Journal articles: '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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Kamble, Savita N., and Yuga M. Jamdade. "Obstetric hysterectomy: a retrospective study." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, no. 12 (November 25, 2021): 4522. http://dx.doi.org/10.18203/2320-1770.ijrcog20214653.

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Background: Obstetric hysterectomy (OH) is last resort usually opted to save life of a mother in critical obstetric conditions compromising her reproductive potential. With increasing caesarean deliveries incidence of morbidly adhered placenta is increasing, thus increasing need of OH. We aimed to study socio-demographic factors, incidence, indications, complications and feto-maternal outcomes associated with obstetric hysterectomy. Also, we aimed to study factors which affect the maternal and fetal outcome in obstetric hysterectomy case so as to minimize maternal and neonatal mortality and morbidity.Methods: We conducted a retrospective analytical study of 2 years 6 months in Department of Obstetrics and Gynecology at a tertiary and teaching institute of western Maharashtra.Results: The incidence of obstetric hysterectomy was 0.4%. Majority of women were between 25-35 years age group and parity two or more. Most common indication was postpartum haemorrhage (PPH) (41.1%) followed by uterine rupture (29.4%) and adhered placenta (23.5%). Most common risk factor found was previous caesarean delivery. Most common complication was need of intensive care unit (ICU) and vasopressor support.Conclusions: Proper antenatal care, screening for high-risk obstetric cases and registration of those patients at a well-equipped hospital and early referral and delivery at tertiary hospital by expert surgeon with timely decision, timely and adequate transfusions can prevent maternal and fetal complications.

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McCreadie, Robin G., David J. Hall, Ian J. Berry, Lesley J. Robertson, James I. Ewing, and Michael F. Geals. "The Nithsdale Schizophrenia Surveys X: Obstetric Complications, Family History and Abnormal Movements." British Journal of Psychiatry 160, no. 6 (June 1992): 799–805. http://dx.doi.org/10.1192/bjp.160.6.799.

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Obstetric histories of 54 schizophrenic patients and 114 siblings were obtained from their mothers and scored using the Obstetric Complications Scale. There was no statistically significant difference in the proportion of schizophrenic patients (35%) and siblings (29%) who had at least one definite obstetric complication. There was no evidence that schizophrenic patients with a history of obstetric complications were less likely to have a first-degree relative with a history of psychiatric illness leading to in-patient care. Schizophrenic patients with a history of obstetric complications were more likely to have drug-induced Parkinsonism. There was a trend for tardive dyskinesia to be more common in those schizophrenic patients with no obstetric complications but a family history of schizophrenia.

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Jamal, Shehla, Archana Mehta, Neerja Goel, Mayuri Ahuja, Naima Afreen, and Sweety Malik. "Obstetrics ICU admissions: challenges faced at a tertiary referral centre." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 5 (April 28, 2018): 1840. http://dx.doi.org/10.18203/2320-1770.ijrcog20181914.

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Background: Management of critically ill patients in obstetrics is a challenge owing to the changed physiology and unpredictability of the disease behaviour. Stratification strategy for early admission to obstetric ICU is imperative to reduce maternal morbidity and mortality. Due to lack of formal surveys regarding obstetrical ICU in our country, there is lack of precise national data on obstetrical ICU mortality. Aim of the present study was to estimate the obstetric ICU admission rate, to study the pattern of causative aetiology and to study the complications developed in ICU.Methods: The present study is a retrospective analytical study done in the Department of Obstetrics and Gynecology, from January 2015 to August 2017.Results: During the study period there were a total of 8466 obstetrical admissions, 2508 deliveries and 104 ICU admissions. Out of 104, analysis was done on 71 patients. Hypertensive disorders of the pregnancy were associated with maximum number of admissions (47.8%), followed by postpartum haemorrhage (12.6%). Maximum admissions were in postpartum period (63.4%). Anaemia was associated with 35.2% of the cases and it was closely followed by sepsis (28.2%). Mechanical ventilation was required for 30.9% of the patients.Conclusions: Hypertensive disorders of the pregnancy, haemorrhage and sepsis are the major risk factors for ICU admission in obstetric population.

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Bain, M., E. Juszczak, K. McInneny, and R. E. Kendell. "Obstetric complications and affective psychoses." British Journal of Psychiatry 176, no. 6 (June 2000): 523–26. http://dx.doi.org/10.1192/bjp.176.6.523.

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BackgroundUnlike schizophrenia, little interest has been taken in the incidence of obstetric complications in affective psychoses.AimsTo find out whether obstetric complications are more common in affective psychoses than matched controls.MethodTwo hundred and seventeen probands with an in-patient diagnosis of affective psychosis who had been born in Scotland in 1971–74, and a further 84 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.ResultsAbnormal presentation of the foetus was the only complication significantly more common in the affective probands in the 1971–74 birth cohort and artificial rupture of the membranes was the only event more common in the probands in the 1975–78 cohort. Both are probably chance findings.ConclusionIt is unlikely that the incidence of obstetric complications is raised in people with affective psychoses of early onset.

