ABSTRACT
Obstetric near-miss (ONM) describes a situation of lethal complication during pregnancy, labor or puerperium in which the woman survives either because of medical care or just by chance. In a cross-sectional observational study, fi ve factor scoring system was used to identify the near-miss cases from all the cases of severe obstetric morbidity. Assessment of the causes of maternal mortality and near-miss obstetric cases was done. The ONM rate in this study was 4.18/1000 live births. Totally 54 maternal deaths occurred during this period, resulting in a ratio of 202 maternal deaths per 100,000 live births. Hemorrhage, hypertension and sepsis were major causes of near-miss maternal morbidity and mortality, respectively in descending order.
ABSTRACT
To compare clinical and radiological results of primary and secondary total hip replacement [THR] after displaced fracture of the femoral neck. Retrospective review of a cohort of 47 patients. All surgeries were performed by the senior author in Al Razi Hospital, Kuwait between 2002 and 2007. Follow- up assessment was done in Al Razi and in Farwaniya Hospital, Kuwait by all authors. Twenty-nine cases of primary THR compared with 18 cases of secondary THR. Cementless, cemented and hybrid implants were used for total hip replacements. Clinical assessment was done using Merle D' Aubigne hip score and radiological assessment was done using standard criteria of geometry of the implant and its stability. Clinical results were better in the primary THR group but radiological results were equivocal. There was tendency to position the cup horizontally in the secondary surgery group. Cementless, cemented and hybrid implants did equally well in our cohort. Primary THR seems to be a better option in displaced fracture of the femoral neck. Cemented cementless and hybrid hip can be used in these cases