Medical Journal of Malaysia最新文献

{"title":"Training and testing of integrated professional skills in management of shoulder dystocia among Malaysian Health Care Providers.","authors":"J Thaneemalai, G Muniswaran, T Boon Nee, P T Gunasegaran","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>To evaluate if the Intensive Course in Obstetric Emergencies (ICOE) Shoulder dystocia simulation training module could improve psychomotor and cognitive skills in the management of shoulder dystocia using a Test of Integrated Professional Skills (TIPS).</p><p><strong>Materials and method: </strong>This was a prospective observational study involving Malaysian health care professionals participating in ICOE shoulder dystocia simulation, where standardized curriculum was used. Pre and post-test skills assessment were conducted to evaluate the effectiveness of the course content and delivery.</p><p><strong>Results: </strong>609 Malaysian health care professionals attended ICOE training; 400 midwives, 128 medical officers, 55 specialist and 26 consultants. Participants were derived from 25 consecutive courses, from 2014 to 2019 and tested on predetermined skills in the management of shoulder dystocia. Their mean TIPS pre-test vs post-test score were (2.55 vs 6.77) midwives, (3.78 vs 7.25) medical officers, (5.16 vs 7.82) specialists & (3.62 vs 6.88) consultants. All four group of participants showed statistically significant improvement (51-165%) in their skills (p<0.001). The mean post test score in noting time of dystocia and call for help were significantly higher among midwives than others. All four groups statistically improved their delivery skills in McRoberts manoeuvre and directed suprapubic pressure. Pre-skills for delivery of the posterior arm was suboptimal and post skills test showed statistically significant improvement in all four groups.</p><p><strong>Conclusion: </strong>ICOE shoulder dystocia simulation training module improved the psychomotor and cognitive skills in the management of delivery of shoulder dystocia.</p>","PeriodicalId":39388,"journal":{"name":"Medical Journal of Malaysia","volume":"80 2","pages":"206-211"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The survival outcomes of unilateral retinoblastoma in Malaysia.","authors":"A S Ain-Nasyrah, J Rahmat, S A Ghani, I Shatriah","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Retinoblastoma (RB) is the most common malignant intraocular tumour in children and can present as unilateral or bilateral disease. Unilateral RB represents 60% of all cases and tend to present at a relatively advanced stage of RB. Unilateral RB in Malaysia has a one-year survival rate of 99.0% and five-year survival of 93.0%. Shorter lag time, longer duration of follow-up and compliance with follow-up are good prognostic factors for the survival of unilateral RB patients. It is essential to report the prognostic factors associated with unilateral RB in our population. This information will assist healthcare professionals in understanding the factors that influence outcomes and support the development of long-term treatment guideline.</p>","PeriodicalId":39388,"journal":{"name":"Medical Journal of Malaysia","volume":"80 2","pages":"113-117"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of computerized provider order entry system on medication prescribing errors in hospital wards: a comparative study.","authors":"C Y Saw, A K Nadzirah, N S Nagappan, W Joan, M T Lim","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Medication errors are a major concern in healthcare, threatening patient safety and increasing costs. These errors can occur at various stages, from prescribing to dispensing and administration. Among these, prescribing errors are particularly critical as they occur at the initial step of medication use process and can propagate downstream, potentially leading to adverse events. Computerized provider order entry (CPOE) systems, with integrated clinical decision support tools offer significant benefits over handwritten prescriptions including enhanced legibility, prescription completeness, standardization, a comprehensive audit trail and real-time alerts and reminders to assist prescribers during the prescribing process. This study aims to evaluate the effectiveness of a CPOE system with clinical decision support features in reducing prescribing errors across the hospital. It compares the rates and error types between electronic and handwritten prescriptions over different time periods following the CPOE implementation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;This retrospective comparative analysis examines inpatient prescription data collected from the same hospital wards during three distinct periods: 1st January to 31st March 2023 (59,663 handwritten prescriptions), 1st October to 31st December 2023 (43,363 electronic prescriptions at 3 months post-CPOE implementation) and 1st January to 31st March 2024 (44,317 electronic prescriptions at 6 months post-CPOE implementation). The CPOE system was implemented in July 2023.