scholarly journals Venomous Snakebite in Pregnancy and Good Outcome –A Case Report

2016 ◽  
Vol 27 (2) ◽  
pp. 86-88
Author(s):  
Mohammad Ali ◽  
Md Robed Amin ◽  
Mohammad Belalul Islam ◽  
Mohammad Haresur Rahman ◽  
Md Mahbubul Islam Mojumdar
Keyword(s):  
Case Report ◽  
Maternal Morbidity ◽  
Medical Literature ◽  
Morbidity And Mortality ◽  
Good Outcome ◽  
Fetal Wastage ◽  
Maternal Morbidity And Mortality ◽  
In Pregnancy

Worldwide occurrence of snakebite in pregnancy is little known in medical literature. Furthermore to the best of our knowledge there is no case report on Krait envenomation in pregnancy in Bangladesh. It carries significant fetal wastage and maternal morbidity and mortality. Here we report a mutligravida aged 27 years at her 24 weeks of gestation with krait bite with neuroparesis with good obstetrical outcome.Bangladesh J Medicine Jul 2016; 27(2) : 86-88

scholarly journals Maternal Outcome in Mitral Valve Disease with Pulmonary Hypertension: Two Case Reports

2018 ◽  
Vol 03 (02/03) ◽  
pp. 204-208
Author(s):  
Anuradha Alagandala ◽  
Daya Vaswani ◽  
Vuduthala Bharadwaj ◽  
Kousalya Chakravarthy
Keyword(s):  
Pulmonary Embolism ◽  
Heart Disease ◽  
Mitral Stenosis ◽  
Maternal Morbidity ◽  
Fatal Case ◽  
Morbidity And Mortality ◽  
First Case ◽  
Asymptomatic Patients ◽  
Maternal Morbidity And Mortality ◽  
In Pregnancy

AbstractChronic rheumatic heart disease is still the leading cause of heart disease complicating pregnancy in the developing countries. The physiologic changes in pregnancy and stress induced by the increase in cardiac output can cause asymptomatic patients with mitral stenosis to decompensate, especially in the third trimester. Severity of mitral stenosis is reflected by the decrease in the valve area and increase in the right ventricular systolic pressures (RVSPs). Venous thromboembolism (VTE) is two to five times more common in the postpartum period, and the risk is high with cesarean delivery. Pulmonary embolism in pregnancy can cause severe maternal morbidity and mortality. We describe two cases of severe mitral stenosis complicating pregnancy with grossly elevated RVSP. The first case is the successful management of a second gravida, presenting with severe mitral stenosis with RVSP 80 mm Hg, and the second, a fatal case of a 26-year-old para 1, live 1, delivered by cesarean section, presenting with massive fatal pulmonary embolism on 13th postoperative day (POD) with RVSP 90 mm Hg. A multidisciplinary approach involving the cardiologist, obstetrician, and obstetric anesthesiologist is crucial for management of severe mitral stenosis complicating pregnancy, to decrease the maternal morbidity and mortality during peripartum period.

Puerperal sub-acute uterine inversion: a rare case report

2017 ◽  
Vol 6 (8) ◽  
pp. 3709
Author(s):  
Reena Sharma ◽  
Kapil Malhotra ◽  
Poojan Dogra ◽  
Anil Kumar ◽  
Sushruti Kaushal ◽  
...  
Keyword(s):  
Case Report ◽  
Maternal Morbidity ◽  
Rare Case ◽  
Morbidity And Mortality ◽  
Uterine Inversion ◽  
Peripheral Hospital ◽  
Third Stage ◽  
Maternal Morbidity And Mortality ◽  
Rare Case Report

Puerperal uterine inversion is a complication of third stage of labour, which can lead to maternal morbidity and mortality due to haemorrhage shock and infection. Early cases can be managed by manual reposition of uterus but neglected or late cases of uterine inversion are managed by Haultain`s repair. Here we are presenting a case of subacute uterine inversion referred from peripheral hospital managed by Haultain’s technique.

