Latest news with #bleeding
BBC News
6 hours ago
- Politics
- BBC News
One month-old baby die from 'sever bleeding' afta FGM
One one month old girl pikin don die on reported complications from suspected Female Genital Mutilation, The Gambia police tok. Di police for statement say two women wey allegedly get hand for di mata now dey for police custody as di police for Wellingara. Dem tok say, "initial findings show say di pikin bin dey allegedly subjected to circumcision and later come start to get serious bleeding. "Dem come rush am go Bundung Maternal and Child Health Hospital wia dem pronounce am dead on arrival". FGM dey illegal for di Gambia and even as recent as last year, parliament slap down attempt to comot di law wey make am illegal. According to di law, di pipo wey do di FGM fit face up to three years for prison but di mata don turn to life sentence if di girl die becos of am. Reactions don come from different sides about dis tori wey di police release. Human rights group Edward Francis Small Centre for Rights and Justice, comment on di police statement. Dem hail di arrest of di suspects say e go make oda pipo wey wan run dis kain parole stop and tink. Dem tok say, "we dey call on di ministry wey dey responsible for children to ginger increase public awareness and monitoring and enforcement of di law so dis kain tin no go happun again". Meanwhile anoda NGO group, Women In Leadership and Liberation (WILL) accuse di authorities say dem fail to protect children . Dem add for statement say, "culture no be excuse, tradition no be shield, dis na violence, pure and simple". Fatou Baldeh wey be WILL Founder tell BBC say, "Parents feel like if dem cut dia girls as babies dem go heal sharparly, also bicos of di law e go dey easier to disguise so pipo no go know". For July 20204, di Gaambia lawmakers reject bill wey bin wan do u-turn on di 2015 ban on FGM. Dis na afta human rights groups and UN ginger di MPs to block di bill wey land di parliament bicos of ginger by some MUslim clerics. Na onr Almameh Gibba table di draft law come and wen dem first introduce am majority of di MPs approve, wey for mean say Di Gambia for be di first kontri to do about turn on di FGM mata But dem no gree for second reading, so dem no even bother to take am to third reading, e just kpai for dia. Di Gambia dey named among di top 10 kontris wit di highest rates of FGM wia 73% of women and girls between di ages of 15 and 49 don face am, according to di United Nations. Amnesty International add say, three in evri four girl pikin for di kontri dey do dia own FGM bifor di age of six. For di most severe part of di FGM, afta dem comot di clitoris and dem cut di genitals dem cut and stitch am close so di woman no go fit knack or enjoy di knacking.
Daily Mail
5 days ago
- Health
- Daily Mail
Shopper, 90, died after falling on WH Smith escalator inside busy shopping centre, inquest hears
A 90-year-old shopper died after falling on a WH Smith escalator inside a busy shopping centre, an inquest has heard. Margaret Rose Harris suffered the fatal fall at the Quadrant Shopping Centre in Swansea after stumbling on the moving escalator. The retired administrator suffered cuts to her right leg. An inquest heard that pensioner Ms Harris had been prescribed apixaban and aspirin, which would have contributed to the continuous bleeding after her fall on Tuesday, January 21. The hearing was told there were no faults with the escalator or the surrounding environment. A medical cause of death was recorded as external bleeding, traumatic laceration of soft tissues in the right leg, and coronary atheroma. Senior coroner Aled Gruffydd recorded a conclusion of accidental death. Quadrant Shopping Centre opened in 1979 and boasts an array of retailers, including Boots, Superdry, Clogau, Trespass and more. The bustling shopping centre sees a footfall of approximately 9.7 million shoppers annually.
Irish Times
14-07-2025
- Health
- Irish Times
Woman who suffered sustained bleeding after giving birth fails in High Court action
A woman suffering from bleeding and who collapsed at home 2½weeks after giving birth has failed in a High Court claim for damages against the Coombe hospital , Dublin, and the HSE . Virginia Gimenez Perez alleged, among other matters, that the hospital failed to properly diagnose and treat the cause of her bleeding after she gave birth to her second child in October 2019. She also alleged that the Midland Regional Hospital, Portlaoise, failed to make a timely diagnosis of what was causing her bleeding when she was brought there by ambulance in November having collapsed at home. She eventually received surgery to stop the bleeding in December. Ms Justice Emily Egan found in favour of the HSE and the hospital in a recently-published decision. READ MORE She found that the staff involved in the care of Ms Perez in both hospitals acted in ways that ordinary competent professionals might have acted and took decisions that were open to such professionals exercising reasonable care. Ms Perez complained that the Coombe failed to properly diagnose and treat her post-partum haemorrhage (PPH) caused by the incomplete delivery of the placenta, preventing her uterus from contracting and stemming bleeding from the uterine wall. The condition is known as retained products of conception (RPOC) and it was common cause that the PPH suffered by Ms Perez was due to RPOC. In the Coombe at the time of the birth, the placenta was checked by a nurse who noted that it 'appears complete'. 'It is common case that it is very difficult to out-rule the possibility that a small piece of placenta is missing,' the judge noted. 'It is not per se negligent to conclude that a placenta 'appears complete' even if this transpires not to be the case.' Ms Perez also criticised other aspects of her care while at the Coombe, including the hospital's response to her blood loss. However, the judge found the treatment given was 'effective and reasonable' given the scenario presenting. The care given after Ms Perez attended hospital in Portlaoise was also criticised by her and her expert witnesses, with consultant obstetrician Dr Robin Ashe saying the hospital should have performed surgery on her to remove the RPOC when she was brought there by ambulance on November 4th, 2019. However, Ms Justice Egan found that the more conservative management decided upon by the staff was 'within the band of reasonable management'. Consultant Dr Niamh Maher, who decided on the more conservative approach after having made a differential diagnosis, was 'emphatic' that surgery involved a risk of uterine perforation that could have been 'catastrophic' in circumstances where the patient had given birth only two weeks earlier. Surgery was eventually carried out on Ms Perez when she presented at the hospital on December 4th, 2019. By this time the risk of uterine perforation was reduced. The material removed, only part of which was RPOC, had moved from the uterus to the cervix with the aid of prescribed medicines and Ms Perez was 'somewhat unlucky' the procedure was required, the court was told. Ms Perez said she was weak, fatigued and introverted for some time after the surgery, did not return to normal for nearly two years, and was prescribed antidepressants. However, the judge found her 'adjustment disorder' was caused by the stress of having to undergo surgery under general anaesthetic, something that was 'virtually unavoidable'. 'Fortunately [Ms Perez] states that she is now doing really well; she has a good life and feels very happy,' the judge said, as she dismissed the case.
