Maternal death in the 21st century: causes, prevention, and relationship to cesarean delivery

Clark, Steven L.; Belfort, Michael A.; Dildy, Gary A.; Herbst, Melissa; Meyers, Janet A.; Hankins, Gary D.V.

doi:10.1016/j.ajog.2008.03.007

Cited by 521 publications

(309 citation statements)

References 19 publications

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“…[2][3][4] In one of the studies, hemorrhage during pregnancy accounted for 34% of maternal deaths in Africa. 5 Many maternal deaths can be saved by building up hemoglobin, as incidence of anemia in India during pregnancy is still as high as 65-75% as reported by WHO 6 and timely blood transfusion can reduce maternal mortality rates.…”

Section: Introductionmentioning

confidence: 99%

Blood transfusion practices among delivery cases: A retrospective study of two years

Kathpalia

Chawla²,

Harith³

et al. 2016

Medical Journal Armed Forces India

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m e d i c a l j o u r n a l a r m e d f o r c e s i n d i a 7 2 ( 2 0 1 6 ) s 4 3 -s 4cations hence the blood transfusion practices should be streamlined and adhered to and reviewed periodically. This retrospective study was undertaken at one of the tertiary care hospital to find out the blood demand and utilization practices among the delivery cases and suggest measures if any to improve the existing practices. Methods:The study was performed over two years; normal standard practice like in any other hospital is being followed. Urgent blood demand is requisitioned whenever there is an emergency like a patient having post partum hemorrhage or abruptio placenta etc. Blood demand forms, blood administration and delivery records were checked and analyzed.Results: 121 cases were given blood transfusion indicating the incidence as 2.67% among total delivery cases, blood transfusion among elective CS cases was 1.58% and 3.84% in emergency cesarean section; 2.82% of vaginal delivery were given blood transfusion for various unforeseen indications. Conclusion:In spite of taking all measures hemorrhage can still occur at times so perilous that it must be managed energetically and promptly. The mode of delivery has some influence on blood transfusion. It is suggested that blood demand could be restricted only to high risk cases both for normal delivery and CS. This will reduce the work load on blood banks and there by improve efficiency. #

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Section: Introductionmentioning

confidence: 99%

Blood transfusion practices among delivery cases: A retrospective study of two years

Kathpalia

Chawla²,

Harith³

et al. 2016

Medical Journal Armed Forces India

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“…However, there is no clear evidence of a simultaneous decrease in maternal or perinatal morbidity or mortality (1,2). The process of labor is associated with both maternal and fetal potential risks, regardless of the mode of delivery (3,4). There are various CS indications that aim to reduce the maternal/fetal risks (5-7).…”

Section: Introductionmentioning

confidence: 99%

The effect of the use of a new type of partogram on the cesarean section rates

Vlachos¹,

Tsikouras²,

Manav³

et al. 2015

J Turkish German Gynecol Assoc

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“…[1,2] According to the literature data, the frequency of preeclampsia makes 4-18% among all pregnant women. [3] Preeclampsia is the major cause of preterm labor onset, the premature detachment of properly located placentae, intrauterine growth retardation, and the low birth weight among infants. [4] In the preeclampsia pathogenesis, an important role is provided to vascular reactions, which are based on generalized vasospasm, conditioning the ischemic, and hypoxic changes in the tissues with the violation of their functions.…”

Section: Introductionmentioning

confidence: 99%

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Reshetnikov

2017

AJP

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Objectives: The associations of the insertion-deletion angiotensin-converting enzyme (I/D ACE) genetic polymorphism with the risk of preeclampsia development were studied. Materials and Methods: The study group included 350 women: 100 women with a physiological pregnancy and 250 pregnant women with preeclampsia. All women underwent the typing of I/D polymorphism of the ACE gene. Results: The pregnant women with the preeclampsia of the 2 nd degree of severity showed the lowest concentration of genotype II ACE (11.00%) as compared with pregnant women without preeclampsia (25.00%; odds ratio [OR] = 0.37; P = 0.017; P cor = 0.051). With the preeclampsia of the 3 rd degree of severity, the minimum frequency of the genotype II ACE (7.27%) and the maximum frequency of the allele D ACE (62.73%) are recorded among pregnant women as compared with the pregnant women without preeclampsia (25.00%; OR = 0.24; P = 0.01; P cor = 0.03 and 49.50%, OR = 1.72, P = 0.03, respectively). Conclusions: Thus, the D ACE allele is associated with the risk of preeclampsia development of the 3 rd degree of severity, and the ACE genotype II is a protective factor of preeclampsia development of the 2 nd and the 3 rd degree of severity.

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Maternal death in the 21st century: causes, prevention, and relationship to cesarean delivery

Cited by 521 publications

References 19 publications

Blood transfusion practices among delivery cases: A retrospective study of two years

Blood transfusion practices among delivery cases: A retrospective study of two years

The effect of the use of a new type of partogram on the cesarean section rates

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