ABSTRACT
OBJECTIVE: To determine the knowledge of women about different causes of urogenital fistula and their attitude about fistula prevention
STUDY DESIGN: A Descriptive qualitative KAP study
STUDY SETTING: This Study was done in Obstetrics and Gynecology ward of Isra University Hospital Hyderabad [IUH] from January 2011 to December 2013
METHODOLOGY: By using non-probability purposive sampling technique, women who were admitted in GU-11 with genitourinary fistula were included in this study while women who have urinary incontinence, other than fistula were excluded. Women were asked about their awareness for cause of fistula formation, its preventive measures, source of knowledge, information regarding willingness to accept caesarean section as a primary mode of delivery after successful fistula repair, all information were recorded on questionnaire and data analyzed by using SPSS 16
RESULT: One hundred and ten women were included in this study, 57 % women were illiterate imposing great challenge towards genitourinary fistula. Out of these 110 women 59 [53.6%] were having obstetrical fistula and 43 [39%] were having iatrogenic fistula. About 38.2% women were well aware about their problem while12 women [10.9 %] perceived it as a curse of God and 9 [8.18%] of women has knowledge about iatrogenic injury to bladder. After successful repair 31.8% preferred tertiary care hospital delivery however 20.9% did not want future conception
CONCLUSION: There is a high association of illiteracy with genitourinary fistula. Women must be educated about the cause of fistula and its prevention. There is a need to create awareness among women about hospital delivery, and to take well directive efforts to increased skill among junior doctors involved in pelvic surgeries
ABSTRACT
Objectives: To find out correlation between biparietal diameter and gestational age and its correspondence with LMP [Last Menstrual Period] and to determine the ultrasonographic criteria of BPD [Biparietal Diameter] measurement at different gestational ages of normal singleton pregnancy
Study design: A descriptive study
Place and duration: The study was conducted at Radiological department of Liaquat University of Medical and Health Sciences and Isra University Hospital Hyderabad from July 2005 to December 2005
Methodology: Pregnant women [n=100] with different gravidity and gestational age, carrying singleton fetus were examined by transabdominal scan using standard Curvilinear probes 3.5 M. Biparietal diameters at different gestational age were recorded and its accuracy was assessed
Results: Out of 100 women 76% correspond with LMP and gestational age by measuring BPD in second trimester as compare to third trimester where only 62% corresponded
Conclusion: It can be concluded from the study that there is good correlation of BPD measurement by ultrasonography and gestational age. It is a reliable tool especially in those women where LMP is not known or doubtful, for assessing gestational age especially during earlier 2nd trimester of pregnancy than during late 2nd trimester and 3rd trimester of pregnancy