scholarly journals Digital Postpartum Hemorrhage Management Device (DPHMD)

2019 ◽  
Author(s):  
Derartu Dereje ◽  
Abeba Getachew ◽  
Birhan Meskelu ◽  
Christian Adamu ◽  
Kidst Dejene ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Blood Loss ◽  
Maternal Mortality ◽  
Measurement System ◽  
Postpartum Hemorrhage ◽  
Vital Sign ◽  
Hypovolemic Shock ◽  
Monitoring Method ◽  
Maternal Mortality Rate ◽  
Fluid Delivery

Abstract Background Postpartum hemorrhage (PPH) is an obstetric emergency caused by excessive blood loss that occurs most commonly after the placenta is delivered. PPH can lead to volume depletion, hypovolemic shock, anemia, and it is the leading cause of maternal mortality worldwide. Maternal mortality rate in Ethiopia is among the highest in the world with 470 deaths per 100,000 live births. 94% of births in Ethiopia are estimated to occur at home and 10% of maternal deaths are attributed to PPH. Currently, physicians use visual estimation to calculate blood loss and provide fluid during delivery. This traditional method is subjective and generally inaccurate.Method In this project, after delivery blood loss measurement system integrated with fluid delivery and vital sign monitoring method is proposed. The collection and measurement system collects blood loss after delivery and measures the amount of blood loss. The management system continuously monitors the mother’s heart rate and blood pressure. These vital sign values are integrated with the measured blood loss to estimate the amount of IV fluid required to be delivered for the mother. The rate of IV fluid delivery is regulated by a flow rate sensor and solenoid valve.Results The prototype was built and undergone through different tests and iterations. The proposed device was tested for accuracy, cost effectiveness and ease to use. 91.28% accuracy has been achieved and the prototype was built with less than 210 USD.Conclusion The proposed design allows physicians, especially those in low resource setting, to estimate blood loss and deliver fluid accurately. This helps to reduce maternal mortality rate that may occur due to postpartum hemorrhage.

scholarly journals Digital Postpartum Hemorrhage Management Device (DPHMD)

2019 ◽  
Author(s):  
Derartu Dereje Tekela ◽  
Abeba Getachew Asmare ◽  
Birhan Meskelu Gebremariam ◽  
Christian Adamu Assegahegn ◽  
Kidst Dejene Wami ◽  
...  
Keyword(s):  
Blood Loss ◽  
Maternal Mortality ◽  
Measurement System ◽  
Postpartum Hemorrhage ◽  
Vital Sign ◽  
Maternal Mortality Ratio ◽  
Hypovolemic Shock ◽  
Estimate Blood Loss ◽  
Monitoring Method ◽  
Fluid Delivery

Abstract Background Primary postpartum hemorrhage (PPH) is an obstetric emergency caused by excessive blood loss that occurs most commonly after the placenta is delivered. PPH can lead to volume depletion, hypovolemic shock, anemia, and it is the leading cause of maternal mortality worldwide. With 470 deaths per 100,000 live births, the maternal mortality ratio in Ethiopia is one of the highest in the world. It is estimated that 94% of births occur at home in Ethiopia and that 10% of maternal deaths are attributed to PPH. Currently, physicians use visual estimation to calculate blood loss and provide fluid during delivery. This traditional method is subjective and generally inaccurate.Method In this project, after delivery blood loss measurement system integrated with fluid delivery and vital sign monitoring method is proposed. The collection and measurement system collects blood loss after delivery and measures the amount of blood loss. The management system continuously monitors the mother’s heart rate and blood pressure. These vital sign values are integrated with the measured blood loss to estimate the amount of IV fluid required to be delivered for the mother. The rate of IV fluid delivery is regulated by a flow rate sensor and solenoid valve.Results The prototype was built and undergone through different tests and iterations. The proposed device was tested for accuracy, cost effectiveness and ease to use. 91.28% accuracy has been achieved and the prototype was built with less than 210 USD.Conclusion The proposed design allows physicians, especially those in low resource setting, to estimate blood loss and deliver fluid accurately. This helps to reduce maternal mortality rate that may occur due to postpartum hemorrhage.

