Pregnancy and childbirth are leading causes of death in teenage girls in developing countries

Background : Complications of pregnancy and childbirth have always been one of the leading causes of death and disability among women of reproductive age in developing countries .Globally, postpartum haemorrhage is the single most important cause of maternal death, accounting for about 25% of the total and claiming an estimated 1,50,000 lives annually. Among the postpartum hemorrhage, the primary postpartum hemorrhage is more prevalent, but sufferings from secondary postpartum hemorrhage have been emerging. With the rising trend of cesarean section rate, the incidence of secondary postpartum hemorrhage is also rising.Objective: The objectives of this study is to evaluate secondary postpartum hemorrhage cases following cesarean section and vaginal delivery with the aim of reducing the maternal mortality at child bearing age.Methods: This is a cross sectional observational study in the department of Obstetrics and Gynaecology, DMCH , by purposive sampling method. Total 100 cases of secondary PPH were observed during 1st January 2013 to 31 December 2013.Result: In this study, among the cases 67% were following cesarean section and 33% were following vaginal delivery, mean age of the patients were 29 year, parity ranges from 1 to 5. Regarding the outcome of secondary PPH, severe anaemia, anaemic heartfailure, renal failure and DIC were common in cesarean sections along with hazards of massive blood transfusion and jaundice. 7 patients were died in post cesarean cases and 2 died in post vaginal delivery cases. Causes of death were due to hemorrhagic shock & septicemia.Conclusion: In this is study, the rate of secondary PPH is 67% following cesarean section which is very much alarming . The outcome of secondary PPH following cesarean section is worse than vaginal delivery.J Shaheed Suhrawardy Med Coll, June 2017, Vol.9(1); 23-25

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Pathological Methods Applied to the Investigation of Causes of Death in Developing Countries: Minimally Invasive Autopsy Approach

PLoS ONE ◽

10.1371/journal.pone.0132057 ◽

2015 ◽

Vol 10 (6) ◽

pp. e0132057 ◽

Cited By ~ 43

Author(s):

Paola Castillo ◽

Esperança Ussene ◽

Mamudo R. Ismail ◽

Dercio Jordao ◽

Lucilia Lovane ◽

...

Keyword(s):

Developing Countries ◽

Minimally Invasive ◽

Causes Of Death ◽

Minimally Invasive Autopsy

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UPLC-QTOF/MS based metabolomics reveals metabolic alterations associated with severe sepsis

RSC Advances ◽

10.1039/c6ra07514b ◽

2016 ◽

Vol 6 (49) ◽

pp. 43293-43298 ◽

Cited By ~ 18

Author(s):

Qun Liang ◽

Han Liu ◽

Haitao Xing ◽

Yan Jiang ◽

Ai-Hua Zhang

Keyword(s):

Developing Countries ◽

Severe Sepsis ◽

Causes Of Death ◽

Metabolic Alterations

Severe sepsis (SS) remains among the leading causes of death in both developed and developing countries.

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FAKTOR YANG MEMENGARUHI TINGGINYA PENYAKIT ISPA PADA BALITA DI PUSKESMAS DELENG POKHKISEN KABUPATEN ACEH TENGGARA

Contagion: Scientific Periodical Journal of Public Health and Coastal Health ◽

10.30829/contagion.v1i2.6883 ◽

2019 ◽

Vol 1 (2) ◽

pp. 69

Author(s):

Rahman Sabri

Keyword(s):

