收藏 | 手机打开

Maternal Mortality in a Tertiary Care Center:a Five-year Review(Guinea).Sample of a Successful Management of an Obstetric Hemorrhage at Wuhan Union Hospi-Tal:a Case Report

爱莎(Ccamara Aissata Kandet)  
【摘要】:[Objective] The main of our study was to assess the maternal mortality rate (MMR) in one tertiary hospital of Guinea, find out the relating causes and show that challenge which performed by Guinean government and health professionals reducing maternal death in the country. [Methods] A retrospective study of hospital records and death summaries of all maternal deaths over the period from January2008to December2012was carried out. [Results] Between2008and2012, there were a total of332maternal deaths out of44,035live births giving MMR of753.94per100,000live births. The records showed that90.97%maternal deaths were in women between20and44years. Near to half of the deaths occurred in unbooked women with late referral and highest of maternal deaths were reported in illiterate women (73%). Most maternal deaths were identified in multiparous, grand multiparous and great grand multiparous (25.60%,23.20%and23.49%respectively). After childbirth was identified as the time that most maternal deaths occurred, accounting for66.57%. The hemorrhage was the commonest cause of death (53.31%) followed by sepsis (18.38%) and eclampsia (15.06%). [Conclusion] This study provides information about maternal mortality in one Guinea's largest tertiary hospital. Socio demographic factors, government employment for free maternal services, and training and recruitment of skilled specialized doctors and midwives are identified as strong contributors to Guinean's progress towards reducing maternal mortality. [Implications for practice] Ensure adequate training and recruitment of skilled junior doctors and midwives; ensure training and information of traditional births attendants for early detection of birth complications and early referral. Provide well functioning equipped health-care facilities, and health education and information to the public to make good decision about their self well-being health improvement. The term of placenta percreta is used to describe any abnormal placental implantation in which the chorionic villi can reach not only the uterine serosa but also the adjacent organs. We reported an experience of successful conservative management of placenta percreta in the early second trimester of pregnancy. A31year-old patient presenting retained placenta following spontaneous abortion at17weeks of gestation was referred to our department from outlying hospital for continuous vaginal bleeding after failed long period of oral mifepristone administration. Ultrasound and magnetic resonance imaging proved their roles in the diagnosis and in the follow up. Our patient desired the conservative management; however, Methotrexate embolization of uterine artery arteries, uterine curettage within2weeks after Methotrexate embolization, surgical placenta removal with localized excision and uterine repair were chosen as skills. In our case, uterotonic agents showed a capital importance to prevent profuse hemorrhage. The follow up with serial serum β-Human chorionic gonadotropin testing was performed.

中国期刊全文数据库 前20条
1 Aijing Li;Taifeng Zhuang;Jianbo Shi;Yong Liang;Maoyong Song;;Heavy metals in maternal and cord blood in Beijing and their efficiency of placental transfer[J];Journal of Environmental Sciences;2019年06期
