Frequency of betel nut addiction in pregnant anaemic women and its impact on fetal outcome

Objective: To determine the frequency of betel nut addiction in pregnant anaemic women and to find out its association with adverse pregnancy outcome

Methodology: This observational study was conducted in the department of Obstetrics and Gynaecology unit 2 at Liaquat University of Medical and Health Sciences Jamshoro from January to June 2015. All the pregnant women admitted in ward or labour room for delivery with Hb% < 11gm/dl during the study period were included. Those having history of antepartum haemorrhage, preeclampsia, eclampsia, chorioamnionitis or any medical disorder except anaemia were excluded. The frequency of betel nut consumption was calculated. The frequency of addiction in different age groups, parity and population [rural/urban] was determined. The association of addiction with severity of anaemia and adverse fetal outcome [perinatal deaths, low birth weight infants, preterm deliveries] was also determined

Results: A total of 1700 women were included. Out of these, 1120 women [65.88%] were found having history of betel nut consumption. The frequency of addiction was highest in the age group of 25-35 [69.83%], para 2-5 [68.17%] and in women belonged from rural area [77.49%]. History of addiction was found in 66.15% [n = 260] cases of fetal death, 71% [n = 169] cases of low birth weight infants and 68.59% [n = 121] cases of preterm deliveries

Conclusion: It is concluded that betel nut consumption among pregnant women is very high in our community. It is also determined that these products are positively associated with adverse pregnancy outcome

Prevalence and risk factors for cervical intraepithelial neoplasia in patients attending gynecological outpatient department of tertiary care hospital

OBJECTIVE: To determine frequency and risk factors for Cervical intra epithelial neoplasia [CIN] in patients screened with cervical cytology in gynecology outpatient department [OPD] of tertiary care hospital

STUDY DESIGN: Cross-sectional description study

PLACE AND DURATION: Gynecological outpatient department of Liaquat University Hospital Hyderabad, Sindh from July to December 2011

SUBJECTS AND METHODS: All sexually active women between age group 15 to 65 visiting to gynecology OPD who fulfilled the inclusion criteria were enrolled in the study after taking the consent. Frequency and predisposing factors for CIN were analyzed after entering in predesigned proforma

RESULTS: During study period 32 [4.5%] patients out of 700 were found positive for CIN. 297 patients [42.4%] had report positive for human papilloma virus. Mean age of patients positive for CIN were 37.5 +/- 9.4 years. Nineteen [59.4%] patients were married before 15 years of age

Twenty nine [90.6%] patients belonged to poor socioeconomic status and eleven [34.3%] patients were smoker. All patients were muslims and house wives

CONCLUSION: Though the frequency of CIN in current study was only 4.5% but infection due to human papilloma virus was much more [42.4%].Timely treatment and structured follow up of these patients can reduce carcinoma cervix in these patients

Frequency, knowledge and practice of tobacco smoking in pregnant women at outpatient department of a tertiary care hospital

Objective: to determine frequency, knowledge, and practice of tobacco smoking in pregnant women visiting outpatient department of Liquate University Hospital Hyderabad

Study design: descriptive observational study

Subjects and methods: study carried out at Liquate University Hospital Hyderabad from 1[st] Dec 2009 to 31[st] Jan 2010. All pregnant ladies visited the outpatient department of Obstetrics and Gynecology for antenatal care with an age range 18-46 years were enrolled for study. Semi structured questionnaire consisting various items used to explore the range of knowledge and practice of pregnant women as far as tobacco smoking is concerned. Data was analyzed using SPSS version 16.0

Results: a total of 350 pregnant women were included in this study. Frequency of tobacco smoking was 60.57% [212]. 179[51.14%] women were also using smokeless tobacco along with smoking. Only 42 [12%] knew hazards of tobacco consumption .Knowledge was high in 27 [7.71%] patients. Peer pressure was the reason for commencement of smoking in 234[66.85%] of women and depression in 60[17.14%]

Conclusion: tobacco consumption is a major health problem in pregnant woman. Obstetrician should promote smoking cessation during pregnancy using evidence based methods

Assessment of efficacy and safety of manual vacuum aspiration [MVA]

Objective: To assess the efficacy of manual vacuum aspiration [MVA] in term of complete uterine evacuation of product of conception. Secondary end point was to assess safety of procedure

Study Design: Retrospective descriptive study

Place and Duration: Department of Obstetrics and Gynecology, Unit-II Liaquat University Hospital Hyderabad Sindh from 15[th] October 2008 to 14[th] September 2009. PATIENT and METHOD: A retrospective review medical records of patients who underwent MVA was carried out. Primary out come measures were efficacy and secondary out come measures were to assess prevalence of complications

Results: During study period 146 patients underwent surgical management for early pregnancy demise, incomplete miscarriage, retained product of conception after full term pregnancy. Out of 146, 112 patients were scheduled to undergo MVA. Efficacy of procedure was 88.18% [97/110]. Incomplete uterine evacuation was seen in 11 patients [9.82%], while 2 patients started to bleed heavily and shifted in Operation Theater in emergency

Conclusion: MVA was introduced in Liaquat University of Medical and Health Science [LUMHS] for last 1 year. It is effective, cheap and should be considered to avoid prolonged hospital stay and cost