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ABSTRACT: A retrospective case-control study was conducted to investigate the risk factors for pre-eclampsia - including the protective effect of placenta previa - at Medani Maternity Hospital, Sudan. Medical files of the patients during the period 2003-2010 were reviewed for age, parity, education level, prenatal care, placenta previa, and hemoglobin level. Women with pre-eclampsia were the cases, and women with normal pregnancy were the controls. There were 54,339 singleton deliveries and 1765 women with pre-eclampsia in the hospital, giving the incidence of pre-eclampsia of 3.2%. The risk factors for pre-eclampsia were; women with age >35 years (OR = 1.4, 95% CI: 1.1-1.8), primiparity (OR = 3.3, 95% CI: 2.7-4.0), para >5 (OR = 3.1, 95% CI: 2.4-4.0), and anemia (OR = 3.3, 95% CI: 2.8-3.9). The risk of pre-eclampsia was inversely increased with education level and prenatal care attendance. The prevalence of placenta previa was 0 (0%) and 55 (3.3%), < 0.001 in pre-eclamptic and control women, respectively. Placenta previa was a significant protective factor of pre-eclampsia (OR = 0.3, 95% CI: 0.1-0.7). Although, the socio-demographic risk factors for pre-eclampsia observed among women at Medani hospital were similar to those found in other settings; placenta previa was associated with decreased incidence of pre-eclampsia.
Frontiers in physiology. 01/2013; 4:32.
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ABSTRACT: The aim of this study was to investigate the incidence and causes of maternal deaths and stillbirths at the Hospital of Obstetrics and Gynecology at Wad Medani, Sudan, from 1 January 2003 through 31 December 2007. All maternal deaths and stillbirths during this period were reviewed and classified retrospectively. There were 146 maternal deaths and 33034 live births, giving a maternal mortality ratio of 442/100,000 live births. The age range was 18-42 years with a mean (standard deviation) of 30.57 (5.26) years. The most common cause of death was septicaemia following obstructed labour or abortion-related sepsis, followed by haemorrhage, pre-eclampsia/ecalampsia, viral hepatitis and malaria. The stillbirth rate was 29/1000 births; the majority of which (8/1000) were macerated stillbirths.
Tropical Doctor 10/2009; 39(4):238-9. · 0.66 Impact Factor
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ABSTRACT: Key words: pregnancy, cancer, cervix cancer
SUMMARY. The case of 29 years old pregnant III-para at 38 weeks of gestational age is presented. The patient was admitted
complaining of vague abdominal pain. By speculum examination the large cervix with reddish ulcerative cervical
canal was established and punch biopsy performed. The pathohistological diagnosis was well differentiated squamous
cell carcinoma. No local metastases or lymph node or other signs of cancer spreading were present (stage 1a). The CS
was done, born vital newborn of 2 kg weight, proceeded to total abdominal hysterectomy with bilateral salpingoophorectomy.
The pathohistological finding was: Stromal invasion of 3 mm in depth and 6 mm in lateral spread (FIGO stage
1a1). Postoperative period was uneventfull, the patient was reffered to Institute of Nuclear Medicine for further management,
where she received only 2 cycles of radiation and chemotherapy and thereafter stopped the treatement. Two years
later the patient presented very ill and passed because of uremia.
Prikaz bolesnice
Klju~ne rije~i: trudno}a, karcinom, karcinom cerviksa
SA`ETAK. Prikazana je bolesnica dobi 29 godina, III-para, s oko 38 tjedana trudno}e. Primljena je zbog nejasnih boli u
donjem trbuhu. Pregledom u spekulima na|en je krupni cerviks s ulceracijom u cervikalnom kanalu. Pod anestezijom je
u~injena biopsija cerviksa i dobivena patohistolo{ka dijagnoza: dobro diferencirani karcinom plo~astih stanica. Nije bilo
lokalnih metastaza, {irenja u limfne ~vorove ili drugih znakova {irenja raka (stupanj 1a). U~injen je carski rez i nastavljena
totalna histerektomija s obostranom salpingooforektomijom. Patohistolo{ki nalaz je bio: stomalna invazija 3 mm u
dubinu i postrani~na zahva}enost 6 mm (FIGO stupanj 1a1). Postoperativni je tijek bio uredan, bolesnica je upu}ena u
Zavod za nuklearnu medicinu radi zra~enja i kemoterapije. Primila je samo dva ciklusa terapije i tada napustila lije~enje.
Nakon dvije godine pacijentica se pojavila vrlo bolesna, umrla je od uremije.
Gynaecol Perinatol, Kurwatia. 01/2009; 18:93-95.
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ABSTRACT: The case of 29 years old pregnant III-para at 38 weeks of gestational age is presented. The patient was admitted complaining of vague abdominal pain. By speculum examination the large cervix with reddish ulcerative cervical canal was established and punch biopsy performed. The pathohistological diagnosis was well differentiated squamous cell carcinoma. No local metastases or lymph node or other signs of cancer spreading were present (stage 1a). The CS was done, born vital newborn of 2 kg weight, proceeded to total abdominal hysterectomy with bilateral salpingoophorectomy. The pathohistological finding was: Stromal invasion of 3 mm in depth and 6 mm in lateral spread (FIGO stage 1a1). Postoperative period was uneventfull, the patient was reffered to Institute of Nuclear Medicine for further management, where she received only 2 cycles of radiation and chemotherapy and thereafter stopped the treatement. Two years later the patient presented very ill and passed because of uremia.
Gynaecologia et Perinatologia; Vol.18 No.2.
