A retrospective review of all cases of emergency peripartum hysterectomy performed between January 1, 2003 and December 31, 2007 at Muhimbili National Hospital was done to determine the incidence, indications and complications, background characteristics, antenatal care attendance, referral status, and maternal and foetal outcomes. There were 55,152 deliveries during the study period and 165 ca...

Peripartum cardiomyopathy (PPCM) is a cause of pregnancy-associated heart failure. It typically develops during the last month of, and up to 6 months after, pregnancy in women without known cardiovascular disease. The present position statement offers a state-of-the-art summary of what is known about risk factors for potential pathophysiological mechanisms, clinical presentation of, and diagnos...

Peripartum cardiomyopathy (PPCM) is an uncommon type of heart failure of unknown cause occurring late in pregnancy or in the postpartum period. Because of its low incidence and the unspecific symptoms PPCM is often undetected or misdiagnosed. Unfortunately, PPCM is a disease whose underlying etiology and natural history remain incompletely understood. Nevertheless, it is incumbent on the intens...

BACKGROUND Emergency Peripartum Hysterectomy (EPH), although rare in modern obstetrics, remains a life saving procedure in cases of severe haemorrhage. The aim of present study was to review the frequency, indication, associated risk factors, maternal morbidity and mortality associated with emergency peripartum hysterectomy in a private sector teaching hospital. METHODS This was a retrospecti...

OBJECTIVE The objective of the study was to examine the trends in the rate of peripartum hysterectomy and the contribution of changes in maternal characteristics to these trends. STUDY DESIGN This was a cross-sectional study of peripartum hysterectomy identified from hospitalizations for delivery recorded in the 1994-2007 Nationwide Inpatient Sample. RESULTS The overall rate of peripartum h...

During the transition period, cows undergo a series of metabolic and immunological changes, which represent physiological challenge that is often risk for their production health. this dairy have pro-inflammatory state associated with frequent infectious diseases lipomobilization, present an insulin resistance related to fat mobilization high body condition score. In humans, polyunsaturated fat...

OBJECTIVE The liquid embolic agent n-butyl cyanoacrylate (NBCA) is a tissue adhesive used as an immediate and permanent embolic agent when mixed with oil-based contrast medium. In this study, the preservation of fertility with TAE using NBCA for massive haemorrhage during pregnancy or the peripartum period and the utility of this therapy were investigated. METHODS Cases from January 2005 to O...

Determining the immune responses to the development of endometritis during the peripartum period may assist in the development of more efficient reproductive management regimens for dairy herds. In this study, we compared the peripartum immune responses of dairy cows that develop endometritis by 4 weeks postpartum (n = 11) to cows that did not develop this disease (n = 19). Blood samples were c...