OBJECTIVES: To determine the maternal and fetal outcomes associated with uterine fibroids in pregnancy. METHODOLOGY: This study was conducted Gynaecology Department of Mardan Medical Complex from January 2018 to December 2019. All pregnant women any age or parity gestational sonographic evidence were included. Demographic details, age, symptoms related fibrosis, size, number location fibroid, m...

BACKGROUND In Pakistan 90% of births are conducted by TBA's. In most cases, TBA's are unable to diagnose the complications and are often unable to take decisions on timely referral. The objective of this study was to determine the prevalence, nature and outcome of life threatening obstetrical conditions in referrals by Traditional Birth Attendants (TBAs). METHODS This Observational, Descripti...

Obesity is rising in the obstetric population, yet there is an absence of services and guidance for the management of maternal obesity. This systematic review aimed to investigate relationships between obesity and impact on obstetric care. Literature was systematically searched for cohort studies of pregnant women with anthropometric measurements recorded within 16-weeks gestation, followed up ...

5 Maintain plasma colloid osmotic pressure "Massive transfusion" is arbitrarily defined as the replacement of the patient's total blood volume by stored homologous bank blood in less than 24 hours. It is a medical emergency, usually occurring in the accident department, the operating theatre, or the obstetric department, when a patient presents with overwhelming haemorrhage and acute hypovolaem...

Background: Objectives of the study was to estimate effectiveness and safety stepwise uterine devascularisation and/or internal iliac artery ligation as alternative obstetric hysterectomy in management uncontrollable postpartum haemorrhage.Methods: We conducted a retrospective cohort at university affiliated tertiary referral hospital year 2020-2021 department obstetrics gynaecology, government...

Clinicians sometimes are confronted with the challenge of transfusing haemorrhaging Rhesus (Rh) D negative patients with Rh D positive blood to save their lives. There are concerns about alloimmunization and future haemolytic disease of the newborn in women of the reproductive age. Another fear is transfusion reaction if they receive another Rh D positive blood in future. We present a 32-year-o...

Throughout history obstetric haemorrhage has been a major cause of maternal mortality in both developed and developing countries.1' 2The oldest work in obstetrics and gynaecology, published toward the end ofthe first century AD, is attributed to Soranus of Ephesus, who brought together the knowledge of obstetrics, gynaecology and paediatrics of that era.3 Soranus gives no account of oxytocic me...

OBJECTIVE To test the hypothesis that it is possible to select a group of low risk women who can start labour in midwife-led care without having increased rates of severe adverse maternal outcomes compared to women who start labour in secondary care. DESIGN AND METHODS We conducted a nationwide cohort study in the Netherlands, using data from 223 739 women with a singleton pregnancy between 3...

The wide gap in maternal mortality ratios worldwide indicates major inequities in the levels of risk women face during pregnancy. Two priority strategies have emerged among safe motherhood advocates: increasing the quality of emergency obstetric care facilities and deploying skilled birth attendants. The training of traditional birth attendants, a strategy employed in the 1970s and 1980s, is no...

Massive obstetric haemorrhage remains a major cause of maternal death attributable to hypofibrinogenaemia. Transfusion of large volumes of fresh frozen plasma (FFP) is required to normalise fibrinogen levels. We compared the efficacy of FFP (F group) with that of FFP plus fibrinogen concentrate (F + F group) in massive obstetric haemorrhage. In this retrospective study, we compared the medical ...