Relevant bibliographies by topics / Obstetric emergency

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Obstetric emergency'

Author: Grafiati
Published: 4 June 2021
Last updated: 11 June 2025

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Journal articles on the topic "Obstetric emergency"

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Jadav, Dr Sunil N., Dr Sakshi Nanda, Dr Ghanshyam Panchal, and Dr Malini R. Desai. "Study of Emergency Obstetric Hysterectomy." International Journal of Scientific Research 3, no. 2 (2012): 341–42. http://dx.doi.org/10.15373/22778179/feb2014/109.

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Axelsson, Ove, Oddvar Bakos, and BengtH Persson. "OBSTETRIC EMERGENCY HYSTERECTOMY?" Lancet 329, no. 8532 (1987): 563. http://dx.doi.org/10.1016/s0140-6736(87)90206-6.

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BASKETT, TF. "Emergency obstetric hysterectomy." Journal of Obstetrics and Gynaecology 23, no. 4 (2003): 353–55. http://dx.doi.org/10.1080/0144361031000119466.

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Chestnut, D. H. "Emergency obstetric hysterectomy." Yearbook of Anesthesiology and Pain Management 2008 (January 2008): 219–20. http://dx.doi.org/10.1016/s1073-5437(08)70957-4.

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Deering, Shad, and Jennifer Rowland. "Obstetric emergency simulation." Seminars in Perinatology 37, no. 3 (2013): 179–88. http://dx.doi.org/10.1053/j.semperi.2013.02.010.

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Daskalakis, George, Eleftherios Anastasakis, Nikolaos Papantoniou, Spyros Mesogitis, Mariana Theodora, and Aris Antsaklis. "Emergency obstetric hysterectomy." Acta Obstetricia et Gynecologica Scandinavica 86, no. 2 (2007): 223–27. http://dx.doi.org/10.1080/00016340601088448.

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Ara, Sarwat, Umbreen Umbreen, and Fouzia Fouzia. "EMERGENCY OBSTETRIC HYSTERECTOMY." Professional Medical Journal 22, no. 01 (2015): 100–105. http://dx.doi.org/10.29309/tpmj/2015.22.01.1417.

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Background: Emergency hysterectomy in obstetric practice is generallyperformed in the setting of life-threatening hemorrhage which fails to be controlled byconservative management. Objective: To review 8 years’ experience of emergency obstetrichysterectomy in a teaching hospital. Study Design: A retrospective descriptive study based onhospital data of 156 patients undergoing emergency Obstetric hysterectomy. Settings: Obs. &Gynae. Department Unit-I, PMC Allied Hospital Faisalabad. Methods: This was a retrospectivereview carried out from March 2004 to Feb 2012 Main outcome measures were frequency,indications, associated risk factors and maternal morbidity and mortality associated withemergency peripartum/obstetric hysterectomy. Results: During 8 years there were total 156(0.38%, 3.8 per 1000) emergency obstetric hysterectomies out of which there were 46 caesarianhysterectomies, 65 post partum, 45 for ruptured uterus with total number of delivery 40062.Number of hysterectomies was 48 in the first 4 years of the study (March 2004- Feb 2008) andduring the last 4 years (March 2008- Feb 2012) it was 108. Maximum obstetric hysterectomieswere in para 3-5 (53.20%) and in 26-30 years age group (35.89%). The most common indicationfor hysterectomy was uterine atony (44.23%) followed by uterine rupture (28.85%), Placentaaccreta (14.745%) and placenta previa (11.53%). The maternal mortality was 6.41% (10patients). In this series 80% patients were referred from other areas. Conclusions: Frequencyof emergency Obstetric hysterectomy is high in our tertiary center and it is continuouslyincreasing due to increased referral of patients. The mortality and morbidity of performingobstetric hysterectomy is higher in patients referred from outside hospital.
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Behera, Ritanjali, and Bibekananda Rath. "Emergency obstetric hysterectomy: a two-year observational study at tertiary care center in Berhampur, Odisha, India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 12 (2019): 4695. http://dx.doi.org/10.18203/2320-1770.ijrcog20195202.

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Background: Emergency obstetric hysterectomy is an unequivocal marker of severe maternal morbidity and, in many respects, the treatment of last resort for rupture uterus, severe postpartum hemorrhage (PPH) and other such life-threatening conditions. In no other gynaecological or obstetrical surgery is the surgeon in as much a dilemma as when deciding to resort to an emergency hysterectomy. On one hand it is the last resort to save a mother’s life, and on the other hand, the mother’s reproductive capability is sacrificed. This study is conducted with an aim to determine the frequency, demographic characteristics, indications, and feto-maternal outcomes associated with emergency obstetric hysterectomy in a tertiary care centre.Methods: We conducted a prospective, observational, and analytical study over a period of two years, from September 2017 till September 2019. A total of 56 cases of emergency obstetric hysterectomy (EOH) were studied in the Department of Obstetrics and Gynecology, MKCG Medical College, Berhampur.Results: The incidence of EOH in our study was 12 following vaginal delivery and 44 following caesarean section. The overall incidence was 56 per 21,128 deliveries. Uterine rupture (37.5%) was the most common indication followed by atonic postpartum hemorrhage (25%) and placenta accrete spectrum (10.7%). The most frequent sequelae were febrile morbidity (25.7%) and disseminated intravascular coagulation (21.4%). Maternal mortality was 17.1% whereas perinatal mortality was 51.7%.Conclusions: A balanced approach to EOH can prove to be lifesaving at times when conservative surgical modalities fail and interventional radiology is not immediately available. Our study highlights the place of extirpative surgery in modern obstetrics in the face of rising rates of caesarean section and multiple pregnancies particularly in urban settings in developing countries.
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Narang, Ridhi, Gurpreet K. Nandmer, and Rekha Sapkal. "Factors affecting post-operative wound gaping and their outcome in obstetrical and gynecological abdominal surgeries." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 4 (2017): 1530. http://dx.doi.org/10.18203/2320-1770.ijrcog20171422.

