scholarly journals Per-vaginal Findings among the Women with Pelvic Inflammatory Diseases at a Tertiary Care Hospital in Dhaka City

2018 ◽  
Vol 8 (2) ◽  
pp. 90-93
Author(s):  
Tahamina Khanum ◽  
Nasima Begum ◽  
Kazi Mobina Akhter
Keyword(s):  
Vaginal Discharge ◽  
Inflammatory Diseases ◽  
Tertiary Care ◽  
Lower Abdominal Pain ◽  
Care Hospital ◽  
Perineal Tear ◽  
Cross Sectional ◽  
Major Health Problem ◽  
Cervical Motion ◽  
Cervical Motion Tenderness

Background: Pelvic inflammatory disease (PID) is a major health problem for adult female. Women presented with pelvic inflammatory diseases give different per-vaginal findings. So we designed this study to assess the per-vaginal findings among the women presented with pelvic inflammatory diseases.Objective: The purpose of the present study was to measure the pervaginal findings among the women with PID.Materials and Methods: This cross-sectional study was conducted in the Department of Obstetrics and Gynaecology at Dhaka Medical College & Hospital, Dhaka during January to June 2007. Women in the age group of 15−45 years presented with lower abdominal pain, tenderness, per-vaginal discharge and cervical motion tenderness were included in this study. After taking verbal consent from the patients, a pre-designed data collection sheet was filled in after per-vaginal examination.Results: The study was done on 50 cases, of which 20% patients had 1st degree perineal tear, 6% had utero-vaginal prolapse and 24% had foul-smelling vaginal discharge. Majority (90%) patients had healthy vagina. Ninety percent patients had anteverted uterus; and uterus was mobile in 60% cases. Cervical motion tenderness was present in 44% cases, tenderness of fornix was found in 34% cases and thickening of fornix was found in 22%.Conclusion: In this study first degree perineal tear, foul smelling vaginal discharge and cervical motion tenderness are the commonest findings among the women presented with pelvic inflammatory diseases.J Enam Med Col 2018; 8(2): 90-93

scholarly journals Pattern of Sexually Transmitted Infections: A Retrospective Study from a Tertiary Care Hospital in Central India

2021 ◽  
Author(s):  
Sushil Rathi ◽  
Sumit Ashok Hajare ◽  
Saurabh Jaiswal ◽  
Sandip Agrawal ◽  
Abhijit Kherde ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Vaginal Discharge ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Lower Abdominal Pain ◽  
Care Hospital ◽  
Cross Sectional ◽  
Adequate Treatment ◽  
Major Health ◽  
Sexually Transmitted

Introduction: Sexually Transmitted Infections (STIs) pose a major health, social and economic problem worldwide, predominantly in developing countries like India. It is essential to understand the current patterns of STIs in the various regions of the country in order to plan and implement strategies to control the spread of infection. Aim: To study the pattern of STIs among patients attending the STI clinic. Materials and Methods: This was a cross-sectional study of data obtained retrospectively from case records over last seven years (January 2013-December 2019) from STI clinic at a tertiary care hospital at Nagpur. The demographic details, detailed history, clinical findings were noted and relevant investigations were performed. The patients were diagnosed as per syndromic approach and subjected to serologic tests for syphilis and Human Immunodeficiency Virus (HIV). The data was analysed by using MS Excel and Epi Info software, and percentage, mean, standard deviation and proportions were calculated. Results: Out of the total 4471 cases, 2807 (62.8%) were males and 1664 (37.2%) were females. The most commonly observed STI was balanoposthitis, followed by cervico-vaginal discharge, Genital Ulcerative Disease- Herpetic (GUD-H), anogenital warts, molluscum contagiosum, GUD-nonherpetic, urethral discharge, lower abdominal pain and inguinal bubo. The proportion of viral STIs was 33.5% (1495 cases) and bacterial STIs were 4.3% (191 cases). The most commonly observed STI was balanoposthitis in males and cervico-vaginal discharge in females. Newly diagnosed cases of HIV were 1.4% (61 cases) of total cases. Conclusion: The proportion of viral STIs was higher compared to bacterial STIs. The prevalence of HIV among study population was 3.9%. Since STIs are indicators of high risk sexual behaviour in the community and a major health burden with risk of development of HIV, prompt diagnosis and adequate treatment of STIs is necessary.

