Retrospective study of cases of rupture uterus at tertiary                    care center in Egypt

Background: Uterine rupture (UR)is one of the most serious obstetrical emergencies necessitating prompt diagnosis and management, as it en-dangers the maternal and fetal life. Uterine rupture (scarred/ unscarred) may occur at any stage of pregnancy. In developed countries, with good antenatal care and good supervision during labour, (UR) has become rare except by dehiscence of a caesarean scar. The objective of present study was to find out risk factors, management, related complications and associated maternal and fetal outcomes with rupture uterus.Methods: A retrospective study, data files and the case notes was retrieved from the medical records department at Aswan university hospital from January 1 2013 to December 31 2013 in the form of data relating to the age, parity, gestational age, method of termination, perinatal outcomes, and related maternal complications.Results: There were 4284 deliveries during the period under review among them 5 cases of uterine rupture. Thus, the incidence of uterine rupture was 1.1/1000 deliveries.3 cases (60%) of them had no antenatal care at any hospital or primary care center. The risk factors in these cases are in majority 4 (80%) of cases uterine rupture occurred in women with previous scar, 1case (20%) of cases uterine rupture occurred in women with none scarred uterus. As regard surgical management 3 cases (60%) managed by hysterectomy and 2cases (40%) managed by repair. As regard maternal and fetal outcome all women required blood transfusion. Associated bladder rupture was repaired in two cases (40%). After excluding fetal wastage before the age of viability, perinatal mortality was 100% (5/5).Conclusions: Present retrospective analytical study has concluded that rupture uterus is a life-threatening complication. Proper antenatal and intrapartum care, identification of high risk factors, promotion of skilled attendance at birth and institutional delivery are key factors in reduction and early diagnosis.

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Incidence, Risk Factors and Outcomes of Subarachnoid Hemorrhage in a Tertiary Care Center in Lebanon: a Cross-Sectional Retrospective Study

Journal of Emergency Medicine ◽

10.1016/j.jemermed.2018.11.018 ◽

2019 ◽

Vol 56 (1) ◽

pp. 124-125

Keyword(s):

Risk Factors ◽

Retrospective Study ◽

Subarachnoid Hemorrhage ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center ◽

Cross Sectional ◽

Incidence Risk

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Intrauterine Foetal Death and Its Probable Causes: Two Years Experience in Dhulikhel Hospital – Kathmandu University Hospital

Kathmandu University Medical Journal ◽

10.3126/kumj.v10i4.10994 ◽

2014 ◽

Vol 10 (4) ◽

pp. 44-48 ◽

Cited By ~ 3

Author(s):

SR Tamrakar ◽

CD Chawla

Keyword(s):

Antenatal Care ◽

Gestational Age ◽

Care Center ◽

Tertiary Care ◽

Multiple Pregnancy ◽

University Hospital ◽

World Health ◽

Control Group ◽

P Value ◽

Health Care Center

Background World health Organization definition of intrauterine foetal demise encompasses any abortion or fetal demise prior to expulsion from its mother, and recommends different protocols according to gestational age. However, conventionally and also in our institution, foetal demise prior to 28 weeks of gestation is managed as abortion in a manner different from foetal demise post 28 weeks of gestation. Objective To find the incidence and characteristics of pregnancies that resulted in stillbirths. Methods A retrospective study, done in Dhulikhel Hospital, Kathmandu University Hospital in the year 2010 and 2011, among 4219 deliveries and 97 fetal deaths. Cases of multiple pregnancy and fetal death diagnosed by ultrasound before the 28th week of gestation were excluded. The included intrauterine foetal demise cases (n=90) were compared with a control group of randomly selected pregnancies (n = 537) delivered during the same time period. Assumed predictors of stillbirth were examined through inferential ways (Chi square, t test) using SPSS Version 13.0 for Windows. Results Incidence of intrauterine foetal demise was 2.13% in the year 2010 and 2011. Mothers in the stillbirth group were slightly older than mothers of live-born infants (25.47±5.64 years vs 23.62±4.31 years, p value=0.000). A slightly higher proportion of women in the stillbirth group were of Tamang ethnic origin and primiparous (p = 0.011, 0.000) . Foetus expelled after IUFD had lower weight compared to live births, (2925.14±444.14gram vs 2182.78±821.04gram, p=0.000) for gestational age. The stillborn babies were generally born at an earlier gestational age, as would be expected (p=0.000). Incidence of intrauterine foetal demise gradually decreases as parity advances. The incidence was higher in patients receiving antenatal care outside Dhulikhel Hospital, Kathmandu University Hospital. Conclusions While comparing the subject with the theme of the national conference of Nepal Society of Obstetricians and Gynaecologist, most of the cases were mother not receiving antenatal care or those receiving antenatal care in the periphery, There is no denying that there would be a massive improvement in women’s health if the co-ordination between the peripheral health care center and tertiary care center was to be improved. DOI: http://dx.doi.org/10.3126/kumj.v10i4.10994 Kathmandu Univ Med J 2012;10(4):44-48

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Trends, Risk Factors and Outcome of Placenta Praevia in A Tertiary Care Center-5 Year Retrospective Study