2 Dimuthu Vinayagam;Karin Leslie;Asma Khalil;Baskaran Thilaganathan;;Preeclampsia-What is to blame?The placenta,maternal cardiovascular system or both?[J];World Journal of Obstetrics and Gynecology;2015年04期
3 ;Comparison of infection frequencies in fetus by maternal ascitic cancer and leukemia cells[J];Chinese Science Bulletin;1998年10期
4 Jin-Uk Lee;Okjin Kim;;Natural maternal transmission of H pylori in Mongolian gerbils[J];World Journal of Gastroenterology;2006年35期
5 Guohui Zhang;Yunan Zhao;Xin-Min Li;Jiming Kong;;Fetal cell microchimerism in the maternal mouse spinal cord[J];Neuroscience Bulletin;2014年01期
6 Marlúcia Bastos Aires;Anne Carolline Veríssimo dos Santos;;Effects of maternal diabetes on trophoblast cells[J];World Journal of Diabetes;2015年02期
7 Kenichi Nomura;Yoshio Sumida;Takaharu Yoh;Atsuhiro Morita;Yosuke Matsumoto;SawakoTaji;NaohisaYoshida;MasahitoMinami;YoshitoItoh;ShigeoHoriike;Keisho Kataoka;Masafumi Taniwaki;Takeshi Okanoue;;Lack of evidence for leukocyte maternal microchimerism in primary biliary cirrhosis[J];World Journal of Gastroenterology;2004年16期
8 Lv Yanqiu;;Monitoring Report of Maternal Antibody of Broiler Avian Influenza Virus H5 Subtype Re-8 Strain[J];Animal Husbandry and Feed Science;2017年06期
9 Ekabua JE;Agan TU;Iklaki CU;Ekabua KJ;Etokidem AJ;;Risk of adverse maternal outcome following macrosomic birth in Nigeria.[J];海南医学院学报;2010年01期
10 Heju Zhong;Hao Li;Guangmang Liu;Haifeng Wan;Yves Mercier;Xiaoling Zhang;Yan Lin;Lianqiang Che;Shengyu Xu;Li Tang;Gang Tian;Daiwen Chen;De Wu;Zhengfeng Fang;;Increased maternal consumption of methionine as its hydroxyl analog promoted neonatal intestinal growth without compromising maternal energy homeostasis[J];Journal of Animal Science and Biotechnology;2017年01期
11 ;Second-trimester maternal β-human chorionic gonadotropin level associated with subsequent development of pregnancy-induced hypertension[J];Journal of Medical Colleges of PLA;2010年05期
12 KAZUHITO YOKOYAMA;;Maternal and Fetal Exposure to Four Carcinogenic Environmental Metals[J];Biomedical and Environmental Sciences;2010年06期
13 吴军,刘棣临,周建德;ZINC DEPLETION IN SEVERE PRE-ECLAMPSIA[J];Journal of Shanghai Second Medical University;1987年02期
14 ;Woman Breast-Feeds Baby[J];Women of China;1995年07期
15 Gueddana N;Ghérissi A;Esseghari R;;Situation and Strategies of the Maternal and Infant Health in Tunisia[J];Journal of Reproduction and Contraception;2005年01期
16 于琼;管群;李萍;刘铁兵;司峻峰;肇莹;刘红星;王元庆;;Wavelet optimization for applying continuous wavelet transform to maternal electrocardiogram component enhancing[J];Chinese Physics B;2017年11期
17 Osman Demirhan;Necmi ekin;Deniz Tastemir;Erdal Tun;Ali rfan Güzel;Demet Meral;Bülent Demirbek;;Are there fetal stem cells in the maternal brain?[J];Neural Regeneration Research;2013年07期
18 ;Analysis of seed and maternal genetic effects on cooking quality characters in indica hybrid rice[J];Chinese Rice Research Newsletter;1994年03期
19 Nam-Joon Yi;Min-Su Park;Eun Young Song;Hye Young Ahn;Jeik Byun;Hyeyoung Kim;Suk Kyun Hong;Kyungchul Yoon;Hyo-Sin Kim;Sung-Woo Ahn;Hae Won Lee;Young Rok Choi;Kwang-Woong Lee;Kyung-Suk Suh;Myoung Hee Park;;Pretransplantation fetal-maternal microchimerism in pediatric liver transplantation from mother[J];World Journal of Gastroenterology;2017年45期
20 ;A new statistical method for mapping QTLs underlying endosperm traits[J];Chinese Science Bulletin;2005年14期
