Some Epidemiological Aspects Of Subfertile Women Who Underwent Laparoscopy

Objective: Epidemiological aspects of sitbfertile women underwent laparoscopy. Place of Study: This retrospective study was done in the Obstetrics and Gynaecology Department of Bangladesh Medical College hospital. Duration: July 2003 to June 2004. Study Population: Women suffering from primarv and secondary subfertility, who had under gone laparoscopy. Total 61 patient had laparoscopy for evaluation of subfertility. No documents were available for 6 patient and they were excluded from the study. Result: The study group comprises 55 cases of which 67.37% was of primary and 32. 73", was of secondary subfertility. Professional women group (56.4%) was higher than housewife group (43.6%). In this study 11.11% had history of spontaneous abortion and 33.33% had history of MR. In this study menstrual period was within 7 days in 70.9% cases and in 10.9% cases were more than 7 days, in 14.54% cases menstrual cycle was more than 35 days and in 3.64% cases were less than 22 days. 40% of the patient did not used any contraceptive. Conclusion: The number of subfertility visits' has increased in the last few rears because of increasing awareness for available services and option for resolving subfertilitv. Prompt investigation and appropriate referral allow a couple to receive advice and treatment to help them reach their goal. Journal of Shaheed Suhrawardy Medical College Vol 2No.1 June 2010 page 6-9 DOI: http://dx.doi.org/10.3329/jssmc.v2i1.12343

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Repeat Caesarean Sections: Complications and Outcomes

Journal of Shaheed Suhrawardy Medical College ◽

10.3329/jssmc.v10i2.41161 ◽

2019 ◽

Vol 10 (2) ◽

pp. 74-79

Author(s):

Aforza Ghani ◽

Israt Jahan Ila ◽

Jannat Ara Ferdouse ◽

Nasrin Sultana ◽

Jesmin Sultana

Keyword(s):

Caesarean Section ◽

Placenta Praevia ◽

Abdominal Adhesions ◽

Maternal Complications ◽

College Hospital ◽

Cross Sectional ◽

Medical College ◽

History Of ◽

Study Population ◽

Caesarean Hysterectomy

Background: The rising incidence of caesarean section all over the world has been of great concern both to the patients and obstetrician.1 Repeat caesarean section is one of the major reasons which have contributed greatly to high caesarean section (CS) rate.1,2 Although maternal death as a result of CS is now rare, reports of the short-and long-term consequences of the rising CS rate on the childbearing population are conflicting.3 Available data show that repeat caesarean section is associated with many maternal complications, specially intra-abdominal adhesions, central placenta praevia, uterine rupture, caesarean scar pregnancy, caesarean hysterectomy etc.4 Objective: To evaluate outcome and complications of multiple repeat caesarean section. Methodology: This was a cross sectional prospective study conducted in Shaheed Suhrawardy Medical College Hospital (ShSMCH) from 1st June’2016 to 30th November’2016 for a period of six months. The study population were 102 patients, selected randomly who were admitted in ShSMCH for repeat caesarean section. Results: Out of 102 patients admitted with history of previous caesarean section, maternal morbidity was 26 (25.49%), which includes intra-abdominal adhesions 19 (18.62%), excessive blood loss 6(5.88%), placenta praevia 4 (3.94%), placenta accreta 1 (.98%), postpartum haemorrhage 11 (10.78%), wound infection 12 (11.76%) etc. Conclusion: As the rate of repeat caesarean section continue to rise, surgeons should be more judgemental in doing caesarean section. J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 74-79

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Balloon Temponade to Prevent Primary PPH in Jaundice - A Prospective Study

Journal of Bangladesh College of Physicians and Surgeons ◽

10.3329/jbcps.v26i1.4229 ◽

1970 ◽

Vol 26 (1) ◽

pp. 22-25

Author(s):

Maruf Siddiqui ◽

Maliha Rashid

Keyword(s):