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Vasava, Dipti C., Rajal V. Thaker, Aditi A. Tyagi, and Foram P. Patel. "Analysis of transfusion of blood and blood products and their utilization pattern at department of obstetrics of tertiary care hospital." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 1 (December 26, 2019): 261. http://dx.doi.org/10.18203/2320-1770.ijrcog20196030.

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Background: In developing countries, nutritional anaemia and obstetric complications are leading causes of transfusion of blood and blood products. The study was aimed to analyse utilization pattern and to identify the indications of transfusion of blood and blood products in obstetrics and to study outcome and management of pregnancy in patients who required blood and/or blood products.Methods: This retrospective study was carried out at department of obstetrics of tertiary care teaching hospital from September 2018 to November 2018 and data was collected from all patients who had received transfusion of blood and/or blood products for any obstetric cause.Results: A total of 164(6.8%) patients received blood and blood products transfusion. Department of obstetrics utilized maximum units of blood and FFP whereas PRC utilization was second highest. There were 62(37.8%) of patients who had not taken any antenatal care, whereas 64(39.0%) patients had less than 4 antenatal visits. Three most common indications for transfusion of blood and blood products were 63.4% in nutritional anaemia, 17.1% in obstetric haemorrhage and 11.6% in first trimester complications.Conclusions: Three most common indications for transfusion were nutritional anaemia, obstetric haemorrhage and first trimester complications. Majority of patients had inadequate or no antenatal care. Early and regular antenatal care, early diagnosis and management of high-risk pregnancies and obstetric complications, institutional delivery can reduce the rate of transfusion of blood and blood products.

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Flores Brito, Pedro José, José Federico Ordoñez Crespo, and Cumandá Patricia Abril Matute. "Prevalencia de complicaciones obstétricas en los embarazos múltiples atendidos en el Hospital José Carrasco Arteaga-IESS, Cuenca- Ecuador entre Junio del 2014 y Junio del 2019." Revista Médica del Hospital José Carrasco Arteaga 13, no. 3 (November 30, 2021): 164–70. http://dx.doi.org/10.14410/2021.13.3.ao.26.

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BACKGROUND: Multiple pregnancy is the development of two or more fetuses simultaneously; but being the human species uniparous par excellence, MP is sensitive to the appearance of complications that affect both the mother and the fetuses, due to the high metabolic demand, hyperplacentation, and uterine distention. Among the most common obstetric and metabolic complications in women with MP are: premature delivery, hypertensive disorders of pregnancy, intrauterine growth restriction, premature rupture of membranes, gestational diabetes, anemia, urinary tract infection, hypothyroidism, and postpartum hemorrhage. The aim of this study is to identify the prevalence and risk factors related to obstetric and metabolic complications in multiple pregnancies. METHODS: An observational, descriptive and correlational cross-sectional study was carried out in the city of Cuenca, at Hospital José Carrasco Arteaga –IESS, during the period of June 2014 to June 201, in the department of obstetrics and gynecology (OBGYN), with a sample of 64 patients with multiple pregnancies. RESULTS: The results showed that 71.42% of the patients presented some of the studied complications. Preterm delivery was the most common obstetric complication, occurring in 79.7% of the patients, followed by preeclampsia, which occurred in 23.5%; while the most frequent metabolic complication was urinary tract infection ( in 37.5% of the patients), followed by anemia, which occurred in 25% of the patients. A statistically significant association (p<0.05) was found between the patient`s age and the presence of premature rupture of membranes. CONCLUSION: 71.42% of women with multiple pregnancy had obstetric or other type of complications. Preterm delivery was the most frequent complication, followed by urinary tract infections, anemia, and preeclampsia. A significant association was found between the age of the mother and the occurrence of premature rupture of membranes.

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Flores Brito, Pedro José, José Federico Ordoñez Crespo, and Cumandá Patricia Abril Matute. "Prevalencia de complicaciones obstétricas en los embarazos múltiples atendidos en el Hospital José Carrasco Arteaga-IESS, Cuenca- Ecuador entre Junio del 2014 y Junio del 2019." Revista Médica del Hospital José Carrasco Arteaga 13, no. 3 (November 30, 2021): 164–70. http://dx.doi.org/10.14410/2021.13.3.ao.26.