Intestinal Myiasis Due to Musca domestica: A Case Report

2012 ◽  
Vol 4 (2) ◽  
pp. 45-46
Author(s):  
Ripon Barua ◽  
Naser Ibn Sattar ◽  
Ahmed Abu Saleh
Keyword(s):  
Developing Countries ◽  
Case Report ◽  
Musca Domestica ◽  
Maternal Morbidity ◽  
Morbidity And Mortality ◽  
Living Tissue ◽  
Puerperal Sepsis ◽  
Liquid Body ◽  
Maternal Morbidity And Mortality

Puerperal sepsis is an important cause of maternal morbidity and mortality in developing countries. This study was Myiasis is the infestation of live human and vertebrate animals with dipterous larvae, which at least for a period, feed on the host's dead or living tissue, liquid body substances, or ingested food. Intestinal myiasis is usually an accidental phenomenon, which occurs due to the ingestion of eggs or larvae present in food. Usually the patient is asymptomatic and the larvae are excreted harmlessly in the faeces. In some case it may be associated with symptoms. The present paper describes such a case.DOI: http://dx.doi.org/10.3329/bjmm.v4i2.10832 

scholarly journals Pulmonary complications for women with sickle cell disease in pregnancy: systematic review and meta-analysis

Thorax ◽  
2020 ◽  
Vol 75 (7) ◽  
pp. 568-575 ◽  
Author(s):  
Sivarajini Inparaj ◽  
Mickey Buckingham ◽  
Laura Oakley ◽  
Paul T Seed ◽  
Sebastian Lucas ◽  
...  
Keyword(s):  
Systematic Review ◽  
Sickle Cell Disease ◽  
Sickle Cell ◽  
Maternal Morbidity ◽  
Meta Analysis ◽  
Pulmonary Complications ◽  
Morbidity And Mortality ◽  
Cell Disease ◽  
Maternal Morbidity And Mortality ◽  
In Pregnancy

BackgroundSickle cell disease (SCD) is a multisystem disease characterised by vaso-occlusive crisis, chronic anaemia and a shorter lifespan. More patients with SCD are living till reproductive age and contemplating pregnancy. Pulmonary complications in pregnancy are significant causes of maternal morbidity and mortality but yet this has not been systematically quantified. A systematic review and meta-analysis were conducted to quantify the association between SCD and pulmonary complications in pregnancy.MethodsMEDLINE, EMBASE, Web of Science, Cochrane and Maternity and Infant Care databases were searched for publications between January 1998 and April 2019. Observational studies involving at least 30 participants were included. Random-effects models were used for statistical meta-analysis.FindingsTwenty-two studies were included in the systematic review and 18 in the quantitative analysis. The meta-analysis included 3964 pregnancies with SCD and 336 559 controls. Compared with women without SCD, pregnancies complicated by SCD were at increased risk of pulmonary thromboembolism (relative risk (RR) 7.74; 95% CI 4.65 to 12.89). The estimated prevalence of acute chest syndrome and pneumonia was 6.46% (95% CI 4.66% to 8.25%), with no significant difference between the HbSS and HbSC genotypes (RR 1.42; 95% CI 0.90 to 2.23).InterpretationThis meta-analysis highlighted a strong association between SCD and maternal pulmonary complications. Understanding the risks of and the factors associated with pulmonary complications would aid preconceptual counselling and optimal management of the condition in pregnancy, thereby reducing associated maternal morbidity and mortality.PROSPERO registration numberCRD42019124708.

scholarly journals A rare case of severe pulmonary hypertension in pregnancy

2020 ◽  
Vol 9 (11) ◽  
pp. 4707
Author(s):  
Ramna Banerjee ◽  
Farheen Rahman
Keyword(s):  
Pulmonary Hypertension ◽  
Maternal Morbidity ◽  
Rare Case ◽  
Heart Diseases ◽  
Tertiary Care ◽  
Morbidity And Mortality ◽  
Care Hospital ◽  
Severe Pulmonary Hypertension ◽  
Maternal Morbidity And Mortality ◽  
In Pregnancy

Heart diseases in pregnancy have always been a source of major concern for both the patients as well as the caregivers because of the high risk of maternal morbidity and mortality and the need for specialist care by a multidisciplinary team preferably in a tertiary care hospital. Amongst the whole gamut of heart diseases, pulmonary hypertension is associated with high maternal morbidity and mortality (in the order of 20% in some studies) and hence is considered a contraindication for pregnancy. We report a rare case of a lady at 36 weeks gestation in her second pregnancy, with a previous caesarean section, who was incidentally diagnosed with severe pulmonary hypertension (PAP-110 mmHg) during her antenatal check-up in the third trimester of pregnancy and survived without any major complications after being promptly referred to and treated in a multispecialty hospital. Her previous pregnancy was absolutely uneventful and even in this pregnancy she had very mild symptoms as compared to the severity of the disease found on further investigation.

