Relevant bibliographies by topics / Obstetric complications

Academic literature on the topic 'Obstetric complications'

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Published: 4 June 2021
Last updated: 20 February 2023

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Journal articles on the topic "Obstetric complications"

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Singh, Saddam, Ashish Pratap Singh, Anil Chouhan, and Ajay Patidar. "Prevalence of operative complications in obstetric and gynecological surgeries requiring interventions by a general surgeon and their associated risk factors: A retrospective study in a tertiary care hospital in Vindhya region." Asian Journal of Medical Sciences 13, no. 9 (September 1, 2022): 178–82. http://dx.doi.org/10.3126/ajms.v13i9.44060.

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Background: Surgical complications can occur in any surgery despite the best possible efforts, thereby affecting the prognosis. Gynecological and obstetric surgeries also result in some complications which require interventions by a general surgeon. These complications can be either causing hemodynamic instability, urinary tract injury, gastrointestinal tract injury, or infections. Aims and Objectives: The present study designed to identify and classify the various complication in obstetric and gynecological surgeries requiring interventions by a general surgeon and to correlate the various risk factors that predispose to these complications. Materials and Methods: The present retrospective study was conducted in the Department of Obstetrics and Gynecology and Department of Surgery, Shyam Shah Medical College and associated hospitals, Rewa, M.P., for 6 months from January 2021 to June 2021. Gynecological and obstetric surgeries resulting in complications requiring surgical intervention were identified and classified based on patients’ demographic characteristics, comorbidities, and type of complications. Results: A total of 1356 cases undergoing an obstetrical or gynecological procedure in the department of obstetrics and gynecology were studied. About 2.14% of the patients had some kind of intraoperative or post-operative complications, which required intervention by a general surgeon. The mean age of females having complications was 37.17±3.71 years. Overall the most common complication was surgical site infection with 48% of the total cases. Conclusion: In this present study, the incidence of surgical complications in obstetrical and gynecological surgeries, which is associated with higher morbidity postoperatively. These complications can be prevented by proper vigilance and surgical technique in high-risk patients.
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Darcha, Rosina, and Margaret Wekem Kukeba. "Neonatal outcomes of obstetric complications." African Journal of Midwifery and Women's Health 15, no. 3 (October 2, 2021): 1–10. http://dx.doi.org/10.12968/ajmw.2020.0030.

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Background/Aims Neonatal mortality remains a global challenge. In Ghana, neonatal mortality accounts for up to 50% of child mortality. A better understanding of the neonatal outcomes of obstetrics complications could contribute to context-specific evidence-based care to prevent neonatal deaths. This study aimed to describe the relationship between poor neonatal outcomes and obstetric complications in a tertiary health facility in the north of Ghana. Methods This was a cross-sectional quantitative study conducted at a tertiary health facility in northern Ghana. Purposive convenience sampling was used to select 384 mothers who experienced obstetric complications. A structured questionnaire was used to collect data on the participants' neonatal health outcomes. The chi-square test was performed to determine the relationship between neonatal health outcomes and obstetric complications, with significance set at P<0.05. Results A total of 20 obstetric complications were recorded. Overall, 327 participants had a single complication. The three most common obstetric complications resulting in adverse neonatal outcomes were obstructed labour (56.0%), pregnancy-induced hypertension (14.6%) and postpartum haemorrhage (11.6%). The majority (66.7%) of the neonates were healthy at birth, with 21.9% and 11.5% being sick or stillborn respectively. Obstetric complications were significantly associated with both neonatal morbidities and mortalities at P<0.000. Conclusions Preventable maternal obstetric complications continue to cause adverse neonatal outcomes in health facilities in Ghana. Appraisal of maternal and newborn care practices may be necessary to understand context-specific factors.
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Savel'eva, G. M., E. Yu Bugerenko, and O. B. Panina. "PROGNOSTIC VALUE OF UTEROPLACENTAL CIRCULATION IMPAIRMENT IN 1ST TRIMESTER OF PREGNANCY IN PATIENTS WITH COMPLICATED OBSTETRIC HISTORY." Annals of the Russian academy of medical sciences 68, no. 7 (July 19, 2013): 4–8. http://dx.doi.org/10.15690/vramn.v68i7.704.

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One of the urgent problems of modern obstetrics is the early detection of irregularities in the development of the uteroplacental vessels system in patients with severe disorders in the history. Aim: to evaluate the predictive value of re-development of obstetric pathology on the basis of the uterine artery Doppler on 11–14 weeks of pregnancy. Patients and methods. 410 patients in I trimester of pregnancy were examined with fetal growth restriction, preeclampsia and/or fetal death and/or a history of preterm delivery were. The influence of physical factors and obstetric history on the state of uterine blood flow in the I trimester of pregnancy was studied. Results. The optimal Doppler indexes was calculated; a high predictive ability of the pulsation index in the uterine arteries with respect to pregnancy complications with early clinical manifestation, severe preeclampsia and combined obstetric complications was detected. Conclusions. Our data support the possibility of preclinical diagnosis of obstetrical complications in patients with complicated obstetric history.
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Bezhenar, V. F., Yu V. Tsveliov, I. В. Kaplun, А. I. Levshankov, А. V. Shchiogolev, D. V. Kandyba, and А. V. Savello. "Tromboembolic complications in obstetric- gynecological practices." Journal of obstetrics and women's diseases 53, no. 1 (January 14, 2004): 55–72. http://dx.doi.org/10.17816/jowd87146.

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In clinical lecture, etiology, pathogenesis, principles of diagnostics and methods for treatment of tromboembolic complications, which the most often an obstetric- gynecologist meets in its practice. Authors present their own clinical observations, which allow to them formulating the main principles of tromboembolism prophylaxis in obstetrics and gynecology.
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D’Angelo, Robert, Richard M. Smiley, Edward T. Riley, and Scott Segal. "Serious Complications Related to Obstetric Anesthesia." Anesthesiology 120, no. 6 (June 1, 2014): 1505–12. http://dx.doi.org/10.1097/aln.0000000000000253.

