scholarly journals POSTDATE PREGNANCIES

2009 ◽  
Vol 16 (03) ◽  
pp. 454-45
Author(s):  
MADIHA RASHID ◽  
SHAMAILA HALEEM ◽  
SADIA CHEEMA
Keyword(s):  
Caesarean Section ◽  
Study Design ◽  
Fetal Distress ◽  
Descriptive Study ◽  
Morbidity And Mortality ◽  
Common Mode ◽  
Study Results ◽  
Meconium Staining ◽  
Set Up ◽  
Study Setting

Objective: The study was designed to determine the fetomaternal morbidity and mortality in post date pregnancies and tocalculate various modes of delivery in post date pregnancies in our set up. Study design: Non interventional descriptive study. Setting: GyneaUnit- III Services Hospital, Lahore. Material and methods: The data was collected with the help of Proforma which was filled for every patientdelivered at 40 weeks of gestation or above. The proforma included all points relevant to study. Results: The rate of meconium staining of liquor,fetal distress and caesarean section (C-section) increased significantly after 40 weeks gestation. Conclusion: The study shows that morechances of meconium staining, fetal distress and macrosomia in Post date patients. The study further shows that the induction and operativedeliveries are more common mode of deliveries in post date patients.

CLINICAL STUDY OF PRIMARY CESAREAN SECTION IN MULTIPAROUS WOMEN AT OBSTETRICS AND GYNAECOLOGY DEPARTMENT OF DMCH, LAHERIASARAI, BIHAR

2021 ◽  
pp. 7-8
Author(s):  
Kumari Nisha ◽  
Renu Jha ◽  
Kumudini Jha ◽  
Debarshi Jana
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Placenta Previa ◽  
Fetal Distress ◽  
Normal Vaginal Delivery ◽  
Major Surgery ◽  
Obstetrics And Gynaecology ◽  
Emergency Cesarean ◽  
Study Results ◽  
Multiparous Women

Background: Caesarean section is the most commonly performed major surgery among women. The aims and objective of this study was to know the incidence of primary Caesarean section in multigravidas, its indications and to know the maternal and foetal outcome among these patients. Methodology: This was an observational study conducted at Department of Obstetrics and Gynaecology of Darbhanga Medical College and Hospital, Laheriasarai, Bihar. Aim of the study was to study the indication, maternal and fetal outcome in primary cesarean in multiparous women. All multiparous women admitted for delivery were included in the study Results: The total number of deliveries were 3064 and cesarean section were 1026 (33%).The total number of primary cesarean section in multiparous women were 84 constituting 2.7%. In this study, majority of women were Gravida 2. 91.6% of the cases were underwent emergency cesarean section and anesthesia was spinal. Majority of patients were between age group of 22 to 27 yrs (70%). Indications for cesarean section in our study were severe oligohydroamnios (22%), fetal distress (15.4%), and breech presentation (14%), premature rupture of membrane (12%).Intra operative ndings were meconium stained liquor, post partum hemorrhage, thinned out lower segment and extension of incision. Out of 84 cases, 48 cases needed intra operative or immediate post operative blood transfusion. The post operative morbidity was present in 6 cases i.e paralytic ileus, puerperal fever, urinary tract infection and wound gaping. Majority of babies, weighed in the range of 2-3kgs (55%).Out of 84 cases 7 were causes were placenta previa, obstructed labor and fetal distress. Conclusion: Many unforeseen complications occur in women who previously had a normal vaginal delivery. It is recommended that all antenatal patients must be booked and receive proper and regular antenatal care. Also 100% deliveries in multigravida should be institutional deliveries in order to reduce maternal and perinatal morbidity and mortality.

scholarly journals Epidemio-clinical study of the first iterative cesarean in the gynecology-obstetric service at the teaching hospital of Cocody

