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obstetric emergencies: Frequency, Socio-Demographic Aspects and Risk Factors at the Labe Regional Hospital Maternity Unit (Guinea)

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Open Journal of obstetrics and Gynecology 2023年第11期13卷 1849-1858页

作者： Ibrahima Conté Ibrahima Sylla Ousmane Baldé Aboubacar Fodé Momo Soumah Abdourahamane Baldé Oumou Hawa Bah Ibrahima Sory Baldé Abdoulaye Bademba Diallo Telly Sy Department of obstetrics and Gynaecology Ignace Deen National Hospital University Hospital Centre Conakry Guinea Department of obstetrics and Gynaecology Donka National Hospital University Hospital Centre Conakry Guinea Department of obstetrics and Gynaecology Labé Regional Hospital Labé Guinea

Introduction: obstetric emergencies are clinical situations of a serious nature, often dangerous, which develop unexpectedly, threatening the vital prognosis of the mother and/or foetus in the short term. The aim of this study was to contribute to a review of obstetric emergencies at the Labé Regional Hospital maternity unit. Methods: This was a prospective descriptive and analytical study conducted over a period of 6 months in the maternity unit of the Labé Regional Hospital. It concerned all patients admitted to the department for obstetric emergencies. Results: obstetric emergencies accounted for 20% of obstetric admissions. The mean age of the patients was 25.12 ± 7.15 years, with extremes of 14 and 45 years. The patients were housewives (42.52%), 42.86% did not attend school and 77.41% were from urban areas. The poor were the most numerous (43.52%). The ambulance was the means of transport in only 9% of cases. Acute foetal distress, pre-eclampsia, bony dystocia and post-partum haemorrhage were the most common types of emergency in our series, with frequencies of 27.57%, 22.59%, 17.94% and 10.63% respectively. The risk factors identified were age, origin, gestational age and the state of the maternal pelvis. Conclusion: obstetric emergencies are frequent in our study site and represent a major concern for patients, providers and the community alike. In order to reduce the frequency of obstetric emergencies, young girls should be enrolled in school, the legal age for marriage should be respected, quality antenatal care should be provided in basic health facilities, and proper planning and spacing of pregnancies should be implemented.

关键词： obstetric emergencies Frequency Risk Factors Labé

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Referral and counter-referral practices in obstetric emergencies among health-care providers in selected health facilities in Plateau state,Nigeria

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Journal of Integrative Nursing 2022年第3期4卷 127-136页

作者： Alberta David NSEMO Samuel Mahan Zakka MALAU Idang Neji OJONG Department of Nursing Science University of CalabarCalabarCross River StateNigeria Department of Midwifery College of Nursing and MidwiferyVomPlateau StateNigeria

Objective:This study aimed to examine the referral and counter-referral practices in obstetric emergencies among health-care providers in selected health facilities in Plateau state of *** and Methods:A concurrent embedded descriptive mixed method consisting of both quantitative and qualitative methods was adopted for the ***(104)were recruited using multistage sampling and 8 participants using purposive sampling techniques for quantitative and qualitative aspects of the study,*** three-phase delay model directed the study.A self-developed structured questionnaire and an in-depth interview guide were used to elicit quantitative and qualitative responses from the *** instrument was tested for reliability,while the qualitative instrument went through the rigors of qualitative ***:Findings revealed low level of referral and counter-referral practices as only 19(18.27%)and 30(28.85%),respectively,of care providers referred patients above 10 times in a *** study also revealed inadequate human and material resources for referrals and *** mean on barriers to referral was 2.90,which was above the cutoff of mean of 2.50,which indicates that the barriers are militating against referral and counter-referral in obstetric ***:Low levels of referral and counter-referral practices are identified with inadequate resources among others posing as ***,provision of standard operational procedures/protocols in every health-care facility as well as provision of adequate material and skilled human resources among others is recommended to enhance referral and counter-referral network in obstetric *** is also a need for teamwork and synergy among all stakeholders in the referral chain.