Hepatitis E Virus ◽

Postpartum Haemorrhage ◽

Hepatitis E ◽

College Hospital ◽

Medical College ◽

Obstetrics And Gynaecology ◽

Study Population ◽

Etiological Agents ◽

A Prospective Study ◽

And Control

This prospective interventional study was carried out on 40 intrapartum jaundice patients admitted in the Department of Obstetrics and Gynaecology, Dhaka Medical College Hospital during January to December 2004. The purpose of the study was to evaluate the effectiveness of prophylactic intrauterine hydrostatic balloon/condom temponade in addition to other conventional methods to prevent and control postpartum haemorrhage in patients with jaundice, to detect the prevalence of different etiological agents responsible for jaundice and to assess the foeto-maternal outcome in this study group. Prophylactic intrauterine hydrostatic balloon temponade was inserted in all of the 40 cases which showed an excellent effectiveness in preventing postpartum haemorrhage in patients with jaundice. The study also showed increased prevalence of Hepatitis E virus (HEV) and a high proportion of perinatal deaths in the study population. DOI: 10.3329/jbcps.v26i1.4229 J Bangladesh Coll Phys Surg 2008; 26: 22-25

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Ectopic pregnancy: Interventional Outcome at Tertiary Hospital

Journal of Medical Science & Research ◽

10.47648/jmsr.2017.v2702.02 ◽

2017 ◽

Vol 27 (Number 2) ◽

pp. 7-12

Author(s):

S Sultana ◽

S Yesmin ◽

A N Noor ◽

S Dewan ◽

N F Aman

Keyword(s):

Ectopic Pregnancy ◽

Tertiary Hospital ◽

Pelvic Surgery ◽

College Hospital ◽

Mortality And Morbidity ◽

Medical College ◽

Obstetrics And Gynaecology ◽

Life Threatening ◽

A Prospective Study ◽

To Receive

The aim of this study is to determine the incidence and to evaluate and analyse the clinical presentation, risk factor and treatment of ectopic pregnancy in Holy Family Red Crescent Medical College Hospital, Dhaka. A prospective study was conducted in Department of Obstetrics and Gynaecology from August 2016 to December 2017. The study subjects included 50 women diagnosed with ectopic pregnancy (EP) to receive the treatment of medical and surgical procedure. In this study group the incidence was 4.7% among total gynecological admitted patient (2017) and the risk were within the age group 27-35 years. Majority of patients were having triad of symptom such as abdominal pain, secondary amenorrhoea and vaginal bleeding. Past NO abortion and abdomino-pelvic surgery were 66%. The commonest modality of treatment was Laparotomy (41 of 50, 86%), others were conservative with Inj. Methotrexate, failed conservative followed by Laparotomy (4%) and Laparoscopy (2%). EP is a common and life threatening entity. Women with infertility and past abdomino-pelvic surgery, MR, abortion are particularly at risk. Early diagnosis and intervention can reduce the mortality and morbidity of women having EP.

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Incidence, Socio-demographic Characteristics and Predisposing Factors of Ectopic Pregnancy attended at a Private Tertiary Care Hospital in Dhaka City

Journal of National Institute of Neurosciences Bangladesh ◽

10.3329/jninb.v6i1.48032 ◽

2020 ◽

Vol 6 (1) ◽

pp. 59-63

Author(s):

Naheed Fatema ◽

Sherajum Munira ◽

KAM Mahbub Hasan ◽

Zannatul Ferdosh ◽

Nasim Iftekhar Mahmud ◽

...

Keyword(s):

Ectopic Pregnancy ◽

Past History ◽

Demographic Characteristics ◽

Medical College Hospital ◽

Reproductive Age ◽

Care Hospital ◽

College Hospital ◽

Medical College ◽

Obstetrics And Gynaecology ◽

History Of

Background: Ectopic pregnancy is frequently occurs among pregnant women. Objective: The purpose of the present study was to see the incidence and socio-demographic characteristics of ectopic pregnancy patients. Methodology: This cross-sectional study was carried out in the inpatient Department of Obstetrics and Gynaecology at Bangladesh Medical College Hospital, Dhaka, Bangladesh from January 2009 to December 2009 for a period of one (1) year. All clinically suspected cases of ectopic pregnancy within the reproductive age admitted in the department of Obstetrics and Gynaecology at Bangladesh Medical College Hospital, Dhaka were included in the present study. After taking detailed history with particular scrutinization of the menstrual, obstetric and contraceptive history, a thorough physical examination was performed. The ectopic pregnancy was confirmed by laboratory and imaging technique. Result: The incidence of ectopic pregnancy in BMCH was 2.16% cases.The mean age with SD of the study population was 24.0±2.87 years. The ectopic pregnancy was closely related with high parity and it had been found that para-2 was the most common which was 20(44%) cases.Pelvic infection (33.0%), past history of abortion or MR (28.0%), and history of infertility (25.0%) were constituted the main bulk of risk factors. Only 3.0% had history of tuberculosis. Conclusion: In conclusion young para 2 women with pelvic infection or past history of abortion or MR are most commonly suffering from ectopic pregnancy. Journal of National Institute of Neurosciences Bangladesh, 2020;6(1): 59-63

