الفهرس | Only 14 pages are availabe for public view |
Abstract In MINIA maternity university hospital, researchers sought to determine the frequency and early diagnosis of hemorrhagic shock in obstetrics. Study Design: The research was carried out at Egypt’s MINIA maternity medical university, which is a referral center. That was prospective research with descriptive and exploratory purposes that ran from January 1 to June 30, 2022. For secondary research, a collection of 51 pregnant and postpartum women that experienced hypovolemic shock was employed. Researchers examined well how three adverse maternal outcomes—death, severe maternal result (death as well as severe end organ dysfunction morbidity), as well as combined severe maternal and critical interventions outcome—could be predicted by pulse, systolic blood pressure, diastolic blood pressure, shock index, mean arterial pressure, or even pulse pressure (death, severe end organ dysfunction morbidity, intensive care admission, and perinatal death). Results: A total of 972 obstetrical crises were documented. A total of 51 female patients had hemorrhagic shock, resulting in a hospital-based frequency estimate of 5.24 percent. The patients were on average 27.06.3 years old. Twenty-six percent of the patients were aged 20 to 24 years old. Hemorrhagic shock had a mortality rate of 9.8%. Hemorrhagic shock was responsible for 38.46 percent of all deaths in the medical unit over the same timeframe, according to the Thirteen fatalities documented. Uterine rupture (p=0.0000), coagulation abnormalities (p=0.0000), and Glasgow score 9 (p=0.0285) have been the risk variables that were substantially associated with maternal fatality. |