scholarly journals Ectopic pregnancy: Interventional Outcome at Tertiary Hospital

2017 ◽  
Vol 27 (Number 2) ◽  
pp. 7-12
Author(s):  
S Sultana ◽  
S Yesmin ◽  
A N Noor ◽  
S Dewan ◽  
N F Aman
Keyword(s):  
Ectopic Pregnancy ◽  
Tertiary Hospital ◽  
Pelvic Surgery ◽  
College Hospital ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Life Threatening ◽  
A Prospective Study ◽  
To Receive

The aim of this study is to determine the incidence and to evaluate and analyse the clinical presentation, risk factor and treatment of ectopic pregnancy in Holy Family Red Crescent Medical College Hospital, Dhaka. A prospective study was conducted in Department of Obstetrics and Gynaecology from August 2016 to December 2017. The study subjects included 50 women diagnosed with ectopic pregnancy (EP) to receive the treatment of medical and surgical procedure. In this study group the incidence was 4.7% among total gynecological admitted patient (2017) and the risk were within the age group 27-35 years. Majority of patients were having triad of symptom such as abdominal pain, secondary amenorrhoea and vaginal bleeding. Past NO abortion and abdomino-pelvic surgery were 66%. The commonest modality of treatment was Laparotomy (41 of 50, 86%), others were conservative with Inj. Methotrexate, failed conservative followed by Laparotomy (4%) and Laparoscopy (2%). EP is a common and life threatening entity. Women with infertility and past abdomino-pelvic surgery, MR, abortion are particularly at risk. Early diagnosis and intervention can reduce the mortality and morbidity of women having EP.

scholarly journals Surgical Management and Per-operative Findings of Women with Ectopic Pregnancy

2020 ◽  
Vol 7 (1) ◽  
pp. 12-16
Author(s):  
Naheed Fatema ◽  
Zannatul Ferdosh ◽  
Sherajum Munira ◽  
KAM Mahbub Hasan ◽  
Nasim Iftekhar Mahmud ◽  
...  
Keyword(s):  
Ectopic Pregnancy ◽  
Surgical Management ◽  
Fallopian Tube ◽  
Medical College Hospital ◽  
Reproductive Age ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Operative Findings

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

Managing laryngotracheal trauma: 3 year experience at a tertiary hospital in North India

2020 ◽  
Vol 6 (3) ◽  
pp. 459
Author(s):  
Manish Munjal ◽  
Japneet Kaur ◽  
Porshia Rishi ◽  
Harjinder Singh ◽  
Nitika Tuli ◽  
...  
Keyword(s):  
Emergency Department ◽  
Tertiary Hospital ◽  
Aerodigestive Tract ◽  
North India ◽  
Common Finding ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Emergency Procedures ◽  
Acute Injuries ◽  
Life Threatening

<p class="abstract"><strong><span lang="EN-US">Background: </span></strong>Laryngotracheal trauma includes life threatening injuries that are encountered by emergency care physicians, trauma surgeons and ENT surgeons. These injuries can occur in the most remote areas or in the busiest metropolitan setting. Earlier intervention is vital in order to reduce the mortality and morbidity associated with insult to the aerodigestive tract and surrounding structures.</p><p class="abstract"><strong><span lang="EN-US">Methods: </span></strong>This is a retrospective study of 21 patients who presented to the emergency department of Dayanand Medical College and Hospital, Ludhiana, for management of injuries to aerodigestive tract over a period of 3 years from January 2016 to December 2019.  </p><p class="abstract"><strong><span lang="EN-US">Results: </span></strong>Twenty-one patients were seen with acute injuries to the airway in the emergency department. There were 12 males and 9 female patients out of which there were 10 men and 5 women, 3 girls and 2 boys ranging in age from 9 to 60 years. Although most of these injuries occurred as a result of blunt trauma, 6 were due to penetrating injuries out of which 2 were due to homicidal assault. Stridor was the most common finding followed by surgical emphysema. Twelve patients were in acute respiratory distress requiring emergency procedures to secure the airway. All patients underwent successful repair of the injuries. All patients except 1 had a good airway.</p><p class="abstract"><strong><span lang="EN-US">Conclusions: </span></strong>Laryngotracheal injury is rare but very crucial and life-threatening surgical emergency. Timely intervention is crucial in the management of laryngotracheal trauma in order to prevent complications.</p>

scholarly journals Risk factors and management of ectopic pregnancy

2017 ◽  
Vol 6 (9) ◽  
pp. 3776
Author(s):  
Shradha S. Maka ◽  
Sangamesh B. Tondare ◽  
Mahesh B. Tondare
Keyword(s):  
Risk Factors ◽  
Ectopic Pregnancy ◽  
General Hospital ◽  
Pelvic Surgery ◽  
Chi Square ◽  
Maternal Deaths ◽  
Medical College ◽  
Post Operative Period ◽  
Abdominal Emergencies ◽  
A Prospective Study

