Maternal Outcomes Sample Clauses

Maternal Outcomes. The overall maternal survival rate was 87% (47/54). Four deaths occurred in patients with AFLP, 2 patients had severe necrotising pancreatitis and died of sepsis and multi-organ failure. The third patient died from a hypovolaemic cardiac arrest secondary to a bi-lobar liver rupture following an emergency cesarean section. The final patient with AFLP who died had been on long term anti-retroviral therapy and died from sepsis and MOF, with the sepsis severity precluding LT in that case. Three patients with hypertension/eclampsia related disease died. The first underwent LT for acute liver failure but had delayed graft function and was re- listed for LT. Following re-transplantation she died of MOF and sepsis. The second death in this category was in a patient with pre-eclampsia, who had progressive encephalopathy and liver failure. She died from MOF whilst awaiting a liver graft. The final patient died secondary to hypovolaemia with bi-lobar liver rupture and failure to achieve haemostasis. (Table 4.5.4) Patients that died were more likely on admission to have encephalopathy (6/7(86%) versus 18/47(38%) p=0.04), have a higher lactate (5.0, (1.05-18) versus 1.62, (0.7-12) p=0.03) and to be commenced on CVVHF (7/7 versus 10/47 p=0.01). There was no statistical difference in platelet count, INR, bilirubin, AST, serum creatinine or the rate of bleeding complications. None of the patients that died met the non-acetaminophen King’s College criteria for poor prognosis in acute liver failure. Closer examination of the patients with XXXX who died revealed a 31 year old woman who presented with foetal distress, deranged LFT’s and acute pancreatitis. She developed pancreatic ascites, a laparotomy demonstrated necrotic pancreatitis and a cholestatic liver. Liver biopsy was compatible with ALFP. She died of sepsis and multi-organ failure (MOF) on day 16 following admission. The second death occurred in a 33 year old patient who presented with jaundice, abdominal pain, hypoglycaemia and a raised INR. Following emergency caesarean section, she was admitted to ITU with grade 2 encephalopathy. She also had CT evidence of severe necrotising pancreatitis. Laparotomy findings demonstrated turbid ascites and liver biopsy was consistent with AFLP. She died of sepsis and multi organ failure on day 10 following admission. In light of the severity of the pancreatitis neither of these patients were listed for LT. The third death in this category was in a 24 year old woman who had a ca...
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Related to Maternal Outcomes

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  • Nepotism No employee shall be awarded a position where he/she is to be directly supervised by a member of his/her immediate family. “

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  • Internal Control Effective control and accountability must be maintained for all cash, real and personal property, and other assets. Grantee must adequately safeguard all such property and must provide assurance that it is used solely for authorized purposes. Grantee must also have systems in place that provide reasonable assurance that the information is accurate, allowable, and compliant with the terms and conditions of this Agreement. 2 CFR 200.303.

  • SAFEGUARDING CHILDREN AND VULNERABLE ADULTS 8.1 The Service Provider will have ultimate responsibility for the management and control of any Regulated Activity provided under this agreement and for the purposes of the Safeguarding Vulnerable Groups Xxx 0000.

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