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Background: Postoperative wound gaping is a very traumatic event both for patient and treating doctor as it adds economical and psychological burden to the patient and the family. This study was conducted with the aim to find out the various factors affecting postoperative wound gaping and their outcome in obstetrical and gynecological abdominal surgeries.Methods: This Retrospective observational study was carried out in the Department of Obstetrics and Gynecology at Peoples College of medical sciences and research Centre, Bhopal, India from 1st May 2014 to 31st October 2015.Results: A total of 1310 patients underwent major obstetrical and gynecological abdominal surgeries, out of which 29 cases developed postoperative wound gaping with the percentage being 2.2%. The rate was found to be higher among the emergency obstetric case (51.7%). Associated risk factors being anemia (72%), obesity (65%), hypoproteinemia (62%) and diabetes (52%) among gynecological surgeries and prolonged rupture of membranes (53%), emergency LSCS and previous LSCS (47%) among the obstetric cases. The common causative organism was found to be E. coli (28.5%) followed by acinetobacter and pseudomonas.Conclusions: Anemia, obesity, hypoproteinemia, diabetes, history of previous surgeries, emergency operations are the high risk factors for wound gaping in both obstetrics and gynecology surgeries. Correction of anemia, diabetes preoperatively, high protein diet and prevention of other risk factors like avoiding prolonged labor, use potent antibiotics in cases of rupture of membrane, timely intervention, provide well equipped wards with clean environment would be rewarding for better outcome of the surgery.
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Awale, Rupali B., Roma Isaacs, Kavita Mandrelle, and Shavinder Singh. "Histopathological examination of emergency obstetric hysterectomy specimens." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 10 (2019): 3889. http://dx.doi.org/10.18203/2320-1770.ijrcog20194348.

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Background: Obstetric hysterectomy is done as a lifesaving procedure in very trying circumstances of life threatening severe hemorrhage. The study was undertaken with the aim to evaluate the relative frequency of hysterectomy done for obstetric indication among the hysterectomy specimens and also to assess the histopathological findings in the hysterectomy specimens.Methods: The study was conducted at a tertiary care center over a period of two and half years. Consecutive specimens of hysterectomy done for obstetrical indication were included. Gross and microscopic findings noted and data analysed. The study was approved by the Institute Ethical Committee.Results: Of the total hysterectomy specimens received obstetrical hysterectomy comprised only 1.3%(12/915) of all the hysterectomies. Patient’s age ranged from 20-36 years; mean 28.6 years. Parity ranged from 1 to 5; mean 2. More multiparous women 91.7%(11/12) had hysterectomies as compared to primiparous 8.3%(1/12) cases (p value <0.0001). All patients had single pregnancy. All (100%) patients underwent surgery through abdominal route with subtotal hysterectomy with preservation of the bilateral adnexae undertaken in most (11/12; 91.7% cases). About 5(41.6%) cases hysterectomies were performed after previous caesarean section and had abnormal placentation. Histopathological examination revealed adherent placenta in 33.4%(4/12), endometritis in 25%(3/12), rupture in 25%(3/12) and histologically unremarkable in 16.6%(2/12) cases.Conclusions: Obstetric hysterectomy is an emergency lifesaving procedure done in situations of uncontrolled post-partum hemorrhage. In recent years with more number of caesarean sections the incidence of abnormal placentation has drastically increased, thus making adherent placenta as the most common histopathological finding.
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Dissertations / Theses on the topic "Obstetric emergency"

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Pitchforth, Emma. "Emergency obstetric care : needs of poor women in Bangladesh." Thesis, University of Aberdeen, 2004. http://digitool.abdn.ac.uk/R?func=search-advanced-go&find_code1=WSN&request1=AAIU178610.

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Background: Ensuring that all women have access to emergency obstetric care (EmOC) in the event of a complication is vital. One well-accepted conceptual model suggests that the three main areas of delay facing women in accessing EmOC are: (1) deciding to seek care; (2) reaching an appropriate health facility; and (3) receiving treatment once at a health facility. This study explores whether poorer women are disadvantaged in receiving treatment once at a health facility. Methods: The mixed-method study is based in a large teaching hospital in Bangladesh. The poverty status of obstetrics patients is assessed and a case note review is conducted for women staying in the hospital longer than 24 hours. Treatment and time waited are then analysed by poverty status. A sub-group of women are followed-up for more indepth interviews after discharge. These interviews explore the experience of women and relatives in using EmOC. Observation and staff interviews are also conducted within the hospital. Findings: Compared to the wider population, the poorest women are not utilising EmOC. Women face considerable costs in receiving treatment but there did not appear to be differences in treatment received by different poverty groups. The main costs were for drugs, blood and other medical supplies. Most families had to sell assets or borrow money to meet these costs. The doctors operated a 'poor fund', which could provide help for the poorest women in immediately life threatening situations. The government funded welfare organization did not operate well in emergency cases. Conclusions: As the provision of EmOC increases, efforts must ensure equitable uptake among women of all socioeconomic status. Sustainable support mechanisms are needed within hospitals as well as community-based programmes promoting uptake of care. Better maternity services and strengthening the role of trained midwives may be important in improving the uptake of EmOC.
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Ameh, Charles. "The effectiveness of emergency obstetric care training in Kenya." Thesis, University of Liverpool, 2014. http://livrepository.liverpool.ac.uk/2008539/.

