Uterine Artery Laceration after Vacuum Delivery

Costa, Susana Correia; Pinto, Pedro Viana; Morgado, Paulo Vilares; Montenegro, Nuno

doi:10.20344/amp.13399

Acta Med Port

2021

DOI: 10.20344/amp.13399

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Uterine Artery Laceration after Vacuum Delivery

Susana Correia Costa¹,

Pedro Viana Pinto²,

Paulo Vilares Morgado³

et al.

Abstract: Post-partum hemorrhage is one of the leading causes of maternal mortality and it’s etiology needs to be identified in order for adequate treatment to be provided. We report a case of a post-partum hemorrhage in a multiparous woman treated with selective coil packing embolization after identification of laceration of the right uterine artery’s ascending branch. The patient was admitted to an intensive care unit in hemorrhagic hypovolemic shock and disseminated intravascular coagulation and underwent total hyste… Show more

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2022

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How to prevent sepsis in Mozambican primary health care: a literature review

Pires

2022

Preprint

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INTRODUCTION Sepsis is a life-threatening organ dysfunction caused by a dysregulated host response to infection and is worldwide one of the leading causes of infant mortality and the third most frequent direct cause of maternal mortality. Organised and systematic assessment is crucial to identify sepsis early, when signs and symptoms may still be very subtle, as this is when there are most opportunities for interventions. But the World Health Organization has already found that antimicrobial resistance of pathogens responsible for common infections is extremely high. OBJECTIVE To identify strategies and interventions to reduce the occurrence of sepsis in primary health care. METHOD Bibliographic review of references available at the Family and Community Medicine Resource Centre of the Medical Residencies Committee of the Faculty of Health Sciences of Lúrio University. Two keywords were used (septicaemia, sepsis) and 5 books and 62 articles were selected, 17 were excluded and 45 articles and 5 books were referred to. RESULTS The 50 reviewed publications show a long list of conditions and procedures at the origin of sepsis. Likewise, its signs, symptoms and complications are multiple and diverse, also depending on its cause. Reducing the occurrence of this pathology can be achieved with general, public health recommendations as well as specific measures aimed at controlling the different risk factors. CONCLUSION The incidence of sepsis has decreased, but it remains a major cause of maternal and neonatal death. There are effective public health measures to reduce its occurrence, which should be implemented by the National Health Service. Strict aseptic rules, a thorough and targeted anamnesis in risk groups, as well as a high level of quaternary prevention and health education for patients and families are recommended for the doctor.

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How to prevent sepsis in Mozambican primary health care: a literature review

Pires

2022

Preprint

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Uterine Artery Laceration after Vacuum Delivery

Cited by 1 publication

References 13 publications

How to prevent sepsis in Mozambican primary health care: a literature review

How to prevent sepsis in Mozambican primary health care: a literature review

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