scholarly journals Prediction of Perineal Tear During Childbirth by the Assessment of Striae Gravidarum Score

2019 ◽  
Vol 31 (2) ◽  
pp. 64-67
Author(s):  
Mahbuba Akhter Banu ◽  
SF Nargis ◽  
Mohammad Mizanoor Rahman ◽  
Md Mohim Ibn Sina ◽  
Murshida Pervin ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Vaginal Birth ◽  
Tissue Elasticity ◽  
Perineal Tear ◽  
Cross Sectional ◽  
Medical College ◽  
Lower Segment Caesarean Section ◽  
Medicine Today ◽  
Striae Gravidarum ◽  
Weight Gain During Pregnancy

Introduction: Perineal tear (PT) is the most frequently occurring injury during vaginal birth. Striae gravidarum (SG) is a reflecting marker of connective tissue elasticity. This study aimed to assess SG score and to predict the likelihood of PT during childbirth. Materials & Methods: This was a cross-sectional study done at Sir Salimullah Medical College & Mitford Hospital. Initially, all pregnant women admitted for vaginal delivery were enrolled but who subsequently needed lower segment caesarean section were excluded. Finally, 189 patients who gave vaginal birth were included. SG score was assessed using the Atwal numerical scoring system. The association was examined between PT as the outcome measure, defined by tears or lacerations and the total striae score (TSS) obtained at abdomen, hips, buttocks and breasts. Results: More than half of study patients developed PT. Majority belonged to moderate striae group. Significant correlation was found between PT and TSS. Moderate and severe striae had significantly increased prevalence of PT as compared to mild striae (43.4% vs. 11.6%). Patients who were given episiotomy in moderate and severe striae group had less PT. Weight gain during pregnancy and TSS were significantly associated with a higher incidence of PT. Conclusion: A woman’s SG score in general is a useful clinical predictor of the risk for PT during childbirth. Selective episiotomy in patients with moderate and severe striae can reduce the incidence of PT. SG score can be used as a simple and noninvasive tool by all categories of health personnel to better define women at risk for PT. Medicine Today 2019 Vol.31(2): 64-67

scholarly journals Plasma Fibrinogen and Fibrin Degradation Product (FDP) in Preeclampsia

2019 ◽  
Vol 31 (1) ◽  
pp. 36-38
Author(s):  
Sharmin Sultana ◽  
Susmita Nargis ◽  
Heera Lal Roy ◽  
Qazi Shamima Akhter ◽  
Rukhsana Afroz
Keyword(s):  
Degradation Product ◽  
Cross Sectional Study ◽  
Bleeding Complications ◽  
Control Group ◽  
Fibrin Degradation Product ◽  
Cross Sectional ◽  
Medical College ◽  
Medicine Today ◽  
Coagulation Analyzer ◽  
Sensitive Marker

Introduction: Hypercoagulable state is seen in preeclampsia which acts as a risk factor for thromboembolism & DIC. Altered coagulation indices (serum Fibrinogen & FDP) have been reported in patients with preeclampsia and have been suggested as a sensitive marker for detection of bleeding complications. This study was carried out to compare the coagulation indices in preeclamptic women. Materials & Methods: This cross sectional study was conducted in the Department of Physiology, Dhaka Medical College (DMC), Dhaka from January to December 2014. Total 100 women aged 18 – 40 years were selected from the department of Obstetrics & Gynaecology of DMCH, Dhaka for this study. Among them 50 were preeclamptic and age matched 50 healthy nonpregnant women were considered as control group. Fibrinogen & Fibrin Degradation Product (FDP) were analyzed on automated coagulation analyzer. Result: In this study, serum Fibrinogen & FDP were significantly higher in preeclamptic than those of healthy women. Moreover, 100% & 64% preeclamptic patient had raised serum Fibrinogen & FDP respectively. Conclusion: From this study it can be concluded that serum Fibrinogen & FDP are directly related with preeclampsia. Medicine Today 2019 Vol.31(1): 36-38

scholarly journals Effect of Gestational Age and Nutrition on Transplacental Transfer of Measles Antibody