2020 ◽  
Vol 9 (6) ◽  
pp. 2576
Author(s):  
Cassou R. Adjoby ◽  
Soh V. Koffi ◽  
Ibrahima S. Balde ◽  
Denis Effoh ◽  
Eleonore Gbary Lagaud ◽  
...  
Keyword(s):  
Clinical Study ◽  
Caesarean Section ◽  
Teaching Hospital ◽  
Fetal Distress ◽  
Descriptive Study ◽  
Clinical Factors ◽  
The World ◽  
Constant Improvement ◽  
Prenatal Visits ◽  
Perinatal Risks

Background: The iterative caesarean section, is a caesarean section that is performed on a uterus already healed, therefore for fear of maternal and perinatal risks, is recognized as one of the main causes of the inflation of caesarean section in the world. One in three caesarean sections is performed because of a scar uterus. Objective of this study was to analyse the epidemiological and clinical factors of iterative caesarean sections in the gynecology-obstetrics department at the Teaching Hospital of Cocody (Abidjan).Methods: This was a retrospective and descriptive study conducted from June 1st, 2018 to May 31st, 2019, including 349 iterative caesarean section cases.Results: The first iterative C-section accounted for 16.1% of the C-section indications during the study period. The average age of the patients was 30 years. Nearly half of the patients practiced in the informal sector 47.9%, were uneducated in 38.1% of cases and lived with a partner in 73.1% of cases. The majority of patients in this series 75.1% performed at least 4 ANCs. Patients were followed by prenatal visits in 61% of cases by midwives and in 8.6% of cases had an inter-reproductive space of less than 18 months. This study patients were evacuated in 46.4% of cases. Acute fetal distress was the first indication of first iterative caesarean section with 20.3% of cases. Emergency caesarean sections accounted for 84.4% of the cases in this series. Authors found maternal death 0.3% and 6.7% perinatal mortality.Conclusions: The iterative caesarean section is a caesarean section likely to cause difficulties and complications per- operative. Although in constant improvement the prognosis of the mother-child couple still remains a problem in this context, prenatal monitoring should be the prerogative of obstetrician gynecologists.

scholarly journals Study of autopsy based suicidal hanging

2015 ◽  
Vol 30 (2) ◽  
pp. 14-17
Author(s):  
Nirupama Talukder ◽  
Kh A Karim ◽  
Tarana Chowdhury ◽  
Ashan Habib ◽  
Azreen Momen Chowdhury ◽  
...  
Keyword(s):  
Study Design ◽  
Forensic Medicine ◽  
Descriptive Study ◽  
The Body ◽  
Social Health ◽  
Age Group ◽  
Cross Sectional ◽  
Medical College ◽  
The People ◽  
Study Setting

Introduction: Hanging is one of the most commonly used methods for suicide in most countries. Commission of suicide by hanging is increasing in the people of Bangladesh. Suicidal hanging is detrimental to social health. Appropriate measures to prevent it are essential. Objectives: To find out the demography, cause and nature of suicidal hanging. Study design: It is a cross sectional type of descriptive study. Setting: Data was collected on predesigned proformas from postmortem reports recorded by the students of DFM and MD in Forensic Medicine at Dhaka medical college during their course. Subject: Autopsy performed on the cases of suicidal hanging at Dhaka Medical College Morgue from September, 2011 to June, 2013. Result: Out of 100 cases, eighty two (82%) were female and the most commonest (50%) age group were from 11-20 years. In 18(18%) cases Dopatta were the commonest material used for hanging. Quarrel with husband 12(12%) were the predominant cause to destroy life. In ninety (90%) cases had complete suspension where the most commonest situation of gap was on the back (38.89%). During autopsy of suicidal hanging there were injuries on the body of deceased in few cases. But these injuries did not result in death of the victim. DOI: http://dx.doi.org/10.3329/bjpp.v30i2.22677 Bangladesh J Physiol Pharmacol 2014; 30(2): 14-17

scholarly journals Relationship between Amniotic Fluid Index and Perinatal Outcome

2015 ◽  
Vol 10 (1) ◽  
pp. 48-51
Author(s):  
S Pradhan ◽  
A Adhikary ◽  
P Pradhan ◽  
S Pradhan
Keyword(s):  
Birth Weight ◽  
Caesarean Section ◽  
Amniotic Fluid ◽  
Apgar Score ◽  
Perinatal Outcome ◽  
Fetal Distress ◽  
Amniotic Fluid Index ◽  
Significant Difference ◽  
Low Birth Weight Babies ◽  
Meconium Staining

