scholarly journals Post-Operative Maternal Morbidity and Mortality after Caesarean Delivery and Laparotomy for Uterine Rupture at the Gynecology and Obstetrics Service of the Ignace Deen National Hospital in Guinea

2021 ◽  
Vol 6 (2) ◽  
pp. 1-6
Author(s):  
Balde Ibrahima Sory ◽  
Keyword(s):  
Risk Factors ◽  
Uterine Rupture ◽  
Maternal Morbidity ◽  
Caesarean Delivery ◽  
Morbidity And Mortality ◽  
National Hospital ◽  
Gynecology And Obstetrics ◽  
Maternal Morbidity And Mortality

The aim of the work was to study post-operative maternal morbidity and mortality after Caesarean delivery and laparotomy for uterine failure, to describe the main causes and to analyze the risk factors.

scholarly journals Post-operative maternal morbidity and mortality after caesarean delivery and laparotomy for uterine rupture at the gynecology and obstetrics service of the Ignace Deen National Hospital in Guinea

2020 ◽  
Vol 9 (11) ◽  
pp. 4367
Author(s):  
Ibrahima S. Balde ◽  
Ousmane Balde ◽  
Ibrahima Stylla ◽  
Alhassane II Sow ◽  
Massa Keita ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Uterine Rupture ◽  
Maternal Morbidity ◽  
Caesarean Delivery ◽  
Morbidity And Mortality ◽  
Morbidity Rate ◽  
Significance Level ◽  
Gynecology And Obstetrics ◽  
Maternal Morbidity And Mortality ◽  
One Year

Background: The aim of the work was to study post-operative maternal morbidity and mortality after caesarean delivery and laparotomy for uterine failure, to describe the main causes and to analyze the risk factors.Methods: It was a descriptive, comparative and analytical study lasting 2 years with data collection in 2 phases, one of which was a retrospective study lasting one year from July 2018 to June 2019 and the other a prospective study also lasting one year, from July 2019 to June 2020. It concerned all pregnant women who had been caesarized or had had a laparotomy for uterine rupture with complications and those who had not developed any complications. The parameters studied were types of complications, risk factors and maternal mortality. The Chi-square test was used to compare the two populations with a significance level p=0.05.Results: During the study period, 6141 hospitalizations were recorded among which 5682 surgical procedures were performed, i.e. 92.52% of hospitalizations. Caesarean delivery accounted for 90.55% of surgical procedures and laparotomy for uterine rupture for 1.10%. The overall maternal post-operative morbidity rate was 7.60%. Post-operative anemia was by far the most common complication (75.76%) followed by infection (23.46%). The maternal death rate was 0.92% with a ratio of 409.97 maternal deaths per 100,000 live births and more than 2/3 of these deaths were due to caesarean delivery. Anemia and septic shock were the main causes of death. Factors related to this post-operative maternal morbidity were: age greater than or equal to 40 years, multi-parity, illiteracy, emergency obstetric evacuation, low socio-economic level, poor quality of prenatal follow-up and rupture of membranes before admission.Conclusion: In the emergency context concerning majority of our cesarean deliveries and the totality of uterine ruptures predispose the mother to high significant morbidity and mortality.

scholarly journals Caesarian Scar Pregnancy - A Diagnostic Dilemma

2016 ◽  
Vol 54 (202) ◽  
pp. 88-90
Author(s):  
Pratiksha Gupta ◽  
Anju Huria ◽  
Dilpreet Kaur ◽  
Reeti Mehra
Keyword(s):  
Uterine Rupture ◽  
Maternal Morbidity ◽  
Transvaginal Ultrasound ◽  
Morbidity And Mortality ◽  
Diagnostic Dilemma ◽  
Color Flow ◽  
Major Hemorrhage ◽  
Future Fertility ◽  
Risk Of Rupture ◽  
Maternal Morbidity And Mortality