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Background and introduction: Maternal deaths are highest in low resource countries. Skilled attendance at birth (SBA) and the availability of emergency obstetric care (EmOC) are key strategies to improve maternal health and achieve the millennium development goal number 5. In-service emergency obstetric and newborn care (EmONC) training has been used for many years to improve the quality of skilled attendance at birth and availability of EmOC, however few packages have been properly described and evaluated. There is no published comprehensive evaluation of EmONC in-service training packages in low resourced countries. An evaluation of the effectiveness of an EmONC training intervention in 10 comprehensive EmOC Kenya hospitals was carried out from 2010-2011. Methods: A systematic review was performed based on grading of recommendations assessments development and evaluation (GRADE) guidelines to identify the various EmONC training packages in low and middle income countries, identify literature on the effectiveness of these packages or effectiveness of various components of EmONC training globally. The components of the intervention were training in EmONC, provision of EmOC equipment and supportive supervision. The objective of the intervention was to improve the recognition and treatment of emergency obstetric and newborn complications at all study sites by trained maternity care providers (MCP). A before/after study design and an adapted four level Kirkpatrick framework (level 1: reaction to training, level 2: learning, level 3: behaviour/practice, level 4: EmOC availability, health outcomes and ‘up-skilling’) was used to evaluate the effectiveness of the training package. Mixed research methods (quantitative and qualitative approaches) were used to collect data 3 months before the intervention and at 3 monthly intervals after up to 12 months after the intervention. Quantitative data were analysed using SPSS version 20 and qualitative data was analysed using Nvivo 9. Descriptive statistics and analysis using t-tests were performed for quantitative data (significance in mean difference at 95% confidence) while framework analysis was used for qualitative data. Results: 20 EmONC in-service training programmes implemented in low and middle-income countries were identified. The content of 85% (17) of the programmes identified included EmOC signal functions and 7 programmes were 7 days or more in duration. 50% (10) of the EmONC training packages identified had training reports of which only two studies were evaluated at Kirkpatrick level 3 (behaviour) and there was no evaluation at level 4 (health outcomes) identified. Over 70% of all identified maternity care providers from all 10 hospitals were trained. 83% (328) of the 400 health care workers trained were midwives, 6% (26) were medical doctors, 2% (8) were clinical officers and 3% (11) were obstetricians. At 12 months post training the proportion of MCP trained in each hospital was at least 83% except for Nakuru PGH (23%) and Mbagathi GH (50%). Kirkpatrick level 1: About 95% (380) participants responded to level 1 assessment questionnaire. Trainees reacted positively to all lectures (n=11, mean score was 9.38/100, SD: 0.12) and breakout sessions (n=25, mean score was 9.33/10, SD: 0.14). Kirkpatrick level 2: There was a statistically significant difference between the pre and post training knowledge scores in all modules except preventing obstructed labour 0.10 CI (0.06-0.26) p=0.201. The mean difference between pre and post-test skill scores was statistically significant 3.5 CI (3.3-3.8) P<0.001, n=284. Kirkpatrick level 3: 153 data sources (FGDs, paired interviews, KIIs) were collected over 12 months and analysed. 49% (184) and 129 (34.5%) of health care workers and managers participated. They reported a positive impact of the intervention on communication and teamwork, pre-service midwifery education, reduced treatment time, improved knowledge, skills, improved confidence to perform EmOC, organisation of care and supportive supervision. Availability of EmOC equipment post training and supportive supervisors were factors that facilitated change in practice post training. Barriers to availability of EmOC identified were poor staff deployment and retention policy post training, lack of equipment to perform EmONC, lack of support from obstetricians, senior midwives and nurse/midwifery administrators, lack of training for all MCP (including medical interns, medical officers and staff from lower level health care facilities) and lack of clarity on the scope of practice for nurses/midwives. Kirkpatrick level 4: 16, 764 and 17, 404 deliveries were conducted at baseline and at 12 months post intervention respectively. There was 66.8% increase in obstetric complications recorded and managed at 12 months post training compared to baseline. Health outcome indicators: There was an expected increasing trend for number of complications recorded and treated, availability of SBA and EmOC. There was also an expected decreasing trend in the proportion of newborns admitted to NBU for birth asphyxia, direct obstetric case fatality rate (DOCFR) and stillbirth rate (SBR). There was no change in caesarean section (C/S) rate or Fresh stillbirth rate (FSBR). For the health outcome indicators (DOCFR, SBR, FSBR), when PGH Nakuru was excluded from the analysis, a non-statistically significant reduction but greater effect at 12 months compared to baseline was observed for complications recorded and treated (87.9% vs. 66.8%), DOCFR (47% vs. 35%), SBR (66% vs. 34%) and FSBR (14 vs. 10%). There was 34%, 48%, and 35% mean reduction in the SBR, proportion of newborns admitted to newborn care unit and DOCFR at 12 months post intervention compared to baseline respectively. “Up-skilling” indicators: There was a 53.8%, 80%, 100% mean increase in the proportion of all breech vaginal deliveries, proportion of all vacuum extractions performed and proportion of vacuum extractions performed by non-physician clinicians, at 12 months post intervention compared to baseline. Assisted vaginal delivery by vacuum extraction was the least available EmOC signal function (SF) and medical doctors only performed this SF at baseline. At 12 months post intervention, non-physician clinicians performed this as well, in all study sites. Overall the EmONC training intervention resulted in improved ‘up-skilling’ of maternity care providers, a trend towards improved availability of SBA and EmOC and improved health outcomes. Implications for policy and practice The results of this study are important for designing and implementing evidence based EmONC programmes in resource poor countries. None medical doctors can be ‘up-skilled’, the recognition and management of obstetric and newborn emergencies and the availability of quality EmOC can be improved using similar packages and implementation methods in other resource poor settings. Future research: Evaluation designs that include control groups are needed. Studies to assess the relative importance of supportive supervision for behaviour change after training, the knowledge and skills retention with time post training in resource limited settings should be undertaken.
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Singh, S. "Referral systems and transport for emergency obstetric care in India." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2018. http://researchonline.lshtm.ac.uk/4647889/.

