scholarly journals Obstructe d Labour: A Life Threatening Complication

2017 ◽  
Vol 29 (1) ◽  
pp. 12-14
Author(s):  
Jamila Khatun ◽  
Khudeja Khanom

Obstructed labour is an important cause of maternal death in developing countries. Obstructed labour also causes significant maternal morbidity mainly due to infection and hemorrhage and foetal death from asphyxia is also common. Objectives are to reduce maternal and newborn complications by early detection and rapid interventions and to reduce maternal and perinatal morbidity and mortality. This Hospital-based prospective cross-sectional study was conducted from June 2013 to June 2014 in Sylhet, MAG Osmani Medical College Hospital. 100 obstructed labour cases were selected those who were admitted in Inpatient department of Obstetrics and Gynaecology, SOMCH. 100 obstructed labour cases were recorded. The majority (80%) were residents of rural areas in which transportation were difficult, the occupation of the women were housewives mostly (90%) and remaining (10%) were tea-garden worker.75% of the obstructed labour cases did not have any ante-natal follow-up. Most of the cases (70%) were visited Osmani Medical College Hospital by their attendant. 70% Visited at 12-24 hours of labour, (80%) came from a distance of 10-50 kilometers. Cepholo-pelvic disproportion was the major cause of obstructed labour (78%) and cesarean section was the main way of delivery (95%). PPH (4%), puerperal sepsis (4%), rupture uterus (2%), VVF (2%), rupture uterus with shock (1%), were the main complications and maternal death (1%). Obstructed labour was the major causes of poor perinatal outcome and perinatal death (7%). This study revealed high incidence of maternal morbidity and perinatal morbidity and mortality.Medicine Today 2017 Vol.29(1): 12-14

1970 ◽  
Vol 19 (2) ◽  
pp. 98-101 ◽  
Author(s):  
R Khanom ◽  
DK Saha ◽  
K Begum ◽  
J Nur ◽  
S Tanira

Objective: This study aims to describe main perpetrator of violence area and prevention of violence against women. Study design: A cross sectional study was carried out in One-stop Crisis Centre (OCC) of Dhaka Medical College Hospital, Dhaka, Bangladesh during the period of June 2006 to May 2007. Methods: 284 victims reported in OCC during the study period were selected as cases for the study and quantitative information was collected from them using cross sectional for the present study. Results: Study shows that most of the violence is done by husband (46.48%) and prevalence is more in rural areas (80.98%) in comparison to urban area (19.02%). Physical assault is the most common type of violence (50.35%), followed by sexual assault (36.63%) and burn (13.02%) Housewives are tortured more (67%). Conclusion: Proper implementation of existing rules and community based interventions for raising awareness about the domestic violence against women are recommended. Key words: Violence against women; assault; human rights; one-stop crisis centre (OCC); Bangladesh. DOI: 10.3329/jdmc.v19i2.7077J Dhaka Med Coll. 2010; 19(2) : 98-101


2014 ◽  
Vol 26 (1) ◽  
pp. 46-48
Author(s):  
Devendra Nath Sarkar ◽  
Md Ismail Hossain ◽  
Mainuddinin Ahmed ◽  
AKM Shaheduzzaman ◽  
Nur Mohammad

Organophosphorus compounds (OPC) poisoning is a major public health problem in low and middle income countries. The incidence varies from country to country depending on easy availability of poison, socio-economic condition and educational background of the people. This study aimed to determine the frequency, outcome and aetiological aspect of OPC poisoning patient admitted in Rangpur medical college hospital. It was a cross sectional study carried out in the department of Medicine, Rangpur medical college hospital from 1st December 2011 to 30th November, 2012. During the study period a total of 703 patients have been studied. The most of the patients were between the age of 18- 40 years (91.9%), male (51.6%), married (71.3%) and from rural areas (67.8%). People of different occupations were involved in OPC poisoning, house-wives were the maximum (33.6%) followed by farmers (31.7%). 92% cases were suicidal and 8% accidental. Familial disharmony was the prime cause (92.3%) of suicidal motive. 88% of the patients were survived and 5% died. OPC poisoning is an important health care problem in our country. Improved awareness, restricting availability and banning more toxic organophosphorus compounds will reduce the incidence of OPC poisoning. DOI: http://dx.doi.org/10.3329/medtoday.v26i1.21313 Medicine Today 2014 Vol.26(1): 46-48


