scholarly journals Study of Severe Acute Maternal Morbidity (SAMM) in A Tertiary Care Hospital

2018 ◽  
Vol 8 (2) ◽  
pp. 58-62 ◽  
Author(s):  
Raunak Jahan ◽  
Md Shahadat Hossain ◽  
Sultana Afroj Shila ◽  
Lutfa Begum Lipi ◽  
Zobaida Sultana Susan ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Maternal Morbidity ◽  
Tertiary Care Hospital ◽  
Post Partum ◽  
Tertiary Care ◽  
Near Miss ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Severe Acute Maternal Morbidity

Background : Severe maternal morbidity also known as ‘near miss’ may be a good indicator of the quality and effectiveness of obstetric care, as it may identify priorities in maternal care more rapidly than mortality alone.Objective : The objectives of this study was to observe the pattern of severe acute maternal morbidity (SAMM) and its associated factors in a tertiary care hospital.Study design and setting : This descriptive cross-sectional study was done from August 2011 to February 2012 at Dhaka Medical College Hospital (DMCH), which is a tertiary care hospital in Dhaka city.Methods : A total 100 consecutive cases of SAMM were taken from Obstetrics and Gynaecology department of DMCH. Five factor scoring system was used to identify the SAMM cases from all the severe obstetric morbidity. For each case of SAMM, data was collected on a) Nature of obstetric complication(s) b) Units of blood transfusion c) Presence of organ-system dysfunction/ failure d) ICU admission e) Length of hospital stay.Results : In this study severe acute maternal morbidities occur in a prevalence of 2.68% and ratio of maternal death was 6.43 per 1000 deliveries. The most frequent primary obstetric factors of severe morbidity detected in this sample were post partum hemorrhage (29%), eclampsia (24%) and sepsis (16%). Other causes were ectopic pregnancy (8%), obstructed labour (7%), ante-partum hemorrhage (5%), abortion (4%), ruptured uterus (3%), anesthetic complication (2%) and miss matched blood transfusion (2%).Conclusion : This study suggests that the treatment of SAMM cases may be improved by developing evidence-based protocols for the management of hemorrhage, eclampsia and infection.J Shaheed Suhrawardy Med Coll, December 2016, Vol.8(2); 58-62

scholarly journals Satisfaction of women with health service provider in outpatient department of Obstetrics and Gynecology at a Tertiary care hospital

2017 ◽  
Vol 6 (2) ◽  
pp. 79-81 ◽  
Author(s):  
Ashia Khatun ◽  
Khairun Nahar ◽  
Mst Nurunnahar Aktar ◽  
Fatema Mahbooba Akter ◽  
Habibur Rahman
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Hospital Environment ◽  
Obstetrics And Gynecology ◽  
Care Hospital ◽  
Health Service Provider ◽  
College Hospital ◽  
Cross Sectional ◽  
Patient’S Satisfaction ◽  
Medical College

Background: Patient's satisfaction over the health care services is very important issue in Bangladesh.Objective: The purpose of present study was to find out the level of satisfaction of women attending in the OPD of Obstetrics and Gynecology department at a tertiary care hospital in Dhaka.Methodology: This descriptive type of cross sectional study was carried out in the OPD of Obstetrics and Gynecology department at Dhaka Medical College from September 2011 to October 2011 for a period of one month. All the women attending in Obstetrics and Gynecology department in outdoor service at Dhaka Medical College Hospital, Dhaka with the age group of 22 to 40 years were selected as study population. A purposive sampling method was used to collect the data.Results: A total number of 200 cases were taken for this study. Highly satisfied over the services delivered by the doctors was reported in 135 (65.8%) cases and service of nurses was satisfied 111(55.8%) of cases. Satisfactory waiting time (two hours) was 143(7l.9%) of cases and the satisfactory hospital environment was 127 (63.8%) of cases.Conclusion: In conclusion most of the women are satisfied to the treatment delivered by the doctors at the OPD of a tertiary care hospital.J Shaheed Suhrawardy Med Coll, 2014; 6(2):79-81

scholarly journals Clinical evaluation of total abdominal hysterectomy - a prospective study in a tertiary care hospital