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BACKGROUND: Multiple pregnancy is the development of two or more fetuses simultaneously; but being the human species uniparous par excellence, MP is sensitive to the appearance of complications that affect both the mother and the fetuses, due to the high metabolic demand, hyperplacentation, and uterine distention. Among the most common obstetric and metabolic complications in women with MP are: premature delivery, hypertensive disorders of pregnancy, intrauterine growth restriction, premature rupture of membranes, gestational diabetes, anemia, urinary tract infection, hypothyroidism, and postpartum hemorrhage. The aim of this study is to identify the prevalence and risk factors related to obstetric and metabolic complications in multiple pregnancies. METHODS: An observational, descriptive and correlational cross-sectional study was carried out in the city of Cuenca, at Hospital José Carrasco Arteaga –IESS, during the period of June 2014 to June 201, in the department of obstetrics and gynecology (OBGYN), with a sample of 64 patients with multiple pregnancies. RESULTS: The results showed that 71.42% of the patients presented some of the studied complications. Preterm delivery was the most common obstetric complication, occurring in 79.7% of the patients, followed by preeclampsia, which occurred in 23.5%; while the most frequent metabolic complication was urinary tract infection ( in 37.5% of the patients), followed by anemia, which occurred in 25% of the patients. A statistically significant association (p<0.05) was found between the patient`s age and the presence of premature rupture of membranes. CONCLUSION: 71.42% of women with multiple pregnancy had obstetric or other type of complications. Preterm delivery was the most frequent complication, followed by urinary tract infections, anemia, and preeclampsia. A significant association was found between the age of the mother and the occurrence of premature rupture of membranes.

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Chauhan, Bhoomika R., and Aarti J. Patel. "Complications of emergency obstetric hysterectomy in Gujarat, India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 11 (October 28, 2017): 4950. http://dx.doi.org/10.18203/2320-1770.ijrcog20175006.

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Background: Emergency obstetric hysterectomy is defined as extirpation of uterus either at the time of cesarean section or following vaginal delivery, or within the puerperium to stop life threatening obstetric hemorrhage when all other measures fail. This study was conducted to study complications of emergency obstetric hysterectomy.Methods: Out of 28552 patients, 45 patients operated for Emergency obstetric hysterectomy in Vadilal Sarabhai Hospital of Ahmedabad, Gujarat; during May 2010 to October 2012 were included in the study. Complications of the procedures were identified and analyzed.Results: Hemorrhagic shock was the most common complication followed by fever. 15.55% (7 out 45) mothers were not saved even after the emergency obstetric hysterectomy.Conclusions: Improvising procedural skill and post-operative care can reduce the complications of emergency obstetric hysterectomy.

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Kalim, Deeba, Talat Saeed, and Fauzia Anbreen. "THE COMPLICATIONS OF SPINAL ANESTHESIA IN OBSTETRIC AND GYNECOLOGICAL SURGICAL PROCEDURES." Gomal Journal of Medical Sciences 17, no. 1 (March 31, 2019): 2–5. http://dx.doi.org/10.46903/gjms/17.01.1244.

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Background: The proper use of spinal anesthesia in surgical procedures will minimize patient’s referral. The objectives of the study were to determine the immediate and late complications of spinal anesthesia in obstetric and gynecological surgical procedures in our population. Material and Methods: This cross-sectional study was conducted in the Department of Gynecology and Obstetrics, Moulvi Ameer Shah Memorial Hospital, Peshawar, Pakistan from January 2014 to December 2014. Sample size was 790, selected through consecutive sampling technique. All routine and emergency obstetrical and gynecological cases were included. The exclusion criteria were those having hypotension, shock, coagulopathy, prolonged surgeries, patient’s refusal and local spinal disease. The demographic variables were; number of attempts, failure of anesthesia, vomiting, hypotension, respiratory problems, pain, Puncture site pain, and post dural puncture headache. All variables being categorical were analyzed by frequency and percentages using SPSS Version 16.0. Results: Out of 790 obstetrics and gynecology patients undergoing spinal anesthesia, there were 752 (95.2%) patients anaesthetized on first attempt whereas 38 (4.8%) required >1 attempts. Spinal anesthesia failed in 17 (2.1%) cases, partially failed in 15(1.9%). Post-operative mild hypotension was observed in 25 (3.1%) patients and severe hypotension in 4 (0.5%) cases. Respiratory problems were noted among 12 (1.9%). Patient’s Post-operative pain was observed in 28 (3.5%) patients. Nausea and vomiting were noted in 68 patients (8.6%).Late complications include post-operative mild to moderate pain in 65 (8.2%), severe in 15 (1.9%). Puncture site pain was observed in 8 (1.0%) of patients. Severe post dural puncture headache was noted in 3 (.38%). Conclusion: Spinal anesthesia in obstetric and gynecological surgical patients is easy to administer, safer and effective.

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Zabolotnov, V. A., O. O. Khvatova, and Y. P. Sehedina. "Thrombophilia and obstetric complications." HEALTH OF WOMAN, no. 2(138) (March 30, 2019): 56–60. http://dx.doi.org/10.15574/hw.2019.138.56.