关键词： Challenges counter‑referral health‑care facilities health‑care providers obstetric emergencies practices referral

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The Place of Blood Transfusion in the Management of obstetric emergencies in the Gynaecology and obstetrics Department of the Reference Health Center of Fana (Mali)

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Open Journal of obstetrics and Gynecology 2023年第4期13卷 780-791页

作者： Keita Sema Kone Bokary Sidi Fané Seydou Sylla Cheickna Samake Youssouf Traoré Momine Traoré Solomane Haidara Ramatoulaye Diabate Abdrahamane Sylla Yacouba Keita Mamadou Coulibaly Mahamoudou Haidara Mamadou Haidara Dramane Camara Daouda Fomba Dramane Kampo Mamadou Maiga Boubacar Dembele Sitapha Seydou Z. Dao Sanogo Siaka Amara obstetrics and Gynecology Department Fana Reference Health Centre Koulikoro Mali Mohamed VI Mother-Child Polyclinic in Bamako Bamako Mali Department of obstetrics and Gynecology Gabriel TOURE University Hospital Bamako Mali Department of Gynecology and obstetrics Reference Health Centre of Koulikoro Koulikoro Mali Diola Reference Health Centre Dioila Mali obstetrics and Gynecology Department Reference Health Centre of Commune I Bamako Mali obstetrics and Gynecology Department Commune VI Reference Health Centre Bamako Mali Department of Gynecology and obstetrics Kalaban Coro Reference Health Centre Bamako Mali Department of Gynecology and obstetrics Kati Reference Health Centre Kati Mali obstetrics and Gynecology Department Marakala Reference Health Centre Markala Mali Department of obstetrics and Gynecology Timbuktu Hospital Timbuktu Mali National Blood Transfusion Centre Bamako Mali Department of obstetrics and Gynecology Fousseyni Daou Hospital Kayes Mali obstetrics and Gynecology Department Reference Health Centre of Commune II Bamako Mali

This is a prospective and descriptive study carried out at the gynecology and obstetrics department of the reference health center of Fana from 01 May 2019 to 30 November or 7 months. The main objective was to study the role of blood transfusion in the management of obstetric emergencies. During the study period we recorded 434 cases of obstetric emergencies of which 116 cases required an emergency blood transfusion or 26.73%. The most frequently found indications for blood transfusion are hemorrhages of the immediate postpartum 46.6% followed by severe malaria on pregnancy 27.6%. Blood remains the most prescribed and available Labile blood product in the department. Maternal prognosis was improved in 92.2%.

关键词： obstetric emergencies Blood Transfusion Hemovigilance

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Management of obstetric emergencies in a Tertiary Hospital in Cameroon: A Milestone for End of Preventable Maternal Deaths

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Open Journal of obstetrics and Gynecology 2020年第12期10卷 1749-1762页

作者： Robert Tchounzou Theophile Nana Njamen Alphonse Nyong Ngalame Vanessa Baleba Inna Rakya Darolles Mwadjie Wekam André Gaetan Simo Wambo Humphry Neng Tatah Diane Estelle Kamdem Moustapha Bilkissou Félix Adolphe Elong Dominique Djomo Tamchom Julie Ngo Batta Emile T. Mboudou Douala Gynaeco-obstetric and Paediatric Hospital Douala Cameroon Faculty of Health Sciences University Buea Buea Cameroon Douala General Hospital Douala Cameroon Faculty of Medicine and Biomedical Sciences of Ngaoundere Garoua Cameroon Regional Hospital Limbe Limbe Cameroon Regional Hospital Buea Buea Cameroon Faculty of Medicine and Biomedical Sciences University of Yaounde I Yaounde Cameroon

Background: Maternal mortality was insufficiently reduced in Cameroon in 2015 despite the adoption of Millennium development goals. To tackle the situation and meet the sustainable Millennium goals target of 140/100,000 live births by 2030, the Government adopted the strategies of building reference hospitals where high quality obstetric care, timely and optimal management of obstetric emergencies will be offered. The objective of this study was to describe the patterns of obstetric emergencies in Douala Gynaeco-obstetric and Paediatric Hospital, evaluate the outcomes of their management and the contribution to maternal mortality. Patients and Methods: 418 patients with obstetric emergencies were included in a two-phase cross-sectional study. Data were retrieved from patients’ case notes during the retrospective phase and a questionnaire filled for each case received during the prospective phase. Patterns of obstetric emergencies were determined and for each, the following were analysed: patient managed in this hospital or referred from other hospitals, management according to hospital guidelines, timi

关键词： obstetric emergencies Tertiary Hospital Maternal Outcome Maternal Death

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Patient care during interfacility transport:a narrative review of managing diverse disease states

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World Journal of Emergency Medicine 2023年第1期14卷 3-9页