1970 ◽  
Vol 22 (1) ◽  
pp. 1-5
Author(s):  
Saima Kumar ◽  
Osul Ahmed Chowdhury ◽  
Md Murshed ◽  
Rabiul Hasan
Keyword(s):  
Gestational Age ◽  
Venous Blood ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Transplacental Transfer ◽  
Medical College ◽  
Good Nutrition ◽  
Medicine Today ◽  
Antibody Levels

A cross sectional study was done to find out the role of gestational age and nutrition on transplacental tranfer of measles antibody. The study was made on pregnant women admitted for delivery from July 2008 to June 2009 in Sylhet M A G Osmani Medical College Hospitals. Sample of venous blood of 94 pregnant mother and 94 cord blood of their newborn babies were collected and processed as per work schedule. Samples were tested by quantitative ELISA method for measles antibody. It was observed that baby of full term mother and good nutrition had higher antibody levels. Protein and haemoglobin level was taken as nutritional indicator. Keywords: Measles IgG; Transplacental transfer; Nutrition; Gestational age. DOI: 10.3329/medtoday.v22i1.5596 Medicine Today Vol.22(1) 2010. 1-5

scholarly journals Early Neonatal Outcome of Clinically Diagnosed Fetal Distress in Low Resource Areas

2021 ◽  
Vol 33 (2) ◽  
pp. 152-155
Author(s):  
Arifa Akhter ◽  
Asma Begum ◽  
Nadira Sultana ◽  
Shampa Saha ◽  
Mubina Nuzhat Chowdhury ◽  
...  
Keyword(s):  
Apgar Score ◽  
Neonatal Outcome ◽  
Active Phase ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Nicu Admission ◽  
Medicine Today

Introduction: Fetal distress is a high risk obstetric situation associated with increased perinatal morbidity and mortality. It is also a major contributor to operative interventions in the majority hospitals of developing countries. The objective of this study was to observe clinically diagnosed fetal distress and early neonatal outcome after delivery. Materials and Methods: This hospital based cross-sectional study was carried out in Department of Obstetrics and Gynecology at Bashundhara Addin Medical College Hospital, Keraniganj during the period of January to December 2019. 212 women in active phase of labor at term pregnancy who met the inclusion and exclusion criteria were enrolled. Fetal distress was diagnosed by abnormal FHR and /or presence of meconium in amniotic fluid after rupture of membrane. Neonatal outcome was assesss by 1st & 5th mins Apgar Scores after delivery, babies requiring immediate resuscitation and admission to neonatal care unit & recorded. Result: Among fetal distress 11.32% babies had Apgar score <7 as compared to babies without fetal distress that had 5.66% apgar score <7 at 5th minutes(p<0.05). 28.3% fetal distressed born babies required NICU admission rather than only 9.44% of without fetal distress. Conclusion: This study shows relative adverse neonatal outcome for fetal distressed babies than without distress. Medicine Today 2021 Vol.33(2): 152-155

scholarly journals Frequency of spinal hypotension in patients undergoing elective lower segment caesarean section using preoperative preload and intramuscular ephedrine.

2020 ◽  
Vol 27 (06) ◽  
pp. 1275-1279
Author(s):  
Shumyala Maqbool ◽  
Mohsin Riaz Askri ◽  
Sahir Shafique ◽  
Kausar Abbas Shah
Keyword(s):  
Caesarean Section ◽  
Spinal Anesthesia ◽  
Cross Sectional Study ◽  
Lower Segment ◽  
Cross Sectional ◽  
Medical College ◽  
Lower Segment Caesarean Section ◽  
Group Frequency ◽  
Low Incidence ◽  
Spinal Hypotension

Objectives: To observe the frequency of spinal hypotension in patients undergoing Elective Lower Segment Caesarean Section receiving pre-operative preload compared with intramuscular ephedrine. Study Design: Cross Sectional study. Setting: Department of Anesthesia, Independent Medical College, Faisalabad. Period: July 1st 2018 to December 31st 2018. Material & Methods: This study included fifty-two female patients, aged 20-35 years, undergoing elective C/section under spinal anesthesia with ASA physical status I & II, pre-operatively preloaded and given prophylactic intramuscular ephedrine. Hemodynamic changes were recorded in both groups after receiving spinal anesthesia. Results: Compared with the prophylactic ephedrine group, frequency of Post spinal hypotension was higher significantly in pre-load group (p=0.019). Conclusion: It has been concluded that there is the use of prophylactic intra muscular ephedrine is associated with low incidence of post spinal hypotension.

