scholarly journals Effects on Induction of Labour by Intravenous Oxytocin in Multiparous in Dhaka National Medical College & Hospital

2012 ◽  
Vol 23 (2) ◽  
pp. 80-82
Author(s):  
MS Pervin ◽  
MM Begum

DOI: http://dx.doi.org/10.3329/medtoday.v23i2.13102 Medicine TODAY Vol.23(2) 2011 pp.80-82

2020 ◽  
Vol 32 (1) ◽  
pp. 45-47
Author(s):  
Md Shamsuzzaman ◽  
Md Alamgir Hossain Sikder ◽  
Quazi Sabran Uddin Ahmed ◽  
Shyamol Chandra Banik ◽  
Kartick Chanda Shaha

Introduction: The aim of this study was to screening the Sensitivity of Alvarado score among the hospitalized suspected appendicitis patients at Dhaka National Medical College Hospital for determine the diagnostic accuracy. Materials and Methods: It was an observational type of descriptive study, conducted in the Dhaka National Medical College Hospital, Dhaka, during the study period of July 2015 to December 2015. The study was approved by the institutional ethical committee. Results: Most of the appendicitis patients belonged to the between 21-30 years which was 64 (32%). Male appendicitis patients (52%) are more than the female patients (48%). Majority of the patients (69%) complains pain occurs in the Right iliac fossa. The sensitivity of Alvarado scores was 81.60%, specificity 74.58%, accuracy 79.35%, positive and negative predictive values were 87.18% and 65.67% respectively. Conclusion: Alvarado score has more specificity. Medicine Today 2020 Vol.32(1): 45-47


2017 ◽  
Vol 45 (3) ◽  
pp. 131-133 ◽  
Author(s):  
Lipy Bakshi ◽  
Samira Hoque ◽  
Farhana Tanjin ◽  
Sukla Dey ◽  
Mithun Bakshi

Intrauterine fetal death (IUFD) and still births is a tragic event for the parents and an important cause of perinatal mortality. This retrospective study study was conducted in the department of Obstetrics and Gynecology of Dhaka National Medical College Hospital from January 2015 to June 2016 with the intention to understand the incidence, socio-epidemiological and etiological factors of intrauterine fetal death (IUFD). A total of 1838 pregnancies were studied retrospectively during the study period & out of them 48 were IUFDs. Ante partum and intra partum events leading to fetal demise were recorded, socio-demographic and clinical characters were noted. there were 1838 deliveries . The incidence of prenatal loss was 26 per 1000 live births. Despite advances in diagnostic and therapeutic modalities the rate of IUD is unacceptably high. Socio-cultural background, lack of adequate antenatal care and inaccessible health care are some of the reasons that predispose women to IUFD. Majority of fetal wastage can be prevented with universal and improved antenatal care.Bangladesh Med J. 2016 Sep; 45 (3): 131-133


2012 ◽  
Vol 23 (1) ◽  
pp. 30-32
Author(s):  
Md. Shamsuzzaman Mondle ◽  
Sk. Md. Ekramllah

Medicine Today 2011 Volume 23 Number 01 Page 30-32 DOI: http://dx.doi.org/10.3329/medtoday.v23i1.11942


2017 ◽  
Vol 8 (1) ◽  
pp. 50-54
Author(s):  
Sharmin Abbasi ◽  
Sehereen Farhad Siddiqua ◽  
Mohammad Noor A Alam ◽  
Suha Jesmin ◽  
Md Mahmudur Rahman Siddiqui ◽  
...  

