BACKGROUND There is growing support for umbilical cord blood gas analysis (UCBGA) to be conducted at delivery. A recent study in a tertiary level obstetric unit found that universal UCBGA was associated with improved perinatal outcomes, but there is less evidence of benefit in lower-risk environments. In such settings, lactate analysis may be a suitable alternative. AIMS This study evaluated ...

Renal cortical necrosis is an uncommon cause of acute renal failure. We report 23 cases of biopsy-proven renal cortical necrosis which constituted 6.3% (23/363) of all cases of acute renal failure studied over a period of seven years (1985-92). The patients were divided into two groups: obstetric and non-obstetric. Obstetric complications were responsible for renal cortical necrosis in 15 (65.2...

Study evaluated criteria-based clinical audit in measuring and improving quality of obstetric care for five life-threatening obstetric complications: obstetric haemorrhage, eclampsia, genital tract infections, obstructed labor and uterine rupture. Clinical management of 65 patients was audited using a 'before (Phase I) and after (Phase II)' audit cycle design using standard criteria. Following ...

headline 16.1. There were 14 cases of AAGA during obstetric general anaesthesia reported to NAP5. Obstetric cases account for 0.8% of general anaesthetics in the NAP5 Activity Survey but ~10% of reports of AAGA to NAP5, making it the most markedly over-represented of all surgical specialties. Most reports of AAGA occurred after Caesarean section, but a number of cases were reported following ob...

Background. Since cryoprecipitate, fibrinogen concentrate, or recombinant activated factor VII is not approved by public medical insurance in Japan, we retrospectively assessed blood product usage in patients with obstetric hemorrhage at our tertiary obstetric center. Material and Methods. 220 patients with obstetric hemorrhagic disorders who underwent blood product transfusion in our instituti...

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...

Objective. We investigated the effects of the centralization of obstetricians and obstetric care facilities on the perinatal mortality rate in Japan. Methods. We used the Gini coefficient as an index to represent the centralization of obstetricians and obstetric care facilities. The Gini coefficients were calculated for the number of obstetricians and obstetric care facilities of 47 prefectures...

OBJECTIVES To understand the factors influencing the decisions of rural general practitioners and GP registrars to practise obstetrics, and to understand the impact on these decisions of an innovative obstetric training and support program in the Gippsland region of Victoria. DESIGN, SETTING AND PARTICIPANTS Qualitative approach using semistructured interviews conducted in July and August 201...

THE Society for Obstetric Anesthesia and Perinatology was founded in 1968 to provide a forum for the discussion of problems unique to the peripartum period. The “What’s New in Obstetric Anesthesia” Lecture was established in 1975 at the annual meeting of the society to update members of the relevant literature published in the previous calendar year. In 1995, this lecture was renamed the “Gerar...

Pregnant and postpartum patients represent a challenge to critical care physicians, as two patients in one have to be cared for and because specific obstetric disorders, not universally covered in formal critical care training, need to be managed. Pregnancy also alters physiologic norms, so that the critical care physician may either fail to recognize a value as abnormal in pregnancy or mistake...