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Outbreak Of Nipah Encephalitis In Greater Faridpur District

Faridpur Medical College Journal ◽

10.3329/fmcj.v5i2.6825 ◽

1970 ◽

Vol 5 (2) ◽

pp. 63-65

Author(s):

MY Ali ◽

SA Fattah ◽

MM Islam ◽

MA Hossain ◽

SY Ali

Keyword(s):

Health Personnel ◽

Viral Encephalitis ◽

Review Article ◽

Personal Protection ◽

Emerging Infections ◽

College Hospital ◽

Personal Protection Equipment ◽

Medical College ◽

History Of ◽

Deadly Disease

Nipah viral encephalitis is one of the fatal re-emerging infections especially in southeast Asia. After its outbreak in Malaysia and Singapore; repeated outbreaks occurred at western part of Bangladesh especially in Faridpur region. Besides, sporadic attacks appear to occur in the country throughout the year. Here two Nipah outbreaks in greater Faridpur district in 2003 and 2004 are described along with brief review on transmission of the virus. Where the history of illness among patients are very much in favour of man to man transmission. Moreover the death of an intern doctor from Nipah encephalitis who was involved in managing such patients in Faridpur Medical College Hospital strongly suggests man to man transmission of this virus. So, aim of this review article to make the health personnel and general people be aware about man to man transmission of virus, so that they can adapt personal protection equipment (PPE) for their protection against this deadly disease. DOI: 10.3329/fmcj.v5i2.6825Faridpur Med. Coll. J. 2010;5(2):63-65

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A RETROSPECTIVE STUDY OF FETOMATERNAL OUTCOME IN ECLAMPSIA

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i9.1420 ◽

2020 ◽

Vol 4 (9) ◽

Author(s):

Shital M Chalaliya ◽

Dipti C. Parmar

Keyword(s):

Retrospective Study ◽

Antenatal Care ◽

Rural Areas ◽

Socioeconomic Conditions ◽

Early Referral ◽

Medical College ◽

Obstetrics And Gynaecology ◽

Review Period ◽

Obstetric Emergencies ◽

Primary Management

In India the perinatal and maternal outcome in eclampsia cases is still poor due to inadequate antenatal care in rural areas, financial restraints and non-availability of transportation facilities, and social taboos causing delay in management resulting in poor maternal and neonatal outcome. Aim of the study was to evaluate fetomaternal outcome in patients with eclampsia. This retrospective study was conducted over a period of 2 years from May 2018 to April 2020 at department of obstetrics and gynaecology of Government medical college and Sir T General hospital, Bhavnagar , Gujarat , India. During the review period total 50 cases of eclampsia reported.Incidence in our study is 0.43%.Results showed 86 % of eclampsia patients were of age less than 25 years. 82% of patients had antepartum eclampsia , 14 % had postpartum eclampsia and 4% had intrapartum eclampsia . 90% patients had 1 episodes of convulsion. 8% patients had 2 episodes of convulsions.2% pateint had 5 episode of convulsion. Out of 50 patients 36 patients were delivered by C-section and 14 patients by vaginal delivery.1 patient had twin pregnancy.Out of 51 newborn, 5 were stillbirth and 1 early neonatal death.Maternal mortility was 2 % .Eclampsia is still one of the important and common obstetric emergencies, which has a significant role in maternal and perinatal outcome. Regular Antenatal Care (ANC), proper health education, improvements of socioeconomic conditions and spreading of awareness in the community has major roles in prevention of eclampsia. Timely and appropriate intervention including primary management, early referral and judicious termination of pregnancy help in reducing morbidity and mortality of both mother and fetus. Keywords: Eclampsia, Fetomaternal outcome.