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Abstract Background: Because of the lack of large obstetric anesthesia databases, the incidences of serious complications related to obstetric anesthesia remain unknown. The Society for Obstetric Anesthesia and Perinatology developed the Serious Complication Repository Project to establish the incidence of serious complications related to obstetric anesthesia and to identify risk factors associated with each. Methods: Serious complications were defined by the Society for Obstetric Anesthesia and Perinatology Research Committee which also coordinated the study. Thirty institutions participated in the approximately 5-yr study period. Data were collected as part of institutional quality assurance and sent to the central project coordinator quarterly. Results: Data were captured on more than 257,000 anesthetics, including 5,000 general anesthetics for cesarean delivery. There were 157 total serious complications reported, 85 of which were anesthesia related. High neuraxial block, respiratory arrest in labor and delivery, and unrecognized spinal catheter were the most frequent complications encountered. A serious complication occurs in approximately 1:3,000 (1:2,443 to 1:3,782) obstetric anesthetics. Conclusions: The Serious Complication Repository Project establishes the incidence of serious complications in obstetric anesthesia. Because serious complications related to obstetric anesthesia are rare, there were too few complications in each category to identify risk factors associated with each. However, because many of these complications can lead to catastrophic outcomes, it is recommended that the anesthesia provider remains vigilant and be prepared to rapidly diagnose and treat any complication.
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Kilgert, K., and G. Pfanner. "Obstetric bleeding complications." Hämostaseologie 26, S 02 (2006): S56—S63. http://dx.doi.org/10.1055/s-0037-1617083.

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SummaryThe instability of the gestational and puerperal equilibrium of haemostasis is affected by a shift of primary and plasmatic haemostasis in a procoagulatory direction, whereas the regulation mechanism of the fibrinolytic system can easily cause disproportional peri- and postpartal reaction leading to massive haemorrhage. Peripartal injuries or an atonic uterus can lead to massive haemorrhage and cause a classic haemorrhagic coagulopathy. Complications like amniotic fluid embolism, puerperal sepsis, eclampsia or HELLP syndrom can lead through DIC to rapidly developing and possibly fulminant hyperfibrinolysis.This article depicts different forms of haemorrhage in the peripartal situation, their particular pathologies and specific possibilities for management. A case study demonstrates the diagnostic and therapeutic options in the case of eclampsia with early abruption of placenta.
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Shanbhogue, Alampady K. P., Christine O. Menias, Neeraj Lalwani, Chandana Lall, Ashish Khandelwal, and Arpit Nagar. "Obstetric (Nonfetal) Complications." Radiologic Clinics of North America 51, no. 6 (November 2013): 983–1004. http://dx.doi.org/10.1016/j.rcl.2013.07.012.

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Musin, Ilnur I., Edvard A. Berg, Ruslan I. Safiullin, Marat F. Urmantsev, Dina F. Absalyamova, Yulia N. Fatkullina, and Ksenia N. Yashchuk. "Urological complications in obstetrics." Journal of obstetrics and women's diseases 70, no. 5 (November 2, 2021): 147–55. http://dx.doi.org/10.17816/jowd62212.

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Urinary tract injury is a rare but severe complication during abdominal delivery. Over the past quarter of the last century, the frequency of abdominal delivery in Russia has more than tripled due to the increase in the number of pregnant women at high risk for the development of maternal and perinatal complications. Intraoperative diagnosis of urinary tract injuries allows timely treatment with better postoperative outcomes. Given the high percentage of caesarean sections in many countries, the risk of the above complications remains high. Risk factors for urinary tract injury during cesarean section are an increase in womens average age and body mass index, high parity, the presence of adhesions, prior cesarean section, emergency cesarean section, and cesarean section in the second stage of labor. This article discusses several clinical cases on the development of urological complications in obstetrics and gynecology. Due to modern progress in the field of operative obstetrics, vesicouterine fistulas caused by obstetric causes may not occur as often as in the last century. Nevertheless, even despite this, one should not forget about elementary preventive measures in operative delivery, especially in such obstetric situations as placental ingrowth, bleeding, hematoma, and parametria.
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Bayo, Pontius, Imose Itua, Suzie Paul Francis, Kofi Boateng, Elijo Omoro Tahir, and Abdulmumini Usman. "Estimating the met need for emergency obstetric care (EmOC) services in three payams of Torit County, South Sudan: a facility-based, retrospective cross-sectional study." BMJ Open 8, no. 2 (February 2018): e018739. http://dx.doi.org/10.1136/bmjopen-2017-018739.

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ObjectiveTo determine the met need for emergency obstetric care (EmOC) services in three Payams of Torit County, South Sudan in 2015 and to determine the frequency of each major obstetric complication.DesignThis was a retrospective cross-sectional study.SettingFour primary healthcare centres (PHCCs) and one state hospital in three payams (administrative areas that form a county) in Torit County, South Sudan.ParticipantsAll admissions in the obstetrics and gynaecology wards (a total of 2466 patient admission files) in 2015 in all the facilities designated to conduct deliveries in the study area were reviewed to identify obstetric complications.Primary and secondary outcome measuresThe primary outcome was met need for EmOC, which was defined as the proportion of all women with direct major obstetric complications in 2015 treated in health facilities providing EmOC services. The frequency of each complication and the interventions for treatment were the secondary outcomes.ResultsTwo hundred and fifty four major obstetric complications were admitted in 2015 out of 390 expected from 2602 pregnancies, representing 65.13% met need. The met need was highest (88%) for Nyong Payam, an urban area, compared with the other two rural payams, and 98.8% of the complications were treated from the hospital, while no complications were treated from three PHCCs. The most common obstetric complications were abortions (45.7%), prolonged obstructed labour (23.2%) and haemorrhage (16.5%). Evacuation of the uterus for retained products (42.5%), caesarean sections (32.7%) and administration of oxytocin for treatment of postpartum haemorrhage (13.3%) were the most common interventions.ConclusionThe met need for EmOC in Torit County is low, with 35% of women with major obstetric complications not accessing care, and there is disparity with Nyong Payam having a higher met need. We suggest more support supervision to the PHCCs to increase access for the rural population.
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Kendell, R. E., K. McInneny, E. Juszczak, and M. Bain. "Obstetric complications and schizophrenia." British Journal of Psychiatry 176, no. 6 (June 2000): 516–22. http://dx.doi.org/10.1192/bjp.176.6.516.