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This article discusses the relationship of thrombophilia with obstetric complications. In women with habitual miscarriage, do not perform screening for hereditary thrombophilia. With habitual miscarriage, women should undergo screening before pregnancy to detect antiphospholipid antibodies. Positive screening results are an indication for the appointment of LMWH and aspirin. Women with IVF do not investigate for hereditary thrombophilia and do not do LMWH therapy. Do not perform an assessment of congenital thrombophilia in women with miscarriage, with a history of childbirth with FGR, pre-eclampsia and premature detachment of the normally located placenta. Key words: thrombophilia, antiphospholipid syndrome, obstetric complications, miscarriage.

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Zakowski, Mark I. "Obstetric-related Neurological Complications." International Anesthesiology Clinics 52, no. 3 (2014): 40–60. http://dx.doi.org/10.1097/aia.0000000000000025.

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Clyburn, Paul. "Complications of obstetric anaesthesia." Current Opinion in Anaesthesiology 7, no. 3 (June 1994): 240–43. http://dx.doi.org/10.1097/00001503-199406000-00005.

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Benhamou, Dan. "Complications of obstetric anaesthesia." Current Opinion in Anaesthesiology 8, no. 3 (June 1995): 216–19. http://dx.doi.org/10.1097/00001503-199506000-00006.

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Stamer, Ulrike M., and Hinnerk Wulf. "Complications of obstetric anaesthesia." Current Opinion in Anaesthesiology 14, no. 3 (June 2001): 317–22. http://dx.doi.org/10.1097/00001503-200106000-00006.

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Morrison, J. J., and G. Hackett. "Obstetric complications and schizophrenia." BMJ 306, no. 6872 (January 23, 1993): 268–69. http://dx.doi.org/10.1136/bmj.306.6872.268.

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Eagles, J. M. "Obstetric complications and schizophrenia." BMJ 306, no. 6872 (January 23, 1993): 268–69. http://dx.doi.org/10.1136/bmj.306.6872.268-a.

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Lewis, G., P. McKeigue, A. David, and A. Malmberg. "Obstetric complications and schizophrenia." BMJ 306, no. 6872 (January 23, 1993): 268–69. http://dx.doi.org/10.1136/bmj.306.6872.268-b.

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Done, D. J., A. Sacker, and T. J. Crow. "Obstetric complications and schizophrenia." BMJ 306, no. 6872 (January 23, 1993): 269. http://dx.doi.org/10.1136/bmj.306.6872.269.

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Geddes, John R., and Stephen M. Lawrie. "Obstetric Complications and Schizophrenia." Obstetrical & Gynecological Survey 51, no. 7 (July 1996): 392–93. http://dx.doi.org/10.1097/00006254-199607000-00003.

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Ouyang, David W., Katherine E. Economy, and Errol R. Norwitz. "Obstetric Complications of Fibroids." Obstetrics and Gynecology Clinics of North America 33, no. 1 (March 2006): 153–69. http://dx.doi.org/10.1016/j.ogc.2005.12.010.

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Matias, Edwin. "Complications of obstetric anesthesia." Seminars in Anesthesia, Perioperative Medicine and Pain 15, no. 2 (June 1996): 140–47. http://dx.doi.org/10.1016/s0277-0326(96)80024-9.

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CROW, T. J. "Obstetric Complications and Schizophrenia." American Journal of Psychiatry 160, no. 5 (May 2003): 1011—a—1012. http://dx.doi.org/10.1176/appi.ajp.160.5.1011-a.

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Goodman, Robert. "Obstetric Complications and Schizophrenia." British Journal of Psychiatry 153, no. 6 (December 1988): 850. http://dx.doi.org/10.1192/bjp.153.6.850b.

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Maronge, L., and D. Bogod. "Complications in obstetric anaesthesia." Anaesthesia 73 (January 2018): 61–66. http://dx.doi.org/10.1111/anae.14141.

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Hall, David J., and Robin G. McCreadie. "Obstetric complications in schizophrenia." British Journal of Psychiatry 165, no. 1 (July 1994): 119. http://dx.doi.org/10.1192/bjp.165.1.119a.

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Rifkin, L., and N. Takei. "Obstetric complications in schizophrenia." British Journal of Psychiatry 167, no. 5 (November 1995): 694–95. http://dx.doi.org/10.1192/bjp.167.5.694b.

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Falkowski, I., M. Procopio, and P. Tosetto. "Obstetric complications and schizophrenia." British Journal of Psychiatry 169, no. 3 (September 1996): 383. http://dx.doi.org/10.1192/bjp.169.3.383a.

