title: Hepatitis C in haemorrhagic obstetrical emergencies.
abstract: OBJECTIVE
  To determine the maternal health and fetal outcome in hepatitis C with obstetrical haemorrhagic emergencies.
  
  
  METHODS
  An observational study.
  
  
  METHODS
  Department of Obstetrics and Gynaecology Unit-I, Liaquat University of Medical and Health Sciences Hospital, Hyderabad, Sindh, from January 2009 to December 2010.
  
  
  METHODS
  All the women admitted during the study period with different obstetrical haemorrhagic emergencies were included. On virology screening, hepatitis C screening was done on all. The women with non-haemorrhagic obstetrical emergencies were excluded. Studied variables included demographic characteristics, the nature of obstetrical emergency, haemorrhagic conditions and maternal and fetal morbidity and mortality. The data was analyzed on SPSS version 20.
  
  
  RESULTS
  More frequent obstetrical haemorrhagic emergencies were observed with hepatitis C positive in comparison with hepatitis C negative cases including post-partum haemorrhage in 292 (80.88%) and ante-partum haemorrhage in 69 (19.11%) cases. Associated morbidities seen were disseminated intravascular coagulation in 43 (11.91%) and shock in 29 (8.03%) cases with hepatitis C positive. Fetal still birth rate was 37 (10.24%) in hepatitis C positive cases.
  
  
  CONCLUSIONS
  Frequency of maternal morbidity and mortality and perinatal mortality was high in obstetrical haemorrhagic emergencies with hepatitis C positive cases.
authors.affiliation: Department of Obstetrics and Gynaecology, Liaquat University of Medical and Health Sciences, Jamshoro, Hyderabad, Sindh.
authors.forename: Meharunnisa
authors.initials: M
authors.lastname: Khaskheli
authors.affiliation: Department of Obstetrics and Gynaecology, Liaquat University of Medical and Health Sciences, Jamshoro, Hyderabad, Sindh.
authors.forename: Shahla
authors.initials: S
authors.lastname: Baloch
authors.affiliation: Department of Obstetrics and Gynaecology, Liaquat University of Medical and Health Sciences, Jamshoro, Hyderabad, Sindh.
authors.forename: Sumiya
authors.initials: S
authors.lastname: Farooq
mesh_terms: D000328:Adult; D004630:Emergencies / Q000453:epidemiology*; D005260:Female; D006526:Hepatitis C / Q000150:complications*; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D008429:Maternal Welfare; D009774:Obstetrics; D010154:Pakistan / Q000453:epidemiology; D006473:Postpartum Hemorrhage / Q000453:epidemiology*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000453:epidemiology* / Q000821:virology; D011256:Pregnancy Outcome; D047928:Premature Birth / Q000209:etiology; D011446:Prospective Studies; D012307:Risk Factors; D012959:Socioeconomic Factors; D055815:Young Adult