scholarly journals Maternal Deaths due to Obstetric Hemorrhage in Padang, Indonesia: A Case-Control Study

2021 ◽  
pp. 65-69
Author(s):  
Dini F. Omari ◽  
Yusrawati ◽  
Satya W. Yenny
Keyword(s):  
Antenatal Care ◽  
Case Control Study ◽  
Health Department ◽  
Case Control ◽  
Uterine Atony ◽  
Obstetric Hemorrhage ◽  
Retrospective Case ◽  
Maternal Deaths ◽  
History Of ◽  
Control Study

Abstract Objective: To analyse the association between determinants of maternal deaths and obstetric haemorrhage in Padang, Indonesia.Methods: A retrospective case-control study was conducted in Padang, Indonesia from 2015 to 2019. Maternal deaths that occurred due to obstetric hemorrhage in Padang Health Department was compared to three mothers who survived from obstetric hemorrhage (controls) in Dr. M. Djamil General Hospital, Padang, Indonesia.Results: There were 20 deaths caused by obstetric hemorrhage during 2015 to 2019. Death records could only be found in 16 cases. The most common etiology of obstetric hemorrhage was uterine atony (62.5%). Determinants associated with maternal deaths due to obstetric hemorrhage were interval between pregnancies (p=0.045; OR:10.846), history of previous labour (p=0.003; OR:8.556), and antenatal care (p=0.003; OR:21.364). Age, parity, birth attendant, and mother’s educational level were not significantly associated with maternal deaths due to obstetric hemorrhage.Conclusion: Uterine atony was the most frequent etiology of maternal deaths due to obstetric hemorrhage. There was a significant association between pregnancy intervals, history of previous labour, and antenatal care with maternal deaths due to obstetric hemorrhage.Keywords: determinant, obstetric hemorrhage, maternal death. Abstrak Tujuan: Menganalisis hubungan determinan kematian maternal akibat perdarahan obstetri di Kota Padang.Metode: Sebuah studi retrospektif case-control dilakukan di Kota Padang dari tahun 2015–2019. Setiap kasus kematian ibu akibat perdarahan obstetri dari tahun 2015–2019 yang dilaporkan oleh Dinas Kesehatan Kota Padang dibandingkan dengan tiga kasus perdarahan obstetri yang tidak berakibat kematian di RSUP Dr. M. Djamil Padang. Analisis data menggunakan uji Chi-square.Hasil: Ada 20 kasus kematian akibat perdarahan obstetri selama tahun 2015–2019. Catatan kematian hanya dapat diperoleh pada 16 kasus. Etiologi terbanyak kematian akibat perdarahan obstetri ialah atonia uteri. Determinan yang berhubungan dengan kematian akibat perdarahan obstetri ialah jarak kehamilan (p=0.045; OR:10.846), riwayat persalinan sebelumnya (p=0.003; OR:8.556), dan antenatal care (p=0.003; OR:21.364). Tidak terdapat hubungan yang signifikan antara usia, paritas, penolong persalinan, dan tingkat pendidikan ibu dengan kematian maternal akibat perdarahan obstetri.Kesimpulan: Atonia uteri merupakan etiologi tertinggi kematian maternal akibat perdarahan obstetri. Ada hubungan yang signifikan antara jarak kehamilan, riwayat persalinan sebelumnya, dan antenatal care dengan kematian maternal akibat perdarahan obstetri.Kata kunci: determinan, kematian maternal, perdarahan obstetri.

High Risk Features Contributing to 30-Day Readmission After Acute Ischemic Stroke: A Single Center Retrospective Case-Control Study

2021 ◽  
pp. 194187442110277
Author(s):  
Emma M. Loebel ◽  
Mary Rojas ◽  
Danielle Wheelwright ◽  
Connor Mensching ◽  
Laura K. Stein
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Case Control Study ◽  
Case Control ◽  
Retrospective Case ◽  
Medical Comorbidities ◽  
Care Plans ◽  
History Of ◽  
Prior Stroke ◽  
Control Study

