A Study on Critical Care Obstetrics’ in Eclampsia Patients-ICU Management and Maternal Outcome in Obstetrics and Gynaecology Department, Dhaka Medical College Hospital

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

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HYSTERECTOMIES

The Professional Medical Journal ◽

10.29309/tpmj/2011.18.01.1857 ◽

2011 ◽

Vol 18 (01) ◽

pp. 46-50

Author(s):

QAMAR-UR- NISA ◽

HABIB ULLAH ◽

TANWEER AHMED SHAIKH ◽

Miss Hemlata ◽

Fatima Memon ◽

...

Keyword(s):

Coming Out ◽

Histopathological Examination ◽

Medical College Hospital ◽

Uterovaginal Prolapse ◽

Histopathological Diagnosis ◽

College Hospital ◽

Medical College ◽

Obstetrics And Gynaecology ◽

Chronic Cervicitis ◽

Made In

Objective: To audit indications and histopathological diagnosis of hysterectomies performed at Muhammad Medical College hospital, Mirpurkhas. Study Design: Retrospective study. Place and Duration of Study: Department of Obstetrics and Gynaecology and Department of Pathology, Muhammad Medical College Hospital, Mirpurkhas Sindh from January to December 2008. Methodology: Data regarding symptoms and indications of hysterectomies performed during this year were collected from files and patient records. Histopathological reports of those patients were collected from department of pathology. The results were analyzed by percentages. Results: A total of 145 hysterectomies were performed in 2008. Mean age of patients was 45years ranging from 35-60 years and parity ranges from 4 – 10. Most common presenting complaints were excessive menstrual blood loss in 97(67%) patients, followed by some thing coming out of vagina 28(19%). Most common pre-operative diagnosis of fibroid was made in 44 (33%) followed by uterovaginal prolapse in 28(19%) and dysfunctional uterine bleeding (DUB) in 18(12%) of patients. Regarding histopathological diagnosis chronic cervicitis was the most commonly diagnosed pathology in 45 (31%) followed by fibroid in 25(17%) cases. Conclusions: A yearly audit should be conducted in every institute to collect data and to analyze the pattern of indication and lesions found on histopathological examination.

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A Study of Quality of Care and Customer Satisfaction in the Obstetrics and Gynaecology Department of the Government Medical College Hospital - Garhwal (Uttarakhand)

Indian Journal of Public Health Research & Development ◽

10.5958/j.0976-5506.4.3.069 ◽

2013 ◽

Vol 4 (3) ◽

pp. 15

Author(s):

Amit Kumar Singh ◽

Divya Goswami ◽

S N Nagaonkare

Keyword(s):

Quality Of Care ◽

Customer Satisfaction ◽

Medical College Hospital ◽

Government Medical College ◽

College Hospital ◽

Medical College ◽

Obstetrics And Gynaecology ◽

The Government

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Relaparotomy in Obstetrics and Gynaecology Department of Faridpur Medical College Hospital - Experience in One Year

Faridpur Medical College Journal ◽

10.3329/fmcj.v7i2.13503 ◽

2013 ◽

Vol 7 (2) ◽

pp. 75-78

Author(s):

Irin Parveen Alam ◽

Dr. Mahbuba ◽

Shila Rani Das

Keyword(s):

Rectus Sheath ◽

Cross Sectional Study ◽

Study Data ◽

Medical College Hospital ◽

Tertiary Referral Hospital ◽

College Hospital ◽

Cross Sectional ◽

Medical College ◽

Retained Foreign Body ◽

Obstetrics And Gynaecology

After abdominal surgery some patient's needs relaparotomy for complications developed postoperatively. Aim of this study was to determine the risk factors causing re-laparotomy, the indications, management and outcomes of relaparotomy admitting in Obstetrics and Gynaecology department in Faridpur Medical College Hospital, a tertiary referral hospital where all complicated patients are referred for management from surrounding districts hospital. It was a cross sectional study done during the period of January 2011 to December 2011, All the cases among which relaparotomy were done after primary surgery were recorded using a protocol prepared for the study. Data was analyzed. Total 6304 patients were admitted in emergency way in Obstetrics and Gynaecology department of Faridpur Medical College Hospital. Among them 1864 patients undergone emergency operations, here 15 patients needed re-laparotomy. The incidence of re-laparotomy was 0.80%. Indications of relaparotomy included internal hemorrhage, postpartum hemorrhage (PPH), retained foreign body, incorrect diagnosis at first laparotomy, intraabdominal collection of pus and urine, Rectus sheath haematoma and burst abdomen. Often more than one procedure was needed to manage the cases. Re-laparotomy causes much morbidity & mortality with increase in hospital stay and cost. Careful selection of cases for primary operation, expertise of the surgeon, good surgical technique and careful postoperative follow-up can reduce the need for re-laparotomy. DOI: http://dx.doi.org/10.3329/fmcj.v7i2.13503 Faridpur Med. Coll. J. 2012;7(2):75-78

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Association of Serum Albumin Level in Predicting of Preeclampsia among Pregnant Women in Dhaka City of Bangladesh

Journal of Current and Advance Medical Research ◽

10.3329/jcamr.v6i2.42976 ◽

2019 ◽

Vol 6 (2) ◽

pp. 83-86 ◽

Cited By ~ 1

Author(s):

Taslima Begum ◽

Md Anwar Habib ◽

Shipra Chaudhury ◽

Hasina Akter ◽

Tahmida Firdousi ◽

...