scholarly journals PELVIC INFLAMMATORY DISEASE (PID): A CROSS SECTIONAL PROSPECTIVE STUDY AT A TERTIARY CARE CENTRE

2018 ◽  
Vol 4 (3) ◽  
pp. 61-64
Author(s):  
Shinde SA ◽  
Shinde US ◽  
Aher GS
Keyword(s):  
Inflammatory Disease ◽  
Vaginal Discharge ◽  
Tertiary Care ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Lower Socioeconomic ◽  
Cervical Motion ◽  
Cervical Motion Tenderness

Introduction : Pelvic inflammatory disease (PID) is an infection of the upper part of the female reproductive system namely the uterus, fallopian tubes, and ovaries, and inside of the pelvis. Objective: to find out the clinical profile of PID in a tertiary care centre. Methods: This was a cross sectional, descriptive study conducted at the Department of Obstetrics and Gynaecology, during period from January to December2016. Total 200 patients complaining of lower abdominal pain, vaginal discharge & having adnexal as well as cervical motion tenderness on bimanual examination between the age group of 18 -45 years were randomly selected for study. Parameters like age, parity, socio-economic status, age of marriage, sexual behavior, Presenting complaints and use of contraceptive were recorded. Results: Most common age group was 20-24 years (29.5%). Maximum number of cases was seen in parity between 2-5 (58%). PID was commonest amongst illiterate women (36%). Maximum number of cases was seen in women from lower socioeconomic class (74%). Out of 200 cases, 79% patients were married, 14 % were remarried. Presenting complaints were pain in abdomen (93.5%), per vaginal discharge (66%), fever (51%). Abdominal tenderness was seen in 95 % of cases. Palpable mass was present in 11 % of cases. Forniceal & cervical motion tenderness were the commonest Per Vaginal examination findings seen in 89% & 84% cases respectively. Conclusion: Incidence of PID was higher in age group between 20-29 years, multipara, women from lower socioeconomic class & illiterate women. Pain in lower abdomen, per vaginal discharge & fever were the commonest complaints. Most of the patients on examination had forniceal & cervical motion tenderness. 

scholarly journals Socio-demographic Characteristics of Pelvic Inflammatory Diseases Women attended at a Tertiary Care Hospital in Dhaka

2018 ◽  
Vol 15 (2) ◽  
pp. 31-35
Author(s):  
Tahamina Khanum ◽  
Gulshan Ara ◽  
Umme Hafsa Zakiatul Husna ◽  
Mohammed Zubayer Miah ◽  
Shafeya Khanam
Keyword(s):  
Inflammatory Diseases ◽  
Economic Status ◽  
Tertiary Care ◽  
Lower Abdominal Pain ◽  
Demographic Characteristics ◽  
Reproductive Age ◽  
Care Hospital ◽  
Age Group ◽  
College Hospital ◽  
Cross Sectional

Background: Women with pelvic inflammatory diseases can occur in different socio-demographic characteristics.Objectives: The purpose o f the present study was to see the socio-demographic characteristics of women presented with pelvic inflammatory diseases women.Methodology: The cross-sectional study has been carried out at the outpatient units of Obstetrics and Gynaecology Department of Dhaka Medical College Hospital from January 2007 to June 2007 for a period of six (6) months. Women with the age group of 15 to 45 years presented with lower abdominal pain, tenderness, per vaginal discharge and cervical motion tenderness were included in this study. Women with fibroid uterus, uterovaginal prolapsed or cystocele was excluded from this study. The details of socio-demographic characteristics like the age, religion, social status, occupation, marital status and their husband information were taken.Result: The study was performed on 50 cases of which majority (50%) belonged to the age group of 26 to 35 years. Majority of the patients were housewife (82.0%). Among them 30% of the husbands occupation was driver. Maximum were from low socio-economic status (70.0%), illiterate (50.0%) and married single (80.0%).Conclusion: In conclusion majority of the women presented pelvic inflammatory diseases are in reproductive age group illiterate housewife.Journal of Science Foundation 2017;15(2):31-35

scholarly journals Knowledge of sleep disorders among physicians at a tertiary care hospital in Qatar: A cross-sectional study. (Preprint)