Health Promotion ◽

Developing Countries ◽

Exclusive Breastfeeding ◽

Random Sampling ◽

Acute Respiratory Infection ◽

Causes Of Death ◽

Information Provision ◽

Survey Method ◽

Cross Sectional ◽

Study Population

Acute Respiratory Infection (ARI) is one of the most infectious diseases and causes of death in children in developing countries. This type of research is an analytical survey method with cross sectional approach with the aim to find out the factors that influence the high ARI in infants with the study population as many as 218 mothers of toddlers and samples taken by random sampling are 69 people. The results showed that knowledge had sig-p 0.016 <0.05, sig-p attitude 0.610> 0.05, exclusive breastfeeding sig-p 0.004 <0.05, ventilation sig-p 0.040 <0.05 and dwelling density of sig -p 0.014 <0.05. The conclusion is the influence of knowledge, exclusive breastfeeding, ventilation and density of occupancy of the high ARI in toddlers, while the attitude has no influence on the high ARI in toddlers. It is hoped that this research can be used as a source of explanations and input for the Deleng Pokhkisen Health Center to improve information provision to mothers and the community in the form of counseling or health promotion. Keywords : Influencing Factors, High ARI Disease

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Clinical predictors of hypoxemia in pneumonia

Paediatrica Indonesiana ◽

10.14238/pi43.5.2003.192-8 ◽

2016 ◽

Vol 43 (5) ◽

pp. 192

Author(s):

Eka Gunawijaya ◽

I M Widia

Keyword(s):

Developing Countries ◽

Oxygen Saturation ◽

Likelihood Ratio ◽

Causes Of Death ◽

Clinical Predictors ◽

Clinical Predictor ◽

Post Test ◽

Post Test Probability ◽

Test Probability ◽

Saturation Measurement

Background Pneumonia is one of the main causes of death ininfants in developing countries. The device of oxygen saturationmeasurement for detecting hypoxemia is limited in district hospi-tals.Objective The aim of our study was to find the best clinical pre-dictor for hypoxemia that could be used in Indonesia.Methods Between June 2001 until May 2002, the diagnostic testwas performed in 125 infants aged 2–12 month-old who sufferedfrom pneumonia. The oxygen saturation measured by pulse oxim-etry was used as the gold standard.Results The samples were divided into two groups, 52 infants withhypoxemia and 73 normal. The base characteristics of both groupswere not statistically different. The prevalence of hypoxemia was41.6%. The best single clinical predictor of hypoxemia was cyano-sis (the sensitivity 92%, specificity 86%, likelihood ratio 6.74, post-test probability 83%), as well as the combination of two clinicalpredictors i.e., cyanosis and nasal flaring. The best combination ofthree clinical predictors was cyanosis, nasal flaring, and refusal todrink (the sensitivity 92%, specificity 86%, likelihood ratio 6.74,post-test probability 81%).Conclusion The combination of cyanosis and nasal flaring isgood enough as a predictor to detect hypoxemia in area with nofacility of oxygen saturation measurement

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Molecular detection of Escherichia coli (E. coli) from Diarrheal stool samples from children in Quetta, Balochistan, Pakistan.

Pak-Euro Journal of Medical and Life Sciences ◽

10.31580/pjmls.v2i2.992 ◽

2019 ◽

Vol 2 (2) ◽

pp. 27-31

Author(s):

Tauseef M Asmat

Keyword(s):

Escherichia Coli ◽

Developing Countries ◽

Disease Transmission ◽

Causes Of Death ◽

Growth Media ◽

Huge Number ◽

E Coli ◽

Stool Samples ◽

Polymerase Chain ◽

Control Disease

Diarrhea is one of the major causes of death in children, particularly in developing countries. Rapid detection and treatment is necessary to control disease transmission in the community and thus limiting the huge number of death toll. The major cause of diarrhea in developing countries is Escherichia coli (E. coli).This study was aimed to isolate E. coli from diarrheal stool samples from children aged 05 months to 05 years visited/ hospitalized in Quetta due to acute/persistent diarrhea. Diarrheal stool samples from 200 children were collected from Lady Sandeman Hospital Quetta and cultured on nutrient agar and later transferred to E. coli specific growth media for initial detection. For further confirmation the colonies were subjected to polymerase chain reaction (PCR). The PCR results revealed that 44(22%) samples out of 200 samples were positive for E. coli. These results indicate a high proportion of E. coli infection among children suffering with diarrhea.

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