In Nepal, maternal mortality has decreased from 539/100000 live births in 1998 to 229 in 2008/2009.4 Exploration of severe maternal morbidity is required to identify deficiency and strengths of obstetrical services. The obstetrics morbidity results from obstetric complications of pregnancy, labour and puerperium. The recognition of signs, symptoms and severity of illness, antenatal and postnata...

BACKGROUND Offering a trial of labor (ToL) after previous caesarean section (CS) is an important strategy to reduce short- and long-term morbidity associated with repeated CS. We compared maternal and perinatal outcomes between ToL and elective repeat caesarean section (ERCS) at a district hospital in rural Rwanda. METHODS Audit of women's records with one prior CS who delivered at Ruhengeri ...

Hypertension in pregnancy is associated with increased maternal and fetal mortality and morbidity. About 8 % of all pregnancies are complicated with hypertensive disorders. There is concordance that severe hypertension should be treated without delay to reduce maternal risks of acute cerebrovascular complications. Intravenous labetalol and oral nifedipine are as effective as intravenous hydrala...

To test the role of prepregnancy obesity as a mediator in association between race and severe maternal morbidity (SMM). We conducted an analysis on population-based retrospective cohort study using 2010-2014 birth records linked with hospital discharge data New York City (n=591,455 live births). A multivariable logistic regression mediation model subgroup sample consisting normal weight obese w...

CONTEXT AND OBJECTIVE Despite the development of tertiary care facilities, intensive care and advanced blood banking techniques, pregnancy-related hypertensive disorders are the main cause of maternal mortality in most countries. Our purpose was to determine maternal outcome in pregnancies complicated by HELLP syndrome (hemolysis, elevated liver enzymes and low platelet count) that required int...