作者： Quincy K.Tran Francis O’Connell Andrew Hakopian Marwa SH Abrahim Kamilla Beisenova Ali Pourmand Department of Emergency Medicine University of Maryland School of MedicineBaltimore 21201USA Program in Trauma the R Adams Cowley Shock Trauma CenterUniversity of Maryland School of MedicineBaltimore 21201USA Department of Emergency Medicine George Washington University School of Medicine and Health SciencesWashington DC 20037USA

BACKGROUND:When critically ill patients require specialized treatment that exceeds the capability of the index hospitals,patients are frequently transferred to a tertiary or quaternary hospital for a higher level of ***,appropriate and efficient care for patients during the process of transport between two hospitals(interfacility transfer)is an essential part of patient *** medical adverse events may occur during the interfacility transfer process,there have not been evidence-based guidelines regarding the equipment or the practice for patient care during ***:We conducted searches from the PubMed,Cumulative Index of Nursing and Allied Health(CINAHL),and Scopus databases up to June *** reviewers independently screened the titles and abstracts for *** that were not in the English language and did not involve critically ill patients were ***:The search identified 75 articles,and we included 48 studies for our narrative *** studies were observational ***:The review provided the current evidence-based management of diverse disease states during the interfacility transfer process,such as proning positioning for respiratory failure,extracorporeal membrane oxygenation(ECMO),obstetric emergencies,and hypertensive emergencies(aortic dissection and spontaneous intracranial hemorrhage).

关键词： Critically ill patients Interfacility transfer Interhospital transfer Extracorporeal membrane oxygenation obstetric emergencies Hypertensive emergencies

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obstetrical emergencies in Ouahigouya Regional Teaching Hospital (Burkina Faso) in the Context of Insecurity Linked to Armed Groups: A Comparative Study between Patients from Precarious Security Zones and Those from Safe Areas

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Open Journal of obstetrics and Gynecology 2023年第3期13卷 414-426页

作者： Sansan Rodrigue Sib Evelyne Komboïgo Moussa Sanogo Abdoulaye Diallo Issa Ouedraogo David Ouedraogo Ali Ouedraogo Department of obstetrics and Gynecology Regional Teaching Hospital of Ouahigouya Ouahigouya Burkina Faso Department of obstetrics and Gynecology and Reproductive Medicine Souro Sanou Teaching Hospital Bobo Dioulasso Burkina Faso Mother and Child Unit Schiphra Hospital Center Ouagadougou Burkina Faso Department of obstetrics and Gynecology Yalgado Ouedraogo Teaching Hospital Ouagadougou Burkina Faso

Introduction: Insecurity can be an obstacle to access to emergency obstetric and newborn care, that is why we proposed to study obstetrical emergencies in Ouahigouya Regional Teaching Hospital, a referral hospital in a region plagued by insecurity linked to armed groups. Method: This was an analytical cross-sectional study with prospective data collection over a 4-month period, from June 10 to October 10, 2020. Patients from precarious security areas were compared to those from safer areas. The Chi squared and Fisher tests were used for comparison of variables. Results: obstetric emergencies accounted for 38.62% of admissions, from which 25.59% came from precarious security zones. Age was similar in both comparison groups. However, patients from unsafe areas were more likely to reside in rural areas (p 0.001) and more likely to be in unpaid occupations (p 0.001). Prenatal visits were less frequent (p 0.01) and women were more often multigravidae (p 0.01) in the precarious security group of patients. Apart from the more frequent uterine rupture (p = 0.02) in the group from precarious security zones, diagnosed complications and maternal mortality were similar in the 2 groups, while perinatal mortality was higher in the group of patients from precarious security zones (p 0.01). Conclusion: The precarious security situation has negative consequences on maternal and perinatal morbidity and mortality. Further studies are needed for better understanding of these consequences, and improvement of health system resilience strategies, to reduce related maternal and fetal morbidity and mortality.

关键词： obstetric emergencies obstetric Complications Insecurity Armed Conflicts Ouahigouya

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Point of care ultrasonography as the new“Laennec Sthetoscope”

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World Journal of Nephrology 2024年第1期13卷 6-8页

作者： Ernesto Sabath Renal and Metabolism Unit Hospital General de QuerétaroQueretaro 76180Mexico

Point of care ultrasonography(POCUS)has evolved to become the fifth pillar of the conventional physical examination,and use of POCUS protocols have significantly decreased procedure complications and time to ***,lack of experience in POCUS by preceptors in medical schools and nephrology residency programs are significant barriers to implement a broader *** rural and low-income areas POCUS may have a transformative effect on health care management.

关键词： Point-of care ultrasonography Central venous catheter Internal medicine obstetric emergencies Medical training

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