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BackgroundMost previous case–control studies of obstetric complications in schizophrenia have been small scale and many have relied on retrospective information.AimsTo determine which obstetric complications are more common in probands with schizophrenia than matched controls.MethodTwo hundred and ninety-six probands with an in-patient diagnosis of schizophrenia who had been born in Scotland in 1971–74, and a further 156 born in 1975–78, were closely matched with controls and the incidence of obstetric complications in the two compared using obstetric data recorded in a set format shortly after birth.ResultsNot a single complication of pregnancy or delivery was significantly more common in the probands with schizophrenia than the controls in the 1971–74 birth cohort and only emergency Caesarean section and labour lasting over 12 hours were significantly more common in the schizophrenia probands in the 1975–78 cohort.ConclusionThe evidence that schizophrenia is associated with a raised incidence of obstetric complications is weaker than has recently been assumed.
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Dissertations / Theses on the topic "Obstetric complications"

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McConville, Pauline Mary. "Obstetric complications and functional psychosis." Thesis, University of Edinburgh, 2007. http://hdl.handle.net/1842/24928.

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The main body of the work is a study of the rates of obstetric complications in 492 patients meeting ICD-9 criteria for schizophrenia, affective disorder and other functional psychosis, compared to their 797 non-psychotic siblings and to 2,460 normal controls. The main results, for each of the three diagnostic groups, indicate significant confounding between obstetric complications, maternal marital status and social class. No single obstetric complication remained associated with schizophrenia once these factors had been controlled for. Bleeding in pregnancy was associated with an increased risk of affective disorder compared to controls. A low Apgar score at 5 minutes was associated with an increased risk of affective disorder compared to controls. Low social class and maternal marital status were also associated with the risk of affective disorder. Induction of labour or elective caesarean section was associated with an increased risk of other functional psychosis compared to their non-psychotic siblings. Secondary analyses of the effect of season of birth, age of onset of illness and family history are presented. Schizophrenic patients were more likely to have been born in winter than their siblings but winter-born schizophrenics had similar rates of OCs to those born at other times.  An induced labour or elective caesarean section was associated with an increased risk of affective disorder of early onset and of non-familial affective disorder. Bleeding in pregnancy was also associated with an increased risk of non-familial affective disorder. The findings are compared to those of other studies and conclusions are drawn about the importance of obstetric complications in the aetiology of psychotic disorders, with particular emphasis on schizophrenia, and suggestions are made for further research.
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Donohoe, Siobhan. "An investigation of antiphospholipid antibody associated obstetric complications." Thesis, University College London (University of London), 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.312964.

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Hirschi, Budge Kelsey May. "RAGE and Gas6/Axl Signaling in Obstetric Complications." BYU ScholarsArchive, 2020. https://scholarsarchive.byu.edu/etd/8409.

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Current research spans a wide range of objectives whose diversity includes the understanding of global epidemiology and the detailing of molecular interactions leading to specific pathologies. This work aligns more closely with the goal of mechanistic clarity by elucidating several aspects of signaling pathways involved in inflammatory and obstetric pathologies. Prior research has confirmed the role of Receptors for Advanced Glycation End-Products (RAGE) activation in signaling leading to chronic inflammation such as that observed in chronic obstructive pulmonary disease (COPD). RAGE activation has also been identified in other disease states including diabetes, Alzheimer’s disease, osteoarthritis, and cancers. We examined the role of RAGE in the obstetric complication intrauterine growth restriction (IUGR) wherein fetal development is delayed and infants are born at low birthweight. Exposure to tobacco smoke is known to activate RAGE, and smoke exposure also increases risk for IUGR. We confirm a role for RAGE signaling in development of IUGR. RAGE inhibition by semi-synthetic glycosaminoglycan ethers (SAGEs) significantly improved fetal and placental weights and reduced inflammatory signaling molecules. Interactions between RAGE and other signaling pathways have been noted in several research endeavors, and we sought to further understand signaling interactions specifically in obstetric pathologies by examining relationships between RAGE and Gas6/AXL signaling. We confirm that RAGE and Gas6/AXL signaling are not independent. Using tobacco smoke as a means of inducing RAGE, we determined that total AXL is inhibited when RAGE is active, but that phosphorylated AXL is increased. Inhibition of RAGE also increased Gas6 expression. These interactions require further clarification, but provide a foundation to expand upon. We further studied interactions within the Gas6/AXL pathway independent of RAGE. High levels of Gas6 have been noted in the serum of some women with preeclampsia, and early diagnosis and treatment of preeclampsia are currently limited. We demonstrate that, in a rat model, administration of Gas6 during pregnancy is sufficient to induce symptoms of preeclampsia including high blood pressure, increased proteinuria, and decreased trophoblast invasion. This provides a novel model which will further both diagnosis and treatment of preeclampsia. We also demonstrated that trophoblast invasion is influenced in a cell-type dependent manner by Gas6 and mTOR signaling, with decreased trophoblast invasion when Gas6 is high in trophoblast cells, but increased invasion with high Gas6 in a pulmonary adenocarcinoma cell type and in oral squamous cell carcinoma cells. Our work has clarified details of both RAGE and Gas6/AXL signaling that are crucial to further study of the pathways in which they are active, and the pathologies resulting from signaling misregulation.
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Sikder, Shegufta Shefa. "Obstetric complications in rural Bangladesh| Risk factors for reported morbidity, determinants of care seeking, and service availability for emergency obstetric care." Thesis, The Johns Hopkins University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3571743.

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Background: In settings such as rural Bangladesh, where the majority of births occur at home, population-based data are lacking on the burden and risk factors for obstetric complications, as well as care-seeking behavior. This dissertation seeks to describe the prevalence and risk factors for obstetric complications, explore factors affecting care seeking for complications, and describe the availability of obstetric care among health facilities in rural Bangladesh.