scholarly journals Digital postpartum hemorrhage management device (DPHMD)

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Derartu D. Tekela ◽  
Abeba G. Asmare ◽  
Birhan M. Gebremariam ◽  
Christian A. Assegahegn ◽  
Kidist D. Wami ◽  
...  
Keyword(s):  
Blood Loss ◽  
Maternal Mortality ◽  
Measurement System ◽  
Postpartum Hemorrhage ◽  
Vital Sign ◽  
Maternal Mortality Ratio ◽  
Hypovolemic Shock ◽  
Estimate Blood Loss ◽  
Monitoring Method ◽  
Fluid Delivery

Abstract Background Primary postpartum hemorrhage (PPH) is an obstetric emergency caused by excessive blood loss that occurs most commonly after the placenta is delivered. PPH can lead to volume depletion, hypovolemic shock, anemia, and it is the leading cause of maternal mortality worldwide. With 470 deaths per 100,000 live births, the maternal mortality ratio in Ethiopia is one of the highest in the world. It is estimated that 94% of births occur at home in Ethiopia and that 10% of maternal deaths are attributed to PPH. Currently, physicians use visual estimation to calculate blood loss and provide fluid during delivery. This traditional method is subjective and generally inaccurate. Method In this project, after delivery blood loss measurement system integrated with fluid delivery and vital sign monitoring method is proposed. The collection and measurement system collects blood loss after delivery and measures the amount of blood loss. The management system continuously monitors the mother’s heart rate and blood pressure. These vital sign values are integrated with the measured blood loss to estimate the amount of IV fluid required to be delivered for the mother. The rate of IV fluid delivery is regulated by a flow rate sensor and solenoid valve. Results The prototype was built and undergone through different tests and iterations. The proposed device was tested for accuracy, cost effectiveness and ease to use. 91.28% accuracy has been achieved and the prototype was built with less than 210 USD. Conclusion The proposed design allows physicians, especially those in low resource setting, to estimate blood loss and deliver fluid accurately. This helps to reduce maternal mortality rate that may occur due to postpartum hemorrhage.

scholarly journals Digital Postpartum Hemorrhage Management Device (DPHMD)

2019 ◽  
Author(s):  
Derartu Dereje ◽  
Abeba Getachew ◽  
Birhan Meskelu ◽  
Christian Adamu ◽  
Kidst Dejene ◽  
...  
Keyword(s):  
Blood Loss ◽  
Maternal Mortality ◽  
Measurement System ◽  
Postpartum Hemorrhage ◽  
Vital Sign ◽  
Maternal Mortality Ratio ◽  
Hypovolemic Shock ◽  
Estimate Blood Loss ◽  
Monitoring Method ◽  
Fluid Delivery

Abstract Background Primary postpartum hemorrhage (PPH) is an obstetric emergency caused by excessive blood loss that occurs most commonly after the placenta is delivered. PPH can lead to volume depletion, hypovolemic shock, anemia, and it is the leading cause of maternal mortality worldwide. Maternal mortality ratio in Ethiopia is among the highest in the world with 470 deaths per 100,000 live births. 94% of births in Ethiopia are estimated to occur at home and 10% of maternal deaths are attributed to PPH. Currently, physicians use visual estimation to calculate blood loss and provide fluid during delivery. This traditional method is subjective and generally inaccurate.Method In this project, after delivery blood loss measurement system integrated with fluid delivery and vital sign monitoring method is proposed. The collection and measurement system collects blood loss after delivery and measures the amount of blood loss. The management system continuously monitors the mother’s heart rate and blood pressure. These vital sign values are integrated with the measured blood loss to estimate the amount of IV fluid required to be delivered for the mother. The rate of IV fluid delivery is regulated by a flow rate sensor and solenoid valve.Results The prototype was built and undergone through different tests and iterations. The proposed device was tested for accuracy, cost effectiveness and ease to use. 91.28% accuracy has been achieved and the prototype was built with less than 210 USD.Conclusion The proposed design allows physicians, especially those in low resource setting, to estimate blood loss and deliver fluid accurately. This helps to reduce maternal mortality rate that may occur due to postpartum hemorrhage.