Background: One of the critical and commonest acute abdominal emergencies which a gynaecologist has to manage in day to day practise is ectopic pregnancy. The present study is compilation to know the risk factors and different modalities of medical and surgical management of patients with ectopic pregnancy.Methods: All patients diagnosed of Ectopic pregnancy at Basaveshwar teaching and general hospital and Sangameshwar teaching and general hospital attached to Mahadevappa Rampure Medical College were part of the study, over a period of two years (August 2014 to July 2016). It was a prospective study with pivot tables, graphs and chi square test.Results: In a span of 2 years 50 cases were studied. Maximum age incidence was 21-25 years. Greater incidence was seen in primigravida accounting for 28%. Most patients presented with pain in abdomen (50 cases). Risk factors included previous abortion, contraception history, sterilization history and pelvic surgery. 47 cases underwent laparotomy and 3 cases were managed medically. 66% had tubal rupture and the most common site was ampulla. Post-operative period was uneventful in majority of cases.Conclusions: With the increasing incidence of ectopic pregnancy, screening of high risk cases, early diagnosis and early intervention are required to prevent the maternal deaths and conservation of reproductive health.

scholarly journals Balloon Temponade to Prevent Primary PPH in Jaundice - A Prospective Study

1970 ◽  
Vol 26 (1) ◽  
pp. 22-25
Author(s):  
Maruf Siddiqui ◽  
Maliha Rashid
Keyword(s):  
Hepatitis E Virus ◽  
Postpartum Haemorrhage ◽  
Hepatitis E ◽  
College Hospital ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Study Population ◽  
Etiological Agents ◽  
A Prospective Study ◽  
And Control

This prospective interventional study was carried out on 40 intrapartum jaundice patients admitted in the Department of Obstetrics and Gynaecology, Dhaka Medical College Hospital during January to December 2004. The purpose of the study was to evaluate the effectiveness of prophylactic intrauterine hydrostatic balloon/condom temponade in addition to other conventional methods to prevent and control postpartum haemorrhage in patients with jaundice, to detect the prevalence of different etiological agents responsible for jaundice and to assess the foeto-maternal outcome in this study group. Prophylactic intrauterine hydrostatic balloon temponade was inserted in all of the 40 cases which showed an excellent effectiveness in preventing postpartum haemorrhage in patients with jaundice. The study also showed increased prevalence of Hepatitis E virus (HEV) and a high proportion of perinatal deaths in the study population. DOI: 10.3329/jbcps.v26i1.4229 J Bangladesh Coll Phys Surg 2008; 26: 22-25

scholarly journals Abruptio placenta and its maternal and fetal outcome

2019 ◽  
Vol 8 (8) ◽  
pp. 3323
Author(s):  
Ritu Mishra ◽  
Aditya Prakash Misra
Keyword(s):  
Neonatal Morbidity ◽  
Fetal Outcome ◽  
Age Group ◽  
College Hospital ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Maternal Mortality And Morbidity ◽  
Life Threatening ◽  
Abruptio Placenta ◽  
The Common

Background: Abruptio placenta is one of the common cause of antepartum haemorrhage and is defined as premature separation of normally implanted placenta. It is more common in second half of pregnancy. Abruptio placenta is serious complication of pregnancy and causes high maternal and neonatal morbidity and mortality.Methods: This retrospective study of abruptio and its maternal and perinatal outcome was carried out between July 2016 and October 2017 at Rama Medical College Hospital and research centre.Results: Incidence of Abruptio placenta is 1.6%. It is most common in the women of age group 30-35 years. 75% of cases were associated with severe pre-eclampsia. Live births were 75% while stillbirths were 25%. PPH occurred in 30% of cases. DIC accounts for 25% of the complication.Conclusions: Abruptio placenta is life threatening complication of pregnancy and it is associated with poor maternal and fetal outcome if not managed appropriately. Hence early diagnosis and prompt resuscitative measures would prevent both perinatal and maternal mortality and morbidity.