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Background: Institutional delivery rates in India have improved in the past decade, but maternal mortality remains high. The aim of this study was to describe current referral pathways and transport services for pregnant women in the Indian public health sector to identify strategies for strengthening the referral system for emergency obstetric care. Methods: I conducted three literature reviews; a health provider’s KAP survey of staff in primary level public health facilities from two states; analyses of ‘108’ ambulance service data from six states; and telephone interviews of women who called this service in two states. Results: The reviews found no standard protocols or guidelines for referral of women with obstetric high-risk or complications in India, and over half of pregnant women attending primary level health facilities were referred. There was poor quality institution referral care and no studies on the effectiveness of transport interventions. The KAP study found staff had sub-optimal knowledge and practice for screening common high-risk conditions and complications, and low confidence and resources to manage emergency situations. Less than a quarter of pregnancies and institutional deliveries in the study populations used ‘108’ ambulances. Most women called the service for normal labour: only 4.3% had an obstetric emergency and 5.8% were inter-facility transfers. Of pregnant callers to the ‘108’ service, one third reported a high-risk condition or early complication in pregnancy. Women transported using other means were more likely to use private facilities than those transported by ‘108’. Conclusion: The quality of obstetric care at peripheral health centres is suboptimal and the high proportion of referrals could be avoided. The ‘108’ ambulance service is underused, especially in emergency situations. India’s health systems should improve the provision of obstetric care by standardising services at each level of health care. Strategies are required to increase the use of ‘108’ services for obstetric emergencies.
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Banke-Thomas, A. O. "Social return on investment for emergency obstetric care training in Kenya." Thesis, University of Liverpool, 2018. http://livrepository.liverpool.ac.uk/3019150/.

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Background: Globally, there has been increasing interest to demonstrate value-for-money of interventions using various approaches including social return on investment, which is a form of social cost-benefit analysis. This study pioneered its application in maternal and newborn health. Specifically, the methodology was used to assess the social impact and value-for-money of an emergency obstetric care training intervention for health care providers in Kenya. Methods: Qualitative methods and literature review were used to identify key stakeholders who were direct beneficiaries of the training; and map, evidence and financially value its outcomes. These qualitative findings were triangulated with quantitative evidence from existing literature and programmatic data, which helped to establish impact. Quantitative methods were also used to account for the financial investment (input) used to implement the intervention and output produced. Both qualitative and quantitative findings were incorporated into the impact map, to estimate the social return on investment ratio. Sensitivity analyses were done to test assumptions and the pay-back period estimated. Stakeholders who were not deemed direct beneficiaries were engaged to establish strengths, weaknesses, opportunities and threats of the intervention. Results: Multiple numbers of key stakeholders of the training were engaged via 28 focus group discussions, 18 interviews, and three paired interviews. Trained health care providers, women who received care from them and their newborns are training primary beneficiaries. From the thematic analysis, key emerging themes were that training led to positive outcomes including improved knowledge, skills and attitude with patients. However, there were concomitant negative outcomes including increased workload because of new patient expectation and frustration from inability to practise what was learnt. Women had positive opinions concerning the quality of care that they received. They expected positive outcomes including avoiding maternal and newborn morbidity and mortality. However, women affirmed that negative outcomes could occur, attributable to health care providers, themselves or simply due to chance. These outcomes experienced by both health care providers and women who received care from them have been mostly reported in the literature and evidenced from programme data. However, ‘increased workload’ is reported as increased care provision in the literature and ‘increased frustration due to inability to practise what had been learnt following training’ had not been directly linked to training previously. Based on programmatic data, total implementation costs was £1,079,383 for the 2,965 HCPs that were trained across 93 courses. The cost per trained HCP per day was £72.80. The total social impact for one year was valued at £13,747,173.78, with women benefitting the most from the intervention (73%). For beneficiaries, estimation of attribution, duration, and financial value of these outcomes by the beneficiaries was difficult and variable. Though beneficiaries provided insight for subsequent literature search for values. SROI ratio was calculated as £11.02: £1 and net SROI was £10.02: £1. The payback period for the investment was about one month. Based on the multiple one-way sensitivity analyses, the intervention guaranteed VfM in all scenarios except when all the trainers were paid consultancy fees and the least amount of outcomes occurred. Implications for policy and research: SROI provides critical additional insight when used to assess value-for-money of EmOC training. However, there are methodological improvements required. In implementing and researching EmOC training, consideration needs to be given to both intended positive and unintended negative outcomes of the intervention. Evidently, to achieve the best results from training, other factors such as optimal human resource distribution and availability of equipment need to be addressed. Use of volunteer trainers, particularly those who work locally, to deliver the training is a critical driver in achieving value-for-money for investments made.
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Chilopora, Garvey Chiliro. "Clinical Officers in Malawi: Expanding access to comprehensive emergency obstetric care." Master's thesis, University of Cape Town, 2009. http://hdl.handle.net/11427/3035.

