scholarly journals Study of pregnancy with disseminated intravascular coagulation

2021 ◽  
Vol 10 (11) ◽  
pp. 4220
Author(s):  
Satishchandra K. Kadikar ◽  
Farheenbanu J. Divan ◽  
Usmaan Topiwala ◽  
Saliha Agasiwala
Keyword(s):  
Maternal Mortality ◽  
Disseminated Intravascular Coagulation ◽  
Maternal Morbidity ◽  
Active Management ◽  
Morbidity Rate ◽  
Early Management ◽  
Mortality And Morbidity ◽  
Intravascular Coagulation ◽  
Common Causes ◽  
Maternal Mortality And Morbidity

Background: At present time, obstetric bleeding remains to be the world’s main cause of maternal mortality, early identification of factors leading to haemorrhage and early management of underlying pathological process is the key stone of the treatment. The most important pregnancy related condition leading to bleeding with high maternal mortality and morbidity rate is disseminated intravascular coagulation (DIC).Methods: A prospective study of 50 cases of pregnancy with DIC was performed from May 2018 to November 2020 in our institute to detect the various aetiology and complications associated with DIC leading to maternal mortality and morbidity and study perinatal outcome in pregnant women with DIC.Results: The prevalence of DIC in our institute is 0.22%. Common causes of DIC were abruption (36%), haemorrhage (34%), preeclampsia (18%), sepsis (6%) and acute hepatic failure (6%). The composite severe maternal morbidity outcome in haemorrhage (100%), abruption (63%), preeclampsia (58%), and AVH (33%).Out of the three most common causes (abruption, haemorrhage and preeclampsia), the composite maternal morbidity outcome was significantly more in women with haemorrhage than with abruption and preeclampsia.Conclusions: DIC, as a marker of severe obstetrical complications, is associated with high levels of mortality and morbidity. Recognition of the antecedent causes and early investigation for and active management of DIC may help lower this morbidity.

scholarly journals Clinical study of maternal complications associated with eclampsia

2017 ◽  
Vol 6 (5) ◽  
pp. 1905
Author(s):  
Bhanu B. T. ◽  
Amudha S. ◽  
. Sarojini
Keyword(s):  
Maternal Mortality ◽  
Maternal Morbidity ◽  
Health Workers ◽  
Economic Status ◽  
Kidney Injury ◽  
Maternal Complications ◽  
Mortality And Morbidity ◽  
Socio Economic Status ◽  
Tertiary Center ◽  
Maternal Mortality And Morbidity

Background: Eclampsia is still one of the leading causes of maternal mortality and morbidity in developing countries. Though the incidence in developed nations has drastically reduced, it has remained the same over years in India, mainly due to lack of awareness, poor socio-economic status and inadequate ante natal check-ups. The objective of this study was to determine the presentation, demographic features, risk factors, management, maternal mortality and morbidity, in women presenting with eclampsia.Methods: This study was conducted in Vanivilas hospital from January to December 2014 for 12 months. Total 230 women with eclampsia were studied with respect to their age, parity, socio economic status, gestational age, details of previous antenatal check-ups, clinical features at presentation, nature and number of convulsions, treatment received before admission, management in the institution and maternal morbidity and mortality.Results: The incidence of Eclampsia was 1.4%. 30% were below 20 years of age, 45% were primigravidas, 97% were referred cases with inadequate antenatal checkups. 68% had antepartum eclampsia, 22% had intrapartum eclampsia and 10% had postpartum eclampsia. 24% had instrumental delivery, 24% underwent caesarean delivery. There were 17.4% ICU admissions, 5.7% acute kidney injury cases and 13 maternal deaths.Conclusions: Eclampsia still remains a major cause of maternal morbidity and mortality in india. Information about danger signs of pre-eclampsia/ eclampsia should be made available to antenatal clients. Importance of timely referral to the tertiary center should be emphasised to the peripheral health workers.

scholarly journals Maternal Mortality and Morbidity in the United States: Where Are We Now?

