Maternal Mortality From Caesarean Section in Infected Cases*

Gogoi, M.P.

doi:10.1111/j.1471-0528.1971.tb00288.x

Cited by 15 publications

(4 citation statements)

References 2 publications

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“…Infection looms large as a direct cause of maternal deaths in most reports (2,9,10,12,20). In Rabau and Kornhauser's work on the general Israeli mortality (19), infection ranks as the second highest cause of death.…”

Section: Infectionmentioning

confidence: 99%

Maternal Mortality in an Israeli Hospital: A Review of 23 Years

Kessler

Lancet

Rozenman

1979

Intl J Gynecology & Obste

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In spite of great strides in obstetrics, maternal mortality has been completely eliminated. Possible changes in the causes of mortality are examined for three periods of time (1954-1961, 1962-1971 and 1972-1976). The overall incidence was 3.6/10 000, changing through the three periods from 4.9 to 4.3 and finally to 3.0/10 000. Vascular accidents were the cause of death in almost one third of the cases, emerging as the most important etiologic factor. Older age and higher parity did not seem to influence the incidence of obstetric deaths. Cesarean section was involved in ten of 23 cases in which the death was directly related to the pregnancy and delivery. In six patients there was a rupture of the uterus. The number of preventable deaths has decreased steady, but research into the problem of vascular accidents and dampening of the enthusiasm for cesarean sections may further improve the situation.

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Section: Infectionmentioning

confidence: 99%

Maternal Mortality in an Israeli Hospital: A Review of 23 Years

Kessler

Lancet

Rozenman

1979

Intl J Gynecology & Obste

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“…Other complications of abdominal delivery include sepsis and septic shock, anemia, blood transfusion, wound infection, and burst abdomen, prolonged hospital stay, high cost of care, infertility, aversion to hospital delivery, and caesarean delivery in a subsequent pregnancy, obstetric fistulas, abandonment, and even divorce. Complications that have been attributed directly to fetal destructive vaginal operations include uterine rupture in 2.6-9.1% of cases, postpartum hemorrhage in 4.5%, and cervical and vaginal lacerations in 1.3% [11].…”

Section: Introductionmentioning

confidence: 99%

“…Maternal mortality arising from destructive operations in the management of neglected obstructed labor ranged from 0 to 2.7% when compared to 7.5% for abdominal delivery [11,12]. Certainly, fetal destructive operation is safer than abdominal delivery in neglected obstructed labor with fetal demise provided the uterus has not ruptured and is not at the verge of rupture.…”

Section: Introductionmentioning

confidence: 99%

Incidence, causes, and maternofetal outcomes of obstructed labor in Ethiopia: systematic review and meta-analysis

Ayenew

2021

Reprod Health

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Background Obstructed labor is a preventable obstetric complication. However, it is an important cause of maternal mortality and morbidity and of adverse outcomes for newborns in resource-limited countries in which undernutrition is common resulting in a small pelvis in which there is no easy access to functioning health facilities with a capacity to carry out operative deliveries. Therefore, this systematic review and meta-analysis aimed to estimate the incidence, causes, and maternofetal outcomes of obstructed labor among mothers who gave birth in Ethiopia. Method for this review, we used the standard PRISMA checklist guideline. Different online databases were used for the review: PubMed, Google Scholar, EMBASE, Cochrane Library, HINARI, AFRO Library Databases, and African Online Journals. Based on the adapted PICO principles, different search terms were applied to achieve and access the essential articles. The search included all published and unpublished observational studies written only in the English language and conducted in Ethiopia. Microsoft Excel 16 was used for data entrance, and Stata version 11.0 (Stata Corporation, College Station, Texas, USA) was used for data analysis. Results I included sixteen (16) primary studies with twenty-eight thousand five hundred ninety-one (28,591) mothers who gave birth in Ethiopia. The pooled incidence of obstructed labor in Ethiopia was 12.93% (95% CI: 10.44–15.42, I2 = 98.0%, p < 0.001). Out of these, 67.3% (95% CI: 33.32–101.28) did not have antenatal care follow-up, 77.86% (95% CI: 63.07–92.66) were from the rural area, and 58.52% (95% CI: 35.73– 82.31) were referred from health centers and visited hospitals after 12 h of labor. The major causes of obstructed labor were cephalo-pelvic disproportion 64.65% (95% CI: 57.15– 72.14), and malpresentation and malposition in 27.24% (95% CI: 22.05–32.42) of the cases. The commonest complications were sepsis in 38.59% (95% CI: 25.49–51.68), stillbirth in 38.08% (95% CI: 29.55–46.61), postpartum hemorrhage in 33.54% (95% CI:12.06– 55.02), uterine rupture in 29.84% (95% CI: 21.09–38.58), and maternal death in 17.27% (95% CI: 13.47–48.02) of mothers who gave birth in Ethiopia. Conclusion This systematic review and meta-analysis showed that the incidence of obstructed labor was high in Ethiopia. Not having antenatal care follow-up, rural residency, and visiting hospitals after 12 h of labor increased the incidence of obstructed labor. The major causes of obstructed labor were cephalo-pelvic disproportion, and malpresentation and malpresentation. Additionally, the commonest complications were sepsis, stillbirth, postpartum hemorrhage, uterine rupture, and maternal death. Thus, promoting antenatal care service utilization, a good referral system, and availing comprehensive obstetric care in nearby health institutions are recommended to prevent the incidence of obstructed labor and its complications.

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“…The morbidity and mortality has been found to be considerably lower with craniotomy than with caesarean section. Gogai (1971) has found that the incidence of post‐operative shock was 17% after caesarean section, whereas it was nil after craniotomy and decapitation. Peritonitis occurred in 66% of patients after caesarean section and it was nil after destructive operations.…”

Section: Discussionmentioning

confidence: 99%