Abstract:
Background:Induction of labour (IOL) is an obstetric procedure that should be conducted in a healthcare facility with the capacity to provide optimal care based on the patient risk status. Inadequate monitoring, untimely procedure and lack of readily available and experienced medical staff to participate in the care of the patient undergoing induction are hazardous with snowball effects. Methods:A 38-year-old G4P2+1 had IOL because of oligohydramnios at term in a district hospital. The procedure was inadequately monitored and fetal demise occurred. The duration of second stage was prolonged and sequential use of vacuum and forceps deliveries were unsuccessfully performed. Results:At the ensuing caesarean delivery, uterine rupture/tear was diagnosed, and the patient died due to haemorrhage during an emergency hysterectomy. Conclusion:This report highlights important clinical lessons on IOL in a high-risk pregnancy. The timelines for monitoring during IOL, particularly when there is fetal demise in labour, are proposed.
journal_name
Afr Health Scijournal_title
African health sciencesauthors
Ngene NC,Moodley Jdoi
10.4314/ahs.v20i3.27subject
Has Abstractpub_date
2020-09-01 00:00:00pages
1237-1240issue
3eissn
1680-6905issn
1729-0503pii
jAFHS.v20.i3.pg1237journal_volume
20pub_type
杂志文章abstract:BACKGROUND:Atrial fibrillation (AF) is the most common cardiac arrhythmia and increases the risk of stroke and death. Patients with hypertensive have an increased risk of developing atrial fibrillation. RDW (Red blood cell distribution width) levels are elevated in cardiovascular disorders including heart failure, stab...
journal_title:African health sciences
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更新日期:2013-09-01 00:00:00
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doi:
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