Background: Intrauterine fetal death is means- intrapartum death after the fetus has reached the age of viability8. As in IUFD journey, labor pain will be fruitless. So, it is of utmost importance to search for the method which can reduce hours of pain in labor of IUFD cases.Metarials Methods: In this research work patients divided in two groups. Induction of labour in one group was given by combination of mifepristone and misoprostol other group by misoprostol only and we try to find out the best method. To compare the effectiveness, induction to delivery interval, safety and side effects of combination of mifepristone and misoprostol versus conventional use of misoprostol alone in induction of labour in patients with intrauterine fetal death. It is a Prospective randomized comparative study in Anwer Khan Modern Medical College Hospital and Dhaka Medical College Hospital among 70 patients with IUFD after 28 weeks of gestation during January 2014- January 2016.Result: We allowed the patients up to third gravid and after 28 weeks of gestation. Patients were grouped as Group A(35) & Group B (35). In Group A Induction was given by single oral dose of 200 mg mifepristone, and after 48 hours, tab. Misoprostol in post. fornix started if <34 weeks-100 ?gm dose and >34 weeks-50 ?gm dose. Doses were repeated every 6 hourly intervals if required. In Group B Induction was given by 100 ?gm misoprostol at 6 hourly interval in post. Fornix. In both groups we allowed misoprostol maximum 600 ?gm. Oxytocin was given for augmentation if needed. The two study groups did not differ demographically. Induction to delivery time was shorter with combined regimen group (P<0.001). Induction to delivery interval ranges from 10-12 hours in mifepristone plus misoprostole group.In only misoprostol group it was about 24-26 hours. Doses of misoprostol was lower in combined group (P<0.001). 4 patients need Oxytocin for augmentation in only misoprostol group. In combined group oxytocin was not needed. The two groups did not differ as regards complications experienced during labour and delivery significantly. In overall out come 2 failed induction in misoprostol only group but not in combinedgroup.Conclusion: In Induction of IUFD mifepriston plus misoprostol is an effective combined group. It is safe, non invasive, easily tolerable, highly cost effective, had less induction to delivery interval, required less dose of misoprostol and no need of augmentation with oxytocin. So,the combined group is more effective than conventional regimen of misoprostol alone.Anwer Khan Modern Medical College Journal Vol. 8, No. 1: Jan 2017, P 50-54


2013 ◽  
Vol 25 (1) ◽  
pp. 18-20 ◽  
Author(s):  
A Farah ◽  
MH Rahman ◽  
O Rahman ◽  
Dr Zakir

A total 300 (three hundred) Gonorrhea and Syphilis patients were studied in two Medical College Hospital (OPD) and two private Chamber to find out their Socio Demographic Characteristics. The patients were between 10 to 60 years of age and among them 250 were male and 50 were female. In this study found that the younger age group and unmarried persons are more prevalent. Regarding occupation, service holders are affected more and regarding their socioeconomic condition low and high income group population are also affected more. DOI: http://dx.doi.org/10.3329/medtoday.v25i1.15903 Medicine Today 2013 Vol.25(1): 18-20


2013 ◽  
Vol 18 (2) ◽  
pp. 4-8
Author(s):  
Mst Hosna Ara Khatun ◽  
Jahanara Arzu ◽  
Zulfe Ara Haider

Objective: This study was undertaken to determine whether short term bladder catheterization would be more beneficial than the routinely practiced long term catheterization after vaginal hysterectomy for prolapsed uterus.  Materials and methods: This randomized controlled trial was conducted in Obstetrics and Gynecology Department of Dhaka National Medical College Hospital from January 2009 to January 2011. A total of 106 women were included in this study. They were randomized into short term catheterization group where transurethral catheter was removed after 24 hours of surgery and long term catheterization group where catheter was removed on 3rd post operative day.  Result: Mean time of first voiding after removal of catheter was almost equal in both groups (2.82±1.42 hours and 2.74±1.52 hours). Duration of catheter did not affect the duration of first voiding time after removal of catheter (P>0.05). None of the women had residual volume of urine >200 ml in both groups. Mean residual volume is significantly high in long term catheterization group (P<0.05). Urinary tract infection was also significantly high in long term catheterization group (P<0.05) and majority of the infection were caused by E. coli.  Conclusion: Short term catheterization is more beneficial in terms of lower incidence of urinary tract infection and prevention of bladder over filling as compared to long term catheterization after vaginal prolapsed surgery. DOI: http://dx.doi.org/10.3329/jdnmch.v18i2.16012 J. Dhaka National Med. Coll. Hos. 2012; 18 (02): 4-8


2019 ◽  
Vol 31 (2) ◽  
pp. 17-20
Author(s):  
Nur A Atia Lovely ◽  
AHM Tohurul Islam ◽  
Obaidullah Ibne Ali ◽  
Rokeya Khatun

This prospective clinical study was conducted in the Department of Obstetrics & Gynaecology in Rajshahi Medical College Hospital from January to December 2007. A total sample of about 100 selected primigravid women were divided into two groups. Group-I was given medical induction by misoprostol orally and Group-II by oral misoprostol followed by artificial rupture of membrane (ARM) for induction of labour. This study specifically evaluated the effect of oral misoprostol and the combined medical & surgical method, on unripe cervix of primigravid women with term pregnancies and has shown that combined method can successfully initiate labour and also lower the rate of caesarean section and significantly lowering the induction delivery time. TAJ 2018; 31(2): 17-20