Methods: We used extant data from a community-randomized maternal micronutrient supplementation trial which ascertained reported morbidities and care seeking among 42,214 pregnant women between 2007 and 2011 in rural northwest Bangladesh. Multivariate multinomial logistic regression was used to analyze the association of biological, socioeconomic, and psychosocial factors with reported obstetric complications and near misses. Multivariate logistic regression of socioeconomic, demographic, perceived need, and service factors on care seeking was performed. Primary data on availability and readiness to provide obstetric services at 14 health facilities was collected through surveys.

Results: Of the 42,214 married women of reproductive age, 73% (n=30,830) were classified as having non-complicated pregnancies, 25% (n=10,380) as having obstetric complications, and 2% (n=1,004) with reported near misses. In multivariate analysis, women's age less than 18 years (Relative Risk Ratio 1.26 95% CI 1.14-1.39), obstetric history of stillbirth or abortion (RRR 1.15 CI 1.07-1.22), and neither partner wanting the pregnancy (RRR 1.33 CI 1.20-1.46) significantly increased the risk of obstetric complications. Out of 9,576 women with data on care seeking, 77% sought any care, with only 23% seeking at least one formal provider. Socioeconomic factors and service factors, such as facility availability of comprehensive obstetric services (OR 1.25 CI 1.16- 1.34), improved care seeking from formal providers. Average facility readiness for emergency obstetric care was 81% in private clinics compared to 67% in public facilities (p=0.045).

Conclusions: These analyses indicate a high burden of obstetric morbidity, with a quarter of women reporting obstetric complications. Policies to reduce early marriage and unmet need for contraception may address risk factors including adolescent pregnancy and unwanted pregnancies. Improvements in socioeconomic factors, coupled with strategies to increase service availability at health facilities, could increase care seeking from formal providers.

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Paparelli, Alessandra. "Obstetric complications, genetic liability and psychosis : a study of Gene X Environment interaction." Thesis, King's College London (University of London), 2014. https://kclpure.kcl.ac.uk/portal/en/theses/obstetric-complications-genetic-liability-and-psychosis(dbe046d3-8191-46d3-a3dd-d971462314d2).html.

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There is no doubt a strong genetic component to psychosis, but family and twin studies have shown that simple genetic transmission is far from the whole story. Furthermore, a number of environmental factors have also been shown to increase risk of psychosis. Among these non genetic causes, Obstetric Complications (OCs) are among the best replicated. In order to get a better insight into the mechanisms by which OCs impact on brain development to increase the risk of psychosis, I employed a Gene X Environment causation model. A total of 377 psychotic patients, 65 controls and 103 unaffected siblings were available for my project. I obtained data concerning clinical and socio-demographic status, obstetric history, together with samples of blood/cheek swabs for genetic analysis from these subjects. I also genotyped most of the subjects (N=399) for selected genetic variants that might have functional significance in relation to the individual’s exposure to OCs (namely AKT1 rs 2494753, rs1130233, rs3803300; BDNF rs2049046, rs56164415; DNMBP1 rs875462; GRM3 rs7808623; AK573765- TWIST2 rs9751357; CACNA1C rs4765905; CEACAM21 rs4803480; CNNM2 rs7914558; CSMD1 rs10503253; Erbb4 rs1851196; ITIH3/4 rs2239547; LOC645434-NMBR rs2066036; LRRFIP1 rs12052937; MIR137 rs1625579; MMP16 rs7004633; NKAPL rs1635; NRG rs12807809; NT5C2 rs11191580; PCLO rs6979348; PLXNA2 rs752016; PGBD1 rs2142731; PCGEM1 rs17662626; RELN rs7341475; SDCCAG8 rs6703335; STT3A rs548181; TCF4 rs17512836; UGT1A1 HJURP rs741160; rs10489202; rs16887244). In a case-control design, I investigated how exposure to OCs influenced the risk of psychotic disorder. Then, I tested, under a multiplicative model, the hypothesis that a range of genetic variants interacted with OCs in increasing the risk of psychotic disorder. Lastly I examined whether rats that had experienced perinatal asphyxia during birth show abnormalities in gene expression and methylation status at various developmental periods. My findings didn’t show any interaction between genes and OCs in increasing the risk of psychosis. On the other hand, in rats following hypoxic insult many of the genes had heterogeneous pattern of expression, suggesting an important role for genes in mediating the reactions of the CNS to environmental stimuli such hypoxia. In general, at post neonatal day CNNM2 was down regulated, whereas CSMD1 and TCF4 were up regulated; at 5 weeks CNNM2, CSMD1, MMP16, STT3a were down regulated, whereas TRIM26 was overexpressed. Hypoxia in the prenatal and perinatal period could regulate the expression of specific genes contributing to the neurodevelopmental alterations later found in schizophrenic patient.
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Siregar, Kemal Nazaruddin. "Social and programme factors influencing maternal morbidity in Indonesia." Thesis, University of Exeter, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.297578.

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Voloshynovych, N. S. "Assessment of the obstetric complications’ risk as a result of surgical treatment of ovaries in anamnesis." Thesis, БДМУ, 2022. http://dspace.bsmu.edu.ua:8080/xmlui/handle/123456789/19742.

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Paulsen, Carrie. "Incidence and nature of complications post primary repair of Obstetric Anal Sphincter Injury (OASI): Retrospective chart review." Master's thesis, Faculty of Health Sciences, 2019. https://hdl.handle.net/11427/31687.

