scholarly journals Fetal and Maternal Outcomes in Women With Major Placenta Previa Among Sudanese Women: A Prospective Cross-Sectional Study

Cureus ◽  
2021 ◽  
Author(s):  
Mohamed Alkhatim Alsammani ◽  
Khalid Nasralla
Keyword(s):  
Placenta Previa ◽  
Cross Sectional Study ◽  
Maternal Outcomes ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Oxygen Saturation as a Predictor of Adverse Maternal Outcomes in Women with Preeclampsia

2019 ◽  
Vol 4 (1) ◽  
pp. 582-585
Author(s):  
Sweta Rani ◽  
Pallab Kumar Mistri
Keyword(s):  
Oxygen Saturation ◽  
Perinatal Outcomes ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Adverse Outcomes ◽  
Therapeutic Interventions ◽  
Maternal Outcomes ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical Disorders

Introduction: In preeclampsia, hypoxemia may result from a number of mechanisms. Preeclampsia remains a complex and poorly understood disease. Currently, there are no reliable predictors of preeclampsia for early diagnosis to avoid adverse maternal or perinatal outcomes. Objective: The objective was to evaluate the efficacy of oxygen saturation (SpO2) as a predictor of adverse maternal outcome in women with preeclampsia. Methodology: We conducted the cross-sectional study on 182 preeclamptic women selected by random sampling technique. They were divided into two groups on the basis of oxygen saturation: 29 preeclamptic women (Group L) having oxygen saturation 95% or below and 153 women (Group H) having oxygen saturation 96% or above. The groups were statistically compared with respect to age, gestational age, proteinuria, severity of hypertension and developing different adverse effect of preeclampsia. Women with any medical disorders were excluded. Results: After statistical analysis, it was seen that the women having Spo2 ≤ 95% (L-Group) had experienced more adverse 2 outcomes. They were more hypertensive and more proteinuric, had higher liver enzyme levels, lower platelet counts, and were more likely to have experienced cardio-respiratory symptoms. Women with adverse outcomes were also more likely to have had therapeutic interventions, including corticosteroids, antihypertensives, and magnesium sulphate. Conclusion: Women having SpO2 ≤ 95% (L-Group) had more adverse 2 outcomes in comparison to SpO2 ≥96%(H-Group).

scholarly journals PLACENTA ACCRETA IN PLACENTA PREVIA

2018 ◽  
Vol 21 (05) ◽  
pp. 892-896
Author(s):  
Farzana Majid ◽  
Robina Ali ◽  
Shazia Shaheen
Keyword(s):  
Placenta Accreta ◽  
Placenta Previa ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
History Of ◽  
Scarred Uterus ◽  
Demographic Features ◽  
Previous Cesarean

Objective: To calculate the frequency of placenta accreta in placenta previawith or without scarred uterus and compare clinico demographic features of cases with orwithout placenta accreta. Study Design: Cross sectional study. Place and Duration of Study:Department of Obst & Gynae Allied Hospital, Faisalabad from 1st June 2007 to 31st May 2008.Methodology: 200 patients of placenta previa, 100 with history of previous cesarean sectionand 100 without history of previous C-section fulfilling inclusion criteria were taken. They wereevaluated by history, examination and ultrasound noting placental location and type. Placentaaccreta was diagnosed during delivery. Results: Out of 200 patients, frequency of placentaaccreta was significantly increased with history of previous C-section. It was 20% in patientswith previous C-sections and 6% in patients without previous C-sections. Conclusions: Ourdata suggests that frequency of placenta accreta is greater in patients with previous C-sectionand its frequency increases with increasing number of C-sections especially with anterior andcentral placenta previa.

scholarly journals Peripartum Hysterectomies over a Fifteen-year Period

2021 ◽  
Vol 43 (01) ◽  
pp. 003-008
Author(s):  
Alessandra Dorigon ◽  
Sérgio Hofmeister Martins-Costa ◽  
José Geraldo Lopes Ramos
Keyword(s):  
Placenta Accreta ◽  
Placenta Previa ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Southern Brazil ◽  
Sectional Study ◽  
Porto Alegre ◽  
Cross Sectional ◽  
The Past ◽  
Previous Cesarean

Abstract Objective To determine the indications and outcomes of peripartum hysterectomies performed at Hospital de Clínicas de Porto Alegre (a university hospital in Southern Brazil) during the past 15 years, and to analyze the clinical characteristics of the women submitted to this procedure. Methods A cross-sectional study of 47 peripartum hysterectomies from 2005 to 2019. Results The peripartum hysterectomies performed in our hospital were indicated mainly due to placenta accreta or suspicion thereof (44.7% of the cases), puerperal hemorrhage without placenta accreta (27.7%), and infection (25.5%). Total hysterectomies accounted for 63.8% of the cases, and we found no difference between total versus subtotal hysterectomies in the studied outcomes. Most hysterectomies were performed within 24 hours after delivery, and they were associated with placenta accreta, placenta previa, and older maternal age. Conclusion Most (66.0%) patients were admitted to the intensive care unit (ICU). Those who did not need it were significantly older, and had more placenta accreta, placenta previa, or previous Cesarean delivery.

scholarly journals PRIMARY PPH;

2008 ◽  
Vol 15 (03) ◽  
pp. 335-340
Author(s):  
SAMIA SHUJA ◽  
AFIA ANSAR ◽  
NAGINA FATIMA LIAQUAT
Keyword(s):  
Blood Pressure ◽  
Study Design ◽  
Placenta Previa ◽  
Cross Sectional Study ◽  
Uterine Atony ◽  
Medical Centre ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Difference ◽  
Uterine Fundus