scholarly journals The predictors of post-partum depression in a tertiary centre

2018 ◽  
Vol 7 (6) ◽  
pp. 2218
Author(s):  
Sadiq Unnisa ◽  
Poluri Seetha Lavanya
Keyword(s):  
Post Partum ◽  
Economic Status ◽  
Depression Scale ◽  
Chi Square ◽  
College Hospital ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Postnatal Mothers ◽  
Socio Demographic Factors ◽  
A Prospective Study

Background: The present study was undertaken to evaluate the association of different socio-demographic, obstetric and pregnancy outcome as predictor of PPD among the postnatal women during early puerperium and thus can be provided with special care. Objective was to evaluate the different predictors of post partum depression.Methods: A prospective study was conducted in the department of obstetrics and gynaecology, Yenepoya medical college hospital Mangalore. A total of 200 postnatal mothers in their 3rd - 7th postpartum day were interrogated using Edinburgh postnatal depression scale (EPDS). Socio-demographic factors like age, parity, literary, socio economic status, family structure, obstetric outcome was recorded. Results were statistically analyzed with chi-square test.Results: A prospective study was conducted in the Department of Obstetrics and Gynaecology, Yenepoya Medical College Hospital, Mangalore. A total of 200 postnatal mothers in their 3rd - 7th postpartum day were interrogated using Edinburgh postnatal depression scale (EPDS). Socio-demographic factors like age, parity, literary, socio economic status, family structure, obstetric outcome was recorded. Results were statistically analyzed with chi-square test.Conclusions: Risk of PPD is more with the birth of a female baby, women who had CS, low S.E status, unemployment could predict higher risk for PPD. PPD screening should be an integral part of postnatal care using E PDS routinely. A multidisciplinary approach including obstetrician and psychiatrists can be jointly care of the depressed mothers.

scholarly journals Induction of labour in prolonged pregnancy and its outcome

2015 ◽  
Vol 26 (2) ◽  
pp. 100-103
Author(s):  
Rabeya Sultana ◽  
Kohinoor Begum ◽  
Nahid Sultana ◽  
Naireen Sultana ◽  
Salma Akter Munmun ◽  
...  
Keyword(s):  
Induction Of Labour ◽  
Cervical Ripening ◽  
Uterine Action ◽  
College Hospital ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Delivery Outcome ◽  
Cause Of Failure ◽  
Prolonged Pregnancy ◽  
A Prospective Study

A prospective study was done in the Department of Obstetric and Gynecology, Dhaka Medical College Hospital, Dhaka from the January 2007 to June 2007. For the study 50 patients with uncomplicated prolonged pregnancy admitted during the study period were selected fulfilling the inclusion and the exclusion criteria. The study was conducted to evaluate the outcome of induction in prolonged pregnancy. From this study it was found that routine induction of labour at 41 to 42 weeks may be beneficial rather than continuing the pregnancy to have spontaneous labour which may increase the per perinatal mortality and morbidity. It was also found that due to routine induction of labour in prolonged pregnancy, vaginal delivery rate is more than caesarean section in multigravida than primigravida. Regarding the cause of failure of induction of labour it was found that the main causes are foetal distress and abnormal uterine action. The present study has proved that the use of Prostaglandin for cervical ripening, the delivery outcome can be improved. The study also showed that indiction of labour is not associated with any major intraprtum and postpartum foetal and maternal complication.Medicine Today 2014 Vol.26(2): 100-103

scholarly journals Some Epidemiological Aspects Of Subfertile Women Who Underwent Laparoscopy

2012 ◽  
Vol 2 (1) ◽  
pp. 6-9
Author(s):  
Farzana Deeba ◽  
ABM Muksudul Alam ◽  
Nilufar Nasrin Ava ◽  
Md. Rafiqul Islam ◽  
Abdul Matin ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Menstrual Cycle ◽  
Professional Women ◽  
Study Group ◽  
College Hospital ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
History Of ◽  
Study Population ◽  
To Receive