2012 ◽  
Vol 23 (1) ◽  
pp. 1-4
Author(s):  
Md. Mahbub Ul Karim Khan ◽  
Amirul Hassan ◽  
Shoyela Shahnaz ◽  
AKM Salahuddin

Medicine Today 2011 Volume 23 Number 01 Page 1-4 DOI: http://dx.doi.org/10.3329/medtoday.v23i1.11936


2020 ◽  
Vol 32 (1) ◽  
pp. 58-61
Author(s):  
Md Rezaul Karim Chowdhury ◽  
Md Haroon Ur Rashid ◽  
Amina Begum ◽  
Shamimur Rahman ◽  
Md Momenuzzaman Khan

Introduction: Pancytopenia is a common hematological problem with an extensive differential diagnosis and is a challenging problem to the treating physician. Bone marrow aspiration and biopsy is an important diagnostic test for patient management. The objective of this study is to find out the incidence various causes of pancytopenia in patients attending to the Enam medical college hospital in savar. Materials and Methods: This prospective observational study was done in the department of haematology, Enam Medical College Hospital (EMCH) from July 2012 to June 2019. Results: In our study out of 66 patients, 36 (54.55%) were male, 30 (45.45%) were female and male to female ratio were 1.2:1.Generalized weakness 47 (71.21%) and fever 23 (34.85%) were the most common presenting symptoms followed by bleeding 17 (25.76%), weight loss 6 (12.12%), bodyache 6 (9.09%). Most common clinical findings were anemia 57 (86.36%) and bone tenderness 22 (33.33%). Other physical findings were purpura/brusing 13 (19.70%), splenomegaly 10 (15.15%), lymphadenopathy 4 (6.06%) and hepatomegaly 3 (4.55%). Hematological malignancy 29 (43.94%) and hypoplastic marrow 26 (39.39%) were the most common bone marrow finding of pancytopenic patients followed by megaloblastic anaemia 4 (6.06%), leishmaniasias 5 (7.58), and erythroid hyperplasia 2 (3.03%). Acute myeloid leukaemia was the common haematological malignancy 16 (24.24%), others were acute lymphoblastic leukaemia 5 (7.58%). Myelodysplastic syndrome 3 (4.55%), multiple myeloma 4 (6.06%), chronic myelogenous leukaemia in blastic crisis 1 (1.52%). Conclusion: So we concluded that complete workup is essential for all cases of pancytopenia to find out the treatable cases and to reduce the motality and morbidity in serious diseases. Medicine Today 2020 Vol.32(1): 58-61


2012 ◽  
Vol 18 (1) ◽  
pp. 4-6
Author(s):  
Md Badrul Islam ◽  
Munir Hasan

Urinary tract infection is the most common infection causing illness in children and adults. This study was aimed to identify the uropathogens and their antibiotic sensitivity pattern. This study was done in Microbiology Department at Dhaka National Medical College & Hospital, Dhaka, during January, 2010 to December, 2010. A total of 1874 samples of urine were collected from suspected cases of urinary tract infections, from Dhaka National Medical College & Hospital. Among them, 290 (15.48%) showed significant bacterial growth. The most common uropathogens isolated were E.coli 229 (78.97%), Staph. saphrophyticus 15 (5.18%), Coliform 12 (4.13%), Klebsiella spp. 10 (3.44%), Enteococous 10 (3.44%), Staph. aureus 05 (1.72%), Streptococcus spp. 05 (1.72%) and Pseudomonas spp. 04 (1.38%). E.coli is the most common urupathogen and showed sensitivity pattern to Imipenem 84.28%, Amikacin 83.41%, Nitrofurantoin 73.80%, Gentamycin 66.88%, Ciprofloxacin 41.48%, Doxycycline 36.30%, Ceftazidime 34.50%, Ceftriaxone 33.62%, Cefexime 31.0%, Cotrimoxazole 32.31%, Nalidixic acid 24.01%, Cephradine 17.47% and Ampicillin 11.35%. DOI: http://dx.doi.org/10.3329/jdnmch.v18i1.12223 J. Dhaka National Med. Coll. Hos. 2012; 18 (01): 4-6


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