Anaphylactoid syndrome caused by amniotic fluid embolism following manual removal of placenta.
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Adult↗
Biomedical subjects
A Sriemevan
Publications and source records attributed to A Sriemevan.
Transcervical resection of endometrium: patient satisfaction survey at a district general hospital.
A postal survey of transcervical endometrial resection in a series of 370 consecutive patients, treated at Ipswich District General Hospital between 1991 and 1997, is presented. All patients had total transcervical endometrial resection (TCER) procedures. Of our patients,258 (69.7%) reported a significant improvement in menstruation. Of the patients, 113 (21.9%) became amenorrhoeic. In all, 81 (21.9%) hysterectomies were performed. On direct questioning, 262 (70.8%) answered that they were satisfied with the outcome. It is concluded that our postal survey consolidates the previous findings that transcervical endometrial resection is a safe and effective operation with a high satisfaction rate even at a district general hospital setting. It should compliment medical treatments and hysterectomy in the management of women with menorrhagia.
Journal Article↗
Shoulder dystocia: room for improvement?
A questionnaire was completed by 166 midwives and obstetric junior doctors to assess their knowledge of the management of shoulder dystocia and to establish whether mandatory teaching and updating is required. Ninety-six participants (58%) claimed they were confident in the management of shoulder dystocia. However, only six (4%) respondents gained full marks on the scoring system devised to assess their knowledge. Furthermore 36 (22%) of those surveyed suggested rotation of the shoulders to the anterior-posterior position to alleviate the dystocia and 32 (19%) proposed pulling the head hard. Although there are limitations in assessing competence by the use of a questionnaire, the results of this survey suggest that there is considerable room for improvement. We suggest that a shoulder dystocia drill is introduced to all labour wards in the United Kingdom so that birth attendants can develop and memorize a sequence of procedures to use when confronted with this life-threatening emergency.
Journal Article↗