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Balestrieri-Martinez, Bernadette. "Complications in Obstetric Anesthesia." Journal of Perinatal & Neonatal Nursing 23, no. 1 (January 2009): 23–30. http://dx.doi.org/10.1097/jpn.0b013e3181967f33.

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Pinder, Amanda. "Complications of obstetric anaesthesia." Current Anaesthesia & Critical Care 17, no. 3-4 (January 2006): 151–62. http://dx.doi.org/10.1016/j.cacc.2006.05.008.

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Owen, Michael, Peter McGuffin, and R. C. Richardson Andrews. "Obstetric complications and schizophrenia." Lancet 336, no. 8707 (July 1990): 122–23. http://dx.doi.org/10.1016/0140-6736(90)91643-o.

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Davis, O. R., A. Breier, R. W. Buchanan, and C. Holstein. "Obstetric complications in schizophrenia." Schizophrenia Research 4, no. 3 (May 1991): 254. http://dx.doi.org/10.1016/0920-9964(91)90103-x.

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Bhat, Smita, and Sudhir Bhave. "Obstetric Hysterectomy a Life Saving Procedure and its Complication." International Journal of Medical and Dental Sciences 5, no. 1 (January 14, 2016): 996. http://dx.doi.org/10.19056/ijmdsjssmes/2016/v5i1/83542.

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Background:Previously in developing countries obstetric hysterectomy was done when conservative measures fail to control the post partum hemorrhage. Now a days because of increasing incidence of cesarean deliveries incidence of placenta praevia is increasing. This is contributing as a major cause for obstetrics hysterectomy.Objective: The purpose of the present study was to determine the incidence, indications, complications, maternal morbidity and mortality associated with emergency obstetrics hysterectomy.Methods: Retrospective study of cases undergone obstetric hysterectomy over a period of five years were done. Maternal age, parity, indication for obstetric hysterectomy, risk factors, type of operation performed, additional surgeries and complications were studied.Results: The incidence of emergency obstetric hysterectomy in our study was 0.38% [15 in 3900 deliveries]. 73.3% of the women were above 26 years. 73.3% of patients belonged to parity four or above. Majority of the cases were unbooked (60%). Postpartum hemorrhage (40%), ruptured uterus (20%) and morbidly adherent placenta (20%) were the major indications for obstetric hysterectomy. Previous LSCS was a major risk factor as it is seen in 40% cases. In 66.7% cases total hysterectomy was performed. Fever was the most common complication seen in 26.6% cases. One (6.7%) patient had maternal mortality.Conclusion: Proper antenatal care and early referral can prevent this catastrophic event. Moreover, timely decision, liberal blood transfusion and speedy surgery by an experienced surgeon are important in the management of this life saving procedure to avoid complications.

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Shamima, Mosammat Nargis, Rubayet Zereen, Nargis Zahan, Most Rowshan Ara Khatun, Nurjahan Akter, and Mohd Alamgir Hossain. "Management and Outcome of Postoperative Complications among the Patients Undergoing Common Obstetric and Gynaecological Surgery outside the RMCH." TAJ: Journal of Teachers Association 30, no. 2 (December 3, 2018): 7–12. http://dx.doi.org/10.3329/taj.v30i2.39131.

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Objective: To review the management and outcome of postoperative complications after common obstetric and gynecologic surgeries performed in outside nonacademic private hospitals (clinics) and peripheral public hospitals (districts hospitals) and later admitted in Department of Obstetrics and Gynecology of Rajshahi Medical College Hospital (RMCH). RMCH is a tertiary referral hospital where all complicated patients were referred for better management from surrounding hospital.Methodology: This Quasi-experimental study was carried out in the Department of Obstetrics and Gynecology at Rajshahi Medical College Hospital, Rajshahi, Bangladesh between July 1, 2015 and June 30, 2017. All patients admitted with post operative complications following common obstetric and gynecologic surgeries during this period were included. Patients admitted with post operative complications, where primary surgery was done in this hospital were excluded. The common obstetric and gynaecological surgeries were caesarean sections (LUCS), total abdominal hysterectomy (TAH) and vaginal hysterectomy (VH) performed outside Rajshahi Medical College Hospital.Result: During this period a total of 39,929 patients were admitted through emergency way in obstetrics and gynecology department of Rajshahi Medical College Hospital. Among them 675 patients were admitted with the complaints of post operative complications following common obstetric and gynecologic surgeries with rate being 1.7%. In 560(83%) cases surgery was done in clinics and 115(17%) cases surgery was done in district hospitals. Among the patients 580(85.9%) cases primary operation was done by non-gynaecologic surgeon and 95(14.1%) cases by gynaecologic surgeon. Caesarean section was the primary obstetric surgery in 405(60%) cases .Gynecologic surgeries included TAH in 185(27.4%) cases and VH in 85(12.6%) cases. We found 25(3.7%) patients died from these complications. Repeat surgery was done in 90(13.33%) cases. Genitourinary fistula repair was done in 41 cases (45.55%). Rests were improved by conservative management.Conclusion: Any surgical procedure carries risk of complications. Careful selection of patients with suitable indications for operations, expertise of the surgeon, good surgical technique, proper knowledge of pelvic anatomy and careful postoperative follow up can minimize recognized complications.TAJ 2017; 30(2): 7-12