scholarly journals Digital Postpartum Hemorrhage Management Device (DPHMD)

2019 ◽  
Author(s):  
Derartu Dereje ◽  
Abeba Getachew ◽  
Birhan Meskelu ◽  
Christian Adamu ◽  
Kidst Dejene ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Blood Loss ◽  
Maternal Mortality ◽  
Measurement System ◽  
Postpartum Hemorrhage ◽  
Hypovolemic Shock ◽  
Estimate Blood Loss ◽  
Monitoring Method ◽  
Maternal Mortality Rate ◽  
Resource Setting

Abstract Baclground Postpartum hemorrhage (PPH) is an obstetric emergency caused by excessive blood loss that occurs most commonly after the placenta is delivered. PPH can lead to volume depletion, hypovolemic shock, anemia, which is the leading cause of maternal mortality worldwide. Maternal mortality rate in Ethiopia is among the highest in the world with 470 deaths per 100,000 live births. 94% of births in Ethiopia are estimated to occur at home and ten percent of maternal deaths are attributed to PPH. Now a days, physicians use visual estimation to calculate blood loss and provide fluid during delivery. This traditional method is subjective and generally inaccurate.Method In this project, after delivery blood loss measurement system integrated with fluid delivery and vital sign monitoring method is proposed. The collection and measurement system collects blood loss after delivery and measure the amount of blood loss. The management system continuously monitors the mother’s heart rate, respiratory rate and blood pressure, and integrates the measured blood loss to make decision for providing appropriate fluid and medication necessary for the mothers. The fluid provided for mothers is also controlled automatically.Results The prototype was built and undergone through different tests and iterations. The proposed device was tested for accuracy, cost effectiveness and ease to use. 91.28% accuracy has been achieved and the prototype was built only with less than 210 USD.Conclusion The proposed design allows physicinas, especially those in low resource setting, to estimate blood loss and delver fluid accurately. This helps to reduce maternal mortality rate that may occur due to postpartum hemorrhage.

scholarly journals Rancang bangun sistem balon tampondengan sensor tekanan

2018 ◽  
Vol 2 (2) ◽  
pp. 23-32
Author(s):  
Eko Arianto
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Postpartum Hemorrhage ◽  
Medical Procedures ◽  
Test Results ◽  
Maternal Mortality Rate ◽  
Balloon Tamponade

Postpartum Hemorrhage (PPH) contributes to high number of maternal mortality rate (AKI) in Indonesia. The cause of PPH is varied, but the most common case is atonia uteri. There are some medical procedures to prevent PPH, one of which is using a balloon tamponade.Balloon tamponade is a balloon that is used to help stop PPH.This research was carried out by making new balloon tamponade system. The test results shows that the models which have been developed can be used as a better ballon tamponade system.Condoms can be filled up to 1500 ml volume.

scholarly journals HUBUNGAN PARITAS DENGAN KEJADIAN PERDARAHAN PADA IBU POST PARTUM DI BPS NY. N DI DESA KLAGEN SERUT KECAMATAN JIWAN MADIUN

2018 ◽  
Vol 5 (2) ◽  
pp. 29-34
Author(s):  
Etika Desi Yogi ◽  
Sinta Ayu Setiawan ◽  
Sri Dwi Hastuti ◽  
Etika Desi Yogi
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Postpartum Hemorrhage ◽  
Post Partum ◽  
Statistical Test ◽  
Uterine Atony ◽  
Clotting Factor ◽  
P Value ◽  
Chi Square ◽  
Maternal Mortality Rate