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Background: Clinical officers perform much of major emergency surgery in Malawi, in the absence of medical officers. The aim of this study was to validate the advantages and disadvantages of delegation of major obstetric surgery to non-doctors. Methods: During a three month period, data from 2131 consecutive obstetric surgeries in 38 district hospitals in Malawi were collected prospectively. The interventions included caesarean sections alone and those that were combined with other interventions such as subtotal and total hysterectomy repair of uterine rupture and tubal ligation. All these surgeries were conducted either by clinical officers or by medical officers. Results: During the study period, clinical officers performed 90% of all standard caesarean sections, 70% of those combined with subtotal hysterectomy, 60% of those combined with total hysterectomy and 89% of those combined with repair of uterine rupture. A comparable profile of patients was operated on by clinical officers and medical officers, respectively. Postoperative outcomes were almost identical in the two groups in terms of maternal general condition = both immediately and 24 hours postoperatively - and regarding occurrence of pyrexia, wound infection, wound dehiscence, need for re-operation, neonatal outcome or maternal death. Conclusion: Clinical officers perform the bulk of emergency obstetric operations, including complicated procedures, at district (level 1) hospitals in Malawi. The postoperative outcomes of their procedures are comparable to those of medical officers. Clinical officers constitute a crucial component of the health care team in Malawi for saving maternal and neonatal lives given the scarcity of physicians.
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Deboutte, Danielle J. E. "Cost-effectiveness analysis of emergency obstetric services in a crisis environment." Thesis, University of Liverpool, 2011. http://livrepository.liverpool.ac.uk/4453/.

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The study investigated the cost-effectiveness of caesarean section (CS) as the major component of Emergency Obstetric Care (EMOC) in a humanitarian context. Research was conducted from December 2007 until June 2008 in Bunia, in the north-east of the Democratic Republic of Congo. Methods A case-control study explored the factors determining whether a woman had a CS or a vaginal delivery. Cases (n=178) were randomly selected from women who had delivered by CS. Controls (n=180) were women who had delivered vaginally within two weeks of a case and were matched by place of residency. Face-to face interviews in the local language used a structured questionnaire about obstetric and socio-economic factors. Obstetric care was assessed during repeat visits to health structures using checklists. Provider cost of CS was calculated for four hospitals, of which one provided free emergency healthcare. Information about cost allocation to CS was collected from hospital managers, maternity staff, and administrators. Costs were verified with local entrepreneurs, international organisations and UN agencies. The social cost of maternal death was discussed in focus groups, which also obtained user cost information additional to the data from the case-control study. Results CS constituted 9.7% of expected deliveries in the Bunia Health Zone. During the study period, the humanitarian hospital performed 75% of all CS. There were no elective CSs in the study sample. The study found no evidence of obstetric surgery for non-medical reasons. Previous CS and prolonged labour during this delivery were the strongest predictive factors for CS. The risk increased with age of the mother and decreased with the number of children alive. Fifteen obstetric deaths were reported to the research team, three among them were women who had a CS. After adjusting the observed number for missed pregnancy-related and late post-partum deaths, the estimated number of maternal deaths avoided by humanitarian EMOC, compared to expected mortality without additional services, ranged from 20 to 228. Compared to recent estimates for the DRC, perinatal deaths avoided ranged from 237 to 453. Cost-effectiveness was expressed as cost per year of healthy life expectancy (HALE) gained. The estimated cost of adding one year of HALE by providing CSs in a humanitarian context ranged from 3.77 USD to 9.17 USD. Comparison of the cost of EMOC and the social cost of maternal death was complicated by the existence of local customs such as “sororate”. The user capacity to pay for health insurance was found to be low. Conclusion Caesarean sections as part of humanitarian assistance were cost-effective. To keep EMOC accessible during and following the transition from emergency relief to development, a change in the national financing policy for health services is advisable.
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Goodwin, Jami, Rayan A. Elkattah, and Martin Olsen. "Wearable Technology In Obstetrical Emergency Simulation: A Pilot Study." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/ijhse/vol2/iss2/3.

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Background: Medical student involvement in clinical care of obstetrical emergencies is limited. Wearable technology, namely Google Glass, has been used to enhance the simulation experience for trainees at our institution. We present a pilot study that examines the utility of this technology in medical students’ education through remotely-conducted exercises in obstetric emergencies. Materials & Methods: A total of thirteen medical students accepted the opportunity to participate in an obstetric emergencies training exercise with remote monitoring. Students wore the Google Glass device while participating in two simulated obstetrical emergencies: shoulder dystocia and vaginal breech delivery. A remote instructor monitored the students’ performance and gave verbal instructions during the simulation. Students then filled out a questionnaire grading the effectiveness of the exercise. Results: Of all participating students, 55% reported Glass extremely valuable for their education. None reported it as not being valuable. 15% reported that Glass distracted them in their simulation activity. 100% of participants reported it being more than “successful" in its potential to improve emergency obstetric care. 55% reported that Glass or a similar device is “extremely likely” to be incorporated into medicine. None reported that it is unlikely to be used in the future of medicine. Conclusions: Wearable technology has the potential to provide improved learner experience. This technology can be successfully used to provide student exposure to simulated emergencies. Further studies evaluating the participation of students and other learners in simulated obstetrical emergencies are needed to determine how effective wearable technology can become in medical education and ultimately patient care as well.
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Sikder, Shegufta Shefa. "Obstetric complications in rural Bangladesh| Risk factors for reported morbidity, determinants of care seeking, and service availability for emergency obstetric care." Thesis, The Johns Hopkins University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3571743.