Background and Purpose: Risk of 30-day stroke readmission has been attributed to medical comorbidities, stroke severity, and hospitalization metrics. The leading etiologies appear to vary across institutions and remain a moving target. We hypothesized that patients with increased medical complexity have higher odds of 30-day readmission and the immediate time after discharge may be most vulnerable. We aimed to characterize patients with 30-day readmission after acute ischemic stroke (IS) and identify predictors of post-IS readmission. Methods: We performed a retrospective case-control study analyzing post-IS 30-day readmission between January 2016-December 2019 using data from Mount Sinai Hospital’s Get With The Guidelines database. We performed chi square analyses and multivariate adjusted logistic regression model including age, sex, coronary artery disease (CAD), renal insufficiency (RI), history of prior stroke or TIA, length of stay (LOS) > 7, and NIHSS ≥ 5. Results: 6.7% (n = 115) of 1,706 IS encounters had 30-day readmission. The 115 cases were compared to 1,591 controls without 30-day readmission. In our adjusted model, CAD (OR = 1.7, p = 0.01), history of prior stroke or TIA (OR = 1.6, p = 0.01), LOS >7 (OR = 1.7, p = 0.02), and NIHSS ≥ 5 (OR = 4.5, p < 0.001) predicted 30-day readmission. 65% (n = 75) of readmitted patients had readmission within 14 days post-discharge. Conclusions: Patients with post-IS 30-day readmission were more likely to have complex medical comorbidities and history of stroke or TIA compared to controls. Patients with more severe stroke and longer LOS may benefit from individualized transition of care plans and closer follow up during the vulnerable 30-day post-stroke period.

scholarly journals Thin endometrial lining during frozen embryo cycles: a case-control study of risk factors and natural history

2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Emily A Jacobs ◽  
Karen M Summers ◽  
Amy E Sparks ◽  
Bradley J Van Voorhis
Keyword(s):  
Natural History ◽  
Live Birth ◽  
Case Control Study ◽  
Case Control ◽  
Frozen Embryo Transfer ◽  
Retrospective Case ◽  
Live Birth Rates ◽  
Lower Weight ◽  
History Of ◽  
Control Study

Objective: To identify predictors of thin endometrial lining in the first frozen embryo transfer cycles and to characterize the natural history of this condition over subsequent cycles. Design: Retrospective case-control study Conclusions: This study shows that prognosis after a diagnosis of thin endometrial lining is favorable. Lower weight and thinner fresh cycle lining are predictors of thin endometrial lining in FET cycles. Most importantly, women with a diagnosis of thin endometrial lining have similar live birth rates as those with adequate endometrial lining, although their time to achieve live birth is slightly longer.

scholarly journals Determinants of Maternal Death in a Pastoralist Area of Borena Zone, Oromia Region, Ethiopia: Unmatched Case-Control Study

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Jarso Sara ◽  
Yusuf Haji ◽  
Achamyelesh Gebretsadik
Keyword(s):  
Antenatal Care ◽  
Maternal Death ◽  
Formal Education ◽  
Case Control Study ◽  
Home Delivery ◽  
Case Control ◽  
Contributing Factors ◽  
Obstructed Labor ◽  
Maternal Deaths ◽  
Control Study

Background. Globally, more than 830 maternal deaths happen daily, and nearly, all of these occur in developing countries. Similarly, in Ethiopia, maternal mortality is still very high. Studies done in pastoralist women are almost few. Therefore, the objective of this study was to assess the determinant factors of maternal death in the pastoralist area of Borena zone, Oromia region, Ethiopia. Methods. Community-based unmatched case-control study was conducted on 236 mothers (59 maternal deaths (cases) and 177 controls). The sample included pregnant women aged 15–49 years from September 2014 to March 2017. Data were collected using a structured questionnaire adapted from Maternal Death Surveillance and Response Technical Guideline, entered into the EpiData, exported into SPSS for analyses. Odds ratios (ORs) and 95% confidence interval (CI) were computed to determine contributing factors of maternal death and control potential confounding variables. Results. About 51 (86%) of all maternal deaths were due to direct obstetric causes. Of this, hemorrhage (45%), hypertensive disorders of pregnancy (23%), and obstructed labor (18%) were the leading direct causes of maternal deaths. Husbands who had no formal education were 5 times higher compared with their counterparts (AOR = 5.1, 95% CI: 1.6–16). Mothers who were not attending ANC were 5 times more at risk for death than those who attend (AOR 5.3, 95% CI 2.3–12.1). Mothers who gave birth at home/on transit were twice to die compared to health facility delivery (AOR 2.6, 95% CI 2.4–6) that were contributing factors of maternal deaths. Conclusions. Husband’s level of education, lack of antenatal care, and home delivery were the factors contributing to maternal deaths in the zone. Frequent and tailored antenatal care, skilled delivery, and access to education also need due attention.