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.

Side Effects of Chemotherapy and Cancer Treatment in Tertiary Care Teaching Hospital

2016 ◽  
Vol 2 (1) ◽  
pp. 62-78
Author(s):  
. Hemraj ◽  
Raj Kumar ◽  
Sourabh Kosey ◽  
Amit Sharma ◽  
Nalini Negi
Keyword(s):  
Side Effects ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Informational Needs ◽  
Cross Sectional ◽  
Clinical Pharmacists ◽  
Medical College ◽  
Related Information ◽  
The Common ◽  
Chemotherapy Patients

To determine the most common physical side effects experienced by local chemotherapy patients. Their perceptions of these side effects and informational needs from clinical pharmacists were also evaluated. This was a single center, observational cross-sectional study conducted at department of General Surgery, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab. A face to face interview was conducted. Information collected included chemotherapy related side effects after last chemotherapy experience, the most worrisome side effects, overlooked by healthcare professionals and the preferred method, amount and source of receiving related information. In this study, hundred patients were enrolled out of them 48 were male and 52 were female. When differential calculations was done, common side effects or adverse effects of chemotherapy in the patients of breast, lung cancer, Ovarian Cancer, Colon cancer, Prostate cancer, Lymphoma Cancer, Cervix cancer where there is much irregular medicine intake 57.4% may be due to common problem of joint pain reported by all the patients under study, with the consecutive problem of nausea and vomiting. The high prevalence of chemotherapy related side effects among local patients is a major concern and findings of their perceptions and informational needs may serve as a valuable guide for clinical pharmacists and physicians to help in side effect management. This study shows the common problems reported by the patients when they are suffering from cancer condition, according to their incidence perceptions as experienced by the patient, this will allow the physician and clinical pharmacist to effectively counsel and manage the common symptoms as reported prior to its occurrence in the patient, so that withdrawal can be checked.

Rapid detection of Rotavirus antigen in stool sample of acute diarrheic children

2012 ◽  
Vol 6 (1) ◽  
pp. 11-13
Author(s):  
Sushmita Roy ◽  
S.M. Shamsuzzaman ◽  
K.Z. Mamun
Keyword(s):  
Stool Sample ◽  
Rapid Detection ◽  
Cross Sectional Study ◽  
Rapid Diagnosis ◽  
Age Group ◽  
College Hospital ◽  
Cross Sectional ◽  
Rotavirus Infection ◽  
Medical College ◽  
Stool Samples

Rotavirus is one of the leading causes of pediatric diarrhea globally. Accurate and rapid diagnosis of Rotavirus diarrhea should reduce unnecessary use of antibiotics and ultimately reduce drug resistance. Study was designed for rapid diagnosis of Rotavirus antigen in stool sample by ICT (Immunochromatographic test) as well as to observe the seasonal variation of rotavirus infection. This cross sectional study was carried out in the department of Microbiology, Dhaka Medical College from January 2011 to December 2011. Eighty stool samples were collected from Dhaka Shishu Hospital and Dhaka Medical College Hospital. All samples were tested for rotavirus antigen by ICT. Among 80 patients, 42 (52.5%) samples were positive for rotavirus antigen. Among these 42 positive samples, 30 (71.43%) were from 0-12 months of age group, 10 (23.81%) from 13 to 24 months of age group and rest 2 (4.76%) from 25 to 36 months of age group. Rotavirus Ag was detected in stool samples from January to April and another peak episode from October to December. Considering the importance of Rotavirus associated diarrhea, rapid detection of Rotavirus infection in human is substantially needed and should be routinely practiced.DOI: http://dx.doi.org/10.3329/bjmm.v6i1.19354 Bangladesh J Med Microbiol 2012; 06(01): 11-13

Suicidal Death Autopsy Analysis at Dhaka Medical College

1970 ◽  
Vol 40 (1) ◽  
pp. 18-21 ◽  
Author(s):  
MN Hossain ◽  
Z Rahman ◽  
S Akhter
Keyword(s):  
Forensic Medicine ◽  
Causes Of Death ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Autopsy Report ◽  
Common Causes ◽  
Suicidal Death