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<p><b>Background:</b> In settings such as rural Bangladesh, where the majority of births occur at home, population-based data are lacking on the burden and risk factors for obstetric complications, as well as care-seeking behavior. This dissertation seeks to describe the prevalence and risk factors for obstetric complications, explore factors affecting care seeking for complications, and describe the availability of obstetric care among health facilities in rural Bangladesh. </p><p> <b>Methods:</b> We used extant data from a community-randomized maternal micronutrient supplementation trial which ascertained reported morbidities and care seeking among 42,214 pregnant women between 2007 and 2011 in rural northwest Bangladesh. Multivariate multinomial logistic regression was used to analyze the association of biological, socioeconomic, and psychosocial factors with reported obstetric complications and near misses. Multivariate logistic regression of socioeconomic, demographic, perceived need, and service factors on care seeking was performed. Primary data on availability and readiness to provide obstetric services at 14 health facilities was collected through surveys. </p><p> <b>Results:</b> Of the 42,214 married women of reproductive age, 73% (n=30,830) were classified as having non-complicated pregnancies, 25% (n=10,380) as having obstetric complications, and 2% (n=1,004) with reported near misses. In multivariate analysis, women's age less than 18 years (Relative Risk Ratio 1.26 95% CI 1.14-1.39), obstetric history of stillbirth or abortion (RRR 1.15 CI 1.07-1.22), and neither partner wanting the pregnancy (RRR 1.33 CI 1.20-1.46) significantly increased the risk of obstetric complications. Out of 9,576 women with data on care seeking, 77% sought any care, with only 23% seeking at least one formal provider. Socioeconomic factors and service factors, such as facility availability of comprehensive obstetric services (OR 1.25 CI 1.16- 1.34), improved care seeking from formal providers. Average facility readiness for emergency obstetric care was 81% in private clinics compared to 67% in public facilities (p=0.045). </p><p> <b>Conclusions:</b> These analyses indicate a high burden of obstetric morbidity, with a quarter of women reporting obstetric complications. Policies to reduce early marriage and unmet need for contraception may address risk factors including adolescent pregnancy and unwanted pregnancies. Improvements in socioeconomic factors, coupled with strategies to increase service availability at health facilities, could increase care seeking from formal providers. </p>
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De, Vries Shaheem. "A retrospetive evaluation of the impact of a dedicated obstetric and neonatal transport service on transport times within an urban setting." Master's thesis, University of Cape Town, 2009. http://hdl.handle.net/11427/11848.

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Includes abstract.<br>Includes bibliographical references (leaves 65-73).<br>To determine whether the establishment of a dedicated obstetric and neonatal flying squad resulted in improved performance within the setting of a major metropolitan area. The Cape Town metropolitan service of the Emergency Medical Services was selected for a retrospective review of the transit times for the newly implemented Flying Squad programme. Data were imported from the Computer Aided Dispatch programme. Dispatch, Response, Mean Transit and Total Pre-hospital times, relating to the obstetric and neonatal incidents was analysed for 2005 and 2008.
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Afari, Henrietta A. O. "Improving Emergency Obstetric Referrals: A Mixed Methods Study of Barriers and Solutions in Assin North, Ghana." Thesis, Harvard University, 2015. http://nrs.harvard.edu/urn-3:HUL.InstRepos:15821588.

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Background: Women in developing countries often face serious health risks during pregnancy and delivery due to poor access to early and appropriate referrals. Despite studies that show clear linkages between timely referrals and improved maternal outcomes, challenges still remain in the referral process, particularly in rural communities. Objectives: To investigate baseline referral systems in obstetrics in rural Ghana with a focus on describing barriers, solutions and the value of healthcare workers (HCW) in identifying system based bottlenecks. Design: A mixed methods approach: for the quantitative component, we reviewed health facility registers; for the qualitative section, we used semi-structured interviews to obtain provider narratives. Setting: Referral systems in obstetrics in Assin North Municipal Assembly, a rural district in Ghana. This included 1 district hospital, 6 health centers, and 4 local health posts. This work was embedded in an ongoing quality improvement project in the district addressing barriers to existing referral protocols to lessen delays. Eighteen HCWs (8 midwives, 4 community health officers, 3 medical assistants, 2 ER nurses, 1 doctor) at different facility levels within the district were interviewed for the qualitative section. Results: Between January – June 2012, the leading causes for obstetric referrals to the district hospital were prolonged labor, retained placenta, postpartum hemorrhage, malpresentation of baby, and premature rupture of membranes. From the district hospital to tertiary care hospitals, the leading cause of referrals was severe eclampsia. Delay indicators were not able to be obtained due to poor documentation. From the qualitative study, we identified important gaps in referral processes in Assin North, with the most commonly noted including recognizing danger signs, alerting receiving units, accompanying critically-ill patients, documenting referral cases, and giving and obtaining feedback on referred cases. Main root causes identified by providers were in five domains: 1) individual and socio-cultural factors 2) transportation, 3) communication, 4) clinical skills and management, and 5) standards of care and monitoring, and suggested interventions that target these barriers. Mapping these challenges allowed for better understanding of next steps for developing comprehensive, evidence-based solutions to identified referral gaps within the district. Conclusions: Addressing referral processes may hold better promise for reducing maternal mortality if frameworks for designing solutions target multiple referral challenges concurrently. Providers are an important source of information on local referral delays and should be better engaged in identifying the challenges and in the development of approaches to improvement responsive to these gaps. Similar work is needed to integrate their perspectives with those of patients and their communities.
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Books on the topic "Obstetric emergency"

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Woollard, Malcolm, Kim Hinshaw, Helen Simpson, and Sue Wieteska, eds. Pre-Hospital Obstetric Emergency Training. Wiley-Blackwell, 2009. http://dx.doi.org/10.1002/9781444309805.