Keyword(s):

Serum Albumin ◽

Pregnant Women ◽

Serum Albumin Level ◽

Early Stage ◽

Albumin Level ◽

Medical College Hospital ◽

Singleton Pregnancy ◽

College Hospital ◽

Medical College ◽

Obstetrics And Gynaecology

Background: Serum albumin level is very important during the pregnancy for the good outcome of delivery. Objective: The purpose of the present study was to see the association of serum albumin level in predicting of preeclampsia among the pregnant women. Methodology: This descriptive cohort study was conducted in the OPD of the Department of Obstetrics and Gynaecology at Rajshahi Medical College Hospital, Rajshahi, Bangladesh from January 2013 to December 2014 for a period of two (2) years. This study was carried on pregnant woman attending in outdoor department of Gynaecology, Rajshahi Medical College Hospital, Rajshahi, Bangladesh before 20 weeks of pregnancy who were healthy normotensive primigravidae with singleton pregnancy. Healthy normotensive primigravidae with singleton pregnancy were enrolled in this study before 20th weeks and were followed up after 28th weeks of pregnancy. The data of serum albumin in gm/dL before 20th weeks and after 28th weeks of pregnancy were collected. Result: A total number of 75 pregnant women were finally included in this study. PE was identified in 12(16%) women out of 75 patients on the basis of one or more following parameters. Mean serum albumin in 1st visit was 3.84±0.41 gm/dL. No association was found between development of preeclampsia and levels of serum albumin in early trimester of pregnancy (p=0.960). Conclusion: In conclusion serum albumin level is not a predictor of development of preeclampsia among the pregnant women in early stage. Journal of Current and Advance Medical Research 2019;6(2):83-86

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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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Chest Trauma Evaluation and Outcome of Management in a Tertiary Hospital - One Year Experience

Journal of Surgical Sciences ◽

10.3329/jss.v22i2.44075 ◽

2020 ◽

Vol 22 (2) ◽

pp. 110-117

Author(s):

Md Mahmudul Islam ◽

Khondkar AK Azad ◽

Md Aminul Islam ◽

Rivu Raj Chakraborty

Keyword(s):

Road Traffic Accident ◽

Traffic Accident ◽

Chest Trauma ◽

Road Traffic ◽

Tube Thoracostomy ◽

Rib Fracture ◽

Medical College Hospital ◽

College Hospital ◽

Medical College ◽

The Mean

Background: Chest trauma is responsible for 50% of deaths due to trauma. This kind of death usually occurs immediately after the trauma has occurred. Various therapeutic options have been reported for management of chest injuries like clinical observation, thoracocentesis, tube thoracostomy and open thoracotomy. Objective: To observe the pattern and outcome of management in chest trauma Methods: This is an observational study carried out in Casualty department of Chittagong Medical College Hospital (CMCH), Chittagong, between April 2015 to March 2016. Our study was included all patients, both sexes, following chest injury at Casualty units of Chittagong Medical College Hospital. All the data were recorded through the preformed data collection sheet and analyzed. Result: The mean age was found 37.7±18.1 years with range from 12 to 80 years. Male female ratio was 11.8:1. The mean time elapsed after trauma was found 6.1±3.1 hours with range from 1 to 72 hours. Almost one third (35.7%) patients was affecting road traffic accident followed by 42(27.3%) assault, 35(22.7%) stab injury, 15(9.7%) fall and 7(4.5%) gun shot . More than three fourth (80.5%) patients were managed by tube thoracostomy followed by 28(18.2%) observation and 2(1.3%) ventilatory support. No thoracotomy was done in emergency department. 42(27.2%) patients was found open pneumothorax followed by 41(26.6%) rib fracture, 31(20.1%) haemopneumothorax, 14(9%) simple pneumothorax, 12(7.8%) haemothorax, 6(3.9%) chest wall injury, 5(3.2%) tension pneumothorax, and 3(1.9%) flail chest. About the side of tube 60(39.0%) patients were given tube on left side followed by 57(37.0%) patients on right side, 9(5.8%) patients on both (left & right) side and 28(18.2%) patients needed no tube. Regarding the complications, 13(30%) patients had persistent haemothorax followed by 12(29%)tubes were placed outside triangle of safety, 6(13.9%) tubes were kinked, 6(13.9%) patients developed port side infection, 2(4.5%)tube was placed too shallow, 2(4.5%) patients developed empyema thoracis and 2(4.5%) patients developed bronchopleural fistula. The mean ICT removal information was found 8.8±3.6 days with range from 4 to 18 days. Reinsertion of ICT was done in 6(4.7%) patients. More than two third (68.2%) patients were recovered well, 43(27.9%) patients developed complication and 6(3.9%)patients died. More than two third (66.9%) patients had length of hospital stay 11-20 days. Conclusion: Most of the patients were in 3rd decade and male predominant. Road traffic accident and tube thoracostomy were more common. Open pneumothorax, rib fracture and haemopneumothorax were commonest injuries. Nearly one third of the patients had developed complications. Re-insertion of ICT needed almost five percent and death almost four percent. Journal of Surgical Sciences (2018) Vol. 22 (2) : 110-117

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