2014 ◽  
Vol 23 (1) ◽  
pp. 3-9 ◽  
Author(s):  
Andreea A. Creanga ◽  
Cynthia J. Berg ◽  
Jean Y. Ko ◽  
Sherry L. Farr ◽  
Van T. Tong ◽  
...  
Keyword(s):  
United States ◽  
Maternal Mortality ◽  
The United States ◽  
Mortality And Morbidity ◽  
Maternal Mortality And Morbidity

scholarly journals Causes and management of secondary postpartum haemorrhage in a tertiary medical college hospital in Bangladesh

2017 ◽  
Vol 6 (7) ◽  
pp. 2694
Author(s):  
Kamrun Nessa ◽  
Sumia Bari ◽  
Sanjida Khan ◽  
Ferdowsi Sultana ◽  
Tania Akbar
Keyword(s):  
Maternal Morbidity ◽  
Postpartum Haemorrhage ◽  
Mode Of Delivery ◽  
Wound Dehiscence ◽  
College Hospital ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Maternal Mortality And Morbidity ◽  
Postnatal Women ◽  
Low Incidence

Background: Globally postpartum haemorrhage remains a leading cause of maternal death. It affects only 1-2% of postnatal women. This low incidence of secondary PPH and linkage to maternal morbidity rather than mortality was the reason for the little attention among obstetricians, but it is recently gaining importance and interest with the increase morbidity and mortality related to secondary PPH.Methods: A retrospective study was conducted on the diagnosed patients of secondary PPH admitted in Enam Medical College and Hospital, Dhaka, Bangladesh, from January 2015 to December 2016. Among 33 cases of secondary PPH age of the patients, parity, mode of delivery, causes and management were noted from medical records. All data was analyzed by SPSS16.Results: Among 33 patients 14 (42.4%) were primi and 19 (57.6%) were multipara, age between 18 to 38 years, majority admitted 2nd and 3rd week after delivery. Among 33 patients 12% delivered vaginally at home and 30% vaginally at hospital and 58% undergone LUCS. We found 34% retained bits of placenta, 27% uterine wound dehiscence, 24% retained clots and 15% endometritis as causes. Less than 3 units blood needed in 22 (66.7%) patients and 11 (33.3%) needed more than 3 units. About 6 (18%) patients were treated conservatively, MVA were needed in 18 (55%) patients, repair of wound in 4 (12%) and TAH was in 5 (15%).Conclusions: Secondary PPH is increasing may result in significant maternal morbidity as well as mortality. More study needed to identify the risk factors and causes to reduce maternal mortality and morbidity.

IMPACT OF GOVERNMENT SCHEMES ON MATERNAL HEALTH: AN OBSERVATIONAL STUDY IN A TERTIARY CARE HOSPITAL IN NORTH INDIA

2021 ◽  
pp. 63-65
Author(s):  
Neena Gupta ◽  
Uruj Jahan ◽  
Subhashini Singh
Keyword(s):  
Maternal Health ◽  
Observational Study ◽  
Maternal Mortality ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Uttar Pradesh ◽  
North India ◽  
Care Hospital ◽  
Mortality And Morbidity ◽  
Maternal Mortality And Morbidity

BACKGROUND: Maternal health is an important aspect for the development of any country in terms of increasing equity and reducing poverty. For reduction of maternal mortality and morbidity Government of India launched National health mission (NHM). Some of the major initiatives under NHM are– ASHA (Accredited Social Health Activist), JSY/JSSK (Janani Suraksha Yojana / Janani Shishu Suraksha Karyakaram), National mobile medical units, National ambulance services. METHODS: A retrospective observational study was performed in department of Obstetrics and Gynaecology, G.S.V.M Medical College, Kanpur, Uttar Pradesh which is a low performing state, during the period of 2018 to 2019. A total of 5134 obstetric patients including 1032 low general condition patients were included over duration of 20 months since January 2018 to august 2019. This observational study collected information regarding number of deliveries in different years in this tertiary care hospital, effect on availability of health facilities and antenatal care to the antenatal women after introduction of JSY, ASHA and ambulance services. CONCLUSIONS: After JSY there is major difference in OPD admission and institutional delivery rate. Ambulance services had major contributory role in reducing maternal mortality and morbidity. There is need to improve performance of ASHA by proper supervision and monitoring.

Obstetrics

2019 ◽  
pp. 741-786
Author(s):  
Benjamin Oren Black ◽  
Susan Ann O’Toole
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Medical Management ◽  
Postnatal Care ◽  
Mortality And Morbidity ◽  
Humanitarian Settings ◽  
Cultural Considerations ◽  
Maternal Mortality And Morbidity

This chapter provides the fundamental principles of care in obstetrics, taking into account important cultural considerations in humanitarian settings. The chapter lays out the general strategies to reduce maternal mortality and morbidity, and provides specific guidance for antenatal care, the medical management of the stages of labour, and postnatal care.

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