1970 ◽  
Vol 23 (1) ◽  
pp. 20-24 ◽  
Author(s):  
Irin Parveen Alam ◽  
Sayeba Akhter

Objectives: The study was done with the objective to find the perinatal outcome in eclampsia patients and also to find out preventable causes of perinatal mortality and morbidity which are related to eclampsia. Materials & methods: This was a cross sectional observational study carried out in the Eclampsia unit in the Department of Obstetrics and Gynaecology in Dhaka Medical College Hospital during the period from February 2001 to July 2001. Results: Three hundred patients were selected for study. Three hundred mother's delivered 311 babies (11 sets of twins). Perinatal death(PND) which included stillbirth (SB) and early neonatal death (END) was 29%; stillbirth rate was 158/1000 live birth and early neonatal death rate was 132/1000 live births; 71% babies were born healthy. Maternal and fetal conditions were assessed and its relation with perinatal outcome was analyzed. Convulsion delivery interval > 12 hours, diastolic BP > 110mm Hg and Proteinuria > 3+ had significant higher perinatal death. (P<0.001, <0.01 and <0.001, respectively). Seventy percent babies had low birth weight. Among the live born neonates (n=262) 27.5% had jaundice, 34.7% had no complication and 15.6% had early neonatal death. Pre-maturity was common cause of early perinatal death (54%) and 39% death was due to asphyxia. Conclusion: Still birth, prematurity and birth asphyxia are important causes of perinatal loss in eclampsia, so early referral of eclampsia patients, early resuscitative measures and good neonatal care can improve perinatal outcome.   doi: 10.3329/bjog.v23i1.3053   Bangladesh J Obstet Gynaecol, 2008; Vol. 23(1) : 20-24


2018 ◽  
Vol 6 (2) ◽  
pp. 86-89
Author(s):  
Shila Rani Das ◽  
Chinmay Biswas ◽  
Sharmina Afrin

Background: Now a days, there is increased demand and progress in the nursing profession. Along with these stress among the nurses has also increased.Objective: Purpose of the study was to assess the extent of perceived occupational stress and its association with work-related and non-work related causes among nurses.Materials and method: This Cross-sectional study was carried out among 197 nurses of Shaheed Suhrawardy Medical College hospital (ShSMCH), Dhaka, Bangladesh, from the period of 1st July 2015 to 30th June 2016. Sampling method was simple random sampling. Data was collected by face to face interview with the help of semi-structured questionnaire and finally all data were analyzed using SPSS software version 21.Results: It was found that 69% nurses were between the age of 21 to 39 years, 94.9% were female, 68% were married, 79.2% were Muslim, 84.3% had diploma, family income of 91.4% were equal to more than 40,000 Tk. and 95.5% used to do clinical work. Only 5.1% found to experience high stress. Statistically significant difference was found between sex, occupational stress and religion, educational status, and type of work (p < 0.05). Few nurses suffered from high stress but high level of stress were more in male, non Muslim, post graduate nurse and those who were engaged in administrative work.Conclusion: Nurse Managers should take appropriate actions to decrease stress helping their nurses to work efficiently and effectively.Delta Med Col J. Jan 2018 6(2): 86-89


Author(s):  
Susmita Chaudhuri ◽  
Rekha Dutt ◽  
Shweta Goswami ◽  
Joydeb Roychowdhury

Background: Cervical cancer is a leading cause of morbidity and mortality in women especially India. The mainstay of prevention rests on early detection of cases through screening. So, this study aims to determine the knowledge of cervical cancer screening, Human papilloma virus & its vaccination status. Methods: This was an observational study of cross-sectional design conducted among the adult reproductive aged women (18-45 years) visiting Gynaecology OPD at ESI-PGIMSR and ESIC Medical College and Hospital, Joka. A pre-designed and pre-tested interview schedule was prepared. Face to face interview was conducted in local language. Data was compiled & computed in SPSS software version 20. Results: Total respondents were 97. Majority of the respondents (62.9%) belong to the age group of 21-30 years. 8 in 10 participants follow Hinduism. Almost equal percentages of participants were from urban & rural areas (51.5% & 48.5% respectively). 6 in 10 participants had heard about cervical cancer. Majority of the respondents (55%) mentioned friends & family as a source of information. 48.3% of the respondents knew poor genital hygiene as a predisposing risk factor for cervical cancer. Very few knew about other factors like multiple sexual partner (20%), early marriage (33.3%), young age (20%), repeated childbirth (35%), OCP usage (26.7%) as risk factors for cervical cancer. Only one participant had undergone screening test for cervical cancer (1.7%). 46.7% of the respondents were aware about association of HPV infection with cervical cancer. But none of the participants had received vaccine against cervical cancer & they cited lack of awareness as a reason for not receiving the vaccine. Conclusions: A well-designed health education program focusing on effective multipronged IEC strategies utilizing pictorials, audio-visual and personal communication on cervical cancer could yield beneficial results. 


