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Use of a qualitative case study to learn lessons from severe preeclampsia causing a maternal near-miss: a case report
BACKGROUND: Maternal mortality is a critical indicator in assessing the quality of services provided by a health care system. Approximately 99% of all maternal deaths occur in developing countries; where a majority of the causes of these deaths are preventable. CASE PRESENTATION: A 25-year-old, marr...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6157065/ https://www.ncbi.nlm.nih.gov/pubmed/30253802 http://dx.doi.org/10.1186/s13256-018-1821-x |
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author | Tolera, Moti Teklu, Alula M. Ahmed, Abdurahman Hashi, Abdiwahab Oljira, Lemessa Abebe, Zerihun Gezahegn, Wondimagegn Kidan, Kahasse Gebre |
author_facet | Tolera, Moti Teklu, Alula M. Ahmed, Abdurahman Hashi, Abdiwahab Oljira, Lemessa Abebe, Zerihun Gezahegn, Wondimagegn Kidan, Kahasse Gebre |
author_sort | Tolera, Moti |
collection | PubMed |
description | BACKGROUND: Maternal mortality is a critical indicator in assessing the quality of services provided by a health care system. Approximately 99% of all maternal deaths occur in developing countries; where a majority of the causes of these deaths are preventable. CASE PRESENTATION: A 25-year-old, married, multigravida, black woman who has had six live births presented to a health center with the chief compliant of abnormal body swelling of 2 days’ duration and loss of consciousness. On arrival to the first contact health center her blood pressure was 170/105 mmHg and her temperature was 36.5 °C. She had generalized swelling, a history of blurred vision, and headache. She had no history of abortion, stillbirth, and cesarean section and no history of antenatal care follow-up. She gave birth to her previous children at home with no history of obstetric complications. The gestational age at the time of arrival was 37 weeks. She was referred to a general hospital for further management. At the general hospital she was diagnosed as having severe preeclampsia and she was managed with magnesium sulfate and an antihypertensive medication for 2 days. She was counseled to have induction of labor by the attending physician but refused to give consent and went home. She returned to the referral hospital 2 days later after labor had started spontaneously at home and the delivery was a spontaneous vaginal delivery with outcome of a live male baby, his Apgar score was 6/10 immediately after birth and he weighed 1.9 kg. CONCLUSIONS: If there were no previous obstetric problems, the women perceived that she will not face complications in her future pregnancies and stay home until she had developed life-threatening complications. If women visit health facilities and if the health care providers are responsive and there is robust referral in place, maternal and fetal complications will be prevented. |
format | Online Article Text |
id | pubmed-6157065 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-61570652018-09-27 Use of a qualitative case study to learn lessons from severe preeclampsia causing a maternal near-miss: a case report Tolera, Moti Teklu, Alula M. Ahmed, Abdurahman Hashi, Abdiwahab Oljira, Lemessa Abebe, Zerihun Gezahegn, Wondimagegn Kidan, Kahasse Gebre J Med Case Rep Case Report BACKGROUND: Maternal mortality is a critical indicator in assessing the quality of services provided by a health care system. Approximately 99% of all maternal deaths occur in developing countries; where a majority of the causes of these deaths are preventable. CASE PRESENTATION: A 25-year-old, married, multigravida, black woman who has had six live births presented to a health center with the chief compliant of abnormal body swelling of 2 days’ duration and loss of consciousness. On arrival to the first contact health center her blood pressure was 170/105 mmHg and her temperature was 36.5 °C. She had generalized swelling, a history of blurred vision, and headache. She had no history of abortion, stillbirth, and cesarean section and no history of antenatal care follow-up. She gave birth to her previous children at home with no history of obstetric complications. The gestational age at the time of arrival was 37 weeks. She was referred to a general hospital for further management. At the general hospital she was diagnosed as having severe preeclampsia and she was managed with magnesium sulfate and an antihypertensive medication for 2 days. She was counseled to have induction of labor by the attending physician but refused to give consent and went home. She returned to the referral hospital 2 days later after labor had started spontaneously at home and the delivery was a spontaneous vaginal delivery with outcome of a live male baby, his Apgar score was 6/10 immediately after birth and he weighed 1.9 kg. CONCLUSIONS: If there were no previous obstetric problems, the women perceived that she will not face complications in her future pregnancies and stay home until she had developed life-threatening complications. If women visit health facilities and if the health care providers are responsive and there is robust referral in place, maternal and fetal complications will be prevented. BioMed Central 2018-09-26 /pmc/articles/PMC6157065/ /pubmed/30253802 http://dx.doi.org/10.1186/s13256-018-1821-x Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Tolera, Moti Teklu, Alula M. Ahmed, Abdurahman Hashi, Abdiwahab Oljira, Lemessa Abebe, Zerihun Gezahegn, Wondimagegn Kidan, Kahasse Gebre Use of a qualitative case study to learn lessons from severe preeclampsia causing a maternal near-miss: a case report |
title | Use of a qualitative case study to learn lessons from severe preeclampsia causing a maternal near-miss: a case report |
title_full | Use of a qualitative case study to learn lessons from severe preeclampsia causing a maternal near-miss: a case report |
title_fullStr | Use of a qualitative case study to learn lessons from severe preeclampsia causing a maternal near-miss: a case report |
title_full_unstemmed | Use of a qualitative case study to learn lessons from severe preeclampsia causing a maternal near-miss: a case report |
title_short | Use of a qualitative case study to learn lessons from severe preeclampsia causing a maternal near-miss: a case report |
title_sort | use of a qualitative case study to learn lessons from severe preeclampsia causing a maternal near-miss: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6157065/ https://www.ncbi.nlm.nih.gov/pubmed/30253802 http://dx.doi.org/10.1186/s13256-018-1821-x |
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