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Mumtaz Rashid

Publications and source records attributed to Mumtaz Rashid.

4 recordsLinked to original sources
PubMed2004

Higher order repeat caesarean sections: how safe are five or more?

OBJECTIVE: To determine the maternal morbidity and mortality associated with multiple repeat caesarean sections. DESIGN: Retrospective study. SETTING: Security Forces Hospital serving Ministry of Interior and Security Forces personnel in Riyadh, Kingdom of Saudi Arabia. POPULATION: Three hundred and eight case records undergoing between fifth and ninth caesarean section (mean 7) were studied and compared with a control group of 306 patients undergoing third or fourth caesarean section during the period January 1994-December 2002. MAIN OUTCOME MEASURE: Operative and post-operative complications and difficulties. RESULTS: Five or more caesarean sections were associated with a longer operating time as well as an increased rate of severe adhesions. Blood transfusion rate was similar in the two groups but a drop of pre-operative to post-operative haemoglobin was significantly higher in the study group compared with the controls. There was no significant difference in the Apgar score of the baby, neonatal admission rate, incidence of caesarean hysterectomy, uterine scar rupture, placenta praevia, placenta accreta, bladder injury, incidence of postpartum pyrexia, wound infection and urinary tract infection between the two groups. There was no maternal death in the study group but one mother died in the control group. CONCLUSION: The higher order (5-9) repeat caesarean sections carry no specific additional risk for the mother or the baby when compared with the lower order (3 or 4) repeat caesarean sections.

Adult↗
PubMed2003

Passive maternal smoking and pregnancy outcome in a Saudi population.

OBJECTIVE: A prospective study to investigate the effect of passive smoking on birth weight of infants born to women at the Department of Obstetrics and Gynecology, Security Forces Hospital, Riyadh, Kingdom of Saudi Arabia. METHODS: The study group comprised of 868 singleton live births occurring during January to December 2001 at Security Forces Hospital, Riyadh, Kingdom of Saudi Arabia. Following delivery, mothers were asked for details of whether they smoked or used tobacco in any other form and if they had exposure to passive smoke at home or in the workplace. The daily exposure time to tobacco smoke was divided into 2 groups; up to 4 hours and 5-8 hours. Obstetric and medical details of the mothers were recorded from case notes, as were the details of the baby. Data was analyzed using Stat Pack Gold Statistical Analysis Package using Student t-test to compare discrete and continuous variables. Stepwise multiple regression analysis was performed to adjust the odds ratio from the influence of confounding factors. RESULTS: Of the 868 women, 440 were passive smokers and 428 not exposed to tobacco smoke constituted the control group. Passive smokers were relatively younger with low parity and income. Passive smoking was significantly associated with a decrease in birth weight after adjusting for other factors (P=0.015) and an increase in the incidence of small for gestation age infants (P=0.0391). There was also no statistically significant difference in the birth weight between women exposed up to 4 hours of smoke and those exposed for 5-8 hours. CONCLUSION: Passive maternal smoking was associated with a decrease in birth weight and an increase in small for gestation age infants. A dose-response relationship between passive maternal smoking and birth weight was not seen.

Adult↗
PubMed2003

Chronic renal insufficiency in pregnancy.

This article attempts to assess the nature, severity and management of the risks associated with pregnancy in chronic renal insufficiency and end-stage renal disease, including dialysis and transplant recipients. Women with serum creatinine levels of >125 mmol/l are at an increased risk for deterioration in renal function, hypertension with superimposed pre-eclampsia and obstetric complications. Rigid control of hypertension is crucial for a successful pregnancy outcome. A range of antihypertensive drugs are available with angiotensin converting enzyme inhibitors being contraindicated. Women on dialysis have low fertility rates that return to normal following renal transplantation. Immunosuppresive drugs are not associated with increased congenital anomalies. Transplant recipients are at an increased risk for infections that may have implications for the fetus. All groups have an increased risk for prematurity and intrauterine growth restriction. The percentage of pregnancies resulting in surviving infants in women with renal insufficiency and transplant recipients ranges from 80-100%. For women who conceive after dialysis, the likelihood of a surviving infant is approximately 50%.

Antihypertensive Agents↗