OBJECTIVE to analyse the impact of in-hospital care on severe maternal morbidity using WHO's near-miss approach in the low-resource, high mortality setting of Zanzibar's referral hospital. SETTING Mnazi Mmoja Hospital, a tertiary care facility, in Zanzibar, Tanzania. METHODS We identified all cases of morbidity and mortality in women admitted within 42 days after the end of pregnancy at Mna...

BACKGROUND Birth Preparedness and Complication Readiness is a strategy to promote the timely use of skilled maternal and neonatal care, especially during childbirth, based on the theory that preparing for childbirth and being ready for complications reduces delays in obtaining this care. OBJECTIVE This study was conducted to assess birth preparedness and complication readiness and its associa...

Objective Maternal ovarian torsion in pregnancy is a rare complication. Its diagnosis is often missed due to the nonspecific clinical features and uncommon objective findings. Ovarian torsion is seen most commonly at first trimester, but can happen second or third trimester. In late pregnancy, especially in the second and third trimesters, the diagnostic accuracy of ultrasound is limited becaus...

Sixty-two cases of obstructed labour were reviewed during 6 months at a district head quarter hospital, Faisalabad to highlight the prevalence of obstructed labour and ascertain how to manage and possibly avoid this complication with special emphasis on preventable factors. There were 1584 deliveries during this period giving an incidence of obstructed labour as one in 25 deliveries. Five patie...

One of the obstetric interventions introduced to address this issue is the cesarean – delivery. Cesarean delivery is defined as the birth of a fetus through incisions in the abdominal wall (laparotomy) and the uterine wall (hysterotomy) [Cunningham, 2001]. Historically, cesarean delivery was associated with a high complication rate, sometimes causing maternal death. In the era of modern medicin...

Abstract Objectives: to estimate the burden of parturients, fetuses and neonate’s severe morbidity mortality investigate association between maternal their conceptus outcomes. Methods: retrospective cohort 546 parturients in a university hospital, reference for high-risk pregnancy, metropolitan region II Rio de Janeiro State from 2015 2017. We classified according obstetric (OM) direct, indirec...

Epidural analgesia is a widely used method of pain control in the labor and delivery setting but is not without risks. We present a case of Horner's syndrome and trigeminal nerve palsy as a rare complication of epidural analgesia in an obstetric patient. Although reported in few instances in the anesthesia literature, awareness among providers in obstetrics is critical because this could be the...

By postmortem biochemical and molecular genetic analyses, an 8-month-old infant was diagnosed with long-chain 3-hydroxyacyl-coenzyme A dehydrogenase deficiency, an inborn error of mitochondrial fatty acid beta-oxidation. He was born following a pregnancy complicated by a maternal floor infarction of the placenta, a disorder of unknown etiology. We speculate that the child's autosomal recessive ...

the most serious and potentially life-threatening complication associated with preeclampsia or eclampsia. The patient’s survival generally depends on the early recognition of the characteristic signs and symptoms and prompt surgical intervention. Even with surgical intervention, the maternal mortality had been reported to be as high as 59-86% (1, 2). We describe here a case of successful treatm...