This report studies the principal causes of maternal death at Harare Maternity Hospital. In 1983 the maternal mortality rate for the greater Harare unit was 52/100,000 compared to 11.9/100,000 for England and Wales. Puerperal sepsis, hemorrhage, post-abortal sepsis and hypertensive disease accounted for 78.5% of the deaths. 12 of the deaths were due to puerperal sepsis, 8 of which had normal...

Low birth-weight is a leading health problem in developing countries. In a randomized controlled trial, the effect of antimicrobials in pregnant women on improving birth-weight and duration of gestation was evaluated. Two hundred twenty-four pregnant women in their second trimester were randomized to receive metronidazole (200 mg 3 times daily for 7 days) and cephalexin (500 mg twice daily for ...

Background: The investigation of severe maternal morbidity (SAMM) and maternal near miss (NM) and associated risk factors is important for the global reduction of maternal mortality. This study investigated the prevalence of SAMM/NM cases and the associated risk factors in two reference maternity hospitals in a capital city in Northeast-Brazil. Methods: A cross-sectional study with a nested cas...

This study investigates the improvement of the prevention of mother-to-child transmission (PMTCT) of Human Immunodeficiency Virus (HIV) in China during 2004-2011. A clinic-based prospective study was conducted among HIV-positive pregnant women and their children in eight counties across China. Associated factors of mother-to-child transmission were analyzed using regression analysis. A total of...

conclusions spinal anesthesia in the sitting position is more associated with significant phdh than that in the left lateral decubitus position for patients undergoing elective caesarian section. background the most common method of anesthesia for cesarean section is spinal anesthesia, and postdural puncture headache (pdph) remains a major complication of this procedure. nowadays, pdph is a maj...

calving records from april 1998 to september 2006 comprising 104,572 calving events from 16 dairy herds of iran were used to analyze the potential effect of dystocia on calf stillbirth and productive traits in iranian holsteins. statistical analyses of production traits were performed using a linear mixed model procedure. also, a logistic regression model was constructed to analyze the effect o...

Background: Abnormal umbilical cord pH can be indicated a distress imposed of newborn and can also be useful in determining the prognosis of the newborn. There are different views about the effect of the neonatal delivery method on the blood gas analysis of the umbilical artery. This study aimed to determine the effect of the method of delivery on umbilical artery pH. Methods: In this Cross-Sec...

INTRODUCTION The Royal College of Obstetricians and Gynaecologists published the "Organisational Standards for Maternity Services" in 1995, in which they proposed that there be a maximum decision-to-delivery time of 30 minutes for urgent caesarean sections (CS). In 1997, our institution established a protocol for extremely urgent ("crash") CS to expedite delivery time and to conform to this sta...