Background: Peripartum hysterectomy is a lifesaving procedure performed for severe obstetric complications such as major haemorrhage, abnormally invaded placenta, uterine rupture or sepsis. Objectives of the study was to review epidemiology peripartum hysterectomies over period ten years from January 2012 December2021 and determine trends in by comparing two different time periods. Methods: In ...

The prospect of dealing with a rapidly and inexorably bleeding patient fills most medical practitioners with alarm. When that patient is a Jehovah's Witness, the knowledge that a blood transfusion is likely to be refused turns that alarm into a state of acute anxiety and conflict. This state is further heightened when the patient is young and otherwise healthy--a situation found particularly in...

INTRODUCTION High-risk obstetric patients in the immediate postpartum period are frequently admitted to the intensive care unit, but the necessity of this practice has recently been doubted. Herein we describe the efficiency of utilizing the post-anaesthesia care unit (PACU) as an intermediate intensive care facility for those patients. MATERIAL AND METHODS We retrospectively described the re...

OBJECTIVE To evaluate the effect of a national referral system that aims to reduce maternal mortality rates through improving access to and the quality of emergency obstetric care in rural Mali (sub-Saharan Africa). METHODS A maternity referral system that included basic and comprehensive emergency obstetric care, transportation to obstetric health services and community cost-sharing schemes ...

BACKGROUND There are several factors in the healthcare system that may influence a woman's ability to access appropriate obstetric care. OBJECTIVE To determine the delays/barriers in providing obstetric care to women who classified as a maternal near-miss. METHODS This was a descriptive observational study at Steve Biko Academic Hospital, a tertiary referral hospital in Pretoria, South Afri...