scholarly journals Incidence, Causes and Management of Retained Placenta of Admitted Cases in In-Patient Department of Dhaka Medical College Hospital

1970 ◽  
Vol 18 (1) ◽  
pp. 20-24
Author(s):  
SR Das ◽  
N Sultana ◽  
S Akhter ◽  
F Khan ◽  
F Wazed
Keyword(s):  
Caesarean Section ◽  
Low Income ◽  
Medical College Hospital ◽  
College Hospital ◽  
Retained Placenta ◽  
Manual Removal ◽  
Medical College ◽  
Vaginal Deliveries ◽  
Uterine Inertia ◽  
Patient Department

Retained placenta is a condition in which the placenta is retained for more than half-an hour after the birth of a child. It accounts for 5-10% of all postpartum haemorrhage (PPH). The present study was conducted to find out the incidence, causes and management of retained placenta of admitted cases in In-Patient Department (IPD) of Obstetrics & Gynaecology of Dhaka Medical College Hospital, Dhaka during the period from June 01 to December 31, 2003. 163 patients were included in the study who presented with retained placenta and developed retained placenta in IPD who had undergone vaginal delivery, with pregnancy equal to or more than 28 weeks both stillbirths and live-births, both singleton and multiple pregnancy. The incidence of retained placenta was found 3.54% of total admissions. Retained placenta developed in 1.53% cases among 1,506 vaginal deliveries in this hospital during this period. The mean age of the respondents was 27.19±1.54 and most of the patients were aged between 21 to 30 years, multipara, illiterate and from low income group and poor socio-economic status. Among them 81.60% had home delivery, 64.42% delivered between 37 to 40 weeks of pregnancy. Majority of the patients i.e. 61.96% reached the hospital within 2 to 6 hours of development of retained placenta and 49.07% had shock with PPH. About 23.92% respondents had predisposing factors like D & C, manual removal of RP and caesarean section. A considerable percentage (19.63%) had history of MR. About 96.93% respondents required manual removal of retained placenta. 124 (76.07%) received blood transfusion ranging from 1 to 13 units of blood. The causes of retained placenta were uterine inertia (38.65%), morbid adhesion (52.76%) and less expulsive efforts of the patients (7.98%). Placenta accreta was the major (96.51%) cause of morbid adhesion. The range of hospital stay was between 6 to 15 days. Of the total retained placenta cases, 98.77% patients improved and 1.23% patients died of irreversible shock due to PPH. Key words: Retained Placenta; Caesarean Section. DOI: 10.3329/jdmc.v18i1.6300 J Dhaka Med Coll. 2009; 18(1) : 20-24

scholarly journals Prevalence of Dermatoses in Rural Paediatric Population

2013 ◽  
Vol 2 (1) ◽  
pp. 9-14
Author(s):  
Md Hadiuzzaman ◽  
Muhammad Hasibur Rahman ◽  
Nahida Islam ◽  
Md Shahidul Islam ◽  
Sabrina Alam Mumu ◽  
...  
Keyword(s):  
Skin Diseases ◽  
Pediatric Population ◽  
Paediatric Population ◽  
Medical College Hospital ◽  
Health Improvement ◽  
Skin Disorders ◽  
Community Based ◽  
College Hospital ◽  
Medical College ◽  
Patient Department

The spectra of the prevalence of skin diseases vary worldwide and from country to country. Therefore the information about the local prevalence of diseases is very important in helping the development of appropriate health improvement policies for promotion of better management. To document the types of skin disorders prevalent among rural children attending the Community Based Medical College Hospital out patient department, Mymensigh, a defined population based study was undertaken. The medical register from the Hospital was used to obtain information on pattern and outcome of skin diseases seen from January 2010 to December 2011. The frequency of pediatric dermatoses and their distribution patterns were studied. The results revealed that out of the 9279 Patients attending Dermatology out patient department of Community Based Medical College Hospital, 1753 (18.89%) Children were identified with involvement of skin diseases. Age range related to disease was found between one day old to 14 years. The most frequent skin condition was exposure to fungal diseases which was 25.67% followed by scabies 24.10% and eczema 20.25%. Infectious skin diseases represent considerably a high percentage of skin disorders encountered in pediatric population. DOI: http://dx.doi.org/10.3329/cbmj.v2i1.14175 Community Based Medical Journal Vol.2(1) 2013 9-14

scholarly journals Early Puerperal Complications - A Prospective Clinical Study on Caesarean Deliveries