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The CPOE system significantly reduced medication prescribing errors (3 months post-CPOE: n=832, 1.92%; 6 months post-CPOE: n=617, 1.39%) compared to handwritten prescriptions (n=3532, 5.92%). The odds of errors occurring 3 months and 6 months post-CPOE implementation were 65% and 75% lower, respectively, than during the handwritten phase [Odds Ratio (OR), 0.35; 95% Confidence Interval (CI), 0.32 - 0.38] and [OR, 0.25; 95% CI, 0.23 - 0.28]. Potential error sources associated with handwritten prescriptions, such as illegible prescriptions, non-standard abbreviations and incomplete prescriptions, were entirely eliminated with CPOE adoption. Significant differences in error types were observed between handwritten and electronic prescriptions (p&lt;0.001). However, errors related to incorrect dosage, frequency and unit of measurement increased under the CPOE system compared to handwritten prescriptions (p&lt;0.001). A significant reduction in odds occurred with wrong unit of measurement [OR, 0.61; 95% CI, 0.52 - 0.72) followed by frequency errors [OR, 0.58; 95% CI, 0.47 - 0.73) from the 3 months to 6 months post-CPOE implementation. Non-significant reductions or increments in odds were observed for other error types including wrong dosage, wrong route, wrong form, wrong strength and wrong or inappropriate drugs between the two 3-month post-CPOE periods.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Co","PeriodicalId":39388,"journal":{"name":"Medical Journal of Malaysia","volume":"80 2","pages":"228-234"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complementary feeding based on local-food to improve mother ability in fulfillment nutrition stunted children.","authors":"P H Apriyani, W K Ardhiles, R Fani, D Soares, W Shinta, M Hanim, G A Rakhmadani, Indari","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Mothers have the ability to provide adequate nutrition for their children. The role of providing nutrition to children aged 6-24 months who are stunted correlated to the mother's ability to provide proper nutrition. The role of mother can be carried out using the ability, confidence, and self-capacity to complete tasks, managing and providing nutrition to children aged 6-24 months who are stunted. This study aimed to analyze complementary feeding based on local food to improve the mothers' ability to fulfill their needs in stunted children.</p><p><strong>Materials and methods: </strong>A pre-experiment design was used to obtain data regarding 180 mothers who participated in this study. The complementary feeding based on local- food was conducted for 9 weeks, comprising 2 weeks preintervention, 6 weeks of intervention, and one-week postintervention. The intervention consists of 12 sets of recipes to be made by mothers and given to their children 4 times daily over 6 weeksinstrument using Infant and Young Children Feeding Practice and Structure questionnaire. Data analysis in this study used Wilcoxon Signed Rank Test.</p><p><strong>Results: </strong>The result of this study showed that complementary feeding based on local- food could give the impact mothers ability in food preparation and processing before complementary feeding (Z=11.644 and pvalue= 0.000), supplemental feeding (Z=-11.641 and p-value 0.000), and responsive feeding (Z-11.640 and p-value 0.000). The role of feeding responsiveness in accelerated growth. These results prove that self-feeding and maternal verbal responsiveness can be increased by targeting specific behaviours with appropriate behaviour change modeling and coaching practice strategies.</p><p><strong>Conclusion: </strong>These results provide evidence that focusing on specific behaviours and implementing modification techniques such as modeling and coached practice, complementary feeding based on local food, self-feeding, and maternal verbal responsiveness can be improved.