Current Issue : January - March Volume : 2021 Issue Number : 1 Articles : 6 Articles
Objective: We introduced two novel hemostatic techniques to achieve hemostasis\nfor postpartum hemorrhage (PPH). The first one (A: Uterus Isthmic\nPlication) was a new uterine compression suture, which compresses the hysterotomy\nsite. In a severe case, we further added vessel ligation suture after\nperforming A-suture (B-combination suture: B-suture: A + Wide Lateral Uterine\nVascular Ligation). Methods: Of 140 PPH cases, 90 were with mild PPH\nand 40 were with severe PPH. Our policy was: perform A-suture to mild PPH\nand perform B (combination) to severe PPH. Study was performed during\n2018-2019. The primary endpoint to evaluate the efficacy of the procedures\nwas preserving the uterus (no hysterectomy). Results: A-procedure, performed\nto 90 patients with mild PPH, was effective to all 90 patients, with all preserving\nthe uterus. B-procedure, performed 38 patients with severe PPH (excluding\ntwo patients with uterine rupture), was effective in 37 patients, with\none having undergone hysterectomy due to coagulopathy. Conclusion: Uterus\nIsthmic Plication (A-procedure) and addition of Wide Lateral Uterine\nVascular Ligation to procedure-A (B-procedure) achieved hemostasis in patients\nwith PPH. Prospective study is necessary to confirm the present data....
Introduction: The teenager is the one whose chronological age is between 10\nand 19 years according to the World Health Organization. Pregnancy during\nteenage age, whether desired or not, presents serious obstetric risks. The purpose\nof this study was to assess risk factors associated with childbirth in teenagers.\nPatients and Methods: This was an analytical cross-sectional study (witness\ncase) conducted over the period from April 1st to September 30th, 2019 (6\nmonths) in the maternity ward of the Centre Hospitalier Universitaire. It was\nincluded in the study all the parturients who were presented according to the\nplace where the pregnancy was monitored......................
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the agent responsible for coronavirus disease 2019 (COVID-19),\ncontinues to have a devastating impact on healthcare systems worldwide, and many questions remain unanswered. The effect of\nCOVID-19 on the pregnant population is widely debated, and the unique risks in pregnancy have not yet been elucidated. What\nhas been established, however, is the recommendation for healthcare workers to use personal protective equipment (PPE) for both\ncontact and airborne precautions to prevent transmission of the pathogen.........................
Introduction: Uterine rupture is a complete or incomplete non-surgical continuity\nsolution of the wall of the gravid uterus. Indeed, it is a Affection obstetrical\ncondition whose maternal-fetal prognosis is poor in terms of morbidity\nand mortality. Objectives: To assess the risk factors for uterine rupture\nin the Koutiala Health District. Methods: This was a descriptive and analytical\ncross-sectional prospective collection study from January 1, 2019 to December\n31, 2019, a 12-month period. In our study, all patients admitted to the\nmaternity ward were included during the study period for which the diagnosis\nof uterine rupture was made. Results: Out of a total of deliveries, we recorded\n27 cases of uterine rupture, a frequency of 1.04%. The average age of\nour patients was 32 years with extremes of 19 and 45 years........................
Background: Nausea and vomiting are experienced by a majority of pregnant women worldwide. Previous studies\nhave yielded conflicting results regarding their impact on birth outcomes and few studies have examined this\nrelationship in settings with limited resources. We aimed to determine the effect of nausea, vomiting and poor\nappetite during pregnancy on birth outcomes in rural Nepal.\nMethods: Observational cohort study using data collected in two randomized, community-based trials to assess\nthe effect of influenza immunization during pregnancy on reproductive and respiratory outcomes among pregnant\nwomen and their offspring. Pregnant women in Sarlahi District, Nepal were recruited from 2011 to 2013. Exposure\nwas defined as nausea, vomiting or poor appetite at any point during pregnancy and by trimester; symptoms were\nrecorded monthly throughout pregnancy. Adverse outcomes were low birth weight (LBW), preterm birth and small\nfor gestational age (SGA). Adjusted relative risks (aRR) with 95% CIs are reported from Poisson regressions with\nrobust variance.........................
Background: Heterotopic pregnancy occurred after frozen embryo transfer with two D3 embryos, and the case\nhad a history of bilateral salpingectomy due to salpingocyesis. An ectopic heterotopic pregnancy was implanted in\nthe left psoas major muscle, which has not been previously reported.\nCase presentation: A 33-year-old woman presented with left back pain after curettage due to foetal arrest in the\nuterus without vaginal bleeding and spotting, and painkillers relieved the pain initially. When the painkillers ceased\nto work, the patient returned to the hospital................................
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