Background & aim:  Self-confidence, as one of the key elements of clinical competence, plays an important role in one’s actions and behaviours. Selection of proper instructional methods influences students’ self-confidence. Therefore, this study aimed to compare the effects of web-based training and educational simulation on midwifery students’ self-confidence in postpartum hemorrhage managemen...

Objective: To identify current treatment strategies for postpartum hemorrhage used by obstetricians (OB/GYNs) and hematologists (HEMs). Study Design: We conducted a survey of OB/GYNs (n = 220) and HEMs (n = 30) to describe the characteristics of current treatment strategies for postpartum hemorrhage. Surveys were administered via a structured questionnaire on a secure internet website from 5 12...

Postpartum hemorrhage (PPH) is the most important single cause of maternal death in both developing and developed countries. It arises from abnormalities in one of four basic processes, with uterine atony being the most common. A multidisciplinary approach to management is important. The value of oxytocin and prostaglandins, including misoprostol, in treatment is discussed. Recently developed, ...

Postpartum hemorrhage is an important cause of maternal morbidity and mortality after delivery. Active management of postpartum hemorrhage by an uterotonic drug decreases the rate of postpartum hemorrhage. The aim of this study is to evaluate the efficacy of rectal misoprostol for prevention of postpartum hemorrhage. This double blind randomized clinical trial was performed on full term pregnan...

abstract the prevalence of bilateral sudden sensorineural hearing loss (ssnhl) is less than 5% and the etiology of most cases is unknown. due to many structural and functional similarities between the kidney and inner ear, many conditions, diseases, and drugs have both renal and cochlear effects and toxicities. there are several reports of ssnhl in patients with crf, uraemic patient, hemodialys...

Backgroun: Caesarean Hysterectomy is an emergency procedure and is performed in the event such as uterine rupture or uncontrollable postpartum hemorrhage. Postpartum hysterectomy can be performed a few hours of normal delivery, instrumental delivery or caesarean section or sometime may be done in puerperium. The objective of this study was to determine the incidence and causes of postpartum hem...

BACKGROUND Massive postpartum hemorrhage is a life threatening obstetric emergency. In order to prevent the complications associated with this condition, an organized and step-wise management protocol should be immediately initiated. METHODS An evidence based management protocol for massive postpartum hemorrhage was implemented at Aga Khan University Hospital, Karachi, Pakistan after an audit...

BACKGROUND Postpartum hemorrhage (PPH) is an important cause of maternal morbidity and mortality especially in the developing countries.,Compared to expectant management, active management decreases the incidence of PPH. OBJECTIVE To compare the effectiveness of rectal misoprostol with intramuscular oxytocin in the prevention of postpartum hemorrhage. METHODS This is a prospective, randomiz...