scholarly journals African traditional abdominal massage in pregnancy resulting in antepartum uterine rupture, abruptio placenta and foetal demise – a case report

2021 ◽  
Vol 11 (1) ◽  
pp. 265
Author(s):  
Simeon C. Amadi ◽  
Peter A. Awoyesuku ◽  
Rose S. Iwo-Amah ◽  
Sandra U. Ibeabuchi
Keyword(s):  
Case Report ◽  
Uterine Rupture ◽  
Maternal Morbidity ◽  
Exploratory Laparotomy ◽  
Foetal Death ◽  
Birth Attendants ◽  
Maternal Morbidity And Mortality ◽  
Abdominal Massage ◽  
Abruptio Placenta ◽  
In Pregnancy

The practice of abdominal massage dates to years ago and associated with foetal and maternal morbidity and mortality when undertaken by untrained traditional birth attendants in our setting. We present a 30-year old G3P2+0 with uterine rupture and intra-uterine foetal death following abdominal massage. She was resuscitated and had emergency exploratory laparotomy and repair of uterine rupture.

scholarly journals Cardiovascular diseases during pregnancy and delivery

2013 ◽  
Vol 66 (11-12) ◽  
pp. 507-513
Author(s):  
Zoran Stajic ◽  
Zdravko Mijailovic ◽  
Mirjana Bogavac ◽  
Biljana Lazovic ◽  
Maja Stojanovic
Keyword(s):  
Cardiovascular Disease ◽  
Cardiovascular Diseases ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Cardiovascular System ◽  
Maternal Morbidity ◽  
Morbidity And Mortality ◽  
Circulating Blood Volume ◽  
Maternal Morbidity And Mortality ◽  
In Pregnancy

Introduction. Nowadays, cardiovascular diseases are the leading cause of maternal morbidity and mortality in the current obstetric practice. Physiologically Adapted Mechanisms of the Cardiovascular System in Pregnancy. It is normal that during pregnancy some physiological adaptive changes of the cardiovascular system occur and they may contribute to the deterioration of the clinical cardiac status of a patient with preexisting or acquired cardiovascular disease. The most prominent adaptive mechanisms include the increase of circulating blood volume, decrease of peripheral vascular resistance and decrease of plasma colloid-oncotic pressure. Most Frequent Diseases of the Cardiovascular System in Pregnancy. Due to these changes, pregnant women are prone to tachycardia, palpitations and peripheral edema. Maternal counseling is obligatory for each pregnant woman in order to decrease the maternal morbidity and mortality. The most important predictors of maternal mortality for pregnant women with cardiovascular diseases are severity of pulmonary hypertension, hemodynamic significance of valvular lesion, cyanosis and functional status in heart failure. Cardiovascular diseases in pregnant women may be congenital or acquired. The most frequent congenital cardiac diseases are atrial and ventricular septal defects as well as persistent ductus arteriosus. These diseases are mainly diagnosed and corrected before the pregnancy, or left untreated if hemodynamically insignificant. The most frequent acquired cardiovascular diseases during pregnancy include arrhythmias, ischemic heart disease, rheumatic mitral stenosis and insufficiency, arterial hypertension and aortic dissection. Conclusion. In all cases of pregnancy associated with cardiovascular diseases, early recognition of cardiovascular disease is crucial, as well as correct diagnosis and referral to a tertiary centre equipped for a multidisciplinary approach of specialists experienced in high-risk pregnancies and deliveries in order to prevent maternal mortality.

scholarly journals 639 Co-occuring opioid and methamphetamine use disorder and severe maternal morbidity and mortality in Utah

2021 ◽  
Vol 224 (2) ◽  
pp. S401-S402
Author(s):  
Marcela Smid ◽  
Amanda A. Allshouse ◽  
Kristine Campbell ◽  
Michelle P. Debbink ◽  
Adam G. Gordon ◽  
...  
Keyword(s):  
Maternal Morbidity ◽  
Morbidity And Mortality ◽  
Severe Maternal Morbidity ◽  
Methamphetamine Use ◽  
Maternal Morbidity And Mortality ◽  
Methamphetamine Use Disorder
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