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Background. A multitude of data exists regarding global incidence of OASI as well as its contributing factors and complications. Little to no data exists regarding the incidence of OASI or its complications and the nature of these complications within South Africa. Objective. To describe the rate and nature of complications of OASI that occur within 6 weeks following primary repair of an OASI, followed up at the GSH perineal clinic. Secondarily, to investigate the incidence of OASI and follow up rate post primary repair Methods. This was a retrospective chart review. Participants were identified from theatre record books between January 2014 and December 2015. The charts of those that attended the perineal clinic follow up were reviewed and complications and possible associated risk factors were identified from the clinical notes. Primary aims were to identify the incidence and nature of complications seen in this population as well as possible related risk factors. The secondary aims were to determine the incidence of OASI and follow up rate for complication following primary OASI repair. Results. The mean age of participants was 25.85 years with a mean body mass index of 25.15kg/m2 . The mean birthweight seen was 3382.05 grams. Constipation (10.87%), pain with defaecation (11.96%) and anal incontinence (10.87%) were the most frequently reported complications. Wound infection was found on examination in 3.26% of participants and wound dehiscence was seen in 6.67%. Incidence of OASI in this study group was 8.64 per 1000 vaginal deliveries. The follow up rate of these participants was 26.20%. A total of 374 OASI were repaired within this region during the study period. Only 97 of these attended follow up, for which 93 folders were available to be included in analysis Conclusion. The Incidence of OASI in this Western Cape region is within the range seen worldwide but the proportion of complications seem to be less than global data suggests despite adverse conditions, theatre delays and the fact that repairs were mostly performed by specialists in training. It was not possible to identify any relationship with possible associated factors. There is a very poor follow up rate within this community which needs to be explored and systems need to be put in place to ensure all participants are given the opportunity of follow up.
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Nystedt, Astrid. "Utdragen förlossning : kvinnors upplevelser och erfarenheter." Umeå : Omvårdnad, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-579.

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Lougue, Siaka. "Methodological approach of the spatial distribution of maternal mortality in Burkina Faso and explanatory factors associated." University of the Western Cape, 2013. http://hdl.handle.net/11394/4368.

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Philosophiae Doctor - PhD
Maternal mortality is one of the most important problems related to the reproductive health. This is why the reduction by three quarters of maternal mortality by 2015 has been fixed as target No. 5 of the Millennium Development Goals (MDGs). Achieving this goal requires an annual decline of 5.5% of maternal mortality between 1990 and 2015. Unfortunately, the reduction as estimated in 1997 was less than 1% per year. Africa is the continent most affected by this problem. In 2010, the number of maternal mortality in the world was estimated to 287 000 and Africa was hosting more than 52 % (148 000) of the occurrence in the world In Burkina Faso, maternal mortality ratio decreased from 566 in 1991 to 484 in 1998 and 341 in 2010 according to the DHS data while the census estimate was 307 in 2006 and United Nation agencies provided the number of 300 maternal deaths per 100 000 live births in 2010. Statistics provided by the different sources vary considerably. This situation creates confusion among data users. In addition, researches made on the issue remain very insufficient because of the complexity of the issue, lack of data and poor quality of existing data on maternal mortality. This study has been initiated to fill the gap of knowledge about the determinants and estimates of maternal mortality at national and sub-national levels. Results of this research highlighted explanatory factors of maternal mortality at national and regional level with a focus on factors of regional disparities. Findings also provided estimate by adjusting the census 2006 data from missingness and incoherences, improving the census method and testing different other methods. Finally, projection of maternal mortality level is made from 2006 to 2050.
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Books on the topic "Obstetric complications"

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Michael, De Swiet, ed. Medical disorders in obstetric practice. 3rd ed. Oxford [England]: Blackwell Science, 1995.

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Swiet, Michael De. Medical disorders in obstetric practice. 4th ed. Malden, MA: Blackwell Science, 2002.

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R, Newton Edward, ed. Complications of gynecologic and obstetric management. Philadelphia: Saunders, 1988.

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Borhart, Joelle, ed. Emergency Department Management of Obstetric Complications. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-54410-6.

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Cox, C. Managing obstetric emergencies. Oxford: Bios, 1999.

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1945-, O'Grady John Patrick, and Buckman Ronald T, eds. Obstetric syndromes & conditions. New York: Parthenon Pub. Group, 1998.

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Stenchever, Morton A. Management of the patient in labor. St. Louis: Mosby, 1993.

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Management of acute obstetric emergencies. Philadelphia, PA: Elsevier Saunders, 2011.

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Baskett, Thomas F. Essential management of obstetric emergencies. 3rd ed. Bristol: Clinical, 1999.

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Baskett, Thomas F. Essential management of obstetric emergencies. Chichester [West Sussex]: Wiley, 1985.

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Book chapters on the topic "Obstetric complications"

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Gunetilleke, Bhaagya, and Asantha de Silva. "Complications of Obstetric Anaesthesia." In Obstetric Emergencies, 140–47. Boca Raton: CRC Press, 2021. http://dx.doi.org/10.1201/9781003088967-12-12.

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Capogna, Giorgio. "Complications." In Epidural Technique In Obstetric Anesthesia, 133–44. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-45332-9_9.

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Quinlan, Jeffrey D. "Obstetric Complications During Pregnancy." In Family Medicine, 165–76. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-04414-9_13.

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Smith, Mindy A., and Judith A. Suess. "Obstetric Complications During Pregnancy." In Family Medicine, 106–21. New York, NY: Springer New York, 1998. http://dx.doi.org/10.1007/978-1-4757-2947-4_13.

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Smith, Mindy A. "Obstetric Complications During Pregnancy." In Family Medicine, 92–105. New York, NY: Springer New York, 1994. http://dx.doi.org/10.1007/978-1-4757-4005-9_11.

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Blenning, Carol E. "Obstetric Complications During Pregnancy." In Family Medicine, 117–26. New York, NY: Springer New York, 2003. http://dx.doi.org/10.1007/978-0-387-21744-4_13.

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Quinlan, Jeffrey D. "Obstetric Complications During Pregnancy." In Family Medicine, 1–12. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-1-4939-0779-3_13-1.

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Quinlan, Jeffrey D. "Obstetric Complications During Pregnancy." In Family Medicine, 1–13. New York, NY: Springer New York, 2020. http://dx.doi.org/10.1007/978-1-4939-0779-3_13-2.

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Melloni, C. "Complications in Obstetric Anesthesia." In Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E., 1095–114. Milano: Springer Milan, 2002. http://dx.doi.org/10.1007/978-88-470-2099-3_95.

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Lyons, G. "Complications of Obstetric Anaesthesia." In Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E., 335–42. Milano: Springer Milan, 1999. http://dx.doi.org/10.1007/978-88-470-2145-7_32.