2015 ◽  
Vol 6 (2) ◽  
pp. 76-77
Author(s):  
Shirin Akhter ◽  
Rumana Nazneen
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Before And After ◽  
A Prospective Study

Total abdominal Hysterectomy are gradually rising in our country. This study has been designed to find out the common indications of abdominal hysterectomy in a tertiary care hospital,. to know the clinical characters of the patients and. o elucidate postoperative complication of abdominal hysterectomy.Methodology : Cross- sectional observational study was done during 1st October 2007 to 30th September 2008. Holy Family Red Crescent Medical College Hospital (HFRCMCH). Total 100 patients were selected following enclusion & exclusion criteria hyperposive sampling. Data were recorded before and after operation and analyzed by SPSS version 15.Result : In the present study patients with leiomyoma of uterus was found to be the major indication of hysterectomy followed by dys functional uterine bleeding (DUB) 18.0%, Pelvic inflammatory disease (PID) 14.0%, chronic cervicitis 10.0%, adenomyosis 10.0%, pelvic endometriosis 6.0%, cervical polyp 2.0%, ovarian cysts 1.0% and chriocarcinoma 1.0%. Mean duration of operation (hour) and hospital stay was 1.15 hours and 7.48 days respectively. Most common complication of present series was fever 20.0% followed by 13.0% had wound infection, 6.0% UTI and 2.0% wound dehiscence.Conclusion : Hysterectomy is now the most widely performed major operation in gynaecology. Indication and post operative complications of hysterectomy varies from region to region.Northern International Medical College Journal Vol.6(2) 2015: 76-77

scholarly journals Multimorbidity Patterns Among Hospitalized Geriatric Patients in Medicine Wards of a Tertiary Care Hospital in Dhaka City

2021 ◽  
Vol 7 (1) ◽  
pp. 56-59
Author(s):  
Sumiya Bent Kalam ◽  
Sadia Islam ◽  
Mohammad Abdullah Az Zubayer Khan ◽  
Tanjina Akhter
Keyword(s):  
Diabetes Mellitus ◽  
Elderly Patients ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Medical College Hospital ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Medical College

Background: Elderly people are posing a significant health burden in our country for their multi morbidity as economic growth has increased our life expectancy. Pattern of multi morbidity of this older people varies according to geography, ethnicity, culture and life style. Aim: The aim of this study was to identify the prevalence and pattern of multi morbidity of elderly patients admitted in a tertiary care hospital. Method: 50 random cases of elderly patients aged more than 60 years admitted in medicine and allied wards of Dhaka medical college hospital were observed at this cross-sectional study from January 2017 to June 2017(total 6 months period). Data were reviewed and analyzed using simple frequency and percentage. Protocol was reviewed by institutional ethical board (IRB) of Dhaka medical college hospital. Result: A total number of 50 elderly patients with age ranging from 60 to 95 years were observed with male and female ratio 1.3:1 having multi morbidity among 92.0% patients and female is more affected than male. Hypertension, ischemic heart disease, diabetes mellitus and stroke were found most common diseases as individual. Hypertension and diabetes mellitus was found as the most common multi morbidity pattern followed by hypertension and IHD, stroke & diabetes mellitus. Conclusion: This study sheds light on priority needs of elderly patients in terms of medical facility in tertiary care hospital of Bangladesh. Journal of National Institute of Neurosciences Bangladesh, January 2021, Vol. 7, No. 1, pp. 56-59

Characteristics and Frequency of Hepatitis C among Children With Β-Thalassemia Visiting Tertiary Care Hospital

2021 ◽  
Vol 15 (10) ◽  
pp. 2576-2577
Author(s):  
Huda Abbas ◽  
Zunaira Javed ◽  
Sadia Bashir ◽  
Wajahat Hussain ◽  
Nadia Tufail ◽  
...  
Keyword(s):  
Hepatitis C ◽  
Blood Transfusion ◽  
Rural Areas ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Blood Transfusions ◽  
Care Hospital ◽  
Cross Sectional ◽  
Safe Blood ◽  
Public And Private Sector

