ABSTRACT
Objective: to compare the risk of Placenta Previa among women who had a pervious cesarean section with women who delivered vaginally
Material and Methods: retrospective cohort study. Study analyzed available data from department of Obstetrics and Gynecology Fatima Memorial Hospital Lahore. Two Years, July 2010 to July 2012
Results: total 56 patients with all types of Placenta Previa were included in the study. Mostly patients were between 26-30 years age. Twenty patients were after normal delivery and 36 were after lower segment caesarean section
Conclusion: there is an increased risk of Placenta Previa in the subsequent pregnancy after lower segment caesarean section as compared to a normal vaginal delivery
ABSTRACT
Preterm delivery occurs before 37 completed weeks of gestation and it is the major determinant of infant mortality in developed countries. Preterm delivery is the factor most responsible for the relatively high infant mortality in our country. Despite many trials of reduced activity, tocolytic therapy, antibiotic therapy and other strategies for prevention, no effective and reproducible method of preventing preterm delivery has been demonstrated. One treatment that showed promise in small trials was prophylactic treatment with pro-gestational compounds. The purpose of this work is to determine the effectiveness of 17 alpha hydroxyl progesterone in prevention of preterm delivery in women who had a previous preterm birth. It was a descriptive case study and was conducted in the department of Obstetrics and Gynaecology Fatima Memorial Hospital, Lahore for a period of twelve months from January 2011 to December 2011. A total of 135 cases were received by non-probability purposive sampling technique. In this study majority of the patients i.e. 46.67% [n = 63] were between 26 - 30 years, 24.44% [n = 33] were found between 22 - 25 years, whereas 28.89% [n = 39] were found between 31 - 35 years, mean age was found to be 28.24 + 3.83. Most of the patients i.e. 69.62% [n = 94] were found between 21 - 24 weeks and 30.37% [n = 41] were found between 16 - 20 weeks. Data regarding number of previous preterm deliveries showed that majority of the patients i.e. 39.25% [n = 53] were found only 1 previous preterm delivery, 27.49% [n = 29] with 3 and > 3 previous preterm births were found only in 11.86% [n = 16]. Prolongation of pregnancy beyond 36 weeks of gestation is described where 68.15% [n = 92] are shown to be delivered beyond 36 weeks and only 31.85% [n = 43] could not deliver beyond 36 weeks of gestation
ABSTRACT
Obesity is associated with increased risk of illness and disability. It is one of the leading preventable causes of death in the World. Major maternal complications associated with obesity include diabetes mellitus, hypertension, deep vein thrombosis, respiratory diseases, infections and birth defects and even decreased fertility. Economic consequences of obesity are operative delivery and its complications, prolonged hospital stay. 1. To review maternal and fetal morbidity associated with obesity. 2. To observe the mode of delivery in obese pregnant female. Observational study [cross section]. This study was conducted at Khair-un-Nisa Hospital affiliated with Fatima Memorial Hospital from April 2011 to October 2011. 60 patients were enrolled in this study. Women with BMI more than 30 were included in our study. BMI was calculated by pre-pregnancy weight or weight during first trimester at booking within outpatient department. Patients with history of chronic hypertension, diabetes mellitus were not included in the study. The prevalence of obesity is increasing in our young population. In this study mean age is 30 years +/- SD 91.25. Most of the patients had BMI 33 +/- SD 2.80. Hypertension, diabetes, urinary tract infection 18.33%, congenital abnormalities 16.7%. Most of the patients ended on LSCS 30.5%, wound infection noted in 11 patients 18.3%. During normal vaginal delivery 4 patients 6.7% had third degree prenieal tear and 11 patients had post-partum hemorrhage. Fetal complications were birth asphyxia in 8 [13.3%] neonates and shoulder dystocia in 2 [3.3%] babies. Obesity is a public health problem because of its prevalence, cost and health effects. Maternal obesity carries significant risk for mother and fetus. Risk increases with degree of obesity. Feto-maternal morbidity associated with it, can be prevented by creating awareness and preventing overweight and obesity in adults and children