Current Issue : October - December Volume : 2019 Issue Number : 4 Articles : 6 Articles
The dyad of spontaneous pneumomediastinum and subcutaneous emphysema is collectively known as Hammanâ??s syndrome. This\nrare complication is known to occur during the intrapartum period and its aetiology has been linked to the Valsalva maneuver in\nthe second stage of labour. Nitrous oxide inhalation increases the risk. We present the case of a 21-year-old healthy woman who\nexperienced these symptoms after nitrous oxide inhalation during the second stage of labour....
Objective: This study assessed blood C-reactive protein (CRP), fibrinogen,\nprocalcitonin, and CA125 levels and determined whether they have an effect\non pregnancy. Material & Methods: Between Feb. and Sep. 2018, 50 consecutive\nwomen who had their first frozen embryo transfer at a tertiary referral\nIVF center in Turkey were included in the study. Serum samples were collected\non the second day of the cycle and on the transfer day. The women\nwere divided into two groups based on the results of pregnancy outcome:\npregnant (group 1) and non-pregnant (group 2). Blood CRP, fibrinogen,\nprocalcitonin, and CA125 levels were compared between the groups. Results:\nThere were no statistically significant differences between the groups according\nto CA125, CRP, fibrinogen, and procalcitonin levels at the beginning of\nthe cycle and on the transfer day. In comparison with levels at the beginning\nof the cycle and on the transfer day, fibrinogen and CRP were significantly\nhigher on the transfer day than at the beginning of the cycle. Procalcitonin\nwas significantly higher on the transfer day than at the beginning of the cycle\nin group 1. However, there was no statistically significant difference between\nthe transfer day and the beginning of the cycle in group 2. Conclusions:\nHowever, the fibrinogen, CRP and procalcitonin levels were significantly\nhigher on the transfer day than at the beginning of the cycle. The results indicated\nthat acute phase reactants or CA125 should not be used to determine\nthe time of embryo transfer or predict pregnancy....
Background: Birth Preparedness and Complication Readiness (BP/CR) is the process of planning for normal birth and\nanticipating actions needed in case of emergency. Even though there is no adequate evidences on determinant\nfactors, women and newborn need timely access to skilled care during pregnancy, childbirth, and the postpartum\nperiod. The aim of this study was to identify factors associated with the practice of birth preparedness and\ncomplication readiness plan among women who gave birth in the last 12 months in Farta District, Ethiopia, 2016.\nMethod: A community-based cross-sectional study was conducted among 676 mothers from 1st October to\nDecember, 2016. Multistage sampling technique was used to select study participants. Data were collected using\nstructured and pretested questionnaire. Bivariate and multivariable logistic regression models were fitted to identify\nfactors associated with the practice of birth preparedness and complication readiness plan. An adjusted odds ratio with\n95% confidence interval (CI) was computed to determine the level of significant.\nResult: The percentage of women implementing complication readiness plan and practicing birth preparedness was\nfound to be 34%. Residence [Adjusted odds ratio (AOR): 5.94, 95% CI: 2.28-15.46)]; educational status [AOR: 2.87, 95% CI:\n(1.27-6.49)]; Antenatal care follow up [AOR: 3.67, 95% CI: (2.10-6.41)]; history of stillbirth [AOR: 3.05, 95CI: (1.20-7.78)];\nknowledge of birth preparedness and complication readiness plans [AOR: 8.83, 95% CI: (5.01-15.58)]; knowledge of key\ndanger signs during pregnancy [AOR: 3.91, 95% CI: (2.52-6.06)], child birth [AOR: 2.22, 95CI: (1.45-3.39)] and postpartum\nperiod [AOR: 1.99, 95% CI: (1.14-3.48)] were significantly associated with practice of birth preparedness and complication\nreadiness plan.\nConclusion: The overall proportion of women who prepared for birth and its complication readiness was found to be\nlow. Educating women, encouraging pregnant women to utilize antenatal care, creating awareness on danger signs\nduring pregnancy and childbirth might increase womenâ??s birth preparation and complication readiness plan....