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Conference papers on the topic "Obstetric complications"

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Diallo, MH, IS Baldé, D. Abdourahmane, O. Baldé, T. Sy, MD Baldé, and N. Keita. "Adolescent obstetric complications at the maternity ward of Ignace Deen National Hospital." In 29. Deutscher Kongress für Perinatale Medizin. Deutsche Gesellschaft für Perinatale Medizin (DGPM) – „Hinterm Horizont geht's weiter, zusammen sind wir stark“. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-3401294.

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"Maternal health seeking behaviors and health care utilization in Pakistan." In International Conference on Public Health and Humanitarian Action. International Federation of Medical Students' Associations - Jordan, 2022. http://dx.doi.org/10.56950/xzpo9700.

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Background: Direct estimations of maternal mortality were carried out in Pakistan for the first time. Maternal health and health issues, maternal mortality and the specific causes of death among women must be studied to improve the health care of women and better utilization of maternal health services for better public health. Objective: The main objectives of this study are to analyze maternal health, morbidity and mortality indicators. The causes of death and health care utilization will be highlighted, hence, useful recommendations can be made to reduce maternal deaths and to attain the Sustainable Development Goal 3.1. Method: Utilizing the data of Pakistan Maternal Mortality Survey 2019, crosstabs and frequency tables are constructed and multivariant analysis was conducted to find out the most effective factors contributing to the deaths. IBM SPSS and STATA were used for the analysis. Results and Conclusion: 40% population surveyed was under 15, age 65 or above. Average household members were 6-7. Drinking water facility was majorly improved in both urban and rural areas. Hospital services in rural areas were mostly (54%) in the parameter of 10+ kms and Basic Health Units were mainly found inside the community. Very few urban households were in the poorest quantile while very few rural households were in the wealthiest quantile. Women education distribution showed that a high percentage of women (52%) were uneducated and only a 12% had received higher education. Maternal mortality ratio (MMR) for the 3-year period before the survey was 186 deaths per 100,000 live births while pregnancy related mortality rate was 251 deaths per 100,000 live births, which was higher compared to the MMR. Maternal death causes were divided into direct and indirect causes, where major causes were reported to be obstetric Hemorrhage (41%), Hypertensive disorders (29%), Pregnancy with abortive outcome (10%), other obstetric pregnancy related infection (6%) and non-obstetric (4%). 37% women who died in the three years before the survey sought medical care at a public sector health facility while 26% at private sector and 5% at home. A majority (90%) of women who had pregnancy complications in the 3 years before the survey received ANC from a skilled provider. Keywords: Maternal health, antenatal care, maternal mortality rates, pregnancy related diseases
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Oliveira, Sayd Douglas Rolim Carneiro, Carlos Jorge Maciel Uchoa Gadelha, Dara da Silva Mesquita, and Tereza Cristina Ribeiro Brito. "SARS-CoV-2 infection during pregnancy and risk of neurodevelopmental disorders in neonatals: a literature review." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.031.

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Introduction: With the emergence of SARS-CoV-2 and its rapid spread, a concern with the pregnant women have increased, since viruses have a wide range of obstetric and neonatal issues. Recent findings indicate that the gestational period and the postpartum period make mothers and their offspring more susceptible to COVID-19 and the rapid progression to the critical stage of the disease. Objectives: To carry out a bibliographic study on SARS-CoV- 2 during pregnancy and the potential risk of neurodevelopmental disorders in neonates. Methods: A review, developed from articles selected on the following bases: PubMed, Web of Science and Scopus. In the search, articles indexed until March 2021 and published in English, using the descriptors: “COVID-19”; “Pregnancy”; “Offspring”; “Neonatal”; “Neurodevelopment”; “Anomalies” and “Complications”. Exclusion criteria: duplicates and articles outside the scope of the study. Results: The initial search resulted in 533 articles, 498 from PubMed, 2 from Web of Science and 33 from Scopus. After reading the title and abstract, the application of the inclusion and exclusion criteria, the sample of 48 documents were included. In the studies, 89.0% of all patients had cesarean delivery (n = 201), 33.3% had gestational complications, 35.3% had premature delivery and about 2.5% were stillborn or had neonatal death. Among those tested, 6.45% of neonates diagnosed positive for COVID-19. In another study, the newborn showed neurological issues similar to the adult patients and transient neurological complications due to cerebral vasculitis. Conclusions: The results demonstrate that further investigations are needed to determine the potential for vertical intrauterine transmission in pregnant women with COVID-19 and possibles fetal and neonatal consequences.
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"PS-121 - PREGNANCY AND DUAL DIAGNOSIS: IS THERE ANYTHING NEW?" In 24 CONGRESO DE LA SOCIEDAD ESPAÑOLA DE PATOLOGÍA DUAL. SEPD, 2022. http://dx.doi.org/10.17579/abstractbooksepd2022.ps121.

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1. Objectives: To assess the impact of the pregnancy on dual-diagnosed women. 2. Material and methods: Non-systematic review of the literature, through research on PubMed database with the keywords “dual diagnosis”, “pregnancy” and “mental illness”. 3. Results and conclusions: Dual diagnosis refers to the co-occurrence of a mental illness and substance abuse. The mean age of diagnosis for both mental illnesses and substance abuse on women is between 25 and 34 years old, which coincides with the period when women are most likely to be pregnant. One of the existent barriers on this topic is the lack of knowledge on the part of care providers as to the difficulties and treatment needs of the dual diagnosis client, with resultant anxiety and confusion about how to intervene, the efficacy of treatments, and especially how to balance the needs of the mother and fetus. The studies on this area show that patients with a substance abuse disorder or dual diagnosis had a high-risk pregnancy and less prenatal care than those with a mental illness alone, being schizophrenia the most frequent psychiatric diagnosis. For women who are dually diagnosed, the risks inherent in each disorder are combined with the potential for greater negative impact on pregnancy and the newborn.The risks of poor prenatal care, obstetric complications, and psychosocial difficulties increase and each disorder may exacerbate the other. Early identification and treatment of psychiatric disorders in pregnancy can prevent morbidity in pregnancy and postpartum with the concomitant risks to mother and baby.
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Ellwanger, Juber Mateus, Caio Bertolini, Samuel Cavalcante Reis, Daniela Takito, and Priscila Ribas. "RECURRENT INFILTRATING DUCTAL CARCINOMA IN LEFT MASTECTOMY PLASTRON DURING PREGNANCY: A CASE REPORT." In Scientifc papers of XXIII Brazilian Breast Congress - 2021. Mastology, 2021. http://dx.doi.org/10.29289/259453942021v31s1080.

