Near-miss cases in life-threatening obstetric patients occurring over a one year period are analysed retrospectively with regards to morbidity measured in terms of hospital stay, utilisation of high dependency ward and intensive care beds and adequacy of clinical management. One-hundred and twenty two cases occurred among 9932 deliveries. Massive obstetric haemorrhage (54.2%) and hypertensive d...

Care of the critically ill parturients is a unique challenge in obstetrics particularly because of its unpredictability. Haemorrhage, toxaemia, anaemia and septicaemia are common causes of mortality and morbidity in these patients. This study aims to evaluate the occurrence, indications, course, interventions, and outcome of obstetric patients admitted to the intensive care unit (ICU).It was a ...

Abstract Purpose To delineate the uncommon causes of pregnancy related haemorrhage and discuss various endovascular, direct percutaneous interventional radiology techniques that can be used for successful management. Materials methods Forty-four females with haemorrhage, who were referred uterine artery embolization, between January 2013 May 2020, retrospectively analyzed in this hospital-based...

Substandard care is reported to occur in a large number of cases of major obstetric haemorrhage (MOH). A prospective audit was carried out by a multidisciplinary team at our hospital over a one year period to assess the quality of care (QOC) delivered to women experiencing MOH. MOH was defined according to criteria outlined in the Scottish Audit of Maternal Morbidity (SAMM). 31 cases were ident...

PROBLEM The shortage of doctors in Liberia limits the provision of comprehensive emergency obstetric and neonatal care. APPROACH In a pilot project, two midwives were trained in advanced obstetric procedures and in the team approach to the in-hospital provision of advanced maternity care. The training took two years and was led by a Liberian consultant obstetrician with support from internati...

Background: Postpartum haemorrhage (PPH) is a life threatening obstetric emergency. In Pakistan 25% of maternal deaths are due to PPH and majority is due to uterine atony. B-Lynch suture is a simple and effective method for control of PPH due to uterine atony as an alternative to more complicated surgery including hysterectomy with loss of fertility and associated psychological morbidity. Objec...

Major obstetric haemorrhage (MOH) is the main cause of severe maternal morbidity, incidence being estimated at 4.5 per 1000 deliveries. Cases are not routinely registered in the Netherlands. The objective of this study is to quantify the degree of underreporting of MOH in a large nationwide survey of severe acute maternal morbidity in the Netherlands (LEMMoN) and to estimate the true incidence ...