2020 ◽  
Author(s):  
Irfan Ul Haq ◽  
Mansoor Ali Hameed ◽  
Merlin Marry Thomas ◽  
Khezar Shahzada Syed ◽  
Ahmad Mohammad Mahmoud Othman ◽  
...  
Keyword(s):  
Sleep Disorders ◽  
Medical Training ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
Sleep Medicine ◽  
Care Hospital ◽  
Cross Sectional ◽  
Major Health Problem ◽  
Significant Difference

BACKGROUND Sleep disorders (SD) constitute a major health problem because of their relatively high and rising prevalence. Several studies have analyzed the knowledge of SD among healthcare providers worldwide. We aimed to assess the knowledge of SD among physicians in Qatar OBJECTIVE To assess the knowledge of sleep medicine among physicians working in a tertiary care hospital. METHODS Total of 250 physicians were surveyed regarding their knowledge in sleep medicine using a validated 30 item “ASKME Survey”. The participants included residents, fellows and consultants in medicine and allied subspecialties. A score ≥60% was considered a high score implying adequate knowledge of SD. RESULTS Response was received from 158 physicians with a responder rate of 63.2%. We analyzed the data from 34 residents, 74 clinical fellows and 50 consultants. The overall mean score was 15.53± 4.42 out of 30. Only 57 (36%) respondents were able to answer ≥60% of the questions correctly. There was no statistically significant difference in the scores of the participants with regard to their ranks (residents, fellows, consultants) or years of training CONCLUSIONS This study demonstrates that healthcare providers in Qatar have decreased awareness and knowledge about sleep medicine which may reflect a lesser emphasis during medical school and medical training on SD. Increasing awareness regarding sleep medicine among non-specialist physicians will allow early detection and treatment of SD, improving the morbidity attached with these disorders CLINICALTRIAL The research was approved by the Institutional review board MRC-01-18-022

scholarly journals Assessment of Nutritional Status of Children Attending Paediatrics OPD of a Tertiary Care Hospital in Eastern Nepal

2018 ◽  
Vol 37 (3) ◽  
pp. 209-212
Author(s):  
Jitendra Thakur ◽  
Nisha Keshary Bhatta ◽  
Prakash Poudel ◽  
Gouri Shankar Shah ◽  
Rupa Rajbandari Singh
Keyword(s):  
Nutritional Status ◽  
Economic Status ◽  
Tertiary Care ◽  
Birth Spacing ◽  
P Value ◽  
Care Hospital ◽  
Cross Sectional ◽  
Major Health Problem ◽  
Female Sex ◽  
Nutritional Status Of Children

Introduction: Malnutrition is one of the major health problem worldwide, especially in developing world and so is in Nepal, the causes being numerous. The objectives of this study were to assess the nutritional status of children attending paediatric OPD of BPKIHS and to find relation of the nutritional status with different factors.Material and Methods: This descriptive cross sectional study was done by face to face interviews using semi-structured questionnaire and anthropometric variables were recorded. Data of total 192 children was analysed by descriptive statistics. p-value <0.05 was considered significant.Results: According to IAP classification 50.52% were malnourished [grade I 65.97%, grade II 26.8%, grade III 7.21%]. According to WHO classification 47.39% stuntedmoderate 89%, severe 11% and 9.89% wasted [moderate 94.73%, severe 5.26%]. Female sex, low education level in mother, low economic status, unavailability of exclusive breast feeding, low birth spacing and hospitalization were significantly associated with malnutrition.Conclusion: Malnutrition is common in children visiting paediatric OPD of BPKIHS. Female sex, maternal illiteracy, poverty, early weaning, birth spacing and hospitalization in past were major risk factors for malnutrition.

scholarly journals A study on pregnancy induced hypertension and foetal outcome among patient with PIH at tertiary care hospital, Valsad

2017 ◽  
Vol 4 (11) ◽  
pp. 4277
Author(s):  
Ravikant Patel ◽  
Hinal Baria ◽  
Hinaben R. Patel ◽  
Sunil Nayak
Keyword(s):  
Early Recognition ◽  
Tertiary Care ◽  
Lower Abdominal Pain ◽  
Public Health Problem ◽  
Fetal Mortality ◽  
Care Hospital ◽  
Pregnancy Induced Hypertension ◽  
Cross Sectional ◽  
Induced Hypertension ◽  
Foetal Outcome