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Sistiarani, Colti, Arif Kurniawan, and Elviera Gamelia. "Maternal Factors to Prevent Obstetric Complications in Banyumas District, Indonesia." Open Access Macedonian Journal of Medical Sciences 10, E (May 16, 2022): 1209–14. http://dx.doi.org/10.3889/oamjms.2022.8497.

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BACKGROUND: The number of pregnant women in the district of Banyumas reached 30,939 in 2012, the number of mothers who detected a high risk reached 20.05%. High-risk pregnant women tend to be more likely to have obstetric complications. The incidence of preeclampsia (8.13%) and hemorrhage (7.27%) is an obstetric complication. Obstetric complication leads to maternal deaths in the district of Banyumas. AIM: This study aims to determine the influence of maternal factors to prevent obstetric complications. METHODS: This study aims to determine the influence of maternal factors to prevent obstetric complications. This type of research is descriptive analytic. This research is using cross-sectional approach. Population this study are pregnant women who are in the subdistricts of Banyumas and Pekuncen. Samples taken as many as 188 pregnant women in both regions. RESULTS: The result showed that as many as 27.1% of women have a risk pregnancy, as many as 36.7% of women had low knowledge about high-risk pregnancy, as many as 47.9% of women have an lack attitude high-risk pregnancy, as many as 41.5% of mothers have poor affordability in antenatal care, and as many as 36.7% of mothers have less family support on high-risk pregnancy. There are influence knowledge, attitudes high-risk pregnancy, and antenatal care affordability toward the prevention of obstetric complication. CONCLUSIONS: Factor most influential in the prevention of obstetric complication is affordability antenatal care.

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Digala, Lakshmi, Zahra Haider, and Raghav Govindarajan. "Obstetric-Gynecological Complications in Neuromuscular Disorders." RRNMF Neuromuscular Journal 1, no. 3 (July 17, 2020): 5–8. http://dx.doi.org/10.17161/rrnmf.v1i3.13580.

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Background and Objective: The data on the obstetric and gynecological complications in patients diagnosed with neuromuscular diseases is very limited and is primarily obtained from various case reports, series, and small studies. The objective of our study was to analyze the prevalence of these complications in a large cohort of patients with various neuromuscular diseases. Methods: This study is a retrospective chart review of patients diagnosed with various neuromuscular diseases at the University of Missouri, Columbia, from 2012 to 2017. We included patients who have at least one year follow up with us. We collected data on patient demographics, neuromuscular disease diagnosed, obstetric complications, and gynecologic complications. Data are reported as means ± SEM, and the results reported using prevalence rates. Results: Ninety-five female patients were identified. Among them, 97% were Caucasian, and 3% were African-American with a mean age of 47.96 years. Neuromuscular diseases identified among them are Myasthenia Gravis (44%), Muscular Dystrophy (23%), Amyotrophic Lateral Sclerosis-ALS (16%), Charcot-Marie-Tooth disease-CMT (10%), and Spinal Muscular atrophy- SMA (7%). The majority of the patients reviewed have had no obstetric complications- (89.40%). The most common obstetric complication recorded was C-section (8.40%). 41% of women did not have any gynecological complaints. Urine incontinence (24.20%) is the most common complication. Conclusion: C-sections and urinary incontinence are common obstetric and gynecological events seen in women with neuromuscular disease.

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Jain, Mahima, and Devanshi Dave. "A prospective study of indications and maternal outcome in case of emergency obstetric hysterectomy in a tertiary care hospital of Gujarat, India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 3 (February 26, 2019): 912. http://dx.doi.org/10.18203/2320-1770.ijrcog20190856.

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Background: Obstetric hysterectomy was developed as a heroic operation arising out of necessity to control post-partum haemorrhage thereby reducing maternal mortality. The objectives of this study are to examine the incidence, indications, outcomes and complications of obstetric hysterectomy in a tertiary care hospital. It also aims to study the changing trends in incidence and indications in present day obstetric practice.Methods: This is a one-year study including 31 cases of obstetric hysterectomy performed in the Department of Obstetrics and Gynecology in a tertiary care hospital of Gujarat. Each case is analyzed, computed and tabulated as per standard proforma including clinical assessment, questionnaire, examination and investigations.Results: In present study 68% cases were in 21-30 years which is peak reproductive age. 55% patients were from rural areas and 52% cases were having three or more parity. The incidence of obstetric hysterectomy is 0.432% in both vaginal and cesarean deliveries i.e. 1 in 231 deliveries. Major indication for obstetric hysterectomy is morbidly adherent placenta 32% followed by atonic PPH 25.8% and ante partum hemorrhage in 22.58% due to increase in rate of cesarean sections. Most common complication is DIC and maternal mortality in around 16.12%.Conclusions: Obstetric hysterectomy is still a lifesaving surgery in modern day obstetrics. Quick decision for obstetric hysterectomy reduces maternal morbidity and mortality. Most of the morbidity is attributable to its indication and underlying disorder rather than the procedure itself.

