Publications by authors named "E Morau"

Article Synopsis
  • Obstetric hemorrhage is a significant cause of maternal mortality that can be largely prevented, yet surgical injury during cesarean sections has become more common in France as a contributing factor to this issue.
  • A nationwide study analyzed maternal deaths from surgical injuries during cesareans in France from 2007 to 2018, revealing a concerning trend of increasing mortality ratios despite overall improvements in maternal health outcomes.
  • Key findings indicate that factors such as obesity, prior cesareans, and inadequate facilities played a significant role in these deaths, highlighting the need for improved care processes and risk factor management to enhance maternal safety.
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Article Synopsis
  • The study analyzed changes in the incidence and causes of maternal deaths due to obstetric hemorrhage in France from 2001 to 2015, focusing on the impact of national guidelines implemented in 2004 and updated in 2014.
  • Findings revealed a significant drop in the maternal mortality ratio (MMR) from 2.3 to 0.8 per 100,000 livebirths, with a notable decrease in deaths from uterine atony.
  • Despite improved clinical care, 88% of maternal deaths from hemorrhage were still considered preventable, highlighting areas needing further improvement in diagnosis and surgical management.
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Background: Specific guidelines to manage caesarean delivery anaesthesia are lacking. A European multicentre study, ACCESS investigates caesarean delivery anaesthesia management in European centres. In order to identify ACCESS participating centres, a registration survey was created.

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Article Synopsis
  • * The majority of cases occurred during labor, with an average time from symptom onset to death being about 4 hours and 45 minutes, highlighting the rapid progression of the condition.
  • * Preventability was suggested for 35% of these deaths, indicating opportunities for improvement in medical skills, communication, and health care organization; autopsies were conducted in 38% of the cases.
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