Near-mortality Scenarios in Obstetrics: Case Studies of Severe Complications and their Management
Near-mortality instances among women facing severe obstetric complications, often referred to as “maternal near-miss” cases, involve situations where women experience life-threatening complications during pregnancy, childbirth, or postpartum but survive due to timely and effective medical interventi...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2025-01-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/20554/74634_CE[Ra1]_F(SHU)_QC(PS_SS)_PF1(VD_SL_SS)_PFA(IS)_PN(SS).pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832582718113710080 |
|---|---|
| author | Jayshree P Kulkarni Swapnali Sansare Sneha |
| author_facet | Jayshree P Kulkarni Swapnali Sansare Sneha |
| author_sort | Jayshree P Kulkarni |
| collection | DOAJ |
| description | Near-mortality instances among women facing severe obstetric complications, often referred to as “maternal near-miss” cases, involve situations where women experience life-threatening complications during pregnancy, childbirth, or postpartum but survive due to timely and effective medical interventions. These cases are critical for understanding healthcare gaps, risk factors, and improving maternal health outcomes. The present case series examines five near-miss instances among women experiencing severe obstetric complications. Case 1 details a 28-week primigravida with Dichorionic-Diamniotic twins (DCDA) and severe preeclampsia, leading to an emergency caesarean section. She presented with Haemolysis, Elevated Liver enzymes, Low Platelets syndrome (HELLP), and Disseminated Intravascular Coagulation (DIC). Case 2 involves a 37-year-old Gravida 3 Para 2 Living 0 Abortion1 (G3P2L0A1) woman with 28.5-week In-vitro Fertilisation (IVF)-conceived DCDA twins and a history of a previous Lower Segment Caesarean Section (LSCS), requiring an emergency subtotal obstetric hysterectomy due to Postpartum Haemorrhage (PPH). Case 3 describes a 35-year-old primigravida at 39.4 weeks with a retained placenta, managed through step-wise interventions, which eventually resulted in the spontaneous expulsion of the placenta. Case 4 presents a 32-year-old multigravida at 40.3 weeks with uterine rupture and abruptio placentae, necessitating an obstetric hysterectomy. Lastly, Case 5 involves a 27-year-old female with a scar ectopic pregnancy, treated successfully with methotrexate. These cases underscore the critical need for timely medical interventions and improved maternal healthcare systems to manage life-threatening obstetric emergencies effectively. |
| format | Article |
| id | doaj-art-e8640893fffc4d0fa41cb1a6612944b6 |
| institution | Kabale University |
| issn | 2249-782X 0973-709X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj-art-e8640893fffc4d0fa41cb1a6612944b62025-01-29T11:47:39ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-01-011901010510.7860/JCDR/2025/74634.20554Near-mortality Scenarios in Obstetrics: Case Studies of Severe Complications and their ManagementJayshree P Kulkarni0Swapnali Sansare1Sneha2Associate Professor, Department of Obstetrics and Gynaecology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune, Maharashtra, India.Associate Professor, Department of Obstetrics and Gynaecology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune, Maharashtra, India.Postgraduate Resident, Department of Obstetrics and Gynaecology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune, Maharashtra, India.Near-mortality instances among women facing severe obstetric complications, often referred to as “maternal near-miss” cases, involve situations where women experience life-threatening complications during pregnancy, childbirth, or postpartum but survive due to timely and effective medical interventions. These cases are critical for understanding healthcare gaps, risk factors, and improving maternal health outcomes. The present case series examines five near-miss instances among women experiencing severe obstetric complications. Case 1 details a 28-week primigravida with Dichorionic-Diamniotic twins (DCDA) and severe preeclampsia, leading to an emergency caesarean section. She presented with Haemolysis, Elevated Liver enzymes, Low Platelets syndrome (HELLP), and Disseminated Intravascular Coagulation (DIC). Case 2 involves a 37-year-old Gravida 3 Para 2 Living 0 Abortion1 (G3P2L0A1) woman with 28.5-week In-vitro Fertilisation (IVF)-conceived DCDA twins and a history of a previous Lower Segment Caesarean Section (LSCS), requiring an emergency subtotal obstetric hysterectomy due to Postpartum Haemorrhage (PPH). Case 3 describes a 35-year-old primigravida at 39.4 weeks with a retained placenta, managed through step-wise interventions, which eventually resulted in the spontaneous expulsion of the placenta. Case 4 presents a 32-year-old multigravida at 40.3 weeks with uterine rupture and abruptio placentae, necessitating an obstetric hysterectomy. Lastly, Case 5 involves a 27-year-old female with a scar ectopic pregnancy, treated successfully with methotrexate. These cases underscore the critical need for timely medical interventions and improved maternal healthcare systems to manage life-threatening obstetric emergencies effectively.https://jcdr.net/articles/PDF/20554/74634_CE[Ra1]_F(SHU)_QC(PS_SS)_PF1(VD_SL_SS)_PFA(IS)_PN(SS).pdfhysterectomypreeclampsiaretained placentaruptured uterusscar ectopic |
| spellingShingle | Jayshree P Kulkarni Swapnali Sansare Sneha Near-mortality Scenarios in Obstetrics: Case Studies of Severe Complications and their Management Journal of Clinical and Diagnostic Research hysterectomy preeclampsia retained placenta ruptured uterus scar ectopic |
| title | Near-mortality Scenarios in Obstetrics: Case Studies of Severe Complications and their Management |
| title_full | Near-mortality Scenarios in Obstetrics: Case Studies of Severe Complications and their Management |
| title_fullStr | Near-mortality Scenarios in Obstetrics: Case Studies of Severe Complications and their Management |
| title_full_unstemmed | Near-mortality Scenarios in Obstetrics: Case Studies of Severe Complications and their Management |
| title_short | Near-mortality Scenarios in Obstetrics: Case Studies of Severe Complications and their Management |
| title_sort | near mortality scenarios in obstetrics case studies of severe complications and their management |
| topic | hysterectomy preeclampsia retained placenta ruptured uterus scar ectopic |
| url | https://jcdr.net/articles/PDF/20554/74634_CE[Ra1]_F(SHU)_QC(PS_SS)_PF1(VD_SL_SS)_PFA(IS)_PN(SS).pdf |
| work_keys_str_mv | AT jayshreepkulkarni nearmortalityscenariosinobstetricscasestudiesofseverecomplicationsandtheirmanagement AT swapnalisansare nearmortalityscenariosinobstetricscasestudiesofseverecomplicationsandtheirmanagement AT sneha nearmortalityscenariosinobstetricscasestudiesofseverecomplicationsandtheirmanagement |