Adverse Fetal Outcomes and Maternal Mortality Following Non-Obstetric Abdominopelvic Surgery in Pregnancy

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.

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Snakebite during pregnancy

Human & Experimental Toxicology ◽

10.1191/0960327105ht535oa ◽

2005 ◽

Vol 24 (7) ◽

pp. 341-345 ◽

Cited By ~ 11

Author(s):

A Sebe ◽

S Satar ◽

A Acikalin

Keyword(s):

Emergency Medicine ◽

Maternal Mortality ◽

Successful Treatment ◽

Fetal Wastage ◽

Pregnancy Result ◽

In Pregnancy

Little is known about snakebites during pregnancy and only a few cases have been reported in the literature. The fact that venomous snakebites during pregnancy result in high fetal wastage and may cause maternal mortality makes this an important, albeit, uncommonly encountered entity in emergency medicine. In this paper, we report on the successful treatment of three cases of snakebite in pregnancy.

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Relationship between coronavirus disease 2019 in pregnancy and maternal and fetal outcomes: retrospective analytical cohort study

Midwifery ◽

10.1016/j.midw.2021.103128 ◽

2021 ◽

pp. 103128

Author(s):

Zahra Alipour ◽

Parisa Samadi ◽

Narges Eskandari ◽

Maryam Ghaedrahmati ◽

Mostafa Vahedian ◽

...

Keyword(s):

Cohort Study ◽

Fetal Outcomes ◽

In Pregnancy

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Neurocysticercosis in pregnancy: maternal and fetal outcomes

Oxford Medical Case Reports ◽

10.1093/omcr/omw019 ◽

2016 ◽

Vol 2016 (7) ◽

pp. 138-140 ◽

Cited By ~ 3

Author(s):

Rebecca F. D'Cruz ◽

Sher M. Ng ◽

Pooja Dassan

Keyword(s):

Fetal Outcomes ◽

In Pregnancy

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Glanzmann thrombasthenia in pregnancy: Optimising maternal and fetal outcomes

Obstetric Medicine ◽

10.1177/1753495x16655021 ◽

2016 ◽

Vol 9 (4) ◽

pp. 169-170 ◽

Cited By ~ 8

Author(s):

A Wijemanne ◽

I Watt-Coote ◽

S Austin

Keyword(s):

Intracranial Haemorrhage ◽

Autosomal Recessive ◽

Postpartum Haemorrhage ◽

Multidisciplinary Care ◽

Maternal Outcomes ◽

Fetal Outcomes ◽

Glanzmann Thrombasthenia ◽

Neonatal Complications ◽

Alloimmune Thrombocytopenia ◽

In Pregnancy

Glanzmann thrombasthenia is a rare autosomal recessive haemorrhagic disorder. The risks of miscarriage, antepartum and postpartum haemorrhage, and neonatal complications are all increased in individuals presenting with the disease in pregnancy. Some individuals may develop antibodies to platelet glycoproteins; the presence of these antibodies is a rare cause of neonatal alloimmune thrombocytopenia and potential intracranial haemorrhage. Multidisciplinary care is paramount for ensuring optimal fetal and maternal outcomes in such cases. We report a case of neonatal alloimmune thrombocytopenia secondary to maternal Glanzmann thrombasthenia in pregnancy.

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Evaluation of maternal and fetal outcome in pregnancies complicated by jaundice-an observational study

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20210995 ◽

2021 ◽

Author(s):

Ruchi Kishore ◽

Neha Thakur ◽

Mitali Tuwani

Keyword(s):

Mortality Rate ◽

Observational Study ◽

Maternal Mortality ◽

Viral Hepatitis ◽

Hellp Syndrome ◽

Fetal Outcome ◽

Maternal Outcome ◽

Fetal Mortality ◽

Maternal Mortality Rate ◽

In Pregnancy

Background: The spectrum of jaundice in pregnancy varies from a benign condition with good maternal and fetal outcome to a severe form resulting in liver failure and maternal and fetal mortality. Jaundice may complicate 3-5% of pregnancies. Present study was aimed to analyze the cause, course and impact of jaundice during pregnancy so as to have better understanding and hence better feto-maternal outcome. The present study aimed to analyze the various causes of hepatic dysfunction in pregnancy, maternal and fetal outcome in pregnancies complicated by jaundice and various hematological and liver function variables for predicting maternal and fetal outcome.Methods: The present study was an observational study conducted in the department of obstetrics and gynecology, Pt. JNM medical college and associated Dr. BRAM hospital, Raipur (CG) over period of 2 year from September 2018 to September 2020.Results: Total 0.72% pregnancies were complicated by jaundice. HELLP syndrome was the commonest cause of jaundice in pregnancy (36.7%), followed by viral hepatitis (32.7%). Hepatitis E was the most common type of viral hepatitis (91.8%). Hemolytic jaundice presented with best maternal outcome (maternal mortality rate 8.6%). Worst maternal outcome was seen in AFLP (maternal mortality rate 100%). Best fetal outcome was seen in viral hepatitis (live birth rate 67.6%), whereas worst noted with AFLP (fetal death rate 66.6%). Higher total serum bilirubin, higher serum AST, anemia and deranged INR had significant correlation with maternal mortality.Conclusions: HELLP syndrome and viral hepatitis are preventable causes of jaundice yet it contributed to significant proportion of maternal deaths in 26.5 and 18.5% cases respectively. AFLP is often under diagnosed and had a fulminant course in pregnancy causing maternal and fetal mortality.