Objective: Epidemiological aspects of sitbfertile women underwent laparoscopy. Place of Study: This retrospective study was done in the Obstetrics and Gynaecology Department of Bangladesh Medical College hospital. Duration: July 2003 to June 2004. Study Population: Women suffering from primarv and secondary subfertility, who had under gone laparoscopy. Total 61 patient had laparoscopy for evaluation of subfertility. No documents were available for 6 patient and they were excluded from the study. Result: The study group comprises 55 cases of which 67.37% was of primary and 32. 73", was of secondary subfertility. Professional women group (56.4%) was higher than housewife group (43.6%). In this study 11.11% had history of spontaneous abortion and 33.33% had history of MR. In this study menstrual period was within 7 days in 70.9% cases and in 10.9% cases were more than 7 days, in 14.54% cases menstrual cycle was more than 35 days and in 3.64% cases were less than 22 days. 40% of the patient did not used any contraceptive. Conclusion: The number of subfertility visits' has increased in the last few rears because of increasing awareness for available services and option for resolving subfertilitv. Prompt investigation and appropriate referral allow a couple to receive advice and treatment to help them reach their goal. Journal of Shaheed Suhrawardy Medical College Vol 2No.1 June 2010 page 6-9 DOI: http://dx.doi.org/10.3329/jssmc.v2i1.12343

scholarly journals Socio-demographic determinants of upper gastrointestinal haemorrhage in a teaching hospital

2012 ◽  
Vol 43 (1-2) ◽  
pp. 3-6
Author(s):  
MA Ajad ◽  
MU Ahmed
Keyword(s):  
Gastrointestinal Haemorrhage ◽  
Tertiary Hospital ◽  
Endoscopic Examination ◽  
Oesophageal Varices ◽  
Gastric Erosion ◽  
College Hospital ◽  
Ulcer Disease ◽  
Medical College ◽  
A Prospective Study ◽  
Upper Gastrointestinal

It was a prospective study carried out of all cases of haematemesis and or melaena at Rajshahi Medical College Hospital between December 2004 and March 2005 and determined demographic profile, clinical presentation, cause and outcome of upper gastrointestinal bleeding in a tertiary hospital of Bangladesh. Fifty adult patients presenting with haematemesis and or melaena admitted consecutively into medical units were evaluated through proper history taking, thorough clinical examination, endoscopic examination within 48 hours of first presentation and other related investigations. Patients who were not stabilized haemodynamically within 48 hours of resuscitation and endoscopy could not be done within that period were excluded from this study. Out of 50 patients 44 were male and 6 were female and average age of the patients was 39.9 years. Most of the patients belonged to low socio-economic condition- Farmers (22%), Service holder (18%), Laborers (l6%), Students (l4%), Businessman (8%), House wife (4%) and others (l8%). Farmers, service holders and laborers were the most affected group (57%). Among the patients monthly income (Tk) was > 20000/= (2%), 15000-20000/= (8%), 8000-15000 /= (10%) and 0-8000/= (80%). Haematemesis and melaena (42%), melaena (42%), Haematemesis (16%) were the presenting features. Endoscopy revealed that duodenal ulcer (34%) was the most common cause of upper gastrointestinal (GI) bleeding followed by rupture of portal varices (16%), neoplasm (10%), gastric ulcer (08%) and gastric erosion ( 06%). Peptic ulcer disease still remains as the major cause of upper (GI) haemorrhage though cases of ruptured oesophageal varices are gradually increasing. DOI: http://dx.doi.org/10.3329/bmjk.v43i1-2.13014 Bang Med J (Khulna) 2010; 43: 3-6

scholarly journals Surgical Out Come of Extradural Haematoma Patients at Department of Neurosurgery in Chittagong Medical College Hospital: A Study of 30 Patients

1970 ◽  
Vol 20 (2) ◽  
pp. 136-139
Author(s):  
Haradhan Debnath ◽  
M Lutfor Rahman ◽  
Harun Or-Rashid
Keyword(s):  
Visual Field ◽  
Extradural Haematoma ◽  
Psychological Disturbance ◽  
College Hospital ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Life Saving ◽  
A Prospective Study ◽  
Extradural Space ◽  
Field Defect

Bleeding of extradural space is called extradural haematoma. This was a prospective study. In this study included 30 patients of extradural haematoma. Mean age of patients was 29 ±15year. 26(83.3%) of patients were male and 5(16.6%) of patients were female. Commonest cause of haematoma were road traffique accidents. Among them 28(93.3%) patients were treated by surgical procedure and 2(6.6%) were treated by conservative procedure. After surgery among the 30 patients 26(83.3%). patients were fully recovered. Postoperatively two patients recovered with disabilities (one had visual field defect and one had Psychological disturbance). Two patients (6.6%) died on 3rd and 6th post operative day respectively due to aspiration pneumonia. Mortality and morbidity were more among those who were operated after 48 hours of occurrence. So, this study concluded that the early surgery is more life saving than the late surgery. doi: 10.3329/taj.v20i2.3075 TAJ 2007; 20(2): 136-139

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