A cross sectional study was carried out at the department of Forensic Medicine in Dhaka Medical College during the period of January 2008 to December 2009. Data were collected from 3rd copy of the post mortem reports which were preserved in the department of Forensic Medicine with the verbal consent of the doctors who performed autopsy report. During this period total 5114 autopsies were conducted. Out of this 970 cases (19%) were suicidal in nature. It was noticed that all suicidal deaths occurred from 10 years to all age group respectively, but top amongst age group of suicidal deaths occurred in between 21 to 30 years of people. Suicidal deaths are more common in female than male. Suicidal deaths due to hanging is highest, next common causes of death due to organophosphorus compund poisoning. Suicidal deaths by hanging is more in female than male but in poisoning cases male are more lvictimised than female. Objectives of our study are to see the occurrence and methods of suicidal death. DOI: http://dx.doi.org/10.3329/bmj.v40i1.9957 BMJ 2011; 40(1): 18-21

Comparison of Heffner Criteria and Light Criteria in Differentiating Exudative and Transudative Pleural Effusion

2020 ◽  
Vol 22 (3) ◽  
pp. 141-145
Author(s):  
Krishna Chandra Devkota ◽  
S Hamal ◽  
PP Panta
Keyword(s):  
Pleural Effusion ◽  
Cross Sectional Study ◽  
Pleural Space ◽  
Sectional Study ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Medical College ◽  
The Common ◽  
The Mean ◽  
Exudative Pleural Effusion

Pleural effusion is present when there is >15ml of fluid is accumulated in the pleural space. It can be divided into two types; exudative and transudative pleural effusion. Tuberculosis and parapneumonic effusion are the common cause of exudative pleural effusion whereas heart failure accounts for most of the cases of transudative pleural effusion. This study was a hospital based cross sectional study performed at Nepal Medical College during the period of January 2016-December 2016. A total of 50 patients who fulfilled the inclusion criteria were enrolled. Pleural effusion was confirmed by clinical examination and radiology. After confirmation of pleural effusion, pleural fluid was aspirated and was analysed for protein, LDH, cholesterol. The Heffner criteria was compared with Light criteria to classify exudative or transudative pleural effusion. Among 50 patients, 30 were male and 20 were female. The mean age of patient was 45.4±21.85 years. The sensitivity and specificity of using Light criteria to detect the two type of pleural effusion was 100% and 90.9%, whereas using Heffner criteria was 94.87%, 100% respectively(P<0.01). There are variety of causes for development of pleural effusion and no one criteria is definite to differentiate between exudative or transudative effusion. In this study Light criteria was more sensitive whereas Heffner criteria was more specific to classify exudative pleural effusion. Hence a combination of criteria might be useful in case where there is difficulty to identify the cause of pleural effusion.

Perceptions of Final Year Medical Students about Family Medicine as A Career Choice in Pakistan

2020 ◽  
Author(s):  
Dur-e- Nishat
Keyword(s):  
Medical Students ◽  
Family Medicine ◽  
Medical Profession ◽  
Healthcare Services ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical College ◽  
Chi Square Test

Background: Family medicine is a field in which complete and detailed set of healthcare services are provided to the patients and their families. In developed countries, freshly graduated students choose family medicine as a priority for their career. However, in Pakistan it is not the case. The present study is undertaken to determine the perceptions of final year medical students’ about Family Medicine as a viable career. Methods: A total number of 504 students participated in the study. This was a cross-sectional study. The study participants were in their final year of medical college. Data was collected using a preapproved questionnaire. Data was entered and analyzed via SPSS version 17 and Chi-Square test was used post-stratification. Results: Only 14.3% (n=72) medical students had heard about Family Medicine. Only 18% (n=92) would select family medicine as a profession. The most frequent rationale for choosing the field of Family Medicine was the variety of patients seen in general practice (55.4% n=51). Conclusion: There is a dire need to focus on increasing awareness about the field of family medicine among medical students. The students should be counseled on the advantages along with the disadvantages of choosing this field as a medical profession.

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