A study of maternal mortality in 8 principal hospitals in Pakistan in 2009

Bano, Naheed; Chaudhri, Rizwana; Yasmeen, Lubna; Shafi, Faiza; Ejaz, Lubna

doi:10.1016/j.ijgo.2011.03.018

Cited by 12 publications

(5 citation statements)

References 16 publications

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“…Similar results were shown by Naheed Bano et al in 8 principal hospitals in Pakistan wherein out of the 108 maternal deaths in 2009, 78% died postnatally, 17.5% antenatally and 4.6% intranatally. 17 A study by Sahaja Kittur et al in Hubli showed that 75% deaths occurred in postpartum period. 18 Among the 90 maternal deaths, & died antenatally.…”

Section: Resultsmentioning

confidence: 99%

Maternal mortality at a tertiary care teaching hospital in Goa, India: A ten years retrospective study

Dsouza¹

2018

jmscr

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Section: Resultsmentioning

confidence: 99%

Maternal mortality at a tertiary care teaching hospital in Goa, India: A ten years retrospective study

Dsouza¹

2018

jmscr

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“…The studies in Pakistan showed the rate between 3.9-6.3%, 11,12 with maternal mortality related to P-Sepsis was between 13-20%. [13][14][15] The available data in Pakistan is limited mainly hospital based data, the criteria of sepsis in also not clear. 16 This study showed that anemia was found in 63% of patients with sepsis, while other studies conducted in a public hospital showed, almost all suffering from anemia and one third of women hemoglobin was less 5g/dl with sepsis.…”

Section: Discussionmentioning

confidence: 99%

Risk factors and Compliance of surviving sepsis campaign: A retrospective cohort study at tertiary care hospital

Yousuf¹,

Malik²,

Saba³

et al. 2021

Pak J Med Sci

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Background and Objective: Sepsis is one of the leading causes of direct maternal mortality in Pakistan. It is recommended that the first three hours after the presentation are crucial. During this time implementation of surviving sepsis campaign resuscitation bundles reduces maternal mortality. Our objective was to assess the factors contributing to puerperal sepsis and the compliance of “surviving sepsis campaign resuscitation bundles in puerperal sepsis” for the management of puerperal sepsis. Methods: This was a retrospective record review for five years from January 2011-December 2015. All women who fulfilled the inclusion criteria of puerperal sepsis were included and data from their files were collected and entered in SPSS version 19.0. Mean and standard deviations were calculated for continuous variables while for categorical variable proportion and percentages were used. Results: This retrospective record review in five years showed the 396 patients had P-sepsis, among them 44 patients had severe sepsis with organ dysfunction. The culture was positive in 26(59%) with trend of E-coli in 9(20%) Among them 12(27%) had serum lactate more than ≥4mmol/L. Central venous pressure monitoring with fluid resuscitation was done as per protocol of survival bundle given to all 12(100%), Vasopressin was needed in half of these patients 6(50%). Amid 44 patients of severe sepsis 29(66%) were admitted to special care, while 15(34%) required intensive care admissions. Our 7(16%) patients failed to survive. All of them had multi-organ failure. Conclusion: There was moderate adherence of modified surviving sepsis campaign resuscitation bundles. Further improvement in compliance is warranted. doi: https://doi.org/10.12669/pjms.38.1.3992 How to cite this:Yousuf F, Malik A, Saba A, Sheikh S. Risk factors and Compliance of surviving sepsis campaign: A retrospective cohort study at tertiary care hospital. Pak J Med Sci. 2022;38(1):---------. doi: https://doi.org/10.12669/pjms.38.1.3992 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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“…In addition to this, delivery of proper health care system and emergency obstetrical care facilities are vital for the prevention of PE/E [73]. Maternal mortality can be reduced with proper peripartum care [29] and skilled care during pregnancy, childbirth, and postnatal period [74]. Assessment of blood lipids is also helpful in the prevention of complications in patients with pregnancy-induced hypertension.…”

Section: Community-based Preventionmentioning

confidence: 99%

A systematic review of the treatment and management of pre-eclampsia and eclampsia in Pakistan

Shaikh¹,

Mir²

2016

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A study of maternal mortality in 8 principal hospitals in Pakistan in 2009

Abstract: Maternal death can be effectively managed by skilled care during pregnancy, childbirth, and the postnatal period.

Cited by 12 publications

References 16 publications

Maternal mortality at a tertiary care teaching hospital in Goa, India: A ten years retrospective study

Maternal mortality at a tertiary care teaching hospital in Goa, India: A ten years retrospective study

Risk factors and Compliance of surviving sepsis campaign: A retrospective cohort study at tertiary care hospital

A systematic review of the treatment and management of pre-eclampsia and eclampsia in Pakistan

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