中国重要会议论文全文数据库 前10条
1 Gang Wang;Tianxiao Hu;Baozhen Zhang;Xin Ni;;Dysregulation of placental 11β-hydroxysteroid dehydrogenase type 2 contributes to maternal hypertension,renal damage and abnormal placentation in preeclampsia[A];中国生理学会生殖科学专业委员会—中国动物学会生殖生物学分会第二次联合学术年会暨“生殖科学专业委员会第二次学术交流会”和“生殖生物学分会第十六次学术年会”论文集[C];2017年
2 ;Selection for increased maternal body-volume does not differ between two Scincella lizards with different reproductive modes[A];第七届全国野生动物生态与资源保护学术研讨会论文摘要集[C];2011年
3 ;Effects of maternal treatment of dehydroepiandrosterone(DHEA)on serum lipid profile and hepatic lipid metabolismrelated gene expression in embryonic chickens[A];全国动物生理生化第十一次学术交流会论文摘要汇编[C];2010年
4 Dandan Qin;Xiaoxin Zhang;Zheng Gao;Yi Xiao;Lei Li;;NLRP4F,a novel component of the subcortical maternal complex,is involved in mouse maternal to zygotic transition[A];中国生理学会生殖科学专业委员会—中国动物学会生殖生物学分会第二次联合学术年会暨“生殖科学专业委员会第二次学术交流会”和“生殖生物学分会第十六次学术年会”论文集[C];2017年
5 高军;;Roles of Serotonin 5-HT2A Receptors and Its Interaction with Dopamine D2 Receptors in Maternal Behavior in Rats: Implications for Postpartum Mental Disorders[A];第二十届全国心理学学术会议--心理学与国民心理健康摘要集[C];2017年
6 Li-su Huang;;MATERNAL CHRONIC STRESS AND FETAL SEX RATIO[A];2012年江浙沪儿科学术年会暨浙江省医学会儿科学分会学术年会、儿内科疾病诊治新进展国家级学习班论文汇编[C];2012年
7 Youshang Zhao;Songyun Wang;Wenye Wu;Lei Li;Ting Jiang;Binglian Zheng;;Clearance of maternal barriers by paternal miR159 to initiate endosperm nuclear division in Arabidopsis[A];2018全国植物生物学大会论文集[C];2018年
8 ;Maternal Effects on Seed Oil Content in Brassica napus[A];第十二届全国植物基因组学大会论文集[C];2011年
9 ;Differential Expression of Bovine Leucocyte Antigen ClassⅠChain-related Genes 2 In preganant Dairy Cows and Neonatal Calves[A];中国畜牧兽医学会家畜内科学分会第七届代表大会暨学术研讨会论文集(上册)[C];2011年
10 Yanhong L;Di Zhang;Yu Tao;Songcun Wang;Yuanyuan Xu;Hailan Piao;Dajin Li;Meirong Du;;Tim-3-expressing NK cells in the peripheral blood promotes maternal-fetal immune tolerance and prevents pregnancy loss[A];中国生理学会生殖科学专业委员会—中国动物学会生殖生物学分会第二次联合学术年会暨“生殖科学专业委员会第二次学术交流会”和“生殖生物学分会第十六次学术年会”论文集[C];2017年
中国博士学位论文全文数据库 前10条
1 爱莎(Ccamara Aissata Kandet);[D];华中科技大学;2013年
2 Mahmoud Ahmed Suliman Ali;[D];重庆大学;2012年
3 Shadi Ibrahim;[D];华中科技大学;2011年
4 宫丽;精神家园论[D];华中科技大学;2011年
5 杨道州;对抗焦虑—方方小说新论[D];华中科技大学;2015年
6 Sarah Mustafa Eljack;[D];华中科技大学;2010年
7 郑剑;社会资本论[D];华中科技大学;2011年
8 胡沈明;现代新闻评论宽容意识研究[D];华中科技大学;2011年
9 吴剑平;中国社会转型中的政府俘获行为研究[D];华中科技大学;2012年
10 张慧子;新媒体时代公民隐私的侵害与保护研究[D];华中科技大学;2011年
中国硕士学位论文全文数据库 前10条
1 Augustine F.Tokpa;[D];华中科技大学;2012年
2 Maria Jose Gonzalez Mendez;SSA地区国家MMR的差异和影响因素分析[D];大连医科大学;2018年
3 MABINDRA SHRESTHA;[D];重庆医科大学;2017年
4 爱莎;[D];华中科技大学;2010年
5 杨晓娜;母性神话的颠覆[D];内蒙古大学;2014年
6 韩艳丽;托尼·莫里森小说中的黑人母爱主题的研究[D];内蒙古大学;2011年
7 MEENA PRADHAN;[D];重庆医科大学;2014年
8 SUCHI DWIVEDI;[D];昆明医科大学;2013年
9 Ramji Yadav;[D];昆明医科大学;2013年
10 廉阳;博士学位论文质量的影响因素及预测研究[D];华中师范大学;2018年
中国重要报纸全文数据库 前10条
1 记者 宗河;博士学位论文抽检比例为10%左右[N];中国教育报;2014年
2 记者 王庆环;2013年全国优秀博士学位论文公布[N];光明日报;2014年
3 本报记者 明海英;提高博士学位论文整体质量仍需多方努力[N];中国社会科学报;2014年
4 侯红武 秦洋;山大青年教授殷杰获全国优秀博士学位论文奖[N];山西日报;2004年
5 记者 朱建华 实习生 周恋芹 张伟峰;武汉7篇博士学位论文入围“全国优秀”[N];长江日报;2010年
6 王握文周珞晶 吴丹;11篇全国优秀博士学位论文的启示[N];科技日报;2008年
7 本报记者 王握文 通讯员 周珞晶;11篇全国优秀博士学位论文的背后[N];解放军报;2008年
8 记者 清周 清新 彦生;我校11篇论文入选2007年全国优秀博士学位论文[N];新清华;2007年
9 记者 欧阳春艳;全国百篇优秀博士学位论文评选揭晓[N];长江日报;2005年
10 姜恩 张淑会;我省首获全国优秀博士学位论文奖[N];河北日报;2004年
 快捷付款方式  订购知网充值卡  订购热线  帮助中心
  • 400-819-9993
  • 010-62982499
  • 010-62783978