Medscape
10-07-2025
- Health
- Medscape
Are IV Proton Pump Inhibitors Overused in Upper GI Bleeding?
TOPLINE: Nearly 70% of patients with acute upper gastrointestinal (GI) bleeding and low-risk or no peptic ulcer disease received intravenous (IV) proton pump inhibitors (PPIs) inappropriately, leading to longer hospital stays. METHODOLOGY: Current guidelines recommend transitioning from IV to oral PPIs after esophagogastroduodenoscopy (EGD) if no high-risk stigmata are found and stopping PPIs in patients with upper GI bleeding from causes other than peptic ulcer disease. Researchers conducted a retrospective cohort study of patients hospitalized for acute upper GI bleeding between January 2014 and December 2019. All patients were started on continuous or intermittent IV PPI and underwent EGD that showed a gastric or duodenal ulcer with low-risk signs or lesions unrelated to ulcer disease. Inappropriate use was defined as any continuous IV PPI infusion lasting more than 4 hours after EGD or any intermittent dose administered after the procedure. TAKEAWAY: Researchers analyzed 253 patients (mean age, 62 years; 57% women; 35% White/Caucasian), of whom only 79 (31%) received appropriate PPI therapy, whereas 174 (69%) received it inappropriately (55 on continuous IV PPI infusion and 119 receiving excess intermittent doses). Patients with peptic ulcer disease with low-risk stigmata received an average of five excess IV PPI doses, and those on continuous infusions received an average of 41 additional hours of treatment. Among patients with lesions unrelated to peptic ulcer disease or with no lesions at all, those receiving twice daily IV PPI dosing averaged six extra doses, and those on continuous infusion received an average of 34 additional hours of therapy. At baseline, hemoglobin levels were slightly lower in the inappropriate therapy group than in the appropriate group (7.9 vs 8.7 g/dL). Patients receiving appropriate therapy had a shorter hospital stay than those receiving inappropriate therapy (4 vs 7 days; P = .001). IN PRACTICE: 'We believe that educating practitioners on the appropriate use of PPI therapy in the context of the endoscopic lesion that was believed to have caused bleeding is a critically important next step,' the authors wrote. SOURCE: This study was led by Michael M. Sutton, MD, University of Oklahoma Health Sciences Center, Oklahoma City. It was published online in the Journal of Clinical Gastroenterology. LIMITATIONS: The retrospective design may have introduced biases, such as ascertainment bias, as verbal recommendations for discontinuing IV PPI therapy might not have been documented. The single-center setting limits the generalizability of the findings. DISCLOSURES: This study was supported in part by grants from the National Institutes of Health — the National Institute of Diabetes and Digestive and Kidney Disease, the National Institute of General Medical Sciences, and the National Center for Advancing Translational Sciences. The authors reported having no conflicts of interest. This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.
Health Line
18-06-2025
- Health
- Health Line
Can Stress Cause Postmenopausal Bleeding?
Yes, in some cases, stress can cause postmenopausal bleeding. This is because stress can result in hormonal imbalances which can lead to changes to the vaginal lining. If the lining becomes too thick, thin, or inflamed, it can shed and cause bleeding. It's important to note, however, that stress is a rare cause of postmenopausal bleeding. The most common causes include: a thickened vaginal lining, which can be caused by excess estrogen in the body cervical polyps, which are noncancerous growths on the cervix inflammation or thinning of the vaginal lining, caused by low estrogen levels » Learn more about how postmenopausal bleeding is treated. When to speak with a doctor about postmenopausal bleeding You should always speak with a doctor about any vaginal bleeding that occurs after menopause, even if it is just spotting or has only happened once. In some cases, postmenopausal bleeding can be a sign of uterine cancer. While this is rare, a doctor can run some tests to check for any cancerous cells. Remember, an early diagnosis of cancer can increase the chance of successful treatment and improve the overall outcome. How can I manage my stress levels? There are several way you can manage your stress levels, including: Learn your triggers. It can be helpful to identify what may be triggering your stress and work to reduce these stressors where possible. Ensure you're getting enough sleep. Not getting enough sleep can often make daily stressors more difficult to manage. Make time for things you enjoy. Consider scheduling time for activities that bring you joy and allow you to relax. Seeking support from loved ones. Speaking about your worries with loved ones may help you feel more supported. If you are finding it difficult to manage your stress levels, consider speaking with a healthcare professional. They can work with you to put together a suitable treatment plan.
