OBJECTIVE To estimate the incidence and predictors of severe obstetric morbidity. DESIGN Development of definitions of severe obstetric morbidity by literature review. Case-control study from a defined delivery population with four randomly selected pregnant women as controls for every case. SETTING All 19 maternity units within the South East Thames region and six neighbouring hospitals ca...

Massive acute thymic haemorrhage in the neonate occurs extremely rarely and is associated with haemorrhagic disease of the newborn. A 30 year old woman with an unremarkable previous obstetric history presenting at 37 weeks and 4 days gestation with the complaint of loss of fetal movement was found to have a male fetus with findings at necropsy of massive acute thymic haemorrhage, acute intracra...

OBJECTIVE To examine whether changes in postpartum haemorrhage, hypertensive disorders of pregnancy, or other risk factors explain the increase in obstetric acute renal failure in Canada. DESIGN Retrospective cohort study. SETTING Canada (excluding the province of Quebec). PARTICIPANTS All hospital deliveries from 2003 to 2010 (n=2,193,425). MAIN OUTCOME MEASURES Obstetric acute renal f...

Obstetric haemorrhage is a leading cause of maternal morbidity and mortality and sometimes the patients require anaesthesia in the course of treatment. A Para 3 Nigerian who delivered outside the hospital was rushed in to the hospital in a shocked state following a major obstetric haemorrhage. She was immediately resuscitated and general anaesthesia administered for hysterectomy. Anaesthesia wa...

Background: Obstetric patients form a particular subgroup of population to intensive care admission. Pregnancy specific problems like pre-eclampsia, postpartum haemorrhage or deterioration pre-existent conditions can be sudden and life threatening, requiring immediate management monitoring. The main objective was determine the pattern outcome obstetric admissions unit. Methods: It retrospective...

Objective. This study was carried out to determine the pattern of obstetric emergencies and its influence on maternal and perinatal outcome of obstetric emergencies at the Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu, Nigeria. Method. A retrospective study of obstetric emergencies managed over a three-year period at Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu,...

 Sheehan’s syndrome (SS) refers to the occurrence of varying degree of hypopituitarism after parturition (1). It is a rare cause of hypopituitarism in developed countries owing to advances in obstetric care and its frequency is decreasing worldwide. However, it is still frequent in underdeveloped and developing countries. Sheehan’s syndrome is often diagnosed late as it evolves slowly (2,3). Re...

OBJECTIVE To estimate the cost to the health system of obstetric complications due to female genital mutilation (FGM) in six African countries. METHODS A multistate model depicted six cohorts of 100,000 15-year-old girls who survived until the age of 45 years. Cohort members were modelled to have various degrees of FGM, to undergo childbirth according to each country's mortality and fertility...