. Objective: To determine the effectiveness and safety of uterine packing in selected cases of primarypostpartum haemorrhage. Study Design: Cross-sectional study. Place and Duration: The study was conducted atJinnah Postgraduate Medical Centre, Karachi, From September 2003 to April 2008. Patients and Methods: Womendeveloping primary PPH due to uterine atony, placenta previa and coagulation failure were selected for uterine packing.Firm packing was done with enormous length of sterile ribbon gauze, using ‘layering technique’ under prophylacticantibiotic cover. Vagina was also packed to give additional pressure. Pack was removed after 12 - 36 hours or earlyin case of failure to control haemorrhage. Pulse, blood pressure, soakage of pads, height of uterine fundus andtemperature were monitored to assess effectiveness and safety. Results: 39 women were included in the study. Causeof PPH was uterine atony in 30 (76.9%), coagulation failure in 5 (12.8%) and placenta previa in 4 (10.3%) cases.Packing was successful in arresting haemorrhage in 32 (82.1%) and failed in 7 (17.9%) cases; 95% Confidence Interval67-91. There was no case of concealed haemorrhage, four patients developed emdometritis and none had delayedhaemorrhage. 13 laparotomies were prevented. The difference between the causes of haemorrhage in successful andfailed cases did not show a definite trend. Conclusion: If employed early, uterine packing is a quick, effective and safemethod for controlling primary PPH in carefully selected cases.

Placenta accreta spectrum: Management and outcomes in a tertiary centre in India: An observational cross-sectional study

2021 ◽  
pp. 004947552110136
Author(s):  
Karthik C Bassetty ◽  
Reeta Vijayaselvi ◽  
Bijesh Yadav ◽  
Liji S David ◽  
Manisha M Beck
Keyword(s):  
Surgical Complication ◽  
Placenta Previa ◽  
Previous History ◽  
Cross Sectional Study ◽  
Spectrum Management ◽  
Sectional Study ◽  
Cross Sectional ◽  
Tertiary Centre ◽  
Caesarean Hysterectomy ◽  
Placenta Accrete

Our observational cross-sectional study looked at the risk factors, diagnosis, management and outcomes of placenta accrete spectrum at the Christian Medical College and Hospital, Vellore, India, between January 2013 and December 2018. A total of 21 cases of placenta accrete spectrum are described among whom a preop diagnosis was available in 14 cases. A previous history of Caesarean section and placenta previa was present in 90%. Caesarean hysterectomy was carried out in 80%, but none of those managed conservatively required interval hysterectomy. Urinary tract injury was the most common surgical complication, seen in over 50%. The mean blood loss was 3.5 l and 14 patients required intensive care unit admission, but no maternal mortality ensued. Thus, we conclude that the conservative management in carefully selected cases is feasible.

scholarly journals Delays in receiving obstetric care and poor maternal outcomes: results from a national multicentre cross-sectional study

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Rodolfo C Pacagnella ◽  
◽  
José G Cecatti ◽  
Mary A Parpinelli ◽  
Maria H Sousa ◽  
...  
Keyword(s):  
Obstetric Care ◽  
Cross Sectional Study ◽  
Maternal Outcomes ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Availability of facility resources and services and infection-related maternal outcomes in the WHO Global Maternal Sepsis Study: a cross-sectional study

2021 ◽  
Author(s):  
Vanessa Brizuela ◽  
Cristina Cuesta ◽  
Gino Bartolelli ◽  
Abdulfetah Abdulkadir Abdosh ◽  
Sabina Abou Malham ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Maternal Outcomes ◽  
Sectional Study ◽  
Cross Sectional ◽  
Maternal Sepsis

scholarly journals Risk of Severe Adverse Maternal and Neonatal Outcomes in Deliveries with Repeated and Primary Cesarean Deliveries versus Vaginal Deliveries: A Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Kiattisak Kongwattanakul ◽  
Rungroj Thamprayoch ◽  
Chumnan Kietpeerakool ◽  
Pisake Lumbiganon
Keyword(s):  
Vaginal Delivery ◽  
Cross Sectional Study ◽  
Neonatal Outcomes ◽  
World Health ◽  
Maternal Outcomes ◽  
Sectional Study ◽  
Cross Sectional ◽  
Vaginal Deliveries ◽  
Increased Risk ◽  
Maternal And Neonatal Outcomes

Objective. To determine risks of severe adverse maternal and neonatal outcomes in women with repeated cesarean delivery (CD) and primary CD compared with those with vaginal delivery (VD). Methods. Data of this cross-sectional study were extracted from 2,262 pregnant women who gave birth between August 2014 and December 2016, at Srinagarind Hospital, Khon Kaen University. Severe maternal outcomes were categorized based on the World Health Organization criteria. Adjusted odds ratio (aOR) and 95% confidence intervals (CI) were calculated to indicate the risk of severe adverse maternal and neonatal outcomes among women underwent CD compared with those who underwent VD. Results. There were no cases of maternal death in this study. CD significantly increased risk of severe adverse maternal outcomes (SMO) (aOR 10.59; 95% CI, 1.19-94.54 for primary CD and aOR 17.21; 95% CI, 1.97-150.51 for repeated CD) compared with women who delivered vaginally. When compared with vaginal delivery, the risks of neonatal near miss (NNM) and severe adverse neonatal outcomes (SNO) were significantly higher in primary CD group (aOR 1.71; 95% CI 1.17-2.51 and aOR 1.66; 95% CI 1.14-2.43), respectively. For repeated CD, the risks were borderline significant (aOR, 1.58; 95% CI, 0.98-2.56 for NNM and aOR, 1.61; 95% CI, 0.99-2.60 for SNO). Conclusion. Primary and repeated CD significantly increased the risk of SMO compared with VD. Risks of NNM and SNO were also significantly increased in women with primary CD. The risks of NNM and SNO for repeated CD trended toward a significant increase.

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