RESUMO
Objectives: We sought to estimate the prevalence of hypertensive disorders of pregnancy [HDP] in Saudi Arabia as well as the risk factors of HDP, and maternal and fetal outcomes
Methods: We retrospectively evaluated the medical records of 9493 women who delivered at King Abdulaziz University Hospital, a tertiary care center, between January 2015 and June 2017. All cases of HDP were included
Results: We identified 224 pregnant women with HDP in our patient cohort, giving a prevalence of 2.4%. Their mean age was 31.3 +/- 6.7 years, with an average gravidity of 4.0 and average parity of 3.0. The most prevalent subtype of HDP was preeclampsia [54.9%] while 29.5% of the women had gestational hypertension, and 8.0% had eclampsia. The prevalence of subtypes of HDP differed significantly with gravidity, and mean age differed significantly with HDP subtype. Personal and family histories of preeclampsia and the presence of diabetes were more prevalent in women with preeclampsia and gestational hypertension; however, only the difference in diabetes prevalence was significant. The overall prevalence of maternal complications was 9.4% and the prevalence of maternal mortality was 1.3%. Multigravid women and women with chronic hypertension were at increased risk of prematurity compared to other pregnant women, but not significantly
Conclusions: The prevalence of HDP was relatively low in our cohort. However, to prevent harmful impacts on both the mother and fetus, screening for this disorder is recommended early in pregnancy
RESUMO
Background: medical students and interns are exposed to training programs in the hospitals to enhance their knowledge, skills and attitudes in the different clinical situations. Their training should offer an opportunity to be aware of the safety protocols in each medical department so as to prevent the possibility of errors
Objective: this study aimed to determine the level of knowledge and perception of final year medical students and medical interns on surgical and invasive procedure protocols in a university affiliated hospital in Jeddah, Saudi Arabia
Methods: this was a questionnaire was administered to final year medical students and interns of King Abdulaziz University Hospital in Jeddah City, Saudi Arabia. The questionnaire consisted of two sections: demographic profile in addition to knowledge and perception on surgical and invasive procedure protocols. A total of 264 participants answered the researcher-administered questionnaire
Results: these results showed that there was a lack of knowledge on surgical and invasive protocols of the participants with a mean score of 65.68%, which represented their agreement to the 2009 World Health Organization guidelines for safe surgery. There was a significant association between the level of confidence of the participants and their ages and year levels [p-value <.05], but not with gender. All demographic factors investigated were significantly associated with participant?s belief on the importance of having knowledge on surgical and invasive protocols [p-value <.05]
Conclusion: the results of this study call academic institutions to revisit their curriculum and training programs specifically on the area of surgery