</p>","PeriodicalId":39388,"journal":{"name":"Medical Journal of Malaysia","volume":"80 2","pages":"127-132"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Free omental patch as the promising future for incisional hernia surgery: an experimental study in rat model.","authors":"I Sofii, I Widodo, Gunadi, A Y Handaya","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Incisional hernia is the common complication of abdominal surgery with serious morbidity. The use of Composite mesh (CM) is the current gold standard, which is superior to Polypropylene mesh (PPM) for closing the defect, due to its minimal intraabdominal adhesion. In this study, we were using the novel combination of free omental patch (FOP) and PPM compared to CM for defect closure surgery in incisional hernia using rat models. We compared the gene expression of VEGF, COL3A1, COL1A1, COL1A2, and ratio of COL1A1/COL3A1 as the representative of wound healing process from all treatment options.</p><p><strong>Materials and methods: </strong>Eighteen wistar rats were made into incisional hernia models and divided into three groups of FOP, FOP-PPM, and CM at the 14th day. After each group underwent hernia repair, abdominal wall samples were taken to examine the expression of qPCR VEGF, COL3A1, COL1A1, and COL1A2 at the 21st day.</p><p><strong>Results: </strong>There were no significant different in the gene expression of VEGF, COL3A1, COL1A1, COL1A2 and COL1A1/COL3A1 ratio between FOP, FOP-PPM and CM group (p-value >0.05). In addition, non-significant result also found at the comparative analysis between FOP-PPM and MC groups.</p><p><strong>Conclusions: </strong>FOP can give the similar result as CM for defect closure surgery in incisional hernia, either when combined with PPM or as a single option. However, further clinical study is needed to support this animal study.</p>","PeriodicalId":39388,"journal":{"name":"Medical Journal of Malaysia","volume":"80 2","pages":"174-177"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Usability and functionality of M-DFEET application for the independence of foot care in diabetes mellitus patients.","authors":"N L P I B Agustini, N P A R Dewi, K A N Putra, W E Sanjana","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Diabetes mellitus (DM) poses significant challenges in foot care management, often leading to severe complications if not properly addressed. Diabetic Peripheral Neuropathy (PND) is commonly associated with diabetic foot ulcer (DFU) and is a leading cause of hospital admissions and prolonged treatment durations. Therefore, this study aimed to determine the usability and functionality of the Mobile Diabetic Foot Early Self-Assessment (MDFEET) application for the independence of foot care for DM patients in the South Denpasar Community Health Centre area.</p><p><strong>Materials and methods: </strong>This is a cross-sectional study with 60 DM patients, selected by simple random sampling. The instrument used consists of the DM patient observation sheet-based user view and the M-DFEET application. Categorical data were classified as frequency and percentage, while the numerical data were reported as mean and standard deviation (SD).</p><p><strong>Results: </strong>The evaluation results show that all 60 participants (100%) rated the functionality of the M-DFEET application as excellent in helping with foot care. Furthermore, most participants, 55 (91.7%), assessed the efficiency of the application as good. Regarding the usability, 58 participants (96.7%) considered it good, while the remaining participants deemed it adequate. These findings underscore the application's potential to optimize time and effort for its users effectively.</p><p><strong>Conclusions: </strong>The feedback on the M-DFEET application is overwhelmingly positive, with all participants rating its functionality as very good for foot care. The application is likely to be well-received by users especially T2DM patients, and holds potential as an evaluative tool in foot care management.</p>","PeriodicalId":39388,"journal":{"name":"Medical Journal of Malaysia","volume":"80 2","pages":"178-182"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of choroidal thickness in Malay children with myopia.","authors":"M Nurul-Farhana, N F Ngah, I Shatriah","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>This study aims to evaluate the choroidal thickness and its correlation with age, spherical equivalent, and axial length in Malay children with myopia, addressing the limited data available on this topic in Southeast Asia.