scholarly journals A near-miss case of obstetric haemorrhage managed successfully

Author(s):  
Meena N. Satia ◽  
Shruti Panchbudhe ◽  
Manali P. Shilotri

Functioning of health systems with respect to maternal health were previously audited using indicators like maternal mortality ratio. However, maternal morbidity as a consequence of pregnancy-related complications is not accounted for in these indicators. Thus, the World Health Organization (WHO) has formulated a maternal near-miss approach to pregnancy complications for a more thorough evaluation of health care systems across the world. In practical terms, women are said to be maternal near-miss cases when they survive lethal conditions during pregnancy or in the postpartum period. We report one such case of traumatic variety of postpartum haemorrhage subsequent to a lower segment caesarean section with immediate post-operative removal of cervical cerclage threads that resulted in a maternal near-miss case.

1987 ◽  
Vol 8 (1) ◽  
pp. 125
Author(s):  
Max H. Schoen ◽  
Harald A. Arnljot ◽  
David E. Barmes ◽  
Lois K. Cohen ◽  
Peter B. V. Hunter ◽  
...  

Author(s):  
Adjoby Cassou Roland ◽  
◽  
Gbary-Lagaud Eleonore ◽  
Effoh Ndrin Denis ◽  
◽  
...  

The novel coronavirus (SARS-Cov-2) that appeared in December 2019 in China quickly spread to all countries around the world leading the World Health Organization (WHO) to declare a pandemic on 11 March 2020. This pandemic is particularly serious in that it severely undermines health care systems in all affected countries, including developing and resource-constrained countries, forcing them to adapt quickly. Current data on COVID-19 and pregnancy are limited. The first published Chinese data seem to show that the symptoms in pregnant women are substantially the same as those in the general population. Through the first 2 cases of COVID-19 observed during pregnancy at Angré University Hospital, the authors wanted to share their experience, under the conditions of a low-resources country.


1982 ◽  
Vol 21 (03) ◽  
pp. 109-113 ◽  
Author(s):  
M. Subramanian

At the Thirtieth World Health Assembly in 1977 the Member States of the World Health Organization endorsed the policy of developing their health care systems through the primary health care approach. The present paper is concerned with the application of certain significant features of informatics for the development and improvement of health care management in different countries.


CJEM ◽  
2004 ◽  
Vol 6 (01) ◽  
pp. 31-37 ◽  
Author(s):  
Ong E.H. Marcus

ABSTRACT On Mar. 12, 2003, the World Health Organization issued a global alert regarding cases of a severe atypical pneumonia termed “severe acute respiratory syndrome” (or SARS). In Singapore alone, there have been 238 SARS cases and 33 deaths, including 5 health care workers. With modern global inter-connectivity, SARS rapidly spread to become a worldwide phenomenon. This article describes the Singapore “war on SARS” from an emergency physician’s perspective, focusing on the “prevent, detect and isolate” strategy. Notable innovations include the use of home quarantine orders, mass temperature screening using thermal imaging, modular systems of hospital staffing, “virtual” hospital visits, and innovations in emergency department design. Most emergency departments, hospitals and health care systems appear to be psychologically and logistically unprepared for a massive infectious disease outbreak. In light of recent natural and terrorism-related threats, emergency care providers around the world must adopt a new paradigm. The current SARS outbreak may be merely a taste of things to come.


Author(s):  
Adjoby Cassou Roland ◽  
◽  
Gbary-Lagaud Eleonore ◽  
Effoh Ndrin Denis ◽  
◽  
...  

The novel coronavirus (SARS-Cov-2) that appeared in December 2019 in China quickly spread to all countries around the world leading the World Health Organization (WHO) to declare a pandemic on 11 March 2020. This pandemic is particularly serious in that it severely undermines health care systems in all affected countries, including developing and resource-constrained countries, forcing them to adapt quickly. Current data on COVID-19 and pregnancy are limited. The first published Chinese data seem to show that the symptoms in pregnant women are substantially the same as those in the general population. Through the first 2 cases of COVID-19 observed during pregnancy at Angré University Hospital, the authors wanted to share their experience, under the conditions of a low-resources country


2020 ◽  
Vol 12 (9) ◽  
pp. 69
Author(s):  
Peter S. Ongwae ◽  
Kennedy M. Ongwae

Coronavirus Disease 2019 (COVID-19) is a respiratory viral infection caused by Severe Acute Respiratory Syndrome Corona Virus 2. The first case of the infection was confirmed in Wuhan China in 2019, by early March 2020 the infection had spread to all the continents of the World attaining a pandemic status as declared by the World Health Organization on 11th March 2020. Kenya reported its first confirmed COVID-19 case on 13th March 2020, increasing to 5206 cases as reported on 24th June 2020. COVID-19 is a novel infection with no known cure, currently, the mainstay to the infection is through public health measures. These measures are hand hygiene, cough etiquette, face masking and social distancing among others. This review aims to examine the literature on the public health measures which have been used to control outbreaks caused by respiratory viruses. The review will also identify the public health measures which Kenya is using to control the pandemic. A descriptive survey on the confirmed COVID-19 cases in Kenya shows that infection is on the rise and the epidemic curve is on the ascending trajectory. The review informs that the country requires a high level of preparedness to handle COVID-19. The areas to consider include, having robust health care systems with an adequate number of; hospital beds, healthcare workers and personal protective equipment.


