Emergency peripartum hysterectomy in the Dubai health system: A fifteen year experience

Tahlak, Muna; Abdulrahman, Mahera; Hubaishi, Nawal M; Omar, Mushtaq; Cherifi, Fatima; Magray, Shazia; Frederick, Carrick

doi:10.4274/tjod.55492

Cited by 6 publications

(2 citation statements)

References 21 publications

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“…A recent publication by Tahlak et al showed that the CS rate has increased in the past 15 years from 1 in every 5 births to 1 in every 3 births. 11 New insurance policies have encouraged the private sectors to develop a more sophisticated management that may be associated with an increase in health care costs.…”

Section: Introductionmentioning

confidence: 99%

Exploring Obstetrical Interventions and Stratified Cesarean Section Rates Using the Robson Classification in Tertiary Care Hospitals in the United Arab Emirates

Abdulrahman

Abdullah

Alaani

et al. 2019

Rev Bras Ginecol Obstet

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Objective The objective of the present study was to explore obstetric management in relation to clinical, maternal and child health outcomes by using the Robson classification system. Methods Data was collected from obstetrics registries in tertiary care hospitals in Dubai, United Arab Emirates (UAE). Results The analysis of > 5,400 deliveries (60% of all the deliveries in 2016) in major maternity hospitals in Dubai showed that groups 5, 8 and 9 of Robson's classification were the largest contributors to the overall cesarean section (CS) rate and accounted for 30% of the total CS rate. The results indicate that labor was spontaneous in 2,221 (45%) of the women and was augmented or induced in almost 1,634 cases (33%). The birth indication rate was of 64% for normal vaginal delivery, of 24% for emergency CS, and of 9% for elective CS. The rate of vaginal birth after cesarean was 261 (6%), the rate of external cephalic version was 28 (0.7%), and the rate of induction was 1,168 (21.4%). The prevalence of the overall Cesarean section was 33%; with majority (53.5%) of it being repeated Cesarean section. Conclusion The CS rate in the United Arab Emirates (UAE) is higher than the global average rate and than the average rate in Asia, which highlights the need for more education of pregnant women and of their physicians in order to promote vaginal birth. A proper planning is needed to reduce the number of CSs in nulliparous women in order to prevent repeated CSs in the future. Monitoring both CS rates and outcomes is essential to ensure that policies, practices, and actions for the optimization of the utilization of CS lead to improved maternal and infant outcomes.Mahera Abdulrahman's ORCID is https://orcid.org/0000-0001-6271-3776. Ã , distribution; ÃÃ semipartial regression; † eta squared is an effect size measure for one-way or factorial ANOVA; ‡ Omega squared (ω2) is a measure of effect size, or the degree of association for a population.

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Section: Introductionmentioning

confidence: 99%

Exploring Obstetrical Interventions and Stratified Cesarean Section Rates Using the Robson Classification in Tertiary Care Hospitals in the United Arab Emirates

Abdulrahman

Abdullah

Alaani

et al. 2019

Rev Bras Ginecol Obstet

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“…The main indications for emergency obstetric hysterectomy are placental abnormalities, uterine weakness, and uterine rupture. 6 , 7 Obstetric emergency hysterectomy can be subdivided into total hysterectomy and subtotal hysterectomy. Although the pros and cons of the two techniques have been investigated, whether subtotal hysterectomy should be performed prior to total hysterectomy remains controversial.…”

Section: Introductionmentioning

confidence: 99%

A retrospective analysis of emergency hysterectomy intervention strategy in obstetrics

Fang

Zhang²,

Zheng³

et al. 2022

Pak J Med Sci

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Objectives: To investigate the indications of obstetric emergency hysterectomy and analyze the clinical effects of subtotal hysterectomy and total hysterectomy. Methods: We included 247 hospitalized women who had undergone abdominal hysterectomy due to obstetric reasons in Fujian Province Maternity and Child Health Hospital (a provincial class-A hospital) and Ningde People’s Hospital (a primary Class-B hospital) between January 2002 and December 2018. We identified surgical indications and clinical characteristics of the patients. Furthermore, the patients from Fujian Provincial Maternity and Child Health Hospital were subdivided into subtotal hysterectomy group and total hysterectomy group to examine general operation conditions, and postoperative complications. Results: The main surgical indications for emergency obstetric hysterectomy in Fujian Maternity and Child Health Hospital were placental implantation (49.6%) and uterine weakness (31.9%), while uterine weakness (37.5%) was the most important indication in Ningde People’s Hospital. No differences were found in operation time, hospitalization time, intraoperative blood loss, postpartum blood loss, and intraoperative fresh frozen plasma transfusion between the subtotal hysterectomy group and the total hysterectomy group. Postoperative test parameters, including postoperative prothrombin time (PT), thrombin time (TT), activated partial thromboplastin time (APTT), hemoglobin (HGB), and hematocrit (HCT), were not significantly different between the two groups. No significant difference was noted in postoperative vesicoureteral injury, pelvic hematoma, infection, and disseminated intravascular coagulation (DIC) incidence, but renal failure incidence was different (P=0.040). Conclusion: The treatment effect of subtotal hysterectomies for the cases without placenta accreta and placenta previa was similar in the two hospitals. There is no statistically significant difference in therapeutic effect between total hysterectomy and subtotal hysterectomy. doi: https://doi.org/10.12669/pjms.38.3.5335 How to cite this:Fang Z, Zhang H, Zheng S, Weng L, Yan J. A retrospective analysis of emergency hysterectomy intervention strategy in obstetrics. Pak J Med Sci. 2022;38(3):---------. doi: https://doi.org/10.12669/pjms.38.3.5335 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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Factors associated with knowledge and practice of optimal breastfeeding among mothers in Dubai

Omar

Hakeem

Kahloon

et al. 2021

Health Planning & Management

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Although breastfeeding has been the primary source of nutrition for infants, many women do not choose to practise breastfeeding due to lack of knowledge, inability to do so or personal choices. This study aimed at determining the breastfeeding practices and examining the sociodemographic factors associated with optimal breastfeeding among mothers attending child welfare clinic at Dubai Health Authority. A structured questionnaire was designed consisting of sociodemographic data, knowledge, attitude and practice towards breastfeeding. The main reasons for not breastfeeding the baby within 30 min after delivery were having had a caesarean section, followed by separation of the baby from the mother. We found better practice among homemakers, non-United Arab Emirates (UAE) and married women, those with less monthly income, and those with standard delivery.There is a need for better education on optimal breastfeeding, especially in UAE national pregnant women, who have had caesarean sections, or having babies admitted in the intensive care unit.

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Emergency peripartum hysterectomy in the Dubai health system: A fifteen year experience

Cited by 6 publications

References 21 publications

Exploring Obstetrical Interventions and Stratified Cesarean Section Rates Using the Robson Classification in Tertiary Care Hospitals in the United Arab Emirates

Exploring Obstetrical Interventions and Stratified Cesarean Section Rates Using the Robson Classification in Tertiary Care Hospitals in the United Arab Emirates

A retrospective analysis of emergency hysterectomy intervention strategy in obstetrics

Factors associated with knowledge and practice of optimal breastfeeding among mothers in Dubai

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