Abstract: Twin-to-twin transfusion syndrome (TTTS) is a challenging complication in monochorionic\ndiamniotic (MCDA) twins. Intrauterine interventions, such as fetoscopic laser ablation and cord\nocclusion followed by amniodrainage, are established treatments. Little is known about maternal\ncomplications and hemodynamics following these interventions. We performed a retrospective\nanalysis of maternal procedure-related complications and the impact of such procedures on maternal\nhemodynamics and blood characteristics. Within the study period, 100 women with severe\nTTTS treated by fetoscopic laser ablation (FLA) or cord occlusion (CO) were identified. Clinically\nrelevant maternal complications were reported in four (4%) cases. There was a significant decrease\nin hemoglobin, hematocrit, and albumin between admission and postoperative measurements\n(all p < 0.001). Systolic and diastolic blood pressure, as well as maternal heart rate, decreased from\ntime of skin suture to postoperative measurements (all p < 0.001). Within a 24 h interval, there\nwas a positive correlation between hematocrit (Spearmanâ??s rho 0.325; p=0.003), hemoglobin\n(Spearmanâ??s rho 0.379; p < 0.001), and albumin (Spearmanâ??s rho 0.360; p=0.027), and the amount\nof amniodrainage during the intervention. Maternal procedure-related complications are relatively\nrare. Significant hemodynamic alterations and maternal hemodilution are common clinical findings\nfollowing intrauterine interventions....
Objectives: 1) To calculate the ratio of maternal mortality. 2) To describe the\nsocio-demographic characteristics of deceased patients. 3) To identify the\nmain causes of maternal deaths. Methodology: This was a retrospective study\nof the 12-month period from January 1st to December 31st, 2015 performed at\nthe Gynaecology Obstetrics Department of the Ignace Deen National Hospital,\nConakry, Guinea. The study included women who died during pregnancy,\nchildbirth, and in its peripheries according to WHOâ??s maternal death report.\nResults: We collected 38 cases of maternal deaths out of 4404 live births, accounting\na ratio of 863 per 100,000 live births. The socio-demographic characteristics\nof these 38 patients were: 20 - 24 years of age (26%), married\n(78%), housewives (37%), students (44%), and nulliparous (29%), no prenatal\nfollow-up (47%), and home-birth (49%). The 1st and 3rd type of delay\namounted for 40% and 53%, respectively. Patients consulted after 12 hours\nafter symptom-onsets accounted 47%, whereas those before 6 hours accounted\nfor 19%, suggesting the delay of first medication. The final diagnosis\nand diagnosis at admission coincided in 69% of cases. The emergency kit was\navailable for all. The opinion of a specialist was available in 16 patients. Blood\nwas available in 40% of the patients who required it. Death caused by conditions\ndirectly related to pregnancy/delivery accounted for 71%. Haemorrhage\nwas the most frequent cause of death. Death occurred within the first 24\nhours of admission in 73% of cases.Conclusion: We here shed light on the\nmaternal death in this area. Although we did not demonstrate the\nmethod/procedure to reduce this high rate of maternal mortality, the present\nstudy may provide a fundamental data to reduce maternal death in this area....
Hysterectomy is common major operation performed in gynecological field\npractice after Caesarean section. Vaginal hysterectomy is preferred surgery\nfor uterovaginal prolapsed. Vaginal hysterectomy has advantages over abdominal\nhysterectomy. Post hysterectomy hematomas are responsible for serious\nmorbidity. Ultrasound is an accurate diagnostic tool and so Computed\ntomography. Conservative management, analgesia and antibiotics will work\nin small hematoma, but the significant sized hematoma needs surgical drainage\nand the infected hematoma. Refinement in surgical techniques is recommended\nto minimize the formation vaginal vault hematomas after vaginal\nhysterectomy....
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