Aims:  This study was done to evaluate the predictive value of low amniotic fluid index (AFI) of < 5 cm for adverse perinatal outcome in term of caesarean section for fetal distress, birth weight, meconium stained liquor and APGAR scores. Methods: This was a prospective study of 200 antenatal women booked at Nepal Medical College Teaching Hospital during the year 2013-2014 with gestational age between 34 and 41 weeks. Patients history and clinical examination were recorded and AFI was measured and the perinatal outcome was compared between two groups i.e AFI <5 cm and >5 cm. Results: The caesarean section (C/S) rate for fetal distress and low birth weight babies (<2.5 kg) was higher in patients with low AFI (p=0.048, 0.001 respectively). There was no significant difference in meconium staining, APGAR score at 5 minutes between the two groups (p=0.881, 0.884 respectively). Conclusions: Caesarean section for fetal distress and low birth weight babies was significantly associated with low amniotic fluid index. There was no significant difference in meconium staining liquor, APGAR score at 5 minutes between the two groups.  

scholarly journals CONGENITAL FOOT ANOMALIES;

2017 ◽  
Vol 24 (01) ◽  
pp. 139-143
Author(s):  
Imam Hussain ◽  
Muhammad Osama ◽  
Reem Javed Malik
Keyword(s):  
Physical Therapy ◽  
Study Design ◽  
Descriptive Study ◽  
Pes Planus ◽  
Number Of Children ◽  
Patient Demographics ◽  
Increased Risk ◽  
The World ◽  
Study Setting

Background: Congenital foot anomalies affect a large number of childrenthroughout the world. Rehabilitation of these anomalies is expensive and time consuming.There are many factors responsible for these anomalies. Incidence of these anomalies variesin different areas of the world. The aim of this study is to determine the frequency of congenitalfoot anomalies among children reporting at Chal foundation, Swabi, Pakistan. Study Design: Across sectional descriptive study. Setting: Chal Foundation, Swabi, Pakistan. Period: October2012 – October 2014. Methodology: Sample was selected using the convenience samplingtechnique. A total of 1141 patients visited the center, out of which 408 cases of congenitalfoot anomalies. Patient demographics including name, age, gender and district along withdiagnosis and side involvement was noted, and analyzed on SPSS v21.0. Results: A sampleof 408 patients was taken from which 70.3% were males and 29.7% were females. The meanage of the patients was 4.47 years at the time of visit. Only 5.9% cases were reported within thefirst year after birth. Right side foot anomaly was observed in 23.8% cases and 20.3% caseshad left side foot anomaly. Bilateral anomaly was observed in 55.9% cases. Among the 408cases, the most often reported was CTEV, observed in 79.7% cases. The second most commonanomaly was pes planus, observed in 8.8% cases. Conclusion: Congenital foot anomalies arecommon musculoskeletal anomalies affecting a large number of children, the most prevalentof which is CTEV. Unfortunately few people seek management in time either due to lack offacilities or awareness. Prevalent cousin marriages in the society may also play an influentialrole in increased risk of such anomalies to occur. Many of these anomalies can be managedconservatively with physical therapy and orthotics if reported in due time. Attention should bepaid on educating people regarding identification and timely management of such conditions.

scholarly journals UTERINE RUPTURE;