2018 ◽  
Vol 27 (1) ◽  
pp. 68-71
Author(s):  
Tahamina Akhter ◽  
Tabassum Ghani ◽  
Subinoy Krishna Paul ◽  
Noorjahan ◽  
Afrina Begum ◽  
...  
Keyword(s):  
Risk Factors ◽  
Caesarean Section ◽  
Wound Infection ◽  
Fetal Distress ◽  
Medical College Hospital ◽  
Prospective Clinical Study ◽  
Age Group ◽  
College Hospital ◽  
Normal Delivery ◽  
Medical College

Introduction : when a healthy pregnant woman with no obstetric or medical risk factors goes into spontaneous labour, she should anticipate a normal delivery. But still 580, 000 women in the world die from pregnancy and childbirth each year.1 Lack of attention to postpartum care in developing countries is neglected tragedy and requires immediate attention. This study evaluates the incidence of complications of early puerperium and also focuses the specific types of complications and to detect the risk factors associated with these complications. Aims and objectives : Main aim of the study is to evaluate the common complications in early puerperium with special attention to identify the risk factors. Materials and method : This study was carried out in Dhaka Medical College Hospital and Sir Sallimullah Medical College Hospital within the period of March ’2004 to August’ 2004. Two hundred patients were selected for this study who were delivered by caesarean section in these two institutions and complications occurring within 7 days excluding first 24 hours. Patients delivered outside the hospital and with known medical diseases were excluded from this study. Detailed history taking and appropriate clinical examination and specific investigations were done for diagnosis of complications. All relevant informations was noted in prescribed data sheet and results were tabulated and statistical analysis was done. Results : Among 200 cases only 44(22%) cases had early puerperal morbidity.Most of the patients who suffered complications underwent caesarean section for obstructed labour and fetal distress who had trial at home. Many of the patients suffered from wound infection and endometritis (40.9%). Among patients, age group -<20 years suffered from wound infection(53.8%) and endometritis(45.8%) were common in age group 21-30 years. VVF was common in patients in age <20 years.Endometritis (42.2%) was maximum in women with parity 1-3 and wound infection (50%) in women with parity 4-6. Some of the patients had more than one early puerperal morbidity. Maximum number of poor class suffered from wound infection (42.4%).Early puerperal morbidity was more prevalent in women with duration of labour <18 hours and Premature rupture of membrane had relationship with endometritis (15.9%), wound infection (13.6%) and UTI (11.4%). Conclusion : Incidence of early puerperal morbidities is still quite high (22%) and many patients experiences more than one problem at a time.Long term sequelae of early puerperal infectious morbidity should not be neglected as this may interfere quality of life of a woman. J Dhaka Medical College, Vol. 27, No.1, April, 2018, Page 68-71

scholarly journals Clinical Study of 100cases of Caesarean Section in Tairunnessa Memorial Medical College & Hospital. Gazipur

2017 ◽  
Vol 28 (2) ◽  
pp. 66-68
Author(s):  
Rowshan Ara Begum ◽  
Naireen Sultana ◽  
Nahid Sultana ◽  
Amena Begum ◽  
Mohammad Emran Hossain ◽  
...  
Keyword(s):  
Clinical Study ◽  
Caesarean Section ◽  
Observational Study ◽  
Wound Infection ◽  
Fetal Distress ◽  
Medical College Hospital ◽  
Previous Caesarean Section ◽  
College Hospital ◽  
Medical College ◽  
The Common

To find out the common indications of caesarean section and complications of this operation, both for mother and baby. This observational study was carried out on 100 cases of caesarean sections, who were operated in the Department of Obstetrics & Gynaecology, Tairunnessa Memorial Medical College & Hospital. Previous caesarean section and oligohydroamnios with fetal distress contribute the major causes of caesarean section. Contribute the major causes of caesarean section. Common complications are UTI, wound infection. Indications of caesarean section should be properly identified to decrease the unnecessary operation, which ultimately decrease indication of previous caesarean section. Maintenance of proper asepsis would avoid the complications of this operation.Medicine Today 2016 Vol.28(2): 66-68

scholarly journals Knowledge and awareness about cervical Cancer and its Prevention among Women Attending at Out patient Department of Dhaka Medical College Hospital

