Review of Obstetrical Emergencies at Tertiary Care
Authors/Creators
- 1. Senior Resident, Department of Obstetrics and Gynecology, Narendra Modi Medical College, Maninagar, Ahmedabad – 380008, India
- 2. Associate Professor, Department of Obstetrics and Gynecology, Narendra Modi Medical College, Maninagar, Ahmedabad – 380008, India
- 3. Junior Resident, Department of Obstetrics and Gynecology, Narendra Modi Medical College, Maninagar, Ahmedabad – 380008, India
Description
Introduction: A serious and frequently dangerous situation that arises suddenly and unexpectedly and necessitates immediate action to save lives is referred to as an emergency. The leading cause of maternal mortality worldwide are obstetric emergencies, especially in developing nation where a lake of antenatal care, poor transportation infrastructure ,low literacy rates and inadequate staff and equipment all contribute to problem. Aims and Objective: To review of obstetrical emergencies, its cause, management and outcome at tertiary care hospital. Material and Methodology: A prospective observational study conducted in our hospital on the patients with obstetric emergency at labour ward of LG hospital during November 2022 to November 2023. Results: In our study majority of the patients (42%) were in the 25 to 29 year old age range. Only 7.1% were over the age of 35, while 31.4% were under 24.The majority of patients who needed emergency obstetric care were lower gravida women. Emergency caesarean section accounted for 48.6% of deliveries.77.1 % outcome were uneventful. 5.7% of patient developed sepsis, 11.4% has significant anaemia. 6.3% of all maternal deaths were from 6 causes; PPH, sepsis, difficult labour, pulmonary oedema, and abruption with IUD. Conclusion: Obstetric emergencies are a significant cause of morbidity and mortality among pregnant women and their newborns. The management of these emergencies requires timely and appropriate intervention to improve maternal and fetal outcomes.
Abstract (English)
Introduction: A serious and frequently dangerous situation that arises suddenly and unexpectedly and necessitates immediate action to save lives is referred to as an emergency. The leading cause of maternal mortality worldwide are obstetric emergencies, especially in developing nation where a lake of antenatal care, poor transportation infrastructure ,low literacy rates and inadequate staff and equipment all contribute to problem. Aims and Objective: To review of obstetrical emergencies, its cause, management and outcome at tertiary care hospital. Material and Methodology: A prospective observational study conducted in our hospital on the patients with obstetric emergency at labour ward of LG hospital during November 2022 to November 2023. Results: In our study majority of the patients (42%) were in the 25 to 29 year old age range. Only 7.1% were over the age of 35, while 31.4% were under 24.The majority of patients who needed emergency obstetric care were lower gravida women. Emergency caesarean section accounted for 48.6% of deliveries.77.1 % outcome were uneventful. 5.7% of patient developed sepsis, 11.4% has significant anaemia. 6.3% of all maternal deaths were from 6 causes; PPH, sepsis, difficult labour, pulmonary oedema, and abruption with IUD. Conclusion: Obstetric emergencies are a significant cause of morbidity and mortality among pregnant women and their newborns. The management of these emergencies requires timely and appropriate intervention to improve maternal and fetal outcomes.
Files
IJPCR,Vol15,Issue12,Article252.pdf
Files
(421.2 kB)
| Name | Size | Download all |
|---|---|---|
|
md5:6e3f7b536840a69539378214c448c5dd
|
421.2 kB | Preview Download |
Additional details
Dates
- Accepted
-
2023-11-30
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue12,Article252.pdf
- Development Status
- Active
References
- 1. Adelaja LM, Taiwo OO. Clinical Study Maternal and Fetal Outcome of Obstetric Emergencies in a Tertiary Health Institution in South-Western Nigeria. Obstet Gynecol 2011;2011. 2. Najam R, Gupta S, Chowdhury H. Pattern of obstetrical emergencies and fetal outcomes in a tertiary care center. Acta Medica Int 2015;2:105. 3. Mane S, Yadav A, Sharma S, Agarwal A. A Study of Obstetric Emergencies and Its FoetoMaternal Outcome in a Tertiary Care Centre 2019. 4. Bangal VB, Borawake SK, Chandaliya RM. Review of Maternal and Fetal Outcome in Obstetric Emergencies reported to Tertiary Care Institution in Western India. Int J Biomed Adv Res 2012;3:486–9. 5. Shraddha Agrawal BC. Packing-An Effective Measure to Control Post Caesarean Bleeding in Placenta Praevia. J Obs Gynec India 2002;52:69–70. 6. M.F. Sharada JR. Analysis of 100 Cases of Obstetric Emergencies Needing Critical Care in Referral Centres like Steel Plant Hospitals. J Obs Gynaecol India 2001;51:87–90. 7. Upadhaya I CP. Severe Acute Maternal Morbidity and Intensive care in Paropakar Maternity and Women's hospital. N.J. obstret. gynaecol. 2013;8(2): 38-41. NJ Obs Gynaecol 2013;8:38–41. 8. Cruz JR. Reduction of maternal mortality: the need for voluntary blood donors. Int J Gynaecol Obstet 2007;98:291–39. Njoroge EW. The maternal and fetal outcomes among women with obstetric emergencies referred to the Kenyatta National Hospital, Nairobi, Kenya 2012. 10. Akaba GO, Ekele BA. Maternal and fetal outcomes of emergency obstetric referrals to a Nigerian teaching hospital. Trop Doct 2018;48:132–5.