2013 ◽  
Vol 20 (05) ◽  
pp. 726-730
Author(s):  
CHANDRA MADHUDAR ◽  
AMBREEN GHORI ◽  
FARKHUNDA KHURSHID ◽  
Syed Zulfiquar Ali Shah ◽  
Tarachand Devrajani
Keyword(s):  
Uterine Rupture ◽  
Maternal Morbidity ◽  
Descriptive Study ◽  
Morbidity And Mortality ◽  
University Hospital ◽  
Collaborative Approach ◽  
Careful Selection ◽  
Maternal Morbidity And Mortality ◽  
Obstetrical Emergency ◽  
Study Setting

objective: To evaluate frequency, maternal morbidity and mortality in patients with uterine rupture at Gynae Unit -II of civilHospital Hyderabad. Study design: Prospective descriptive study. Study setting: Department of Obstetrics and Gynecology, unit-IILiaquat University Hospital Hyderabad Sindh Pakistan; from 1st October 2010 to 31st March 2011. Subjects and methods: All thepatients diagnosed as case of uterine rupture was taken as study subject. Data was collected in a pre-designed porforma. Variableanalyzed were frequency, demographic characters, maternal morbidity and mortality. Results: During the study, 34 patients out of 1400deliveries presented with uterine rupture resulting in a frequency of 2.42%or 1: 41deliveries. 64.7%(22) patients were between 26 to 35years age and 67.64%(23) were multipara.26.47%(9) presented with extension of tears, 17.6%(6) with shock,20.5%(7) with septicemiaand 20.5%(7) with wound infection. Conclusions: Uterine rupture is yet a common obstetrical emergency in our area. The significantmorbidity and mortality deserves our special attention by a collaborative approach. Regular ante natal checkups, careful selection ofpatients for vaginal delivery, vigilantly monitoring during labor with smooth switch over to operative delivery can reduce this drasticobstetrical complication.

scholarly journals PULP STONE

2018 ◽  
Vol 25 (07) ◽  
pp. 992-996
Author(s):  
Mahwish Memon ◽  
Feroze Ali Kalhoro ◽  
Salman Shams ◽  
Saba Arain
Keyword(s):  
Prospective Study ◽  
Study Design ◽  
Study Results ◽  
Tooth Type ◽  
Age Range ◽  
Pulp Stones ◽  
Study Setting ◽  
Carious Teeth ◽  
Molar Region

Objectives: To detect the pulp stone radiographically and to investigate anyassociation between the occurrence of pulp stone with age, gender, tooth type, dental archand tooth status. Study Design: Prospective study. Setting: Department of operative dentistryLUMHS Jamshoro. Period: January 2014 to June 2014. Methodology: A total of 150 patientswere randomly selected who came for treatment. All those patients with age range of 11-50year who had undergone a diagnostic radiographs of premolar and molar region were includedin this study. Results: Out of 150 patients pulp stones were detected in 66 patients (44%). wereported 42 females (48.27%) and 24 males (42.8%). most of the pulp stones were detectedin patients with age 21-30 years (52.9%) followed by 31-40(42.8%). 540 maxillary and 420mandibular teeth out of 960 total teeth and pulp stones were detected in total 124 teeth 76maxillary and 48 mandibular. Conclusion: Pulp stone was found more in sound teeth followedby carious teeth and involved mostly molars.

scholarly journals Prelabour Rupture of Membrane : Maternal and Foetal Outcomes

2020 ◽  
Vol 19 (2) ◽  
pp. 23-27
Author(s):  
Monira Jamal ◽  
Rajat Kumar Biswas
Keyword(s):  
Caesarean Section ◽  
Gestational Age ◽  
Care Service ◽  
Neonatal Morbidity ◽  
Fetal Distress ◽  
Income Group ◽  
Fetal Outcome ◽  
Morbidity And Mortality ◽  
Cross Sectional ◽  
The Mean