</p><p><strong>Material and methods: </strong>A cross-sectional, hospital-based study was conducted from 2022 to 2024 at Hospital Shah Alam and Hospital Pakar Universiti Sains Malaysia. A total of 109 Malay children aged 7-17 years participated, including 88 with myopia and 21 with emmetropia. Each participant underwent a comprehensive ocular examination, including non-cycloplegic refraction and axial length measurement. Choroidal thickness was assessed using Cirrus SD-optical coherence tomography, with one eye from each subject randomly selected for analysis.</p><p><strong>Results: </strong>The mean subfoveal choroidal thickness was significantly thinner in myopic children (284.91 μm) compared to emmetropic children (347.62 μm) (p<0.001). Additionally, choroidal thickness varied significantly with the degree of myopia: mild myopia had a mean subfoveal thickness of 319.69 μm, moderate myopia 290.04 μm, and high myopia 225.72 μm, with high myopia showing the thinnest choroid (p<0.001). A significant negative correlation was observed between axial length and subfoveal choroidal thickness, while a positive correlation was found between spherical equivalent and choroidal thickness. No significant correlation was identified between age and subfoveal choroidal thickness.</p><p><strong>Conclusion: </strong>Malay children with myopia exhibit a thinner mean choroidal layer compared to their emmetropic peers, with the thinnest choroid observed in cases of high myopia. This indicates that thinning of the choroidal vasculature occurs with the increase in axial length and worsening severity of myopia.</p>","PeriodicalId":39388,"journal":{"name":"Medical Journal of Malaysia","volume":"80 2","pages":"221-227"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and attitude of basic cardiopulmonary resuscitation among home-based child daycare caregivers in Kelantan.","authors":"A R Abdullah, M F Mohd Shukri, A S Sjahid, M A Abu Bakar, N Yaacob, M H Fauzi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Cardiopulmonary resuscitation (CPR) is indeed a basic skill that should be acquired by everyone in the community. Early CPR is an important element in the chain of survival and home-based child daycare (HBCD) caregivers play a vital role as early responders in case of out-of-hospital cardiac arrest (OHCA). The study aims to determine the level of knowledge and attitude of CPR among HBCD caregivers in Kelantan and the factors that contribute to them. This study covers a research gap in Kelantan, Malaysia, evaluating HBCD caregivers' knowledge and attitudes towards CPR.</p><p><strong>Materials and methods: </strong>This was a quantitative crosssectional study conducted from November 2020 until March 2021 which involves 139 HBCD caregivers in Kelantan. Validated questionnaire was used which consisted of 27 questions based on demography, knowledge and attitude towards CPR. The data was keyed in and analysed using software SPSS version 26.</p><p><strong>Results: </strong>A total of 139 respondents participated in the study. The mean attitude score obtained by the caregivers was 16.67 with SD = 4.22. There were 89 caregivers (64%) with poor knowledge among the 139 HBCD caregivers in the study compared to 50 HBCD caregivers (36%) who had good knowledge. Caregivers who were exposed with CPR training had 5.91 higher odds of having good CPR knowledge compared to those without being exposed to CPR training (Wald-statistic (df) = 21.12 (1), OR (95% CI) = 5.91 (2.77, 12.61), p<0.001). Caregivers with experience in handling CPR were 5.91 of higher odds in having good CPR knowledge compared to those without the experience in handling CPR when adjusted for the duration of caregiver's experience (Wald-statistic (df) = 21.12 (1), OR (95% CI) = 5.91 (2.77, 12.61), p<0.001). HBCD caregivers' experience was the only variable that had a significant p-value when tested in the regression model (p = 0.023).</p><p><strong>Conclusion: </strong>The findings revealed that HBCD caregivers in Kelantan had inadequate CPR knowledge, potentially increasing the risk of OHCA. Planned and regular training for them is mandatory. Exposure to CPR was the associated factor that contributes to knowledge level among HBCD caregivers whereas years of experience as HBCD caregivers influence attitude towards CPR.