2021 ◽  
Author(s):  
Michael Baker ◽  
Maripier Isabelle ◽  
Mark Stabile ◽  
Sara Allin

In most high-income countries, including Canada, the share of births by Caesarean section (C‑section) has risen over the past decades to far exceed World Health Organization recommendations of the proportion justified on medical grounds (15 percent). Although unnecessary C-sections represent an important cost for health care systems, they are not associated with clear benefits for the mother and the child and can sometimes represent additional risks. Drawing on administrative records of nearly four million births in Canada, as well as macro data from the United States and Australia, we provide a comprehensive account of rising C-section rates. We explicitly consider the contributions of the main factors brought forward in the policy literature, including changing characteristics of mothers, births, and physicians as well as changing financial incentives for C-section deliveries. These factors account for at most one-half of the increase in C-section rates. The majority of the remaining increase in C-sections over the period 1994–2011 occurred in the early 2000s. We suggest that some event or shock in the early 2000s is likely the primary determinant of the recent strong increase in the C-section rate in Canada.


2020 ◽  
Vol 132 (4) ◽  
pp. 1256-1260 ◽  
Author(s):  
Gail Rosseau ◽  
Walter D. Johnson ◽  
Kee B. Park ◽  
Peter J. Hutchinson ◽  
Laura Lippa ◽  
...  

Global neurosurgery is the practice of neurosurgery with the primary purpose of delivering timely, safe, and affordable neurosurgical care to all who need it. This field is led by neurosurgeons, and global neurosurgery sessions are now part of every major international neurosurgical meeting. The World Federation of Neurosurgical Societies (WFNS) is working to coordinate activities and align all related activities for greater impact. This report updates the contributions made by the WFNS-WHO Liaison Committee at the most recent World Health Assembly (WHA) in 2019. The WHA is a decision-making body of the World Health Organization (WHO), attended by its 194 Member States. The WFNS has maintained official relations as a nongovernmental organization with the WHO for over 30 years, and this year 15 neurosurgical delegates attended events during the WHA. Participation by neurosurgeons continues to grow as many WHA events focused on global surgery have intrinsically involved neurosurgical leadership and participation. This year, resolution WHA72.31, entitled “Emergency and trauma care, Emergency care systems for universal health coverage: ensuring timely care for the acutely ill and injured,” was passed. This resolution provides further opportunities for neurosurgical advocacy as the landscape of global surgery gains recognition and momentum.


2022 ◽  
Vol 13 ◽  
Author(s):  
Ahmed M. Negm ◽  
Adrian Salopek ◽  
Mashal Zaide ◽  
Victoria J. Meng ◽  
Carlos Prada ◽  
...  

Purpose: The coronavirus disease-19 (COVID-19) was declared a pandemic by the World Health Organization in March 2020. COVID-19, caused by SARS-CoV-2 has imposed a significant burden on health care systems, economies, and social systems in many countries around the world. The provision of rehabilitation services for persons with active COVID-19 infection poses challenges to maintaining a safe environment for patients and treating providers.Materials and Methods: Established frameworks were used to guide the scoping review methodology. Medline, Embase, Pubmed, CINAHL databases from inception to August 1, 2020, and prominent rehabilitation organizations’ websites were searched.Study Selection: We included articles and reports if they were focused on rehabilitation related recommendations for COVID-19 patients, treating providers, or the general population.Data Extraction: Pairs of team members used a pre-tested data abstraction form to extract data from included full-text articles. The strength and the quality of the extracted recommendations were evaluated by two reviewers using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach.Results: We retrieved 6,468 citations, of which 2,086 were eligible for review, after duplicates were removed. We excluded 1,980 citations based on title and abstract screening. Of the screened full-text articles, we included all 106 studies. A summary of recommendations is presented. We assessed the overall evidence to be strong and of fair quality.Conclusion: The rehabilitation setting, and processes, logistics, and patient and healthcare provider precaution recommendations identified aim to reduce the spread of SARS-CoV-2 infection and ensure adequate and safe rehabilitation services, whether face-to-face or through teleservices. The COVID-19 pandemic is rapidly changing. Further updates will be needed over time in order to incorporate emerging best evidence into rehabilitation guidelines.


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