Journal of Medical Science And clinical Research ◽

10.18535/jmscr/v5i12.27 ◽

2017 ◽

Vol 5 (12) ◽

Author(s):

Prof. Dr B. Laila ◽

Keyword(s):

Risk Factors ◽

Retrospective Study ◽

Care Center ◽

Tertiary Care ◽

Placenta Praevia ◽

Tertiary Care Center

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Study of risk factors of eclampsia in a tertiary care center

MedPulse International Journal of Gynecology ◽

10.26611/10121224 ◽

2019 ◽

Vol 12 (2) ◽

pp. 31-35

Author(s):

Padma Chandavathu ◽

◽

Akurathi Krishna Rao ◽

Keyword(s):

Risk Factors ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center

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POS-592 RISK FACTORS FOR MORTALITY AFTER INFECTIVE ENDOCARDITIS IN CHRONIC HEMODIALYSIS PATIENTS IN A TERTIARY CARE CENTER

Kidney International Reports ◽

10.1016/j.ekir.2021.03.621 ◽

2021 ◽

Vol 6 (4) ◽

pp. S259-S260

Author(s):

J.I. Lara-Prado ◽

M.I. Gil Arredondo

Keyword(s):

Risk Factors ◽

Infective Endocarditis ◽

Care Center ◽

Tertiary Care ◽

Hemodialysis Patients ◽

Chronic Hemodialysis ◽

Tertiary Care Center

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Prevalence and risk factors of anemia among pregnant women attending a high-volume tertiary care center for delivery

Journal of the Turkish-German Gynecological Association ◽

10.5152/jtgga.2015.15071 ◽

2015 ◽

Vol 16 (4) ◽

pp. 231-236 ◽

Cited By ~ 6

Author(s):

Cuneyt Eftal Taner ◽

Atalay Ekin ◽

Ulas Solmaz ◽

Cenk Gezer ◽

Birgul Cetin ◽

...

Keyword(s):

Risk Factors ◽

Pregnant Women ◽

Care Center ◽

Tertiary Care ◽

High Volume ◽

Tertiary Care Center

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Recovery of Both Vancomycin-Resistant Enterococci and Methicillin-ResistantStaphylococcus aureusFrom Culture of a Single Clinical Specimen From Colonized or Infected Patients

Infection Control and Hospital Epidemiology ◽

10.1086/593957 ◽

2009 ◽

Vol 30 (2) ◽

pp. 130-138 ◽

Cited By ~ 10

Author(s):

Sang Hoon Han ◽

Bum Sik Chin ◽

Han Sung Lee ◽

Su Jin Jeong ◽

Hee Kyung Choi ◽

...

Keyword(s):

Risk Factors ◽

Tertiary Care ◽

Clinical Specimen ◽

Multivariate Logistic Regression Analysis ◽

University Hospital ◽

Cell Contact ◽

Patient Risk ◽

Clinical Specimens ◽

Vancomycin Resistant Enterococci ◽

Vancomycin Resistant

Objective.To describe the incidence of recovery of both vancomycin-resistant enterococci (VRE) and methicillin-resistantStaphylococcus aureus(MRSA) from culture of a single clinical specimen, to describe the clinical characteristics of patients from whom these specimens were recovered, and to identify the risk factors of these patients.Design.A retrospective cohort and case-control study.Setting.A tertiary care university hospital and referral center in Seoul, Korea.Methods.We identified 61 case patients for whom a single clinical specimen yielded both VRE and MRSA on culture, and 122 control patients for whom any clinical specimen yielded only VRE on culture. The control patients were selected by matching 2 :1 with the case patients for age, sex, and first date of sampling that led to isolation of VRE or both VRE and MRSA among 1,536 VRE-colonized patients from January 1, 2003, through December 31, 2006. To identify patient risk factors for the recovery of both VRE and MRSA in a single clinical specimen, we performed univariate comparisons between the 2 groups and then multivariate logistic regression analysis.Results.The incidence of recovery of both VRE and MRSA from culture of a single clinical specimen was 3.97% (for 61 of 1,536 VRE-colonized patients) over 4 years. Among these 82 single clinical specimens, the most common type was wound specimens (26.8%), followed by lower respiratory tract specimens (18.3%), urine specimens (17.1%), and catheter tips (15.9%). Of the 61 case patients, 14 (23.0%) had 2 or more single clinical specimens that yielded both VRE and MRSA on culture, and the longest interval from the first sampling that yielded both organisms to the last sampling that yielded both was 174 days. Independent patient risk factors for the presence of both VRE and MRSA in a single clinical specimen were chronic renal disease (odds ratio [OR], 7.00;P= .012), urinary catheterization (OR, 3.36;P= .026), and longer total cumulative duration of hospital stay within the previous year (OR, 1.03;P< .001).Conclusion.We confirmed that the recovery of VRE and MRSA from a single clinical specimen occurs continually. Because prolonged cell-to-cell contact can facilitate transfer ofvanA,close observation and surveillance for vancomycin-resistantS. aureus, especially among patients with risk factors for the recovery of both VRE and MRSA from a single clinical specimen, should be continued.

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