BACKGROUND Pharmaceutical uterotonics are effective for preventing postpartum hemorrhage and complications related to unsafe abortion. In Madagascar, however, traditional birth attendants (Matrones) commonly administer medicinal teas for uterotonic purposes. Little is known about Matrone practices and how they might coincide with efforts to increase uterotonic coverage. The aims of this study w...

The primary aim was to determine if sequential administration of oxytocin and nitroglycerin is effective for management of retained placenta when performed by obstetricians with no experience of the method. Secondary aims were to examine possible adverse effects of nitroglycerin. One hundred and five women with retained placenta were randomly selected to receive either 1 mg nitroglycerin or pla...

BACKGROUND Brucellosis is a zoonotic pathogen responsible for great economic losses in most sub-Saharan nations. Although Ghana has successfully implemented the "One Health" initiative for the control of some emerging infectious zoonotic diseases with pandemic potential like Avian Influenza, there is very limited data available on brucellosis especially human brucellosis prevalence. He objectiv...

The transition from pregnant, non-lactating to non-pregnant, lactating is too often a disastrous experience for the cow. Most of the metabolic diseases of dairy cows milk fever, ketosis, retained placenta, and displacement of the abomasum occur within the first 2 wk of lactation. In addition to metabolic disease, the majority of infectious disease experienced by the dairy cow, especially mastit...

BACKGROUND Recruiting and consenting women to peripartum trials can be challenging as the women concerned may be anxious, in pain, and exhausted; there may also be limited time for discussion and decision-making to occur. To address these potential difficulties, we undertook a qualitative evaluation of the internal pilot of a trial (Got-it) involving women who had a retained placenta (RP). We e...

As early as 1901, DeLee described a hemophilic-like condition of the blood in abruptio. Dieckmann in 1936, studying a group of patients with abruptio, found fibrinogen concentration below the normal levels in seven out of eleven cases, and in three where the fibrinogen level was below 50 mg./100 c.c. During the past few years hypofibrinogenemia has been shown to exist in other conditions apart ...

Early recognition can reduce maternal disability and deaths due to postpartum haemorrhage. This study identified cultural theories of postpartum bleeding that may lead to inappropriate recognition and delayed care-seeking. Qualitative and quantitative data obtained through structured interviews with 149 participants living in Matlab, Bangladesh, including women aged 18-49 years, women aged 50+ ...

BACKGROUND Medical errors during surgery are not well studied. To define risk factors associated with this type of error, we performed a case control analysis. METHODS We retrospectively reviewed medical records involving the ICD-9 code (998.4) for unintentional foreign object remaining in the body during surgery and incident reports gathered by the Department of Risk Management over a 10 yea...