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VAGINAL DISCHARGE

The Professional Medical Journal ◽

10.29309/tpmj/2011.18.04.2644 ◽

2011 ◽

Vol 18 (04) ◽

pp. 598-603

Author(s):

SHAHIDA SHAIKH ◽

SALEEM AKHTER SHAIKH ◽

INAYAT MAGSI

Keyword(s):

Vaginal Discharge ◽

Tertiary Care ◽

Care Hospital ◽

College Hospital ◽

Internally Displaced ◽

Syndromic Management ◽

Sexually Transmitted ◽

Medical College ◽

Abnormal Growth ◽

History Of

Objective: To observe the results of syndromic management in women living in IDPs camps complaining of chronic vaginal discharge. Design: Descriptive study. Setting: Medical Camps at Larkana set by Chandka Medical College Hospital for Internally Displaced Persons (IDPs) due to floods. Period: 1st September 2010 to 31st December 2010. Material and Methods: Total 200 symptomatic patients aged from 20 to 50 years suffering from chronic vaginal discharge having history of more than 6 months duration were included in the study. Asymptomatic as well as pregnant women and patients with abnormal cervix and having abnormal growth on cervix were excluded from the study. A detailed history and examination (including speculum and vaginal) was done and a proforma was filled. All these patients were given empirical treatment recommended by WHO as syndromic management consisting of stat doses of antifungal along with antibiotics, where no laboratory tests are required before treatment. Results: Next to vaginal discharge which was main symptom in all patients, the other symptoms like dusparunia, dysuria, itching ,lower abdomen pain and low backache was reported 9%, 16%, 20%, 24% and 31% respectively. Also 8% patients reported post coital bleeding. All patients were married and the mean age of the patients was 28+0.2 years and 15% of them were over 40 years. Mean parity was 4±1.Vaginal infection improved in 65% of the patients excellently with a first line single course of antibiotic and percentage raised up to 88% with second course. 19(9.5%) patients couldn’t be followed as they left that camp and 5(2.5%) patients who did not improve with two courses of antibiotics had big cervical erosions, referred to nearby tertiary care hospital for further management. Conclusions: IDPs live in poor conditions in camps without basic facilities and where it is difficult to perform bedside tests like microscopy, Potassium Hydroxide, wet mount films and tests for Sexually transmitted diseases like Chlamydia and gonorrhea are not available, syndromic management there is a rational way of treating cases of chronic vaginal discharge to get quicker response in such desperate women.

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HISTOMORPHOLOGICAL SPECTRUM OF LESIONS OF HYSTERECTOMY SPECIMENS IN GCS MEDICAL COLLEGE, HOSPITALAND RESEARCH CENTER, AHMEDABAD : A STUDY OF 100 CASES

10.36106/ijsr/2320116 ◽

2020 ◽

pp. 80-82

Author(s):

Shweta Shah ◽

S.K. Suri ◽

Ami Shah

Keyword(s):

Retrospective Study ◽

Age Groups ◽

Total Abdominal Hysterectomy ◽

Abdominal Hysterectomy ◽

Medical College Hospital ◽

Research Centre ◽

Age Group ◽

Gynaecological Surgery ◽

College Hospital ◽

Medical College

Background: Most frequently performed gynaecological surgery is hysterectomy. The prevalence of hysterectomy varies within different regions. There are mainly two types of hysterectomies according to which part of uterus is removed. The main types of hysterectomy are total and subtotal or partial hysterectomy. The hysterectomy can be performed by three routes abdominal, laproscopic and vaginal hysterectomy. The main objective of our study is to know most common pathology and different age groups of the patients underwent hysterectomy. Materials and Methods: In this retrospective study was carried during period 6 months, at GCS medical college, hospital and research centre, Ahmedabad. Total 100 hysterectomy specimens were analyzed for histopathological lesions. We had taken the clinical and histopathological findings of these cases from the records of department of pathology, GCS medical college , hospital and research centre. Results: In our study of 100 cases, most common age group underwent hysterectomy was 40-49 years and least common age group was 20-29 years. Type of hysterectomy performed most commonly in this study was total abdominal hysterectomy with bilateral salpingoophorectomy. Most of lesions were seen in the myometrium 42 cases (42%), Endometrium 32 cases (32%), Cervix 16 cases (16%) and Ovary 10 cases (10%). Hysterectomy remains the widely used treatment modality.