Caesarean scar pregnancy is one of the rarest forms of ectopic pregnancy. Transvaginal ultrasound and color flow Doppler provides a high diagnostic accuracy. A delay in diagnosis and treatment can lead to uterine rupture, major hemorrhage, hysterectomy and serious maternal morbidity and mortality. Early diagnosis can offer treatment options of avoiding uterine rupture and hemorrhage, thus preserving the uterus and future fertility. Primary health care provider should know about this rare entity, because if diagnosed timely, and referral to specialized centre is done without delay will definitely save maternal morbidity and mortality. Management plan should be individualized. Termination of pregnancy is the treatment of choice in the first trimester. Expectant treatment has a poor prognosis because of risk of rupture. In this case report we aim to discuss the associated diagnostic dilemma, most appropriate methods of diagnosis and management, with their implications in clinical practice.Keywords: scar pregnancy; caesarian section; methotrexate. | PubMed

scholarly journals Uterine Rupture at 21 Weeks in Twin Pregnancy with TTTS and Previous C-Section

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Gieta Bhikha-kori ◽  
Marieke Sueters ◽  
Johanna M. Middeldorp
Keyword(s):  
Health Problem ◽  
Uterine Rupture ◽  
Maternal Morbidity ◽  
Twin Pregnancy ◽  
Morbidity And Mortality ◽  
Maternal Morbidity And Mortality

Uterine rupture is a health problem in every country. The diagnosis is not always obvious and fetal and maternal morbidity and mortality can be high.

scholarly journals Modern Management of Clinical Chorioamnionitis

1995 ◽  
Vol 3 (3) ◽  
pp. 123-132 ◽  
Author(s):  
Thomas Westover ◽  
Robert A. Knuppel
Keyword(s):  
Risk Factors ◽  
Perinatal Outcome ◽  
Maternal Morbidity ◽  
Morbidity And Mortality ◽  
Host Defenses ◽  
Detailed Review ◽  
Modern Management ◽  
Management Scheme ◽  
Maternal Morbidity And Mortality ◽  
Made In

Clinical chorioamnionitis continues to contribute to fetal and maternal morbidity and mortality. Significant advances have been made in the last 20 years in understanding the pathophysiologic processes leading to chorioamnionitis. This review addresses the history, incidence, pathophysiology, host defenses, risk factors, diagnosis, and maternal and neonatal management of clinically evident chorioamnionitis. After a detailed review of the physiologic processes leading to clinical chorioamnionitis and sepsis, we present a modern management scheme designed to optimize perinatal outcome for both mother and fetus.

scholarly journals Five-years review of obstetric hysterectomy at tertiary care center

2020 ◽  
Vol 10 (1) ◽  
pp. 308
Author(s):  
Anita G. Pawar ◽  
Mangala A. Shinde ◽  
Sarasjothi M. ◽  
Priyanka B. Nemagouda
Keyword(s):  
Risk Factors ◽  
Maternal Morbidity ◽  
Care Center ◽  
Tertiary Care ◽  
Morbidity And Mortality ◽  
Transfusion Rate ◽  
Hypertensive Disorder ◽  
Complication Rates ◽  
Tertiary Care Center ◽  
Maternal Morbidity And Mortality

Background: Obstetric hysterectomy (OH) is indicated as last resort operation to save the life of the mother  and associated with high complication rates, so  requires a highly experienced and skilled medical team ,to solve any complication. Objective was to identify incidence, demographic profile, indications, risk factors, complications, maternal morbidity and mortality associated   with   obstetric hysterectomy.Methods: Retrospective   analytical study of 47 case records is done over period of last 5 years   from October 1st October 2015 to 30th September 2020 at VDGIMS, a tertiary care center, Latur. Results are expressed in frequency and percentages.Results: In our study, the rate of OH was 1.1/1000 deliveries. Most common (68%) age group was 21-30 yrs, majority (70%) were multipara, and booked (76%). Most common indication of OH was atonic PPH (65%), followed by traumatic PP, including rupture uterus (21%), and placenta acreta (10%). Most OH was performed on emergency basis (91%) and of subtotal type (95%). Major mode of delivery  was cesarean 65% and vaginal delivery in 21% cases. Most common risk factors were placental causes (55%), previous LSCS (48%) and hypertensive disorder (31%). High maternal morbidity in form of 100% blood transfusion rate, 93% ICU admission, inotropes and ventilator support in 59% cases and prolonged hospital stay in 75% cases seen. Most common complication were hemorrhagic shock 21%, DIC (29%), renal failure (12%) and septic shock (14%) with maternal death rate of 23% was noted.Conclusions: Obstetric hysterectomy is a necessary life-saving operation, but also associated with high maternal morbidity and mortality, which can be minimized with timely done procedure by experienced person.

