Even though rupture of the uterus was rare in our study, its occurrence should be suspected when there are sudden fetal heart abnormalities during labor or unexpected postpartum shock. Suture repair should be considered whenever possible in order to maintain the patient's future fertility.
A retrospective review of obstetric urinary tract injury in Hamad Medical Corporation (HMC) from January 1994 to December 2004 identified 16 cases from 21,337 Caesarean Sections. Diagnosis of bladder injury was immediate but of uretric injury was often delayed. Although the injury rates are lower than previously reported in the literature, 0.0016%-0.94% and 0.029%-0.09% for bladder and uretric injuries respectively compared to 0.07 and 0.01 for bladder and uretric injuries in Qatar; a previous caesarean section still represents the most common predisposing factor for intra-operative bladder injury (17 cases; 0.08%) while only one such injury occurred in a primary caesarean section (0.0047%).
Objective: The purpose of this study is to evaluate the risk of foetal loss attributable to amniocentesis and to assess the experience in technique, successful fluid aspiration in amniocentesis performed in our hospital Study Design: Medical record of 123 women who underwent amniocentesis between September 1996 till March 2002 were reviewed for indication, maternal, age, nationality, maternal age, parity, nationality, gestational age at procedure, physician operator, amniotic fluid reports and pregnancy outcome. Result: Within 30 days of amniocentesis there were tow (2.2%) foetal lossess, 91 patients (74%) for genetic amniocentesis, 32 patients (26%) Rh. Isoimmunization, 4 cases (3.2%) no fluid aspiration and in 10 patients procedure repeated one week later for successful aspiration. Conclusion: Amniocentesis-related total pregnancy loss rate was 2.2%. Successful aspiration of clear amniotic fluid increases with amniocentesis experience.
Background and Objectives: The State of Qatar has achieved maternal, neonatal and perinatal survival rates which are comparable to many high income countries, both from the West and East. Our study aims to analyze obstetric determinants of Qatar's neonatal mortality rate (NMR) during 2011. Methodology: A PEARL study (Perinatal Neonatal Outcomes Research Study in the Arabian Gulf), a joint collaborative research project between Hamad Medical Corporation (HMC), Qatar, and University of Gloucestershire, United Kingdom, is Qatar's prospective national perinatal epidemiological study funded by Qatar National Research Fund. The study is quantifying maternal, neonatal and perinatal mortality, morbidities and their correlates by establishing a national neonatal perinatal registry for Qatar called Q-Peri-Reg. Data on live births and neonatal mortality was collected from all public and private maternity facilities in Qatar during 2011. Data on obstetric determinants was ascertained from maternal obstetric record on predesigned performas. Univariate and multivariate regression analysis was done using Epi Info and SPSS-20. Results: Qatar's NMR during 2011 was 4.9. The relative risk of neonatal mortality was higher and statistically significant with caesarean section delivery (p= 0.003), emergency caesarean section (p <0.001), breech delivery (p <0.001), previous abortion (p= 0.009), previous preterm birth (p= 0.002), and lack of antenatal care (p <0.001). 94% of mothers had antenatal care and 25% of deliveries were by caesarean section. Maternal and paternal age, gravidity, parity, previous stillbirths, maternal BMI at delivery and duration of rupture of membranes did not have any statistically significant correlation with neonatal mortality (Table 1). Conclusion: High level of antenatal care in Qatar appears to have contributed significantly to its improved neonatal survival rates. The high levels of emergency caesarean sections and their association with increased neonatal mortality needs further research.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.