Background: Hypertensive disorders are common complication occurring during pregnancy responsible for maternal and fetal mortality and morbidity. Though the condition is on decline, still stands a public health problem. The aims and objectives of the study were to know the clinical presentation among PIH patients and to find out foetal outcome among patients with PIH.Methods: A cross-sectional study was conducted over period of 1 year in the department of Obstetrics and Gynecology, tertiary care health facility at GMERS Medical College and Hospital, Valsad. A total of 64 pregnant women with PIH were enrolled in this study with inclusion-exclusion criteria. Necessary information such as Socio-demographic information, detailed clinic and obstetric history, clinical examination, investigations and foetal outcome was note by using preformed performa. Data were entered and analyzed by using MS Excel and Epi Info software.Results: Majority of PIH mother is belonging to age group of 18-26 years (51.56%), PIH is more prevalent among nulliparous (57.81%). Among PIH mother 48.44% had lower abdominal pain, 18.75% had vomiting/epigastric discomfort followed by headache (12.50%), convulsion (10.94%) etc. 53.12% of PIH mother delivered low birth weight babies, 7.81% are IUGR. 18.75% of babies were required NICU admission with 1.56% of neonatal death.Conclusions: Pregnancy induced hypertension is a common medical disorder associated with pregnancy. We noted that PIH is more prevalent in younger age groups and nulliparous mothers. PIH lead to a various clinical manifestation some of this may use as early recognition of PIH. PIH also lead to increase adverse foetal outcome. Thus fetal morbidity and mortality can be reduced among PIH patients by early recognition and institutional management. 

scholarly journals Socio-economic determinants of reproductive tract infections affecting the women (15-49 years): a cross sectional study in a tertiary care hospital of Chhattisgarh

2018 ◽  
Vol 5 (7) ◽  
pp. 3130
Author(s):  
Bhavana Pandey ◽  
Devesh Kumar Shukla
Keyword(s):  
Developing Countries ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Lower Abdominal Pain ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Tract Infections

Background: RTIs/STIs are a common public health problem in developing countries, contributing to a huge economic burden among individuals and health systems. RTI's excluding HIV constitutes the second major cause of disease burden (after maternity related causes) in women of developing countries. This cross sectional study is carried out with objectives of, to study socio-economic profile of respondents and to determine socio-economic factors of RTI, affecting the women of reproductive age group attending CIMS, Hospital Bilaspur (C.G.).Methods: A descriptive cross sectional study conducted in a tertiary care hospital CIMS, Bilaspur (Chhattisgarh) from May 2015 to October 2016. Total 450 cases were studied. Predesigned and pretested questionnaire was used to collect information regarding the socio-demographic profile and clinical profile of women’s regarding RTI. Statistical analysis was done using SPSS and Chi-square test was applied.Results: 4.3% (450) patient attending Obstetrics and Gynecology OPD were found to be suffering from RTI. Out of the 450 women, 83.8% of the women had experienced at least one symptom suggestive of RTI previously. Abnormal vaginal discharge was reported by 88.9% followed by lower abdominal pain (78.9%), genital ulcer (34%) and menstrual irregularity 75.8% of women. Symptoms of RTI were higher in old age, illiterate, those with employed, rural residential, Schedule tribe category, poor socio-economic status, separated, divorce and widow and women their husband educated up to primary class.Conclusions: Generating community awareness, ensuring proper menstrual hygiene, and improving the socioeconomic status would help in reducing the cases of RTI.

scholarly journals Aetiologies of Vaginal Discharge among Women Presented with Cervical Abnormalities: Experiences at a Tertiary Care Hospital

2013 ◽  
Vol 5 (1) ◽  
pp. 31-34
Author(s):  
Dalia Rahman ◽  
Alpana Adhikary ◽  
Sabina Hussein
Keyword(s):  
Vaginal Discharge ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Carcinoma Of Cervix

