Maternal mortality: a tertiary care hospital experience in Upper Egypt

Abbas, Ahmed M.; Amin, Mariam; Ali, Shahzad; Salem, Neima Z.

doi:10.18203/2320-1770.ijrcog20161306

Cited by 14 publications

(19 citation statements)

References 11 publications

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“…In spite of the declining maternal mortality ratio in present hospital, postpartum hemorrhage still represents a major cause of maternal mortality and PP contributes significantly to those cases. 24 In the present study congenital anomalies were reported in 5 neonatal cases (1.0%). This is smaller than what is reported by Kancher et al, 2015 who found 6.2% of women with PP delivered a singleton infant with a major congenital malformation, compared with 3.8% of unaffected women.…”

Section: Discussionsupporting

confidence: 49%

Maternal and neonatal outcomes of placenta previa and accreta at Assiut women’s health hospital, Egypt

Zakherah

Abdel-Aziz

Othman

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Background: The aim of the current study was to estimate the incidence of placenta previa (PP) and accreta (PA) in the period from January 2015 to December 2016 at Women’s Health Hospital, Assiut University, Egypt and to evaluate the maternal and neonatal outcomes.Methods: The study included all cases of PP with or without suspicion of accreta who were diagnosed preoperatively by ultrasound at Women’s Health Hospital, Assiut University. Maternal and neonatal outcomes were evaluated. All intraoperative and postoperative data were reported. The obtained data was analyzed by means of SPSS software (version 22.0) and p<0.05 was taken as the significant level.Results: Total number of deliveries was 29027 cases. The number of cases of PP was 494 cases making an incidence of 1.7%, among them 95 cases were confirmed during surgery to be accreta (0.33%). Uterine artery ligation was carried out 300 cases (60.7%) of cases while cesarean hysterectomy was performed in 56 cases (11.3%). Bladder injury occurred in 58 cases (11.7%), ureteric injury occurred in 6 cases (1.2%), colon injury occurred in 1case (0.2%) and vascular injury occurred in 2 cases (0.4%). Maternal mortality was 4 cases (0.8%). The mean gestational age was 34.73 ± 2.8 weeks. Also, over the two years there were 148 neonatal cases (29.9%) needed assisted ventilation in the form of ambu bag or endotracheal intubation gestation. NICU admission needed in 109 neonatal cases (22.06%) and neonatal mortality reported in 18 neonates (3.6%).Conclusions: The incidence of both PP and PA is very high in our locality due to increase CS rate.

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Section: Discussionsupporting

confidence: 49%

Maternal and neonatal outcomes of placenta previa and accreta at Assiut women’s health hospital, Egypt

Zakherah

Abdel-Aziz

Othman

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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“…28 Additionally, 5.2% of all cases of maternal mortality were teenage mothers. 29 This is considered a catastrophic consequence of pregnancy and delivery complications in those young age women.…”

Section: Teenage Pregnancymentioning

confidence: 99%

The maternal and neonatal outcomes of teenage pregnancy in a tertiary university hospital in Egypt

Abbas

Ali

et al. 2017

Proc Obstet Gynecol

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“…17 UR was reported to account for 4% of maternal mortality in our tertiary hospital in a previous study. 18 This high percentage indicates the magnitude of this problem if missed diagnosis or late intervention was performed.…”

Section: Proceedings In Obstetrics and Gynecology 2017;7(3):6mentioning

confidence: 99%

A rare case of posterior uterine rupture with neonatal survival during trial of vaginal birth after cesarean section

Abbas

Michael

Nagy

2017

Proc Obstet Gynecol

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Maternal mortality: a tertiary care hospital experience in Upper Egypt

Cited by 14 publications

References 11 publications

Maternal and neonatal outcomes of placenta previa and accreta at Assiut women’s health hospital, Egypt

Maternal and neonatal outcomes of placenta previa and accreta at Assiut women’s health hospital, Egypt

The maternal and neonatal outcomes of teenage pregnancy in a tertiary university hospital in Egypt

A rare case of posterior uterine rupture with neonatal survival during trial of vaginal birth after cesarean section

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