Journal of Ayub Medical College, Abbottabad : JAMC
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J Ayub Med Coll Abbottabad · Oct 2007
ReviewThe critical analysis on diagnosis of disseminated intravascular coagulation with screening tests--a scoring system and related literature review.
The aim of this study is to assess confidence in the diagnosis of Disseminated Intravascular Coagulation (DIC); to evaluate the clinical significance of the haemostatic tests; to disclose any respective associations of such tests with patients' prognosis; and to review the related literature. It is a retrospective case series study in Changhua Christian Hospital, Taiwan. ⋯ There are 14 points of impression with clinical significance outlined.
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Postpartum haemorrhage (PPH) is one of the leading causes of maternal morbidity and mortality. Its causes & risk factors are important for its prevention and management. Poor, unhealthy, high parity women delivering away from health facility are usual victims. The purpose of this study is to determine causes of PPH, risk factors, preventable factors and to assess treatment measures adopted. ⋯ PPH can be prevented by avoiding unnecessary inductions/augmentations of labour, risk factors assessment and active management of 3rd stage of labour. It needs critical judgment, early referral and early resuscitation by birth attendant. There is room for temponade and compression sutures. Hysterectomy should be the last option.