Maternal Mortality Rate in East Java 2011 were 101.40 per 100,000 births. The of incidence of maternal mortality in East Java in 2011 was caused by direct obstetric or the bleeding. Factors that lead to postpartum hemorrhage include the presence of uterine atony, retained placenta, lacerations of the birth canal and the blood clotting factor, whereas postpartum hemorrhage predisposing factors that include hydramnios, gemeli, parity and age. Data from the Madiun County Health Department in 2011 found bleeding number 230 of 12 698 maternal. At BPS Ny. Niniek Soelasminingsih, S.ST in 2011 from 58 deliveries got the bleeding as much as 6 patients deliver within 24 hours post partum, 2 people tear the multiparous born 4 cases with uterine atony.            This study aims to determine the relationship of parity with the incidence of post-partum bleeding. Type of study is the correlation with the analytic case-control approach. Collecting data using retrospective data. Samples from this study were all mothers giving birth at BPS Ny Niniek Soelasminingsih, S.ST from the medical records of a total of 61 maternal. The study was conducted in November 2012, the data were analyzed using Chi Square statistical test with a significance level set at p ≤ 0.05. The results showed that the number of women who experience bleeding as many as 12 people, most bleeding is multiparitas mothers by 5 people. Having analyzed by chi-square statistical test results showed no association between parity and incidence of postpartum hemorrhage in BPS Ny. Niniek Soelasminingsih S.ST 0.008 with p value ≤ 0.05 in other words Ha received. Recommended that the delivery assistance by personnel who are competent so that the incidence of postpartum hemorrhage can be treated as good as possible so that the maternal mortality rate in Indonesia could be on tap as well as early detection of high risk pregnant women and maternity over increased.

FAKTOR– FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ANEMIA PADA IBU HAMIL DI PUSKESMAS TALANG RATU PALEMBANG TAHUN 2014

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Yuhemy Zurizah Yuhemy Zurizah
Keyword(s):  
Mortality Rate ◽  
Health Service ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Health Center ◽  
Significant Relationship ◽  
World Health ◽  
Chi Square ◽  
Cross Sectional ◽  
Maternal Mortality Rate

  ABSTRACT Maternal Mortality Rate is a barometer of mother health service in a country. At this time maternal mortality rate in Indonesia is still very high. Indonesia Demography Survey on 2007, maternal mortality rate is about 28 per 100.000 of live births. The direct cause of maternal mortality in Indonesia as well as in the other country is hemorraghe (25%), sepsis (15%), eklampsia (12%), abstructed labor (8%). World Health Organization (WHO), 35-37% of pregnant women in developing coutries get anemy. Causing factor’s of anemy on pregnant women is age of pregnant, parity, economi socio, job, education, and nutritional status. Purpose of this research is to know the associated factors with incidence of anemy on pregnant women at the Health Center Talang Ratu Palembang in 2014. This research use analytic survey method with “cross sectional” approach. Population in this research is all of preganant women in medical treatment at Talang Ratu Palembang in 2014. Sample taking in this research with non random samplingmethod and accidental sampling technic. Analysis with univariatly and bivariatlywith Chi Square Statistic test with significant level α 0,05. The result of this research show that from 35 respondent there is (48,6%) respondent with anemy, high–risk age (28,6%), high parity (60,0%) and low economi socio (37,1%). This result show that there is significant relationship between age with incidence of anemy on pregnant women at the health center Talang Ratu Palembang in 2014 with p value0,027, there is significant relationship between parity with incidence of anemy on pregnant women at the health center Talang Ratu Palemabang in 2014 with p value0,023, and there is significant relationship between economi socio with incidence of anemy on pregnant women at the health center Talang Ratu Palembang in 2014 with p value0,026. Of the result, the author hope that health service worker at Talang Ratu health center can improve health service to pregnant women and often giving information about anemy on pregnant and nutritional for pregnant women during pregnancy.     ABSTRAK Angka Kematian Ibu (AKI) merupakan barometer pelayanan kesehatan ibu di suatu negara. Pada saat ini angka kematian ibu di Indonesia masih sangat tinggi. Menurut Survey Demografi dan Kesehatan Indonesia (SDKI) tahun 2007, angka kematian kematian ibu adalah 28 per 100.000 kelahiran hidup. Penyebab langsung kematian ibu di Indonesia seperti halnya Negara lain adalah perdarahan (25%), sepsis (15%), eklampsi (12%), partus lama (8%). Menurut World Health Organization (WHO), 35-37% ibu hamil di negara berkembang dan 18% di negara  maju mengalami anemia. Faktor penyebab terjadinya anemia pada ibu hamil secara tidak langsung adalah umur ibu, paritas, sosial ekonomi, pekerjaan, pendidikan, jarak kehamilan, dan status gizi.Tujuan penelitian ini adalah untuk mengetahui faktor - faktor apa saja yang berhubungan dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014. Penelitian ini menggunakan metode survey analitikdengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil yang berobat di Puskesmas Talang Ratu Palembang Tahun 2014. Pengambilan sampel pada penelitian ini dengan metode non random sampling dengan teknik Accidental sampling. Analisis dilakukan secara univariat dan bivariat. Dengan uji statistik chi square tingkat kemaknaan α 0,05. Hasil penelitian menunjukkan dari 35 responden terdapat (48,6%) responden yang anemia, umur yang beresiko  tinggi (28,6%), paritas tinggi (60,0%), dan sosial ekonomi rendah (37,1%). Hasil penelitian ini menunjukkan ada hubungan yang bermakna antara umur dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan  p value0,027,  ada hubungan bermakna antara paritas dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan p value0,023 dan ada hubungan yang bermakna antara sosial ekonomi dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan p value0,026. Dari hasil penelitian ini penulis berharap petugas kesehatan di Puskesmas Talang Ratu Palembang meningkatkan pelayanan kesehatan pada ibu hamil dan lebih sering melaksanakan penyuluhan anemia pada kehamilan dan nutrisi yang baik bagi ibu hamil.    