Clinical features and natural history of idiopathic peptic ulcers: a retrospective case–control study

2019 ◽  
Vol 54 (11) ◽  
pp. 1315-1321 ◽  
Author(s):  
Maria Pina Dore ◽  
Sara Soro ◽  
Caterina Niolu ◽  
Nunzio Pio Longo ◽  
Stefano Bibbò ◽  
...  
Keyword(s):  
Natural History ◽  
Clinical Features ◽  
Case Control Study ◽  
Case Control ◽  
Peptic Ulcers ◽  
Retrospective Case ◽  
History Of ◽  
Control Study

scholarly journals Epidemiology and Estimating the Risk Factors for the Transfer of Hepatitis B Virus Using Multivariate Analysis Model: A Retrospective Case-Control Study

2019 ◽  
Vol 6 (2) ◽  
pp. 70-75
Author(s):  
Mansour Bahardoust ◽  
Marjan Mokhtare ◽  
Arash Sarveazad ◽  
Shahdieh Karimi ◽  
Atefeh Talebi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hepatitis B Virus ◽  
Hepatitis B ◽  
Case Control Study ◽  
Case Control ◽  
Hbv Infection ◽  
Retrospective Case ◽  
B Virus ◽  
History Of ◽  
Control Study

Background and aims: Hepatitis B virus (HBV) is one of the important public health diseases in Iran. Therefore, to control the prevalence of the disease, knowledge is required regarding the risk factor of HBV. Accordingly, the aim of this study was to determine the risk factors of HB transmission. Methods: A retrospective case-control study was conducted on the possible risk factors of HBV transmission. To this end, a total of 171 patients with HBV infection and 171 controls from Rasoul-eAkram hospital were investigated during 2015-2018. All subjects were directly evaluated using a faceto-face questionnaire about demographic aspects. Finally, HBV infection and its risk factors among the subjects were detected using hepatitis B surface antigen test. Results: Overall, 171 HBV patients including 77 (42%) males and 93 (58%) females were evaluated. The mean age of the participants was 40 ± 13 years. Univariate logistic analysis showed that HBV infection in these cases was associated with addiction injection (odds ratio [OR] = 4.08, CI:1.3- 9.57), family history (OR = 4.52, CI: 1.27-10.7), and having a history of blood transfusion (OR = 3.16, CI: 1.52-5.37). There were no significant relationships between the liver function tests, alcohol consumption, the history of dental visits, and HBV participants. In addition, the logistic-regression model proved that patients with a history of HBV-infected parents (At least one of them) and addiction injection were severely subject to HB infection. In other words, there was a significant association between a history of HBV-infected parents and addiction injection and HB infection. Conclusion: In general, HBV infection was strongly related to having a family member infected with hepatitis B, suffering from addiction injection, and having blood injection.

scholarly journals Determinan Kejadian Preeklamsia Di Rumah Sakit Umum Dr. Doris Sylvanus Palangka Raya

2020 ◽  
Vol 6 (1) ◽  
pp. 101-111
Author(s):  
Lensi Natalia Tambunan ◽  
Angga Arsesiana ◽  
Ana Paramita
Keyword(s):  
Antenatal Care ◽  
Case Control Study ◽  
Case Control ◽  
Chi Square ◽  
Factors Affecting ◽  
Central Kalimantan ◽  
History Of ◽  
Expectant Mothers ◽  
Employment Education ◽  
Control Study

Preeclampsia is the problem and can threaten soul mothers during pregnancy, giving birth, and the fetus. Mother maternity with preeclampsia in BLUD dr. Doris Sylvanus Palangkaraya's rise in 2015 amounted to 14,2% of 2014 namely 12,3% and there is one of the deaths of the mother caused by preeclampsia. Factors affecting the occurrence of preeclampsia are Antenatal Care (ANC), a history of hypertension, age, parity, double pregnancy, use of birth control contraceptives, employment, education, health insurance. The purpose of the research is to know the dominant factors affecting the occurrence of preeclampsia in the BLUD Dr. Doris Sylvanus Palangka Raya Central Kalimantan province year 2017. The design of this research is the quantitative observation of observational analytic using the type of case-control study design. The case is the entire maternity mother with preeclampsia as much as 81 people and the control is no preeclampsia maternity mother as much as 162. Samples taken randomly are simple. Data analyzed in a descriptive and Chi-square. The results of the analysis showed that 55.6% of maternity mothers with preeclampsia seldom/never conducted an ANC examination. There are 2 significant variables associated with preeclampsia in maternity mothers, Antenatal Care (ANC), and the history of hypertension. It can be concluded, the Antenatal Care (ANC) factor and the history of hypertension relate to preeclampsia in maternity mothers. It is recommended for midwives to conduct supervision in expectant mothers who conduct an ANC examination with a history of hypertension and collaborate with specialist doctors.

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