</p>","PeriodicalId":39388,"journal":{"name":"Medical Journal of Malaysia","volume":"80 2","pages":"199-205"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying predictors of worsening glycaemic outcomes in prediabetes: a two-year cohort study in Terengganu, Malaysia.","authors":"N A Yusof, N A Idris, A Abdul Aziz, N N Naing, S S Oo, M M T Aung, M Z H Ismail, R Abdul Latif","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Prediabetes is a critical stage preceding diabetes mellitus (DM) which is also associated with an elevated risk of developing DM and related complications. Addressing predictors that influence the progression or regression of glycaemic outcomes in prediabetic individuals can enhance intervention strategies. This study aims to identify key predictors of glycaemic progression among adults with prediabetes in Terengganu, Malaysia.</p><p><strong>Materials and methods: </strong>A retrospective cohort study was conducted involving 592 prediabetic adults from 28 health clinics in Terengganu between January 2019 and June 2023. Participants were selected based on oral glucose tolerance test (OGTT) results indicating prediabetes. Sociodemographic, medical background, and clinical data, including body mass index (BMI), blood pressure, fasting blood sugar (FBS), and lipid profiles, were extracted from medical records. Glycaemic outcomes were classified into three categories: reversion to normoglyacemia, persistent prediabetes, or progression to DM, based on glycated haemoglobin (HbA1c) levels taken within two years of follow-up. Ordinal logistic regression analysis was used to identify the significant predictors influencing these outcomes.</p><p><strong>Results: </strong>Analysis showed age, BMI, underlying dyslipidaemia, FBS, and triglyceride levels as significant predictors of glycaemic progression. Specifically, each additional year of age and each one-unit increase in BMI raised the likelihood of progression to DM by 3% and 6%, respectively. Participants with dyslipidaemia were noted to have a 67% higher risk of worsening glycaemic status, while increases in FBS and triglyceride levels were associated with 65% and 34% greater odds of diabetic progression, respectively.</p><p><strong>Conclusion: </strong>This study identifies critical predictors of glycaemic outcomes in prediabetic adults, emphasizing the role of age, BMI, dyslipidaemia, FBS, and triglycerides in the disease progression. These findings support the development of targeted interventions that address these risk factors to curb diabetes progression in high-risk individuals, contributing valuable insights into diabetes prevention strategies tailored for Malaysian populations.</p>","PeriodicalId":39388,"journal":{"name":"Medical Journal of Malaysia","volume":"80 2","pages":"212-220"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uterine torsion in pregnancy: a case report and systematic review.","authors":"A Z Zahar, M A Mazrin Nur","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Uterine torsion in pregnancy is a rare condition but is associated with significant negative outcomes to the pregnant women and their babies. This study is to systematically review the literatures and analyse the clinical presentations, management and complications of uterine torsion in pregnancy.</p><p><strong>Materials and methods: </strong>We searched across multiple databases (PubMed, Google Scholar, ScienceDirect, Academia.edu, ResearchGate and Semantic Scholar) and suitable articles from 1993 to 2022 were systematically chosen according to PRISMA guideline. The analysis was performed on the maternal characteristics, signs and symptoms of the uterine torsion, management, complications and outcomes of both the mothers and infants. All case reports or case series reporting uterine torsion in pregnancy from English language journals were included without restriction on the geographical origin.</p><p><strong>Results: </strong>A total of 149 cases from 146 publications and one from our centre were included for analysis. Most of the cases were seen in the third trimester and presented with acute abdominal symptoms and signs. It presented a challenge in diagnosis and had a myriad of complications to the mothers and infants. The maternal mortality is 2.0% while the perinatal mortality stands at 38.2%.</p><p><strong>Conclusion: </strong>Uterine torsion in pregnancy is a rarely encountered but serious condition with no specific precipitating factor or diagnostic criteria. It can occur at any gestation, has a wide range of non-specific clinical presentations, and carries a significant risk to the mother and child.</p>","PeriodicalId":39388,"journal":{"name":"Medical Journal of Malaysia","volume":"80 2","pages":"245-257"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}