Background: The leading cause of perinatal morbidity and mortality is prematurity in developed and underdeveloped countries. In one third of the patients with preterm labour, there is associated premature rupture of membranes. The study was conducted to evaluate the clinical presentation of Pre-labour Rupture of Membrane (PROM) in pregnancy and obstetric outcome. Materials and methods: This is a cross sectional study carried out in the Department of Obstetrics and Gynaecology, Bangabandhu Sheikh Mujib Medical University, Dhaka, between September 2013 to February 2014. About 50 women having PROM with more than 32 weeks gestational age who admitted in the above department for delivery were enrolled in this study. Results: The mean age was found 27.4 ± 4.42 years with range from 17 to 41 years. Forty eight percent of PROM patient were primi and 52.0 percent of patients were multigravida. Six percent patients were illiterate. Almost two third patients were housewives. More than half (54.0%) of the patients were came from poor class income group family. Majority (64.0%) patients had term PROM (>37 weeks) gestational age and the mean gestational age was 38.1 ± 2.7 weeks with range from 32- 40 weeks. More than half (54.0%) didn't received any antenatal checkup. A total of (56.0%) patients had associated disease, out of which anaemia was more common. Twelve percent had diabetes mellitus and 8.0% had UTI infection. Almost two third (64.0%) was vaginal delivery and 18(36.0%) were caesarean section and common indication for caesarean section was fetal distress (38.9%). Two third patients were healthy and 17 patients had morbidities, wound infection is highest (29.4%). The mean birth weight was found 2.74 ± 0.7 kg. APGAR score >7 at 1 minute was found (92.0%) and (94.0%) at 5 minutes of birth of baby after birth. Fetal outcome take home alive (98.0%) and neonatal death 2.0%. Among 50 foetus morbidity develop in 26 cases. Among them respiratory insufficiency is highest (38.5%). Conclusion: Motivation of the patients, health education, improvement of nutritional status of mother, neonatal care service, early diagnosis, treatment, overall institutional delivery is needed for reduction of neonatal morbidity and mortality, as well as maternal morbidity. Chatt Maa Shi Hosp Med Coll J; Vol.19 (2); July 2020; Page 23-27

scholarly journals COMPARISON OF INFECTION

2016 ◽  
Vol 23 (07) ◽  
pp. 835-839
Author(s):  
Agha Nadeem Ahmed Khan ◽  
Allah Bakhsh Parhar ◽  
Zafar Iqbal Malik ◽  
Khalid Hussain Qureshi
Keyword(s):  
Gall Bladder ◽  
Wound Infection ◽  
Study Design ◽  
Descriptive Study ◽  
Port Site ◽  
Site Infection ◽  
Surgical Glove ◽  
Surgical Units ◽  
Group A ◽  
Study Setting

Objectives: To describe the incidence of wound infection when gall bladderremoved through umbilical port using the bag formed by surgical glove with a group where bagis not used. Study Design: Descriptive study. Setting: Surgical units of Nishtar Hospital Multan.Period: Two years from November 2013 to November 2015. Material and Method: There were100 patients in study. All patients were divided in two groups, in one group a bag formedby surgical glove is used in other group gall bladder removed without bag. Results: In firstgroup where bag is used minor wound infection occurred in only one patient at the umbilicalport site. In second group where bag is not used for the extraction of gall bladder, the minorwound infection occurred in three patients. Conclusion: The use of endoglove is beneficial inminimizing the port site infection & it is also economical.

scholarly journals COMPLICATIONS OF COLOSTOMY;

2014 ◽  
Vol 21 (03) ◽  
pp. 524-528
Author(s):  
Muhammad Naeem Ashraf ◽  
M. Shahbaz Bakht Kayani ◽  
Shahid Mahmood ◽  
Saad Sultan
Keyword(s):  
Cross Sectional Study ◽  
Morbidity And Mortality ◽  
Sectional Study ◽  
Cross Sectional ◽  
Operative Morbidity ◽  
Number Of Patients ◽  
Study Results ◽  
Study Setting

Objective: To study the frequency and types of complications in colostomypatients. Stuyd Design: Prospective cross sectional study. Setting: Department at Surgery, FaujiFoundation Hospital Rawalpindi. Period: 1st December 2009 to 30th November 2011. Material &methods: A total of 104 consecutive patients who end up with colostomy due to any reason wereincluded in the study. Results: It was noted that 52 patients had stoma due to malignancy andcomplications was noted in 40 patients. Same number of Patients operated for non-malignantdisease i.e. 52. Complications noted in only 24 patients while 28 were without complications.Conclusions: The chances of complications in different type of stomas are much higher in caseof malignancy. It is recommended that such operations are performed by senior surgeons inorder to avoid post-operative morbidity and mortality.

Sign in / Sign up

Export Citation Format

Share Document