Pelvic artery embolisation for severe post partum haemorrhage in a tertiary care centre in the UK

2011 ◽  
Vol 96 (Supplement 1) ◽  
pp. Fa82-Fa82
Author(s):  
C. K. Ruprai ◽  
R. Jha ◽  
G. Robinson ◽  
S. Kanwar
Author(s):  
Swati . ◽  
Vineeta . ◽  
Ahmad Nadeem Aslami

Background: Emergency obstetric hysterectomy (EOH) continues to remain an important life saving procedure in the era of modern obstetrics. EOH acts as a near miss marker as a proxy for maternal mortality. The objective of this study was to analyze 52 EOH done in a tertiary care centre of Ajmer, Rajasthan, India.Methods: A retrospective study was done using hospital records of 52 EOH done in a three year period in the Department of Obstetric and Gynaecology, LNJ Medical College, Ajmer, Rajasthan, India.Results: The incidence of obstetric hysterectomy was 1.25 in 1000 deliveries. The average age of the patients was 27.8 years. Most common reason for EOH was post partum haemorrhage (PPH). 86.5% patients went under subtotal hysterectomies. Several complications occurred in these patients, severe anemia being most common. 28.8% patients died after the operations. More than half patients delivered a live baby while 40.4% had still births.Conclusions: EOH is a life saving procedure. The outcome depends on timely decision and apt clinical judgement because delay can lead to high maternal as well as infant mortality.


Author(s):  
Nutan Yadav ◽  
Madhuri Alwani ◽  
Ankita Singh

Background: The incidence of multiple pregnancy is increasing all over the world because of assisted reproductive technology or spontaneously as a result of numerous risk factors. The objective of this study was to study the perinatal outcome of multiple pregnancy in a tertiary care centre in central IndiaMethods: It is a prospective study total 2289 pregnant woman were enrolled. Out of which 72 pregnant women were either a twin or triplet. 2217 pregnant women were singleton and had acted as controls. Perinatal outcomes including perinatal morbidity and mortality in relation to history regarding any complication in the present pregnancy were noted and analyzed.Results: In case of multiple pregnancy 90.2% were conceived between 20-30 years of age and 9.8% more than 30 years.13.9% cases of multiple pregnancy were less than 34 weeks at the time of delivery. The IUGR in multifetal pregnant patient was significantly higher. Oligohydromnios was seen in 3 out of 72 multifetal gestation which accounted for 4.1%. The proportion of singleton and multiple pregnant females who had anemia during pregnancy was 92.33% and 91.67%. Most common indication of LSCS in multifetal gestation is abnormal presentation during labour accounting for 41.7% of LSCS. The most common indication for NICU admission in case of multifetal pregnancy was 80.8%.Conclusions: Majority of the twin pregnancy is high risk one, and as such all twin preganancies should have mandatory hospital delivery. Early diagnosis, antenatal, intra-natal and post-partum cares are necessary to improve the outcome.


2020 ◽  
Vol 267 (4) ◽  
pp. 1171-1178 ◽  
Author(s):  
S. F. Green ◽  
P. Nguyen ◽  
K. Kaalund-Hansen ◽  
S. Rajakulendran ◽  
Elaine Murphy

2017 ◽  
Vol 23 ◽  
pp. 289
Author(s):  
Vineet Surana ◽  
Rajesh Khadgawat ◽  
Nikhil Tandon ◽  
Chandrashekhar Bal ◽  
Kandasamy Devasenathipathy

JMS SKIMS ◽  
2020 ◽  
Vol 23 (1) ◽  
pp. 48-49
Author(s):  
Javaid Ahmad Bhat ◽  
Shariq Rashid Masoodi

Apropos to the article by Dr Bali, titled “Mupirocin resistance in clinical isolates of methicillin-sensitive and resistant Staphylococcus aureus in a tertiary care centre of North India” (1), the authors have raised important issue of emerging antimicrobial resistance (AMR). Antimicrobial resistance is an increasingly serious threat to global public health that requires action across all government sectors and society. As per WHO, AMR lurks the effective prevention and management of an ever-increasing spectrum of infections caused by bacteria, parasites, fungi and viruses. Novel resistance mechanisms are emerging and spreading globally, threatening the man’s ability to treat common infectious diseases.


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