scholarly journals PERBANDINGAN REGRESI ZERO INFLATED POISSON (ZIP) DAN REGRESI ZERO INFLATED NEGATIVE BINOMIAL (ZINB) PADA DATA OVERDISPERSION (Studi Kasus: Angka Kematian Ibu di Provinsi Bali)

2016 ◽  
Vol 5 (4) ◽  
pp. 133
Author(s):  
NI PUTU PREMA DEWANTI ◽  
MADE SUSILAWATI ◽  
I GUSTI AYU MADE SRINADI
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Regression Models ◽  
Negative Binomial ◽  
Mean Value ◽  
Response Variable ◽  
Maternal Mortality Rate ◽  
Excess Zeros ◽  
Zero Values ◽  
Independent Variable

Poisson regression is a nonlinear regression which is often used for count data and has equidispersion assumption (variance value equal to mean value). However in practice, equidispersion assumption is often violated. One of it violations is overdispersion (variance value greater than the mean value). One of the causes of overdipersion is excessive number of zero values on the response variable (excess zeros). There are many methods to handle overdispersion because of excess zeros. Two of them are Zero Inflated Poisson (ZIP) regression and Zero Inflated Negative Binomial (ZINB) regression. The purpose of this research is to determine which regression models is better in handling overdispersion data. The data that can be analyzed using the ZIP and ZINB regression is maternal mortality rate in the Province of Bali. Maternal mortality rate data has proportion of zeros value more than 50% on the response variable.  In this research, ZINB regression better than ZIP regression for modeling maternal mortality rate. The independent variable that affects the number of maternal mortality rate in the Province of Bali  is the percentage of mothers who carry a pregnancy visit, with ZINB regression models and . 

scholarly journals Two year review of maternal mortality at a tertiary care hospital of GMERS, Valsad, Gujarat, India

2018 ◽  
Vol 7 (6) ◽  
pp. 2283
Author(s):  
Darshna M. Patel ◽  
Mahesh M. Patel ◽  
Vandita K. Salat
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Rural Areas ◽  
Tertiary Care ◽  
Maternal Mortality Ratio ◽  
Care Hospital ◽  
Maternal Deaths ◽  
Maternal Mortality Rate ◽  
Live Births ◽  
Mortality Ratio

