Background Some women experience unforeseen complications during pregnancy and childbirth, which may be life threatening; their survival depends on intensive support and timely interventions. The aim of this study was to assess the long-term prevalence of adverse health conditions and their impact on quality of life in women who had severe acute maternal morbidity (SAMM). Methods This is a prospective cohort study comprising 43 women with SAMM during 2015 (exposure group) and 43 women who had an uneventful pregnancy and delivery (non-exposure group) during the same study period. Those who consented were given an additional follow-up date for free medical health check at 1 year.
ResultsThe incidence of SAMM during study period was 8.6/1000 births. There were five deaths in the exposure group. Adverse health events were seen in 30 (78.94%) out of 38 survivors. Abnormal lipid profile, thrombocytopenia, cardiac diastolic dysfunction, amenorrhoea, Sheehan and Asherman syndrome were major findings in the exposed group. Four (10.52%) women required re-admission, and eight (20.05%) required additional procedures to confirm screening abnormalities. The exposure group had higher
Refractory ventricular tachycardia (RVT) has been a life-threatening form of arrhythmias. There are many causes reported in literature that are found to trigger RVT. Here, we report a rare cause of RVT. A gentleman under maintenance hemodialysis since 1 year was emplaced with permacatheter since then. He presented with signs and symptoms of RVT, on evaluation, it was found that RVT was caused due to broken permacatheter fragment that was embolized into the right ventricle. It was successfully retrieved through snare loop as an emergency and the RVT was then reverted to normal rhythm. Therefore, in patients undergoing hemodialysis or under treatment with such access devices symptoms of chest pain, irregular heart rhythms or complications like retained catheter must be considered as a part of differential diagnosis, even when substantial time has elapsed after initial catheter access emplacement.
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