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Indicators of Husband's Role in Pregnancy and Maternity Care

International Journal of Public Health Science (IJPHS) ◽

10.11591/ijphs.v6i2.6181 ◽

2017 ◽

Vol 6 (2) ◽

pp. 192

Author(s):

Apik Indarty Moedjiono ◽

Kuntoro Kuntoro ◽

Hari Basuki Notobroto

Keyword(s):

Maternal Mortality ◽

Organizational Support ◽

Maternity Care ◽

Unplanned Pregnancy ◽

Health Information System ◽

Skilled Birth Attendance ◽

Major Health Problem ◽

Pregnancy And Childbirth ◽

Birth Attendance ◽

In Pregnancy

The maternal mortality rate (MMR) in developing countries is still a major health problem, including in Indonesia. Antenatal Care (ANC), delivery with skilled birth attendance (SBA) at the time of delivery and delivery in institutional are universally considered important for reducing maternal mortality. Husbands can play a crucial role in pregnancy and childbirth. Therefore, the aim of this study was analyze the indicators of husband's role in pregnancy and maternity care which were suspected as one of the determinants of ANC and SBA use in Polewali Mandar Regency. The population of this prospective cohort study was all married and pregnant woman, before using contraceptives and contraceptive failure or not using contraception and pregnancy is planned, unplanned pregnancy or mistimed pregnancy in Polewali Mandar 2015 (Size of sample = 100). Samples were randomly selected from participants of screening in 12 sub-districts in Polewali Mandar. Data about husband's role in pregnancy and maternity care was obtained through interviews using a structured questionnaire data processing by using SMART-PLS. The result of data analysis suggested that the coefficient value that has been standardized from each indicator were as follows: accessibility = 0.944 and engagement = 0.954, dan responsibility = 0.968. Indicators of organizational support in implementing Maternal and Child Health Information System at Polewali Mandar Regency, respectively from the most important are: responsibility, engagement, and accessibility.

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Perioperative Management of Sectio Caesarea Surgery in Patient With Heart Valve Disorders

Solo Journal of Anesthesi, Pain and Critical Care (SOJA) ◽

10.20961/soja.v1i1.49474 ◽

2021 ◽

Vol 1 (1) ◽

pp. 1

Author(s):

Purwoko Purwoko ◽

Zidni Afrokhul Athir

Keyword(s):

Mitral Regurgitation ◽

Cesarean Section ◽

Maternal Mortality ◽

Pulmonary Edema ◽

Heart Valve ◽

Mitral Stenosis ◽

Valve Disease ◽

Heart Valve Disease ◽

Normal Limits ◽

In Pregnancy

<div class="WordSection1">Cardiovascular disease in pregnancy is common range from 1% to 3 and contributes to 10-15% of maternal mortality. Valvular heart disease accounts for about 25% of cases of cardiac complications in pregnancy and important cause of maternal mortality, some of which are mitral stenosis and mitral regurgitation. Cesarean delivery remains the preferred choice, as it reduces the hemodynamic changes that can occur in normal delivery and allows for better monitoring and hemodynamic management. Our paper provide in-depth information regarding the pathophysiology of heart valve disease in pregnant women and an appropriate perianesthesia approach to obtain a good prognosis. We report a case of a 26-year-old pregnant woman, with obstetric status G1P0A0, 36 weeks’ gestation, body weight 61 kg accompanied by severe mitral regurgitation and moderate mitral stenosis. This patient was planned to undergo elective cesarean section. The patient's condition in the perioperative examination was: GCS E4V5M6, other vital signs within normal limits, SpO2 98-99% in supine position. Other physical and laboratory examinations were also within normal limits. The goal of anesthesia during surgery in patients with heart valve disease undergoing cesarean section maintain pulmonary capillary pressure to prevent acute pulmonary edema. In this case, regional anesthesia of epidural anesthesia was chosen because it can reduce systemic vascular resistance and provide better post-cesarean section pain. The patient's hemodynamics perianesthesia tended to be stable without any complications such as pulmonary edema. </div>

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