Background: According to the WHO, 80 of maternal deaths in developing countries are due to direct maternal causes such as haemorrhage, hypertensive disorders and sepsis. These deaths are largely preventable. Maternal mortality ratio (MMR) in India is 167/100,000 live births.Methods: This retrospective observational study was conducted at GMERS, Valsad. Data regarding maternal deaths from January 2016 to December 2017 were collected and analyzed with respect to epidemiological parameters. The number of live births in the same period was obtained from the labour ward ragister. Maternal mortality rate and Mean maternal mortality ratio for the study period was calculated.Results: The mean Maternal mortality rate in the study period was 413.3/100,000 births. The maternal mortality ratio (MMR) in India is 167/100,000 live births. More than half of maternal deaths were reported in multiparous patients. More maternal deaths were observed in women from rural areas (67.3%), unbooked patients (73.3%) and illiterate women (65.3%). Thirty six (69.3%) maternal death occurred during postpartum period. Most common delay was first delay (60.0%) followed by second delay (40.0%). Postpartum haemorrhage (28.8%), preeclampsia (17.3%), sepsis (13.46%) were the major direct causes of maternal deaths. Indirect causes accounted for one third of maternal deaths in our study. Anemia, hepatitis and heart disease were responsible for 13.4%, 5.7%, and 1.9% of maternal deaths, respectively.Conclusions: Majority of maternal deaths are observed in patients from rural areas, unbooked, and illiterate patients. Hemorrhage, eclampsia and sepsis are leading causes of maternal deaths. Most of these maternal deaths are preventable if patients are given appropriate treatment at periphery and timely referred to higher centers.

scholarly journals Evaluation of maternal and fetal outcome in pregnancies complicated by jaundice-an observational study

2021 ◽  
Author(s):  
Ruchi Kishore ◽  
Neha Thakur ◽  
Mitali Tuwani
Keyword(s):  
Mortality Rate ◽  
Observational Study ◽  
Maternal Mortality ◽  
Viral Hepatitis ◽  
Hellp Syndrome ◽  
Fetal Outcome ◽  
Maternal Outcome ◽  
Fetal Mortality ◽  
Maternal Mortality Rate ◽  
In Pregnancy

Background: The spectrum of jaundice in pregnancy varies from a benign condition with good maternal and fetal outcome to a severe form resulting in liver failure and maternal and fetal mortality. Jaundice may complicate 3-5% of pregnancies. Present study was aimed to analyze the cause, course and impact of jaundice during pregnancy so as to have better understanding and hence better feto-maternal outcome. The present study aimed to analyze the various causes of hepatic dysfunction in pregnancy, maternal and fetal outcome in pregnancies complicated by jaundice and various hematological and liver function variables for predicting maternal and fetal outcome.Methods: The present study was an observational study conducted in the department of obstetrics and gynecology, Pt. JNM medical college and associated Dr. BRAM hospital, Raipur (CG) over period of 2 year from September 2018 to September 2020.Results: Total 0.72% pregnancies were complicated by jaundice. HELLP syndrome was the commonest cause of jaundice in pregnancy (36.7%), followed by viral hepatitis (32.7%). Hepatitis E was the most common type of viral hepatitis (91.8%). Hemolytic jaundice presented with best maternal outcome (maternal mortality rate 8.6%). Worst maternal outcome was seen in AFLP (maternal mortality rate 100%). Best fetal outcome was seen in viral hepatitis (live birth rate 67.6%), whereas worst noted with AFLP (fetal death rate 66.6%). Higher total serum bilirubin, higher serum AST, anemia and deranged INR had significant correlation with maternal mortality.Conclusions: HELLP syndrome and viral hepatitis are preventable causes of jaundice yet it contributed to significant proportion of maternal deaths in 26.5 and 18.5% cases respectively. AFLP is often under diagnosed and had a fulminant course in pregnancy causing maternal and fetal mortality.

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