2018 ◽  
Vol 10 (1) ◽  
pp. 36-41
Author(s):  
Lutfa Begum Lipi ◽  
Afroza Kutubi ◽  
Mohammed Mizanur Rahman ◽  
Nebedita Shaha ◽  
Nazma Haque ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Service Providers ◽  
Medical College Hospital ◽  
College Hospital ◽  
Socioeconomic Condition ◽  
Face To Face ◽  
Highly Educated ◽  
Medical College ◽  
Health Service Providers ◽  
Patient Department

The purpose of this study was to assess the knowledge and awareness regarding cervical cancer and its prevention among women attending at out patient department of Dhaka Medical College Hospital. A qualitative study was undertaken using face to face in depth interviews from January 2015 to July 2015 .Among 229 women mean age 34.07±7.92 ,from 18 to 60 years were observed. Awareness and knowledge about cervical cancer was very poor which was about 25.3%. Knowledge was high among women coming from high socioeconomic condition which was 31.5% (p=0.03). Participants who were highly educated had more knowledge about 83.3% (<0.001). Most of the participants about 72.22% got the information from doctors and health service providers. The findings highlights the importance of awareness creation about cervical cancer and its risk factors, screening through utilization of the services of media like television, newspaper and radio which have massive impact in improving the knowledge.J Shaheed Suhrawardy Med Coll, June 2018, Vol.10(1); 36-41

scholarly journals Premature Rupture of Membrane - A Clinical Study In Comilla Medical College Hospital

2016 ◽  
Vol 28 (2) ◽  
pp. 82-87
Author(s):  
Shahela Nazneen ◽  
Farhana Begum ◽  
Shakila Nargis
Keyword(s):  
Birth Weight ◽  
Caesarean Section ◽  
Pregnant Women ◽  
Caesarean Section Rate ◽  
Age Distribution ◽  
Medical College Hospital ◽  
Sociodemographic Characteristics ◽  
Premature Rupture ◽  
College Hospital ◽  
Medical College

Objective: To find out the sociodemographic characteristics, complications of pregnant woman with premature rupture of membrane (PROM) and asses the outcome of it.Materials and Methods: This prospective study was carried out at the department of Obstetrics & gynaecology of Comilla Medical College Hospital (CoMCH) from January 2009 to December 2009. All pregnant women admitted with PROM during this period were taken as study population. After taking proper history they were categorized as term or preterm PROM on the basis of duration of gestation estimated from 1st day of last menstrual period (LMP), previous antenatal records, clinical examination & also previous ultrasonography (USG) reports. Out of sociodemographic characteristics age distribution and gravidity were noted. Diagnosis was done on the basis of examination and investigations. All the women with PROM were then followed up, management was given according to protocol and caesarean section was performed according to indication. Birth weight and Apgar score of newborns were noted after delivery.Results: There were 198 cases of PROM recorded among 3142 admitted obstetrical patients over one year period. The hospital incidence of PROM was found to be 6.3%. Among them, 57.6% patients were admitted at term and 42.4% patients came before 37 completed weeks of gestation. Most of the pregnant women were between 20-24 years of age (54%), 41% were primigravida (59%) were multigravida. About 48.5% women presented with different complications associated with PROM. Among which 15.7% patients had oligohydramnios, 8.5% patients presented with chorioamnionitis suggested by culture report of high vaginal swab. Urine for culture and sensitivity was also done. About five (5.2%) developed premature labour before 37th week of gestation. About 10% women developed obstetric complications (failed trial) associated with medical diseases. Seventy seven patients were delivered by caesarean section, 16.2% vaginally, 4.04% patients responded to conservative management and 2.5% patients were referred to tertiary centre for extreme prematurity with associated complicating factors. Most of the babies (38.4%) were born with birth weight between 2.1- 2.5kg and 10.3% babies were less than 1.5kg.Conclusion: Term PROM was more in comparison to PPROM and most of them were multigravida. Caesarean section rate was high. Most common complication of was subclinical urogenital infection (53%) next oligohydramnios (25%) & (13.5%) women presented with chorioamnionitis.Bangladesh J Obstet Gynaecol, 2013; Vol. 28(2) : 82-87

scholarly journals Prevalence of Scabies in Skin and VD OPD of Faridpur Medical College Hospital

