the severity of hypertensive attacks. The other recommended agent phentolamine, a short-acting alpha blocker, could not be used due to unavailability in our institution during this case. Magnesium sulphate is routinely used to control arrhythmias and hypertension in patients undergoing cardiovascular surgery and in the Caesarean section of preeclamptic patients or ICU patients. However, magnesi...

OBJECTIVE To 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. DESIGN This was a retrospective cross-sectional study. SETTING Four primary healthcare centres (PHCCs) and one state hospital in three payams (administrative areas that form a county) in Tor...

BACKGROUND Women of reproductive age in parts of sub-Saharan Africa are faced both with high levels of HIV and the threat of dying from the direct complications of pregnancy. Clinicians practicing in such settings have reported a high incidence of direct obstetric complications among HIV-infected women, but the evidence supporting this is unclear. The aim of this systematic review is to establi...

Each year thousands of adolescent girls and young women in South Africa (SA) become pregnant and many die from complications related to pregnancy and childbirth. Although women of all ages are susceptible, girls<15 years of age are five times as likely, and those aged 15-19 years twice as likely, to die from complications related to childbirth than women in their 20s. In SA, non-pregnancy-relat...

OBJECTIVE To investigate whether simulation-based obstetric team training in a simulation centre improves patient outcome. DESIGN Multicentre, open, cluster randomised controlled trial. SETTING Obstetric units in the Netherlands. POPULATION Women with a singleton pregnancy beyond 24 weeks of gestation. METHODS Random allocation of obstetric units to a 1-day, multi-professional, simulati...

Death from pregnancy is rare in developed countries such as Australia but is still common in third world and developing countries. A significant disparity exists in maternal mortality in Australia. The maternal mortality ratio for Indigenous women remains over three times that for other Australian women over the nine year period 19972006. The investigation of each maternal death yields valuable...

Antepartum haemorrhage is an important obstetric emergency and carries increased risk of maternal and perinatal morbidity and mortality. It commonly arises from the placenta as placenta praevia or placental abruption and rarely it may be from a vasa 1 praevia or local lesions in the cervix or vagina . It is crucial to distinguish between these causes from the outset as their definitive manageme...