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Introduction: Breast cancer has the highest incidence, prevalence, and mortality rate among malignant neoplasms in women worldwide (excluding non-melanoma skin cancer). Although there are well-defined treatments, they are still controversial during pregnancy: surgery seems safe and chemotherapy (CT) poses no harm to the fetus, especially if applied late in pregnancy. Hormone therapy (HT) and radiation therapy (RT) are prone to cause fetal damage. In patients diagnosed with pregnancy during treatment, there are no clear procedures about terminating the pregnancy or ceasing CT and RT. In these cases, it is necessary to monitor the patient and the fetus taking into account the woman’s will - especially if the tumor has estrogen and progesterone receptors, increasing the chance of relapsing or stop responding to CT. This study reports a case in which the hormones of pregnancy influenced a major recurrence of breast cancer, which diminished shortly after the birth. Case report: A 35-year-old woman, diagnosed with infiltrating ductal carcinoma in the left breast, underwent sectorectomy, axillary lymph nodes excision, and RT with an insufficient response. Subsequently, left tumor recurrence arose and mastectomy was performed. In the follow-up, she underwent CT and RT, with poor response. In the interim, it was discovered that the patient was pregnant, thus referred from oncology to gynecology for the interruption, since there was a considerable recurrence in the left breast plastron. Sixth -times pregnant, with five vaginal deliveries, the latest one six years before, all pregancies without complications. She was advised to terminate pregnancy but remained adamant in maintaining the pregnancy. She underwent an obstetric ultrasound showing a viable fetus of six weeks and six days of gestational age (GA). At 22 weeks of pregnancy, she was referred to the hospital by the oncologist for the interruption, as the plastron on the left breast was growing, with CT failure. The patient acknowledged that, with this GA, the fetus’s chance of survival was low. Yet, she opted for pregnancy continuation. Later she was sent by the prenatal care to the maternity hospital at 32 weeks of GA, aiming at delivery and a new CT protocol afterwards. She started corticosteroids for pulmonary development of the conceptus and endured cesarean delivery with bilateral adnexectomy. Female newborn, 1.830g, 8/9 APGAR score and 32 weeks and 5 days Capurro, transferred to the neonatal ICU (intensive care unit) due to prematurity. The patient was evaluated few months after delivery: great spontaneous resolution of the plastron in the left breast, with no effect of pregnancy hormones and responsive to CT. Follow-up in the oncology department.
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Ben Salem, T., M. Tougorti, I. Naceur, M. Lamloum, I. Ben Ghorbel, and MH Houman. "PS4:84 Obstetrical complications and pregnancies in women with systemic lupus erythematosus." In 11th European Lupus Meeting, Düsseldorf, Germany, 21–24 March 2018, Abstract presentations. Lupus Foundation of America, 2018. http://dx.doi.org/10.1136/lupus-2018-abstract.129.

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Setyowati, Maryani, Agung Wardoyo, Jaka Prasetya, and Nanik Puji Handayani. "High-Risk Pregnancy and Obstetric Complication during the COVID-19 Pandemic in Semarang, Central Java." In The 8th International Conference on Public Health 2021. Masters Program in Public Health, Universitas Sebelas Maret, 2021. http://dx.doi.org/10.26911/icphmaternal.fp.08.2021.17.

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Samarasinghe, Ayshini, Manjula Samyraju, and Gill Harrison. "O1 Improved patient safety in obstetrics: reducing labour and complications. A success story using human factors and simulation training." In Abstracts of the Association for Simulated Practice in Healthcare 9th Annual Conference, 13th to 15th November 2018, Southport Theatre and Convention Centre, UK. The Association for Simulated Practice in Healthcare, 2018. http://dx.doi.org/10.1136/bmjstel-2018-aspihconf.1.

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Park, Chulyong, Moyeol Kang, Dohyung Kim, Jaechan Park, Huisu Eom, and Eun-A. Kim. "O30-2 Prevalence of spontaneous, missed abortion and obstetrical complication in female workers of republic of korea; nation-wide cross sectional study of 2013." In Occupational Health: Think Globally, Act Locally, EPICOH 2016, September 4–7, 2016, Barcelona, Spain. BMJ Publishing Group Ltd, 2016. http://dx.doi.org/10.1136/oemed-2016-103951.149.

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Nascimento, Ranier Colbek, and Sabrina Ribas Freitas. "A 29-YEAR-OLD PREGNANT WOMAN WITH METASTATIC BREAST CANCER: A CASE REPORT." In Abstracts from the Brazilian Breast Cancer Symposium - BBCS 2021. Mastology, 2021. http://dx.doi.org/10.29289/259453942021v31s2107.

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Pregnancy-associated breast cancer (PABC) is defined as a breast cancer diagnosed during pregnancy, lactation, or in the first postpartum year. PABC is a rare complication that occurs in approximately 0.01% to 0.03% of all pregnancies. The difficulty in diagnosis worsens the prognosis. D.G., 29-year-old, female, noted a mass in her right breast in June 2020. One month later with 13+4 weeks’ gestation, she presented to the obstetrics emergency with recurrent episodes of lower back pain. She was released home with pain relief and was instructed to realize a mammography due to the presence of a 4-cm mass on physical examination of the right breast. Patient returned 12 days later with severe low back pain, a BIRADS 4C mammography, and multiple liver lesions in total abdomen ultrasound. Core-needle biopsy demonstrated a stage II invasive ductal carcinoma with hormone receptors positive and human epidermal growth factor receptor 2 positive. There is involvement of the axilla and intramammary lymph nodes. Magnetic resonance imaging of the lower back and sacroiliac joint was performed and found multiple lesions suspected of metastasis in the inferior thoracic vertebrae, lumbar vertebrae, sacrum, ilium, and femurs. Computed tomography (CT) of the thorax identified a 2.3×1.8 cm irregular lesion in the right breast compatible with the primary neoplasm. Chemotherapy was initiated till she was 31 weeks’ gestation. After childbirth, she reinitiates chemotherapy. Three months later, the patient has convulsive episodes. Cranial CT was done and found multiple lesions compatible with brain metastasis, so she initiated brain radiotherapy. PABC can present itself as a challenging situation with nonspecific symptoms and at an advanced stage. Therefore, it is important to have the PABC in our list of differential diagnoses in this patient.
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Reports on the topic "Obstetric complications"

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Brännström, Mats, Ylva Carlsson, and Henrik Hagberg. Obstetric outcome after uterus transplantation. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, January 2023. http://dx.doi.org/10.37766/inplasy2023.1.0052.