Uterine laceration – a rare case of postpartum hemoperitoneum

2021 ◽  
Vol 86 (5) ◽  
pp. 335-338
Author(s):  
Carlos Silva Macedo ◽  
◽  
Cristina Pestana Domingos ◽  
Rita Leiria Gomes ◽  
Zeferino Pina ◽  
...  
Keyword(s):  
Key Words ◽  
Uterine Rupture ◽  
Maternal Morbidity ◽  
Rare Case ◽  
Postpartum Haemorrhage ◽  
Morbidity And Mortality ◽  
Early Postpartum ◽  
Maternal Morbidity And Mortality

Postpartum haemorrhage is a major cause of maternal morbidity and mortality worldwide. Early dia gnosis and treatment are essential to prevent sequelae or even death. We describe a rare case of early postpartum haemorrhage with hemoperitoneum due to a laceration of the uterine serosa with exposure of a uterine vessel solved by laparotomy. Key words: postpartum haemorrhage – uterine rupture – parturition

scholarly journals UTERINE RUPTURE;

2013 ◽  
Vol 20 (05) ◽  
pp. 726-730
Author(s):  
CHANDRA MADHUDAR ◽  
AMBREEN GHORI ◽  
FARKHUNDA KHURSHID ◽  
Syed Zulfiquar Ali Shah ◽  
Tarachand Devrajani
Keyword(s):  
Uterine Rupture ◽  
Maternal Morbidity ◽  
Descriptive Study ◽  
Morbidity And Mortality ◽  
University Hospital ◽  
Collaborative Approach ◽  
Careful Selection ◽  
Maternal Morbidity And Mortality ◽  
Obstetrical Emergency ◽  
Study Setting

objective: To evaluate frequency, maternal morbidity and mortality in patients with uterine rupture at Gynae Unit -II of civilHospital Hyderabad. Study design: Prospective descriptive study. Study setting: Department of Obstetrics and Gynecology, unit-IILiaquat University Hospital Hyderabad Sindh Pakistan; from 1st October 2010 to 31st March 2011. Subjects and methods: All thepatients diagnosed as case of uterine rupture was taken as study subject. Data was collected in a pre-designed porforma. Variableanalyzed were frequency, demographic characters, maternal morbidity and mortality. Results: During the study, 34 patients out of 1400deliveries presented with uterine rupture resulting in a frequency of 2.42%or 1: 41deliveries. 64.7%(22) patients were between 26 to 35years age and 67.64%(23) were multipara.26.47%(9) presented with extension of tears, 17.6%(6) with shock,20.5%(7) with septicemiaand 20.5%(7) with wound infection. Conclusions: Uterine rupture is yet a common obstetrical emergency in our area. The significantmorbidity and mortality deserves our special attention by a collaborative approach. Regular ante natal checkups, careful selection ofpatients for vaginal delivery, vigilantly monitoring during labor with smooth switch over to operative delivery can reduce this drasticobstetrical complication.

scholarly journals Postpartum hemorrhage: a continuing challenge

Hematology ◽  
2015 ◽  
Vol 2015 (1) ◽  
pp. 132-137 ◽  
Author(s):  
Evelyn Lockhart
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Replacement Therapy ◽  
Postpartum Hemorrhage ◽  
Maternal Morbidity ◽  
Morbidity And Mortality ◽  
Obstetric Hemorrhage ◽  
Antifibrinolytic Therapy ◽  
Maternal Morbidity And Mortality ◽  
Fibrinogen Replacement Therapy

Abstract Obstetric hemorrhage remains a leading cause of maternal morbidity and mortality worldwide. Many postpartum hemorrhages (PPHs) do not have identifiable risk factors; maternity units should therefore have obstetric hemorrhageprotocols in place for all parturients as every pregnancy has the potential to be complicated by hemorrhage. This review will examine the epidemiology of PPH as well as current recommendations for key elements in obstetric hemorrhage protocols. Recent advances in hematologic management of PPH will be also be reviewed, including: (1) recognition of hypofibrinogenemia as a risk factor for severe PPH, (2) use of antifibrinolytic therapy, and (3) strategies for fibrinogen replacement therapy.

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