Author(s):  
Lakshmi K

Objectives: This study was aimed to assess the knowledge and attitude of primipara mothers regarding breast feeding. Methodology: quantitative non experimental - descriptive research design was adopted. The study was conducted in MES medical college hospital with the sample size of 50 primipara mothers by using non probability- purposive sampling technique. Results: The knowledge score of primipara mothers regarding breast feeding were 4 (8.0%) had inadequate knowledge, 35 (70%) had average knowledge, 11 (22%) had adequate knowledge. The attitude score of the primipara mothers regarding breast feeding reveals that 2 (4.0%) had neutral attitude, 48 (96%) had positive attitude towards breast feeding. Correlation of knowledge and attitude of primipara mothers regarding breast feeding represents that mean knowledge and attitude score of primipara mothers regarding breast feeding was 14.3 and 48.74 respectively. Correlation coefficient(r) value is 0.041, which indicates statistically non significant. find the association between the knowledge and attitude with selected demographic data illutrates that there is a significant association of knowledge score with their type of family (p <0.05) and there is no significant association of knowledge score with the age, education, occupation, religion, residence, age at marriage, sex of the baby, previous knowledge on breast feeding ( p > 0.05). there is no significant association of attitude score with the with demographic data ( p >0.10). conclusion: This study was identified that 70% of the primipara mothers had average knowledge and 96% had positive attitude towards breast feeding. It implies that majority of the primipara mothers was received previous information regarding breast feeding in this study had a major role to enhance the knowledge and attitude of primipara mothers regarding breast feeeding.


2020 ◽  
Vol 7 (2) ◽  
pp. 80-83
Author(s):  
Sanjida Amin ◽  
Shamim Ara ◽  
Rawshon Naznin ◽  
Umma Marium ◽  
Farah Diba ◽  
...  

Background: Tendo Achilles injuries are usually related to poor ankle flexibility and strength and to overuse. Morphology of tendo Achilles is an important tool for its assessment which can be done by measuring tendon thickness, cross-sectional area and length of tendon. Objective: The aim of the study was to correlate length of tendo Achilles with stature in several age groups of sedentary people as measured by ultrasonography. Materials and method: This cross sectional analytical type of study was conducted in the department of Anatomy, Dhaka Medical College Hospital, Dhaka, Bangladesh from July 2013 to June 2014. The present study was performed on 200 tendo Achilles of 100 people (50 male and 50 female) randomly selected from the patients who came to the Radiology department of Dhaka Medical College Hospital for ultrasonography of any region of their body other than leg. Results: In this study length of tendo Achilles was measured in both legs of adult people and was correlated with stature. Highly significant correlation was found between length of tendo Achilles with stature (p<0.001). Conclusion: The data of length of tendo Achilles obtained from the present study may provide valuable information in different aspects of medical science as a guide line for physiotherapists, radiologists, sports professionals and ortho-surgeons in early detection and monitoring of rehabilitation especially of professional athletes. Delta Med Col J. Jul 2019 7(2): 80-83


2020 ◽  
Vol 7 (1) ◽  
pp. 12-16
Author(s):  
Naheed Fatema ◽  
Zannatul Ferdosh ◽  
Sherajum Munira ◽  
KAM Mahbub Hasan ◽  
Nasim Iftekhar Mahmud ◽  
...  

Background: Management of ectopic pregnancy is very crucial issue for the survival of the patients. Objective: The purpose of the present study was to observe the surgical management and per-operative findings of women with ectopic pregnancy. 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 the Bangladesh Medical College Hospital, Dhaka were included in the present study. In most of the cases, laparoscopy or laparotomy was done to confirm the diagnosis and manage the cases. Result: A total number of 48 cases of ectopic pregnancy women were recruited for this study. The highest number of ectopic pregnancy occurs in the ampulla of the fallopian tube which was 27(58.3%) cases. The right tube had been found to be affected more than the left which was 30(62.5%) cases and 18(37.5%) cases respectively. Most of the patients were presented with ruptured tubal pregnancy which was 30(62.5%) cases. Opposite tube was normal looking in 25(52.1%) cases. Unilateral salpingectomy and salpingectomy with contra lateral tubectomy were operated in 32(66.7%) cases and 10(20.8%) cases respectively. Conclusion: In conclusion most of the ectopic pregnancy is occurred in the site of ampulla of fallopian tube in right side which are mostly surgically managed by unilateral salpingectomy. Journal of Current and Advance Medical Research 2020;7(1): 12-16


