Menopause and HRT; clinical pattern and awareness

To find out awareness about menopause and HRT in the postmenopausal women. Cross sectional and observational study. Gynaecological Department of Al Tibiri Medical College Isra University, Karachi Campus and Lady Dufferin Hospital Karachi. May 2013 to December 2013. Method: Total 150 women were selected in the study. All the cases were undergone interviewed after taking consent form. All the data regarding residential status and awareness about menopause and HRT, along socioeconomic characteristics were entered on Performa. The mean age of respondents was 52.6 +/- 8.5 years.Mostly women were belongs with rural areas 68%, with poor socioeconomic condition 63%and uneducated 51%.In the majority 65% cases were documented without awareness regardingmenopause and HRT. In the conclusion of this study mostly women lacked awareness regarding menopause and hormone replacement therapy. Mostly ideasof the women concerning menopause are such as; it is natural thing and without medical association

Eclamptic patients; effects of magnesium sulphate as anti convulsant on maternal conditions

Objective: To compare the frequency of fits in the eclamptic patients before and after use of magnesium sulphate as anticonvulsant and enlist the complications of MgSo4

Subjects and methods: All the patients with more than 20 weeks, of gestational age, with any parity were includes in the study. Patients developed fits before giving magnesium sulphate and after were evaluated, all the patients were monitored for occurrence of complications due to drug. Magnesium sulphate administered for 24 hours after last fit of delivery and patient's blood pressure, pulse, respiratory rate tendon reflexes and urine output was monitored half hourly

Results: Mostly fits were noted in the patients before the treatment of magnesium sulphate and 1 to 3 fits were noted in the 57.1% of the cases, 28.5% patients were seen with 4 to 6 numbers of the fits while more than 6 fits were noted in the 14.2% of the cases, and after the treatment [use of magnesium sulphate] 1 to 3 fits were seen in the 5.7% of the cases, 4 to 6 fits were only in the 2.8% of the cases while no any patient was noted with above 6 fits. Proteinuria was present in the 80% of the cases and edema was found in the 42% of the patients

Conclusions: In the conclusion of our study MgSO4 found to be very effective and cheap for control of fits and has lower risk of recurrent convulsion