2016 ◽  
Vol 10 (1) ◽  
pp. 17-19
Author(s):  
Krishna Gopal Sen ◽  
Ahammed Ali ◽  
Md Kamal Mostofa ◽  
Sumitendra Kumar Sarkar ◽  
Chandona Sorcar ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Medical College Hospital ◽  
Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Tropical Countries ◽  
Medical College ◽  
Total Prevalence ◽  
High Prevalence ◽  
Patient Department

The burden of scabies is highest in tropical countries, but recent data from Bangladesh is scanty. This cross sectional study was carried out to find the prevalence of scabies in skin & VD Out Patient Department (OPD) of Faridpur Medical College Hospital (FMCH) during the period of April 2013 to March 2014. Total 22,399 patients attended to the skin & VD OPD, were included in this study. We identified 15,455 patents with scabies. The total prevalence was 69%. Prevalence in January was highest & was 78%. Most cases were uncomplicated but 17.28% of complicated scabies patients were found. Scabies was more in poor socio-economic group than others. The present study showed a high prevalence of scabies in patients presenting to skin & VD OPD, FMCH. Prevalence was higher overall in children. Our data show that scabies is common in patients presenting to skin & VD OPD & this finding may be used as an indicator of the general population.Faridpur Med. Coll. J. Jan 2015;10(1): 17-19

scholarly journals Prescribing Pattern of NSAIDs Used in Orthopedic Out Patient Department in Two Tertiary Hospitals in Mymensingh

2020 ◽  
Vol 27 (2) ◽  
pp. 195-198
Author(s):  
Tasmin Shahnaz ◽  
Kazi Afzalur Rahman ◽  
AHM Mostafa Kamal ◽  
Habibun Nahar ◽  
Sabrina Shammi Shahnewaz ◽  
...  
Keyword(s):  
Observational Study ◽  
Prospective Observational Study ◽  
Medical College Hospital ◽  
Prescribing Patterns ◽  
Community Based ◽  
Prescribing Pattern ◽  
College Hospital ◽  
Medical College ◽  
Tertiary Hospitals ◽  
Patient Department

Context: Non-steroidal anti-inflammatory drugs (NSAIDs) are most commonly used drugs for years for management of pain and inflammation with good efficacy. NSAIDs are increasingly used for variety of indications like rheumatoid arthritis (RA), osteoarthritis (OA), low back pain (LBP) etc. Prescribing patterns need to be evaluated periodically to increase the therapeutic efficacy, decrease adverse effects and provide feedback to prescribers. A prospective observational study was conducted among patients attending the Out Patient Department (OPD) of Orthopedic and received prescription for NSAIDs in the Mymensingh Medical College Hospital (MMCH) and Community Based Medical College Hospital (CBMCH) in Mymensingh. Material and Methods: The study was carried out on 300 (three hundreds) prescriptions for NSAIDs from orthopedic Out Patient Department (OPD) of Mymensingh Medical College Hospital (MMCH) and Community Based Medical College Hospital (CBMCH). A prospective observational study was conducted from January 2015 to December 2015. Data were collected only from the patients prescribed for NSAIDs and prescribing pattern of NSAIDs were analyzed using SPSS method version 20.1 Results: In case of orthopedic OPD patients most common NSAIDs prescribed to the patients was aceclofenac (29.33%). Others NSAIDs prescribed to the patient in pain management were ketorolac (10%), etoricoxib(8%), ibuprofen (9%), naproxen(9%), sulindac (7%) in orthopedic out patients of both Medical College Hospitals. Most of the NSAIDs were prescribed in brand name (85.34%) where only (14.76%) were prescribed in generic name in both hospitals. Conclusion: From the study it was observed that aceclofenac was the most common NSAIDS used in orthopedic OPD of CBMCH and indomethacin was the most common used NSAIDs in MMCH. Other used NSAIDs were ketorolac, naproxen, etoricoxib, ibuprofen and sulindac. J Dhaka Medical College, Vol. 27, No.2, October, 2018, Page 195-198

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