Pregnancies with an Outcome of Fetal Death Present More Delays in Obstetric Care: A Case-Control Study

2018 ◽  
Author(s):  
Marley Martins ◽  
Flávio Ibiapina ◽  
Antonio Júnior ◽  
Luciano Correia ◽  
Rodolfo Pacagnella ◽  
...  
PLoS ONE ◽  
2019 ◽  
Vol 14 (4) ◽  
pp. e0216037
Author(s):  
Marley Carvalho Feitosa Martins ◽  
Francisco Edson de Lucena Feitosa ◽  
Antonio Brazil Viana Júnior ◽  
Luciano Lima Correia ◽  
Flávio Lúcio Pontes Ibiapina ◽  
...  

protocols.io ◽  
2018 ◽  
Author(s):  
Marley Carvalho ◽  
Francisco Edson ◽  
Antonio Brazil ◽  
Luciano Lima ◽  
Fl vio ◽  
...  

2012 ◽  
Vol 130 (1) ◽  
pp. 32-37 ◽  
Author(s):  
Linda Björk Helgadottir ◽  
Finn Egil Skjeldestad ◽  
Anne Flem Jacobsen ◽  
Per Morten Sandset ◽  
Eva-Marie Jacobsen

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ocilia Maria Costa Carvalho ◽  
Antônio Brazil Viana Junior ◽  
Matheus Costa Carvalho Augusto ◽  
Álvaro Jorge Madeiro Leite ◽  
Rivianny Arrais Nobre ◽  
...  

2005 ◽  
Vol 35 (4) ◽  
pp. 204-206 ◽  
Author(s):  
B Sebhatu

To determine the sensitivity of sitting height in predicting cephalo pelvic disproportion (CPD), a prospective case-control study was conducted. A total of 724 primiparas who delivered in Mekane Hiwot Maternity Hospital, Asmara, Eritrea were studied. Primiparas who delivered by caesarian section because of CPD were taken as cases (221), and primiparas who delivered vaginally were taken as controls (503). Height was measured for all, while sitting and while standing. The sensitivity of sitting height in predicting CPD was 34.1% (95% confidence interval [CI] = 27.7-40.3%), while that of the standing height was 33.5% (95% CI = 27.1-39.84). CPD cannot be predicted accurately by height in general and by sitting height in particular. Therefore, in order to avoid obstetric complications, all pregnant women should have access to skilled attendance during delivery and access to facilities with emergency obstetric care when needed.


2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Ida Kathrine Gravensteen ◽  
Linda Bjørk Helgadottir ◽  
Eva-Marie Jacobsen ◽  
Per Morten Sandset ◽  
Øivind Ekeberg

BMJ ◽  
1998 ◽  
Vol 317 (7169) ◽  
pp. 1346-1349 ◽  
Author(s):  
B. Jacobson ◽  
M. Bygdeman

2021 ◽  
Author(s):  
Oliva Bazirete ◽  
Manassé Nzayirambaho ◽  
Aline Umubyeyi ◽  
Innocent Karangwa ◽  
Marilyn Evans

Abstract Background: The vast majority of maternal deaths occur in Low- and Middle-Income Countries. Postpartum haemorrhage (PPH) remains a major global burden contributing to high maternal mortality and morbidity rates. Assessment of PPH risk factors should be undertaken during antenatal, intrapartum and postpartum periods for timely prevention of maternal morbidity and mortality associated with PPH. The aim of this study is to investigate and model risk factors for primary PPH in Rwanda. Methods: We conducted an observational case-control study of 430 (108 cases: 322 controls) pregnant women with gestational age of 32 weeks and above who gave birth in five selected health facilities of Rwanda between January and June 2020. Poisson regression, a generalized linear model with a log link and a Poisson distribution was used to estimate the risk ratio of factors associated with PPH. The research protocol was approved by the University of Rwanda, College of Medicine and Health Sciences Institutional Ethics Review Board. Results: The overall prevalence of primary PPH was 25.2%. The following risk factors were identified: antepartum haemorrhage (RR=3.36; 95% CI 1.80- 6.26, P<0.001); intrauterine fetal death (RR=1.93; 95% CI 0.93- 4.03, P<0.077); multiple pregnancy (RR=1.83; 95% CI 1.11- 3.01, P=0.016); haemoglobin level <11 gr/dL (RR=1.51; 95% CI 1.00- 2.30, P=0.050), and premature rupture of membranes (RR=0.58; 95% CI 0.32- 1.05, P<0.077). During the intrapartum and immediate postpartum period, the main causes of primary PPH were: uterine atony (RR=6.70; 95% CI 4.78- 9.38, P<0.001), retained tissues (RR= 4.32; 95% CI 2.87- 6.51, P<0.001); and lacerations of genital organs after birth (RR= 2.14; 95% CI 1.49- 3.09, P<0.001). Coagulopathy was not prevalent in primary PPH. Conclusion: Based on our findings, uterine atony remain the foremost cause of primary PPH. As well as other established risk factors for PPH, antepartum haemorrhage and intra uterine fetal death should be included as risk factors in the development and validation of prediction models for PPH. Large scale studies are needed to investigate further potential PPH risk factors.


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