2018 ◽  
Vol 9 (1) ◽  
pp. 6-9
Author(s):  
Sadia Rahman Chowdhury ◽  
Syed Alamgir Safwath ◽  
Dilip Kumar Ghosh ◽  
Mohammad Mahmuduzzaman ◽  
Madhusudan Saha ◽  
...  

Background: Irritable bowel syndrome (IBS) is one of the most common functional gastrointestinal disorder with absence of organic damages to the intestine. The pathophysiology of IBS is still not completely understood, but in some cases psychological disorders may affect the onset and outcome of IBS. Some studies have found disparities between subtypes of irritable bowel syndrome (IBS) regarding socio-demographic characteristics and lifestyle factors.Methods: This cross-sectional study aimed to investigate whether there are differences in sociodemographic and lifestyle factors including smoking and physical activity between the subtypes of IBS. The study was performed on outpatients diagnosed as irritable bowel syndrome (from January 2015 to December 2015) in Dhaka Medical College Hospital and Shaheed Suhrawardy Medical College Hospital in Dhaka. A total of purposively selected 208 diagnosed IBS patients were interviewed by semi-structured questionnaire in which subtype of irritable bowel syndrome were measured by Rome-III criteria regarding stool consistency.Results: Mean age of the respondents was 32.3 (+ 10.32) years and majority of them were male (77%), married (66.8%), educated up to secondary level (35.6%), labour (skilled and unskilled) (30%), non- smoker (67.3%) and HEPA (health enhancing physical activity) active (65.9%). Diarrhea predominant irritable bowel syndrome (50%) was found the most common subtype among the irritable bowel syndrome respondents followed by mixed type irritable bowel syndrome (42%) and constipation predominant irritable bowel syndrome (8%) There were no statistical differences found between constipation predominant irritable bowel syndrome ( IBS-C), Diarrhea predominant irritable bowel syndrome (IBS-D), and mixed type irritable bowel syndrome (IBSM) patients regarding to socio-demographic characteristics and lifestyle factors (P<0.05).Conclusion: Our study concluded that there are no different socio-demographic and lifestyle characteristics between IBS subtypes.J Shaheed Suhrawardy Med Coll, June 2017, Vol.9(1); 6-9


2012 ◽  
Vol 2 (1) ◽  
pp. 13-16
Author(s):  
Muna Shalima Jahan ◽  
MS Syed Muhammad Baqui Billal ◽  
Sayeba Akhter

Objective: To assess socio-epidemiology of Antepartum Fetal Death IAFD) in a tertiary hospital in Bangladesh. Method: Fifty three pregnant women with intra-uterine fetal death before or after delivery were interviewed in Gvnaecologv in-patient of Dhaka Medical College Hospital during 2004-2005. In this cross sectional study selected socio-demographic factors like age, education, occupation, income etc. and epidemio/ogic factors like previous stillbirth or congenital anomaly history, antenatal history, and other medical conditions like gestational diabetes and pregnancy induced hypertension were sought. Results: Respondents were young (25.15 ± 6.45), married at an earlier age (18.51 ± 2.85), majority (62.26%) got pregnant at <=20 years and more than 50% were primigravid. Most (84.9%) of the respondents were either illiterate or low educated whereas 53% of the husbands were so. Nearly 70% worked more than 8 hours a day, almost half had low family income. History of stillbirth (13.21%>) and congenital anomaly (9.43%) in previous pregnancy were also found with AFD. More than half (29, 54.7%) of the respondents did not take ANC during this pregnancy. Only 3 respondents had gestational diabetes and 7 had pregnancv induced hypertension. Conclusion: Increasing the age at marriage and pregnancy, education, adequate rest during pregnancv and off course, increasing coverage of ANC could bring about satisfactory outcome if taken care of before future pregnancies. Journal of Shaheed Suhrawardy Medical College Vol 2No.1 June 2010 page 13-16 DOI: http://dx.doi.org/10.3329/jssmc.v2i1.12345


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