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Samantha, Lobis, Fortney Judith, Maine Deborah, et al., eds. Monitoring emergency obstetric care: A handbook. World Health Organization, 2009.

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Bailey, Patsy. Monitoring emergency obstetric care: A handbook. World Health Organization, 2009.

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Borhart, Joelle, ed. Emergency Department Management of Obstetric Complications. Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-54410-6.

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Angelini, Diane J., Donna LaFontaine, Beth Cronin, and Elisabeth D. Howard, eds. Obstetric Triage and Emergency Care Protocols. Springer Publishing Company, 2017. http://dx.doi.org/10.1891/9780826133939.

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Angelini, Diane J., and Donna LaFontaine. Obstetric triage and emergency care protocols. Springer, 2012.

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Obstetric and gynecological emergencies. Jaypee Brothers Medical Publishers(P) LTD, 2012.

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Baskett, Thomas F. Essential management of obstetric emergencies. 3rd ed. Clinical, 1999.

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Essential management of obstetric emergencies. 4th ed. Clinical Press, 2004.

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Essential management of obstetric emergencies. 2nd ed. Clinical, 1991.

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Book chapters on the topic "Obstetric emergency"

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Padumadasa, Sanjeewa, and Prasantha Wijesinghe. "Emergency Obstetric Hysterectomy." In Obstetric Emergencies. CRC Press, 2021. http://dx.doi.org/10.1201/9781003088967-19-19.

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Butts, Christine. "Emergency Obstetric Ultrasound." In Prepare for the Pediatric Emergency Medicine Board Examination. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-28372-8_22.

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Laack, Torrey A. "Obstetric Emergencies." In Emergency Medicine Simulation Workbook. John Wiley & Sons, Inc., 2013. http://dx.doi.org/10.1002/9781118449844.ch8.

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Mansouri, Mohammad, and Ajay Singh. "Imaging of Acute Obstetric Disorders." In Emergency Radiology. Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-65397-6_12.

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Singh, Ajay. "Imaging of Acute Obstetric Disorders." In Emergency Radiology. Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4419-9592-6_12.

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Buscher, Michael, and Jennifer H. Edwards. "Obstetric Emergency Critical Care." In Emergency Department Critical Care. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-28794-8_30.

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Monroy, Aura Meliza Mejia. "Thyroid Emergency and Pregnancy." In Obstetric Catastrophes. Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-70034-8_12.

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Lorini, Ferdinando Luca, and Chiara Viviani. "Obstetric Echocardiography." In Textbook of Echocardiography for Intensivists and Emergency Physicians. Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-99891-6_47.

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Fulda, Gerard J., and Anthony Sciscione. "Obstetric Critical Care." In Surgical Critical Care and Emergency Surgery. John Wiley & Sons, Ltd, 2018. http://dx.doi.org/10.1002/9781119317913.ch23.

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Fulda, Gerard J., and Anthony Sciscione. "Obstetric Critical Care." In Surgical Critical Care and Emergency Surgery. John Wiley & Sons, Ltd, 2012. http://dx.doi.org/10.1002/9781118274231.ch22.

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Conference papers on the topic "Obstetric emergency"

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TVQ, Sá, Aguiar RALP, and Reis ZSN. "Much native data, little longitudinal information: a model of information for the continuity of care, from prenatal assistance to the emergency in maternities." In Simpósio Brasileiro de Computação Aplicada à Saúde. Sociedade Brasileira de Computação - SBC, 2021. http://dx.doi.org/10.5753/sbcas.2021.16059.

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Obstetric caring demands a continuous process of information sharing between health professionals. However, the lack of communication between points of assistance has allowed for an accumulation of local data without the benefits of data interoperability. The study’s objective is to develop an information model with essential obstetric data to foster the continuity of information. An exploratory research involved discussions of fictitious cases of obstetric emergencies and ninety electronic medical records (EMR) were used to validate the model. The minimum antenatal dataset entries was structured into nine sections, and fifty-six data entries. The development of an information model, based on the standard of interoperability, has the potential to overcome the informality of EMR.
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Warella, Y., Sutopo Patria Jati, and Meidiana Dwidiyanti. "The Effectiveness of Collaborative Leadership on Improving Interprofessional Collaboration Practice in the Comprehensive Emergency Obstetric and Neonatal Services." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.04.19.

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ABSTRACT Background: Maternal and infant mortality rates remain high in most developing countries including Indonesia. An approach so called as the interprofessional collaboration (IPC) has been considered to have its potential to improve the emergency obstetric and neonatal care. Little is known about the effectiveness of leadership in enhancing IPC. This study aimed to determine the effectiveness of leadership on improving the IPC in the comprehensive emergency obstetric and neonatal services. Subjects and Method: This was a qualitative study using an embedded case study approach. This study was conducted at PKU Muhammadiyah Gamping Hospital, Yogyakarta, as a type C teaching hospital. The data were collected by observation, in-depth interview, and document review. Results: This study found three themes: (1) collaborative leadership; (2) leadership issues; and (3) stakeholder input. The inter-professional collaboration included doctors, consultant doctors, supervisor, shift coordinator, and nurses in charge of nursing care. The interprofessional collaboration had been implemented. The principle of leadership had supported the interprofessional collaboration. The IPC team had understood and applied the principles of leadership that support the IPC. The leadership attributes on demand for the IPC included visionary, participatory, and coaching. The leadership issues included the difference in advice between doctors. The theme for nurses was improving the quality of interprofesional collaboration. Conclusion: The leadership attributes to improve the interprofessional collaboration include visionary, participatory, and coaching for the comprehensive emergency obstetric and neonatal services. Keywords: interprofessional collaboration, leadership Correspondence: Sulistyaningsih. Faculty of Health Sciences, Universitas ‘Aisyiyah Yogyakarta. Jl. Siliwangi (Lingkar Barat) No. 63 Pundung, Nogotirto, Gamping, Sleman, DIY, Indonesia. Email: sulistyaningsih@unisayogya.ac.id. Mobile: +6281328067154 DOI: https://doi.org/10.26911/the7thicph.04.19
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Sturgeon, Tracey, Huma Ayaz, Kirsty McCrorie, and Kate Stewart. "24 Informed consent in obstetrics: a survey of pregnant women to set a new standard in informed consent for emergency obstetric interventions." In Leaders in Healthcare Conference, Poster Abstracts, 4–6 November 2019, Birmingham, UK. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/leader-2019-fmlm.24.

