ABSTRACT
To describe the pattern of ectopic pregnancy in Al-Wahda Teaching Hospital. This study is a prospective, descriptive, hospital- based study involving all patients, who diagnosed and managed surgically as ectopic pregnancy, during the period May 2008- May 2009, in Al- Wahda hospital. Forty patients with confirmed diagnosis of ectopic pregnancy were enrolled in the study, giving the rate of ectopic pregnancy of 7/1000 deliveries. The common age group affected was 20-30 years 62,0%. Parous women 75.5% were affected more than nullipara 25%. On presentation, the main clinical feature w£s abdominal pain 97.5%, followed by abnormal vaginal bleeding 75%; and missed period 65%. while the commonest signs were abdominal tenderness 90% and adnexal tenderness 82.5%. Regarding the intra-operative findings; ruptured of tubal pregnancy was the common clinical form of ectopic pregnancy 56.4%, followed by an intact tubal pregnancy 28.2% then tubal abortion 17.9%. The site of ectopic pregnancies was in the fallopian tube 97.5% and ovarian pregnancy 2.5%. The ampullar part of the tube was affected in 58.9%, followed by the Fimbria 20.5%, the isthmus, and interstitial 15.4% and 2.6% respectively. The rate of ectopic pregnancy in Al-Wahda hospital was 7/1000 deliveries, which is still a major health problem, affecting mainly young women ageing 20-30 years. On the other hand, the high percentage of ruptured ectopic in this study, indicate that the diagnosis and the interventions are delayed, so a high index of suspicion is necessary in women presenting abdominal pain, and vaginal bleeding, and requires prompt recognition and early intervention
Subject(s)
Humans , Female , Male , Pregnancy , Hospitals, Teaching , Prospective Studies , Uterine HemorrhageABSTRACT
To study some morphological alterations in the placenta resulting from the effect of hypertensive disorder of pregnancy in a full term gestation. A prospective study of 50 placentas collected from hypertensive patients, and 50 from normotensive mothers, with term pregnancies and vaginal delivery of alive singleton, in hospitals, Alwahda[Aden] and Ibn khaldon- [Lahj], from March to September 1999. The mean weight for hypertensive placenta is 473.90grn, and for Normotensive is 606.04gm with mean diameter of15.12 cm and17.50 cm. For villous arteries, the mean in Normotensive was 1.37 msv and 1.69 msv for hypertensive, while the mean of illous veins for 0.405 msv for normotensive and 0.225 msv for hypertensive group. Infarcts were present in 100% and arteriosclerosis in 82% and syncytial knots in 98% of hypertensive placentas. Placentas of hypertensive patients has low weight and small diameter, reduced arterial lumen and increased in the wall thickness, increased venous lumen size and reduced in wall thickness. The study of the morphological alterations showed that the placentas of hypertensive patients characterized by the presence of infarctions, arteriosclerosis, and syncytial knots
ABSTRACT
We carry out the present study with the purpose of knowing the different factors related with the maternal mortality in Al -Wahda Teaching Hospital in Aden city during the period of time from 1995 to 1998 and. to establish some recommendations regarding the causes and the contributing factors for maternal death in order to prevent and decreases the maternal mortality. We performed a retrospective evaluation for all maternal death in the hospital by using the dual classification and the method of open -closed questionnaire, and information from the medical files. There were 14,081 deliveries and 34 maternal deaths, the maternal mortality rate 241, 46 per 100.000 births. The direct deaths were 25 cases [73, 5%] and the indirect deaths were 9 [26.5%], and the most common causes of death were hemorrhage followed by sepsis. We conclude that maternal mortality rate is still high in Al- Wahda Teaching Hospital and most of the maternal deaths are avoidable and the most important contributing factors were delay in receiving care in the hospital [personnel, and resources]