Aim: To find the characteristics and frequency of hepatitis C among children with β-Thalassemia. Methodology: It was a cross sectional type of study conducted in tertiary care hospital of Bahawalpur for a period of 6 months from from January 2021 to June 2021. Sample size was 51 patients. Patients suffering from β-Thalassemia and were undergoing blood transfusions in large amounts were included. Results: β-Thalassemia is more common in Males (67%) than females (33%) with most of the cases detected in the patients who were living in rural areas (61%). Moreover, with the increase in number of transfusions the threat of HCV increases. Conclusion: Blood transfusion is a lifesaving intervention. There is a need to pay an immediate attention towards the bio safety practice in both the public and private sector blood banks. There must be strict rules and regulations for safe blood transfusions in Pakistan. Keywords: Thalassemia; HCV; Blood transfusion; HB electrophoresis

scholarly journals A study of maternal morbidity associated with caesarean delivery in tertiary care hospital

2017 ◽  
Vol 4 (5) ◽  
pp. 1542 ◽  
Author(s):  
Dasari Gayathry ◽  
Visweswara Rao Guthi ◽  
Sameer Bele ◽  
Achanta Vivekannada
Keyword(s):  
Maternal Morbidity ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Maternal Morbidity And Mortality ◽  
Indications And Complications ◽  
Structured Questionnaire

Background: Cesarean section is one of the most commonly performed surgical procedures in the world. Several studies have demonstrated that c/s poses a greater risk of maternal morbidity and mortality compared to vaginal delivery. Therefore, it is important to assess the morbidities associated with a c/s. Methods: A hospital based, cross sectional study was conducted among 240 women during the period of March-May 2014. A semi-structured questionnaire was used to evaluate the socio-demographic characteristics, obstetrical characteristics, indications and complications following c/s. Results: A total of 150 (62.5%) respondents underwent emergency c/s whereas 90 (37.5%) were having elective c/s. The most common indication for cesarean delivery was a previous c/s observed in 70 (29.2%). No postpartum morbidity was observed in 152 (63.3%) of the respondents, whereas 88 (36.7%) had reported some or other kinds of morbidities. Among the various maternal morbidities, postpartum anemia was the most commonly observed morbidity in 22 (9.2%) of the respondents, followed by postpartum hemorrhage by 10 (4.2%) and wound infection was observed in 15 (6.25%). Conclusions: High maternal morbidity following c/s was observed in studied sample as more than one third of the women had shown some or other kinds of morbidities. Efforts should be made to evaluate the reasons for increasing c/s rate and to reduce the incidence of c/s by careful antenatal and intranatal management. 

scholarly journals OVERT HYPOTHYROIDISM;

2018 ◽  
Vol 21 (01) ◽  
pp. 075-078
Author(s):  
Ashok Kumar Lohano ◽  
Noor Nabi Siaya ◽  
Adnan Samie
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Overt Hypothyroidism ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Cold Intolerance ◽  
Medical College ◽  
Pedal Edema

Objective: To assess the frequency of common presentations of the overthypothyroidism. Study design: Cross sectional study. Setting: This study was conducted at allOPD’s of peoples’ medical college hospital nawab shah, a tertiary care hospital, from 01-10-2012to 31-03-2013. Material and methods: This study was conducted at all OPDs of Peoples’medical college hospital Nawabshah, a tertiary care hospital, from 01-10-2012 to 31-03-2013.Patients visiting outpatient department (OPD) meeting the inclusion criteria were involved instudy. Inclusive criteria were diagnosed cases of overt hypothyroidism, age 18-60 years and bothgender. Exclusion criteria were age less than 18 years and more than 60 years and pregnantwomen. The collected data was entered and analyzed by using Statistical Package for SocialSciences (SPSS) software, Version 17. Results: Among 126 patients that had hypothyroidism,there were 46 males(36.5%) and 80 females(63.5%). Mean age of patients was 37.60 ± 7.54years. Most of the patients presented with symptoms of cold intolerance (62.7%) dry skin(61.9%), pedal edema (57.1%), weight gain(56.3%) while rest presented with hair loss (20.6%),bradycardia (29.4%) & delayed tendon reflexes (27.8%). Overt hypothyroidism was presented inonly 21 (16.7%) patients. Conclusions: The frequency of Hypothyroidism vary in different areas,and is affected by Socio-demographic, nutritional status, illiteracy level and personal self-care.