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Jayanti, Liberata, and Sulistyaningsih Sulistyaningsih. "Obstacles in the Management of Obstetric and Neonatal Emergency Services in Developing Countries: A Systematic Review." In The 6th International Conference on Public Health 2019. Masters Program in Public Health, Graduate School, Universitas Sebelas Maret, 2019. http://dx.doi.org/10.26911/the6thicph.04.73.

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Novita, Winda, and Destanul Aulia. "Relationship of Corporate and Product Images with Utilization of Basic Emergency Obstetric-Neonatal Services in Deli Serdang, North Sumatera." In The 4th International Conference on Public Health 2018. Masters Program in Public Health, Universitas Sebelas Maret, 2018. http://dx.doi.org/10.26911/theicph.2018.04.16.

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REIS, MEILLYNE ALVES DOS, GEOVANA ALVES DA SILVA, NATALIA SILVA DE ANDRADE, et al. "VIOLÊNCIA OBSTÉTRICA: UM OLHAR PARA O CONTEXTO DA PANDEMIA DO COVID-19, SIL?NCIO, BRAMIDO E MEDO." In Brazilian Congress. brazco, 2020. http://dx.doi.org/10.51162/brc.health2020-00022.

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Nos ultimos anos, a emergencia e reemergencia de doencas infecciosas como a COVID-19 (Coronavirus Disease 2019) tem sido alvo de grande preocupacao social em todo o mundo, nao apenas pela letalidade, mas pelo impacto social e economico. Em media, 30.055.710 da populacao mundial apresentou confirmacao para COVID-19. Segundo dados do Sistema Unico de Saude, o indice de casos no Brasil foi de 4.558.068, sendo 5% representados por gestantes e lactentes. Somente a regiao Centro-Oeste notificou 26,4%, dos casos detectados de COVID-19, e Goias 26,8% em gestantes e lactentes. A OMS preconiza que a assistencia ao nascimento deva ocorrer com o minimo possivel de intervencao. Assim, espera-se que a equipe de saude no momento do parto seja capaz de resgatar a fisiologia do parto, incentivar a relacao de harmonia entre os avancos tecnologicos e a qualidade das relacoes humanas, bem como destacar o respeito aos direitos de cidadania. Objetivo: revisar a literatura acerca da producao de conhecimento sobre violencia obstetrica em tempos de pandemia de COVID-19 e elucidar as contribuicoes para o enfrentamento dessa problematica. Metodologia: Trata-se de estudo de revisao da literatura entre novembro de 2019 e 2020, nas bases de dados eletronicas da Biblioteca Virtual de Saude (BVS): Literatura Latino-Americana e do Caribe em Ciencias da Saude (LILACS), Medical Literature Analysis and Retrieval System Online (Medline), e Base de Dados em Enfermagem (BDENF) e na SciELO (Scientific Electronic Library Online). Resultado: Para a redacao final utilizou-se 07 artigos cientificos, que apos analise deram origem a 02 categorias tematicas a saber: COVID-19 e violencia obstetrica: silencio, bramido e medo, e COVID-19 e violencia obstetrica: um olhar para alem da pandemia. Consideracoes Finais: Observou-se que a producao cientifica relacionada a violencia obstetrica tem emergido gradativamente, e tomando proporcoes sombrias nesse periodo de pandemia de COVID-19. Assim, tornam-se prementes intervencoes assertivas que contribuam para garantia dos direitos humanos dessas vulneraveis, com foco na recuperacao da autonomia, prevencao de danos obstetricos, emocionais e fisicos. Almeja-se que os nossos achados contribuam para a universalizacao do cuidado a essas mulheres e sua familia de modo a fornecer condicoes capazes de oferecer os condicionantes para a construcao da possibilidade de superacao das vulnerabilidades que vao alem da COVID-19. Por fim, espera-se que os dados aqui suscitados possam contribuir para que o silencio, bramido e medo gerado pela violencia obstetrica e suas interfaces com a saude sexual e reprodutiva dessas mulheres nao sejam mais relatados.,
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Bacelar-Silva, Gustavo M., Ricardo Filipe Sousa-Santos, and Ricardo J. Cruz-Correia. "Creating openEHR content to different moments of care: Obstetrics emergency scenario." In 2013 IEEE 26th International Symposium on Computer-Based Medical Systems (CBMS). IEEE, 2013. http://dx.doi.org/10.1109/cbms.2013.6627816.

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Reports on the topic "Obstetric emergency"

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Billings, Deborah, Eliana Del Pozo, and Hugo Arevalo. Testing a model for the delivery of emergency obstetric care and family planning services in the Bolivian public health system. Population Council, 2003. http://dx.doi.org/10.31899/rh4.1124.

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Increasing institutional delivery and access to emergency obstetric care services in rural Uttar Pradesh: Implications for behavior change communication. Population Council, 2010. http://dx.doi.org/10.31899/rh2.1045.

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