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Kaza, Leon, Senad Halluni, Rustem Celami, and Zef Delia. "Cezarean Hysterectomy, A lifesaving Procedure that Albanian Obstetricans Must Be Familiar With." Albanian Journal of Trauma and Emergency Surgery 2, no. 1 (January 20, 2018): 57–60. http://dx.doi.org/10.32391/ajtes.v2i1.158.

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Cesarean Hysterectomy refers to emergency peripartum hysterectomy - EPH, which is performed as a life-saving procedure in cases of continual obstetric hemorrhage secondary to uterine atony, uterine rupture, placental disorders, fibroids, and lacerations during cesarean section - CS or vaginal parturition. Emergency peripartum hysterectomy - EPH, although rare in modern obstetrics, remains a life- saving procedure in cases of severe hemorrhage. In contemporary obstetrics, the overall incidence of severe postpartum hemorrhage was reported to occur in 6.7/1,000 deliveries worldwide. It is one of the leading causes of maternal mortality and morbidity and represents the most challenging complication that an obstetrician will face. The incidence of peripartum hysterectomy in the literature is reported as 0.24, 0.77, 2.3, and 5.09 per 1,000 deliveries by many authors mentioning a few; Sakse et al., White- man et al., Bai et al., and Zeteroglu et al., respectively. Nevertheless, there is a lack of Albanian data on EPH. To our knowledge, there is no Portuguese information on postpartum hemorrhage and EPH, which does not mean that we do not have such obstetrical complications and therefore such emergency intervention. This paper’s intention is to bring awareness of such catastrophic obstetrical complications especially in young primigravida and primipara women.

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Pokhrel, Sita, Ram Hari Ghimire, Ashima Ghimire, Prajmi Shrestha, and Amar Nath Chaudhary. "Clinical Profile and Outcome of Obstetric Patients Requiring Critical Care Support in a Tertiary Care Centre." Journal of Nobel Medical College 9, no. 2 (December 11, 2020): 18–22. http://dx.doi.org/10.3126/jonmc.v9i2.33351.

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Background: The maternal complications during pregnancy pose very serious challenge requiring multispeciality critical care approach. The objective of the study was to analyse clinical profile and outcome of these patients. Studies regarding above will add on existing knowledge that will help in improving patient outcome. Materials and Methods: This was a prospective observational study conducted over a period of 1 year from April 2017 to March 2018 in the department of obstetrics and gynecology of Nobel Medical College, Biratnagar. All the consecutive patients requiring ICU care were enrolled. Results: Among 7820 deliveries, 122 patients (1.56% of total deliveries) required critical care admission. Among them 61(50%) have causes related to obstetrics problems and 61 (50%) have non obstetric problems. Obstretic hemorrgage (24.59%) and hypertensive disorders (11.47%) of pregnancy were common obstetric complications whereas isolated renal failure 18(14.75%), cardiac disease 16 (13.1%), pulmonary disorders 11(9.1%) and sepsis 10 (8.19%) were common non obstetric complications. Maternal mortality rate was 24.59%.Renal failure 9(30%) was the commonest cause of death. Conclusion: Obstetric hemorrhage and hypertensive disorders of pregnancy were the commonest risk factors requiring critical care support. Other risk factors requiring ICU were renal failure, cardiac disease, pulmonary disorders and sepsis.

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Huda, Lasmita Nurul. "Hubungan Status Reproduksi, Status Kesehatan, Akses Pelayanan Kesehatan dengan Komplikasi Obstetri di Banda Sakti, Lhokseumawe Tahun 2005." Kesmas: National Public Health Journal 1, no. 6 (June 1, 2007): 275. http://dx.doi.org/10.21109/kesmas.v1i6.288.

