  
Vol 9 (4) ◽  
pp. 1743
Author(s):  
S. Tanouti ◽  
M. Chakri ◽  
H. Taheri ◽  
H. Saadi ◽  
A. Mimouni
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Emergency Caesarean Section ◽  
Third Trimester ◽  
Singleton Pregnancy ◽  
The Third ◽  
Emergency Caesarean ◽  
Uterine Torsion ◽  
Vaginal Deliveries ◽  
Obstetrical Unit

Uterine torsion is defined as a rotation of uterus more than 45 degrees along its long axis. However, a pathologic rotation of the uterus beyond 45 degrees-torsion of the entire uterus-is rarely seen in obstetrical practice, authors report a case of torsion of the uterus by 90 degrees. The patient, a 30-year-old gravida 3 para 2 at 37 weeks’ gestation with a singleton pregnancy, her prior obstetrical history included two uncomplicated term vaginal deliveries, and the current pregnancy had been uncomplicated until the date of presentation was admitted to the obstetrical unit  with  labour at 37 weeks 5 days ,on obstetric examination the patient was in labour with transversal presentation of the fetus so an emergency caesarean section (CS) was carried out for. At the time of CS, the diagnosis of uterine torsion of 90 degrees was made. After the delivery of the baby, uterus returned to anatomical position and the torsion corrected spontaneously. The patient recovered and was discharged home with her baby on the third postoperative day. Uterine torsion is an infrequently reported and potentially dangerous complication of pregnancy that occurs mainly in the third trimester.

In Reply: White Blood Cell Transfusions

PEDIATRICS ◽  
1985 ◽  
Vol 75 (6) ◽  
pp. 1170-1171
Author(s):  
MITCHELL S. CAIRO
Keyword(s):  
Blood Cell ◽  
Critically Ill ◽  
White Blood Cell ◽  
Neonatal Sepsis ◽  
Clinical Criteria ◽  
Children's Hospital ◽  
Obstetrical Unit ◽  
Children’S Hospital

The first question concerning the ratio of suspected to proven neonatal sepsis is a good one. Our ratio was so low because of the strict clinical criteria that we adhered to for patient entry into study. Because we are a tertiary children's hospital and do not have an obstetrical unit attached to our institution, most patients referred to our institution are very critically ill. In our area, the vast majority of neonates for whom sepsis is ruled out are being taken care of at intermediate centers, and I agree that most of the ratios of suspected to proven neonatal sepsis are probably quite high in those centers.

scholarly journals 687: Rural obstetrical unit closures and preterm delivery rates at a regional perinatal center in georgia

2019 ◽  
Vol 220 (1) ◽  
pp. S454
Author(s):  
Angela J. Stephens ◽  
Kiana Nezafat ◽  
Alexandra Poch ◽  
Chadburn Ray
Keyword(s):  
Preterm Delivery ◽  
Obstetrical Unit ◽  
Perinatal Center

scholarly journals The Significance of Early Pregnancy Units in the Practice of a Busy Obstetric Unit

2011 ◽  
Vol 5 (4) ◽  
pp. 405-408
Author(s):  
Mandy Abushama ◽  
Halima Almuhanadi
Keyword(s):  
Early Pregnancy ◽  
Significant Proportion ◽  
Efficient Management ◽  
Obstetrical Unit

ABSTRACT A significant proportion of women experience bleeding in early pregnancy resulting in considerable distress. Early pregnancy unit (EPAU) should promote the sensitive and efficient management of women with early pregnancy problems and we believe this is best achieved by the establishment of a dedicated unit with dedicated staff. This paper outlines the experience of setting up an early pregnancy unit in a busy obstetrical unit.

scholarly journals The utilisation of a midwifery obstetrical unit (mou) in a metropolitan area

Curationis ◽  
2000 ◽  
Vol 23 (4) ◽  
Author(s):  
M I Mashazi ◽  
S D Roos
Keyword(s):  
Focus Group ◽  
Human Resources ◽  
Phase I ◽  
Phase Ii ◽  
Community Involvement ◽  
Intervention Strategies ◽  
Security Measures ◽  
Obstetrical Unit ◽  
Two Phases ◽  
Group Interviews

In this study an explorative, descriptive design which is contextual in nature, is utilized. The objective of the study is three-fold: Firstly, to describe the opinions of members of the community about the reasons for the under-utilization of the Midwifery Obstetrical Unit (MOU); secondly, to describe the suggestions of the community for improving the utilization of the MOU and thirdly, to describe intervention strategies for community nurses to improve the utilization of the MOU. Data was collected by means of focus group interviews, and was analysed using Tesch’s (in Cresswell, 1994: 154-155) method of data analysis. Trustworthiness was ensured by using the method of Guba and Lincoln (1985). The respondents were mothers who delivered their babies at the hospital, mothers who delivered their babies at the MOU, members of the Community Health Committee and MOU nurses. Data was collected in two phases. Phase I dealt with the first question: What is your opinion about the reasons for the under-utilization of the MOU? Phase II dealt with the second question: What are your suggestions for improving the utilization of the MOU? The four groups participated in Phase I as well as in Phase II, the reason being to involve the groups in identifying problems and finding solutions with which they would be comfortable, since it would be their ideas. This whole exercise was, however, carried out in line with the RDP principle of people driven approach or community involvement. The investigation revealed that the community was not utilizing the MOU because of the following reasons: • Negative attitudes of nurses. • Lack of material and human resources. • Poor safety and security measures. • Lack of community involvement/participation. The focus groups then identified the following suggestions for improving the utilization of the MOU: • Change of attitudes by nurses towards the patients. • Availability of material and human resources. • Proper safety and security measures in the MOU. • Community involvement/participation. • Integration of health services. Intervention strategies for community nurses to improve the utilization of the MOU were based on the literature as well as the suggestions made by the focus group respondents because the researcher found the suggestions to be realistic.

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