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Familial Trend and Socioeconomic Status of the Hypertensive Patients attending at Hypertension Clinic

Journal of Medicine ◽

10.3329/jom.v13i1.5941 ◽

2012 ◽

Vol 13 (1) ◽

pp. 10-15

Author(s):

Kazi Jahangir Hossain ◽

Nazma Parvin ◽

A Wazed ◽

Md Shamsul Alam ◽

Md Mustafa Kamal

Keyword(s):

Socioeconomic Status ◽

College Hospital ◽

Hypertensive Patients ◽

Positive History ◽

Medical College ◽

First Degree Relatives ◽

Hypertension Clinic ◽

History Of ◽

Prevention Of Hypertension ◽

Second Degree

The aim of the study was to investigate familial trend and socioeconomic status of the hypertensive patients attending at the Hypertension Clinic of Dhaka Medical College Hospital, Dhaka. The study period was from July 2009 to June 2010. A total of 417 patients were recruited of which 245 were male and 172 female respectively, and selected consecutively on the basis of defined criteria. The research instrument was an interviewer-administered questionnaire. For assessment of familial trend of hypertension, first and second degree relatives of the respondents were investigated. Results showed that majority of the respondents were educated of which 22.1%(n=92), 18.2%(n=76), 19.9%(83) and 13.7%(n=57) were secondary, higher secondary, graduate and postgraduate educated respectively. In profession, 64.4%(n=111) female had household works, and 56.8%(n=139) male were in service and 41.2%(n=101) businessmen and had monthly income of Tk. 10,000 to 80,000. The mean age of them was 47.4±6.9 years and BMI was 25.5±3.0 kg/m2. The nutritional status of them were normal in 40.5%(n=169) and rest had different degree of malnutrition. In malnutrition, 53.1%(n=130) male were overweight, 2.9%(n=7) obese and 0.8%(n=2) undernourished; and 51.2%(n=88) female were overweight, 11.0(n=19) obese and 1.2%(n=2) undernourished respectively. About 70.5%(n=294) of the studied hypertensive patients had positive history of hypertension in first and second degree relatives of which 17.3%(n=72) had single member positive history of hypertension, 18.2%(n=76) two, 16.8%(n=70) three, 14.1%(n=69) four and 4.1%(n=17) five members. In single member positive, most of them were in first degree relatives; in two members, 67.1%(n=51) were in first degree relatives and 27.6%(n=21) in both first and 2nd degree relatives; in three members, 64.3%(n=45) were in 1st degree and 31.4%(n=22) in both 1st and 2nd degree; in four members, 31.9%(n=22) were in 1st degree relationship, 17.4%(n=12) in 2nd degree and 50.7%(n=35) in both 1st and 2nd degree; and in five members, 17.6%(n=3) and 82.4%(n=14) in second degree, and both 1st and 2nd degree relatives respectively. Heath education and behavioral change intervention programs among the hypertensive population may be one of the most important applicable ways to control and/or prevention of hypertension and its complications in Bangladesh. DOI: http://dx.doi.org/10.3329/jom.v13i1.5941 JOM 2012; 13(1): 10-15

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Association between the use of free-of-charge intrauterine devices and a history of induced abortion: a retrospective study

BMC Women s Health ◽

10.1186/s12905-019-0821-3 ◽

2019 ◽

Vol 19 (1) ◽

Author(s):

Sabina Ulbricht ◽

Angelika Beyer ◽

Ulrich John

Keyword(s):

Logistic Regression ◽

Retrospective Study ◽

Intrauterine Device ◽

Induced Abortion ◽

Multivariate Model ◽

Unemployment Benefits ◽

Intrauterine Devices ◽

Cross Sectional ◽

History Of ◽

To Receive

Abstract Background To determine whether use of intrauterine device (IUD) is influenced by a history of induced abortion and the type of contraceptives used until costs are covered. Methods We analyzed data from 301 female residents in Mecklenburg-West Pomerania, an economically challenged community. The women, aged between 20 and 35 years, were entitled to receive unemployment benefits, and had access to free-of-charge oral contraceptives, ring or IUD. Cross-sectional data were analyzed using logistic regression. Results There were 112 (37.2%) women with a history of induced abortion, and 46 (15.3%) reported exclusively using less effective contraceptives (e.g. condoms). In a univariate logistic regression, use of an IUD was associated with a history of having had an induced abortion. Furthermore, uptake of an IUD was associated with women who had, until costs were covered, exclusively choice to use less effective contraceptives (OR = 3.281, 95% CI: 1.717; 6.273). Both associations remained significant in a multivariate model. Conclusions Free contraceptives provided to women receiving unemployment benefits may increase the use of IUDs, especially among those with a history of an induced abortion and those using less effective contraceptives.

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