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Di Indonesia, angka kematian ibu (AKI) masih tinggi jika dibanding sengan negara-negara ASEAN. Penyebab utama kematian ibu adalah komplikasi obs- tetri yang merupakan penyulit atau penyakit yang timbul pada waktu kehamilan, persalinan dan pasca persalinan. Di Indonesia, komplikasi obstetri (20% da- ri seluruh ibu hamil) masih sangat tinggi, sementara yang mampu ditangani hanya sekitar 10%. Berbagai faktor yang mempengaruhi komplikasi obstetri adalah status reproduksi, perilaku pencarian pelayanan kesehatan dan status kesehatan. Penelitian yang berujuan mengetahui faktor-faktor yang berhubungan dengan komplikasi obstetri ini menggunakan desain studi cross-sectional dengan sumber data primer. Sampel adalah 220 ibu yang melahirkan bayi hidup atau mati pada tahun 2005 yang ditarik secara sistematik random sampling. Hasil penelitian mendapatkan prevalensi komplikasi obstetri 46,8%, komplikasi pada waktu hamil dan persalinan merupakan yang terbanyak (12,27%) dan paling sedikit adalah komplikasi waktu hamil dan nifas masing-masing 2,27%. Model multivariat akhir mendapatkan lima variabel yang berhubungan dengan komplikasi obstetri meliputi penolong persalinan OR=4,32 (95% CI: 0,49-37,98); paritas OR=1,86 (95% CI: 0,83-4,16); sikap OR=1,66 (0,94-2,94)[ riwayat komplikasi hamil sebelumnya OR=1,79 (0,83-3,83) dan tempat persalinan OR=1,18 (95% CI: 1,01-3,26. Upaya yang perlu dilakukan untuk menurunkan kejadian komplikasi obstetri di Kecamatan Banda Sakti adalah pelatihan bidan, pengembangan PONED dan PONEK, serta memberikan pelayanan KB segera setelah bersalin kepada ibu yang memiliki paritas berisiko dan riwayat komplikasi hamil.Kata kunci: Status reproduksi, pemanfaatan pelayanan kesehatan, status kesehatan, komplikasi obstetri.The Maternal Mortality Rate (MMR). in Indonesia is still high compared to other ASEAN countries. The cause of the maternal death is obstetrical complica- tions which arise at the period of pregnancy, childbirth. The complications badly affect the maternal death. The rate of the obstetrical complications is still high in Indonesia. It is about 20% of the whole pregnant women, but the case of complications treated is still less than 10%. A variety of factors influence the occurrence of the complications. They are reproduction status, health seeking behavior service, and health status. Therefore, this study was conducted to know the factors related to the obstetrical complications. This study uses cross-sectional design. Data were collected by questionnaires. Samples are women delivering their babies alive or dead in 2005, the number of which are 220 at minimum. Before analyzing, the data were cleaned, then, categorized according to the operational definition. The data were analyzed in three steps, namely univariate, bivariate, and multivariate.The results show that of out of 46.8% of obstetrical complications incidence, the complication mostly happened (12.27%) at the pregnancy and delivery and 2.27% of it happened at pregnancy and parturition. The last analysis without interaction results in five variables related to the complications. They are delivery helper OR=4.32 (95% CI: 0.49-37.98), parity OR=1.86 (95% CI: 0.83-4.16), attitude OR=1.66 (0.94-2.94), pregnant complication history OR=1.79 (0.83-3.83). The dominant factor is place of de- livery, OR=1.18 (95% CI: 1.01-3.26). Based on the study, the incident of obstetrical complication in Banda Bakti Sub district can be decreased by training the midwives so that they have knowledge, motivation, and skill in dealing with obstetrical complications, developing PONED and PONEK, providing family plan- ning service soon after the delivery to the women who are at risk of parity and pregnant complication history, and building partnership with midwives (helping the delivery traditionally).Key words: reproductive status, health seeking behavior service, and health status with obstetric complication

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Hoque, Monjurul. "Incidence of Obstetric and Foetal Complications during Labor and Delivery at a Community Health Centre, Midwives Obstetric Unit of Durban, South Africa." ISRN Obstetrics and Gynecology 2011 (July 31, 2011): 1–6. http://dx.doi.org/10.5402/2011/259308.

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The objectives of this retrospective cohort study were to estimate the incidence of obstetric complications during labor and delivery and their demographic predictors. A total of 2706 pregnant women were consecutively admitted to a midwife obstetric unit with labor pain between January and December 2007 constituted the sample. Among them 16% were diagnosed with obstetrical and foetal complications. The most frequently observed foetal and obstetric complications were foetal distress (35.5/1000) and poor progress of labor (28.3/1000), respectively. Primigravid and grandmultiparity women were 12 (OR = 11.89) and 5 (OR = 4.575) times, respectively, more likely to have complications during labor and delivery. Women without antenatal care had doubled (OR = 1.815, 95% CI, 1.310; 2.515) the chance of having complications. Mothers age <20 years was protective (OR = 0.579, 95% CI, 0.348; 0.963) of complications during delivery compared to women who were ≥35 years. National and local policies and intervention programmes must address the need of the risk groups of pregnant women during labor and delivery.

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Journal articles on the topic 'Obstetric complications'

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