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Review question / Objective: Is delivery by elective cesarean section as safe for the mother and the neonate after uterus transplantation as after delivery by elective cesarean section for reasons such as breech and psychological indication regarding stillbirth/neonatal mortality, neonatal morbidity, maternal mortality, and morbidity? Rationale: To compare pregnancy, obstetrical and neonatal complications at delivery by cesarean section in patients that have undergone uterus transplantation and in a normal groups of women.
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Jamlick, Karumbi. Do emergency obstetric referral interventions reduce maternal and neonatal mortalities in low- and middle-income countries? SUPPORT, 2016. http://dx.doi.org/10.30846/1608123.

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Ensuring access to healthcare by pregnant women is a challenge in low- and middle-income countries. Even if access is possible, a lack of adequate personnel or equipment may mean that complications cannot be treated when they arise. Emergency referral interventions have been advocated to reduce both maternal and neonatal mortality.
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Burkina Faso and Mali: Female genital cutting harms women's health. Population Council, 2000. http://dx.doi.org/10.31899/rh2000.1019.

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In collaboration with the Ministries of Health (MOH) of Burkina Faso and Mali, the Population Council conducted two studies in 1998 to describe the occurrence and severity of health problems related to female genital cutting (FGC). Study participants were consenting women who received a pelvic exam during prenatal, family planning (FP), obstetric, or gynecological consultations at MOH clinics. Providers were trained to observe the types and complications of FGC. To assess their potential role as change agents, providers in Mali also received training on the health effects of FGC and client counseling. In Burkina Faso, health providers recorded information on 1,920 women at 21 health centers in the rural provinces of Bazega and Zoundweogo. In Mali’s Bamako district and Segou region, providers recorded information on 5,390 women in 14 urban and rural health centers. As noted in this brief, women in Burkina Faso and Mali who have had their genitals cut are more likely to have gynecological and obstetrical problems, including bleeding, internal scarring, vaginal narrowing, and childbirth complications. More severe cutting increases a woman’s risk of other reproductive health problems.
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Mali: FGC excisors persist despite entreaties. Population Council, 2000. http://dx.doi.org/10.31899/rh2000.1031.

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About 94 percent of Malian women aged 15–49 have experienced female genital cutting (FGC). In Mali, FGC is associated with serious gynecological and obstetric complications. In 1998, the National Center of Scientific and Technological Research of the Mali Ministry of Secondary and Higher Education and Scientific Research conducted an evaluation of programs to eradicate FGC. The study assessed the work of three national nongovernmental organizations working in Bamako and five regions of Mali. These NGOs had attempted to persuade traditional practitioners of FGC (“excisors”) to abandon the practice. All three NGOs employed outreach workers to educate excisors and community members on the adverse effects of FGC on women’s health. Two NGOs developed income-generation schemes to provide the excisors with alternate revenues. One NGO sought to train excisors to advocate discontinuation of FGC. As this brief concludes, programs to persuade traditional practitioners to discontinue the practice of female genital FGC are ineffective, and interventions must address the demand for FGC rather than focusing on the supply.
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Demand for and cost-effectiveness of integrating RTI/HIV services with clinic-based family planning services in Zimbabwe. Population Council, 1999. http://dx.doi.org/10.31899/rh1999.1021.

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The current spread of HIV/AIDS poses a major threat to individual lives and national economies in many sub-Saharan African countries. The region also has some of the highest levels of other reproductive tract infections (RTIs) in the world. Some of these RTIs increase the risk of sexual transmission of HIV infection. Thus, the control of RTIs is seen not only as an important reproductive health care strategy to alleviate symptoms of infection and long-term gynecological, obstetric, and neonatal complications, but also as a key strategy in reducing the spread of HIV/AIDS. As a result, all national health care programs in the region are actively seeking cost-effective ways of implementing an RTI management program that would reduce the spread of RTIs and ultimately HIV. Although there are many reasons to support an integrated approach to service delivery, many unanswered questions remain concerning its implementation, effectiveness, and cost-effectiveness. In 1998, the Africa OR/TA II Project and the Zimbabwe National Family Planning Council (ZNFPC) undertook a study to assist the ZNFPC in developing the most appropriate and cost-effective approach to managing RTIs in its clinics. Findings from the study are presented in this report.
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Senegal: Train more providers in postabortion care. Population Council, 2000. http://dx.doi.org/10.31899/rh2000.1004.

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Recognizing unsafe abortion as a serious health problem, the government of Senegal adopted a national health strategy in 1997 that aims to halve the number of unsafe abortions by 2001. In 1997, the Center for Training and Research in Reproductive Health (CEFOREP) and the Obstetrics and Gynecology clinic (CGO) at Le Dantec University Teaching Hospital in Dakar introduced new clinical techniques to improve emergency treatment for women with complications from miscarriage or abortion. CGO and two other teaching hospitals served as pilot sites. Physicians, nurses, and midwives at the three sites received training in manual vacuum aspiration, family planning, and counseling. To measure the impact of the training, CEFOREP interviewed 320 women receiving emergency treatment and 204 providers before the intervention, and 543 patients and 175 providers after. This brief states that improving postabortion care services can result in shorter hospital stays, decreased patient costs, better communication between providers and patients, increased acceptance of contraceptive use by women treated for abortion or miscarriage, and that local anesthesia is needed for pain control.
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