BACKGROUND Late arrival in hospital by women experiencing pregnancy complications is an important background factor leading to maternal mortality in Nigeria. The use of effective and timely emergency obstetric care determines whether women survive or die, or become near-miss cases. Healthcare managers have the responsibility to deploy resources for implementing emergency obstetric care. OBJEC...

BACKGROUND Maternal near misses occur more often than maternal deaths and could enable more comprehensive analysis of risk factors, short-term outcomes and prognostic factors of complications during pregnancy and childbirth. The study determined the incidence, determinants and prognostic factors of severe maternal outcomes (near miss or maternal death) in two referral hospitals in Uganda. MET...

Antiphospholipid antibodies, that is, lupus anticoagulants and anticardiolipin antibodies, are associated with thrombosis and obstetric complications in the antiphospholipid syndrome. Venous thrombosis occurs mostly in the lower limbs, with or without pulmonary embolism, and cerebral ischemia and transient ischemic attacks are the most common arterial events. Overall, the prevalence of thrombos...

BACKGROUND Genetic and environmental risk factors and gene-environment interactions are linked to higher likelihood of developing schizophrenia in accordance with the neurodevelopmental model of disease; little is known about risk factors and early development in early-onset schizophrenia (EOS) and very early-onset schizophrenia (VEOS). METHODS We present a case-control study of a sample of 2...

OBJECTIVES To study the cases of obstetric hysterectomy over a 5-year period (June 1996-May 2001) in a teaching hospital to determine the incidence, indications and associated complications with a view to suggest ways of improving outcome. METHOD Twenty-six obstetric hysterectomies performed during the study period were analyzed. RESULTS During the study period there were 26 cases of obstetric ...

OBJECTIVE The aim of this study was to identify the relevant obstetric factors for cerebral palsy (CP) after 33 weeks' gestation in Japan. STUDY DESIGN This retrospective case cohort study (1:100 cases and controls) used a Japanese national CP registry. Obstetric characteristics and clinical course were compared between CP cases in the Japan Obstetric Compensation System for Cerebral Palsy da...

PURPOSE We sought to estimate the risks of adverse obstetric outcomes and disease outcomes associated with severe thrombocytopenia in pregnant women with aplastic anemia (AA). METHODS In a retrospective study, we compared demographics, clinical characteristics, laboratory results, and outcomes between severe thrombocytopenia (ST) and non-severe thrombocytopenia (non-ST) groups comprising preg...

Pregnancy is a hypercoagulable state associated with an increased risk of venous thromboembolic disease (VTE). We retrospectively studied 38 Caucasian pregnant women with thrombophilia risk and compared their obstetric outcomes with a matched cohort without known thrombophilia risk during the period between January 2007 and December 2010. There were (2) cases with factor V Leiden, (6) prothromb...

INTERNATIONAL AFFAIRS AND DEVELOPMENT COPELAND, 111, ESKER B.S. FISK UNIVERSITY, 1999 M.P.H. MOREHOUSE SCHOOL OF MEDICINE, 2007 TOWARDS MILLENNIUM DEVELOPMENT GOAL FIVE IN GHANA: AN ANALYSIS OF THE CURRENT SITUATION IN THE AVAILABILITY, UTILIZATION AND OUALITY OF OBSTETRIC CARE Advisor: Professor Art Hansen Thesis dated December 2007 This study uses Millennium Development Goal Indicator 17 alon...

AIM The aim of the study was to investigate health workers' perception of the quality of, and factors which impact provision of quality emergency obstetric care. METHODS This exploratory, descriptive qualitative study was conducted at Mwanza district hospital in Malawi. Qualitative data was obtained through 14 individual in-depth interviews with the health workers involved in the management o...