Background: Vaginal discharge is a common gynaecological problem worldwide. It is a common presentation of different gynaecological diseases. Objective: The aim of the study was to find out the aetiological factors responsible for vaginal discharge among the women presented with cervical pathology. Methodology: This cross sectional study was carried out in patients complaining of vaginal discharge attending at Gynaecology department (GOPD) in Dhaka Medical College Hospital (DMCH), Dhaka from March'2006 to October'2006. Required tests were carried out in the Department of Microbiology and Department of Pathology at Dhaka Medical College, Dhaka. Data were obtained by history taking, physical examination and relevant investigations. Results: Cervical pathology was associated in 64.0% of patients complaining of vaginal discharge. Out of these, most common are cervicitis (48.0%) carcinoma of cervix (8.0%) cervical erosion (4.0%) endocervical polyp (2.0%) and old cervical tear (2.0%). Other associated aetiologies of abnormal vaginal discharge were bacterial vaginosis (12.0%) candidiasis (10.0%) trichomoniasis (10.0%). Conclusion: Vaginal discharge is a manifestation of many cervical pathology including carcinoma. Therefore, proper evaluation is needed in all patients complaining of vaginal discharge before treatment. DOI: http://dx.doi.org/10.3329/jssmc.v5i1.16203 J Shaheed Suhrawardy Med Coll, 2013;5(1):31-34

scholarly journals A study of cervical Papanicolaou smears examination in patients with abnormal vaginal discharge

2019 ◽  
Vol 8 (1) ◽  
pp. 119
Author(s):  
Komal Patel ◽  
R. N. Hathila ◽  
Pallavi Chaudhri ◽  
Siddhi M. Patel
Keyword(s):  
Vaginal Discharge ◽  
Pap Smear ◽  
Tertiary Care ◽  
Lower Abdominal Pain ◽  
Public Health Problem ◽  
Reproductive Age ◽  
Major Public Health Problem ◽  
Care Hospital ◽  
Reproductive Tract Infection ◽  
Pap Screening

Background: Reproductive tract infection represents major public health problem in developing countries. Cervical infections are common problems among women of reproductive age and associated with clinical complaints of vaginal discharge. Pap smear is a screening test to diagnose various abnormal pathology of cervix. Aims and objectives of this study was to identify various causes of vaginal discharge and frequency of various pathogenic microorganisms in cervical smear.Methods: This was hospital based descriptive study carried out on 300 female patients who attended obstetrics and gynecology clinic at tertiary care hospital with compliant of vaginal discharge. Cervical smear samples were collected, conventional smears were prepared by trained technical staff and stained using Papanicolaou (Pap) technique.Results: The most common age group affected with vaginal discharge was 26 to 35 years with 115 cases. The most common associated symptom was lower abdominal pain seen in 75 cases. Most frequent findings on per speculum examination was thick whitish discharge in 186 cases and the most common pathogenic organism found was Bacterial Vaginosis (BV) in 177 cases.Conclusions: The study emphasizes the need for educating women of rural community to raise the awareness for cervical Pap screening.

scholarly journals Frequency of genital tract trauma in primigravida in Tertiary Care Hospital of Quetta.

2020 ◽  
Vol 27 (06) ◽  
pp. 1133-1138
Author(s):  
Shama Jogezai ◽  
Khanda Gul ◽  
Rukhshanda Mushtaq ◽  
Pari Gul
Keyword(s):  
Genital Tract ◽  
Post Partum ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Vaginal Birth ◽  
Care Hospital ◽  
Perineal Tear ◽  
Cross Sectional ◽  
Vertex Presentation ◽  
Trauma Type

 Genital tract trauma is a common outcome of vaginal birth. These injuries can lead to serious complication like pain, dyspareunia, urinary and fecal incontinence, post-partum hemorrhage and fistulae. Objectives: To determine the frequency of genital tract trauma and its types, following spontaneous vertex delivery in primigravida. Study Design: Cross sectional study. Setting: Department of Obstetrics and Gynecology Unit 4, Bolan Medical Complex Hospital Quetta. Period: From 1st September 2018 to 31st March 2019. Material & Method: A total of 127 Primigravida with vertex presentation were randomly included in the study. Frequency and percentages were calculated for genital tract trauma, type of trauma and episiotomy. Results: Frequency of genital tract trauma was found in 40 patients (31%). Regarding the type of trauma 90% (36/40) had perineal tear and 10% (4/40) had cervical tear. First degree perineal tear was seen in 17(47%), 2nd degree perineal in 18(50%) and one case of 3rd degree perineal tear was seen. Episiotomy was given in 40(32%). Conclusion: It is difficult to reduce the frequency of genital tract trauma after vaginal birth in primigravida, however their avoidance, recognition and management should be crucial for obstetricians. Mediolateral episiotomy appears to be protective against perineal trauma but its use should be restricted.

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