scholarly journals Drug utilization study of drugs used in the management of post-partum hemorrhage at a tertiary care hospital

2020 ◽  
Vol 9 (8) ◽  
pp. 1236
Author(s):  
G. N. S. Sangeetha Lakshmi ◽  
U. Bharathi ◽  
Vadlakonda Sruthi ◽  
Arige Geervani
Keyword(s):  
Maternal Mortality ◽  
Tertiary Care Hospital ◽  
Post Partum ◽  
Tertiary Care ◽  
Essential Medicine ◽  
Study Group ◽  
Care Hospital ◽  
Essential Drug ◽  
Cross Sectional ◽  
Labour Room

Background: Postpartum haemorrhage remains a major cause of both maternal mortality and morbidity worldwide, uterotonic drugs such as oxytocin, with or without ergometrine, have been used to prevent PPH. The objective to study the drugs used in the management of post-partum haemorrhage at a tertiary care hospital.Methods: An observational and cross-sectional study design was adopted for this study. The case sheets of 100 patients presenting in active stage of labour to the labour room in a tertiary care hospital were analysed.Results: In the prescriptions analysed from the patients in the labour room, drugs used to prevent PPH are oxytocin and misoprostol. Oxytocin is the most commonly prescribed drug to prevent PPH in the study group. It is a life-saving drug to prevent PPH and thereby maternal mortality. In the study group having 103 patients, a total of 81 patients received only 10 IU oxytocin IM and 14 patients received 10 IU oxytocin IM and 600 g misoprostol to prevent PPH.Conclusions: Oxytocin is an essential drug included in the WHO essential drug list and in the national list of essential medicine, so it shouldn’t have been dealt in such a biased manner.

scholarly journals Non-viral Microbial Keratitis in a Tertiary Care Hospital in Bangladesh

2021 ◽  
Vol 33 (2) ◽  
pp. 133-137
Author(s):  
Mohammed Selim Reza ◽  
Shamsul Alam Chowdhury ◽  
Paritush Kanti Talukder ◽  
Md Tabibul Islam ◽  
Md Altaf Hossain ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Fusarium Species ◽  
Tertiary Care ◽  
Care Hospital ◽  
Microbial Keratitis ◽  
Penicillium Species ◽  
College Hospital ◽  
Klebsiella Species ◽  
Cross Sectional ◽  
Department Of Ophthalmology

Introduction: Microbial keratitis is a serious ocular infectious disease that can lead to significant visual loss and ophthalmic morbidity. Objectives were to see the profile of non-viral microbial keratitis in a tertiary care hospital in Bangladesh. Materials and Methods: This cross-sectional study was conducted in the Department of Ophthalmology, Sylhet MAG Osmani Medical College Hospital, Sylhet between January 2015 and December 2016. Results: The mean age of the patients was 46.7 ± 16.5 years with male preponderance (54.4%). The most common predisposing factors were trauma (66.7%), and chronic dacryocystitis (25.6%). Fungal growth was more frequent compared to bacterial growth 70 (77.7%) versus 30 (33.3%), p<0.01). Gram positive organisms were Staphylococcus epidermidis (11.1%), Staphylococcus aureus (3.3%); gram negative organisms were Pseudomonas aeruginosa (12.2%), Klebsiella species (3.3%) and Escherichia coli (3.3%). Aspergillus species (71.4%) was the commonest fungus. Others were Penicillium species (7.1%), Fusarium species (8.6%), Mucor (10.0%) and Rhizopus (2.9%). Conclusion: Fungi are more frequent cause of non-viral keratitis. Watering, redness, pain or burning sensation, corneal opacity and dimness of vision are clinical profiles of non-viral microbial keratitis. Medicine Today 2021 Vol.33(2): 133-137

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