ABSTRACT
Objective: to evaluate postpartum complications and their outcome in patients admitted to Fatima memorial Hospital, Lahore and to find out avoidable causes
Material and Methods: this descriptive study was conducted in the Department of Obstetrics and Gynaecology, Fatima Memorial Hospital, Lahore from December, 2012 to December, 2013. A total of 100 patients who were admitted through gynaecology outpatients department or emergency with postpartum complaints following delivery at home or hospital vaginally or through caesarean section were included in the study
Results: mean age of the patients was 26. 70+/- 4.85 years. Out of 100 patients, 50 patients had no complication. Out of remaining 50, 19 had postpartum haemorrhage while 18 had postpartum eclampsia. Seven had puerperal sepsis, 2 patients with thromboembolic disease, one with postpartum depression, 2 with urinary tract infection and one with breast disease
Conclusions: PPH is major cause of maternal morbidity and mortality followed by postpartum eclampsia. Maternal mortality and severe morbidity may be reduced by regular prenatal care
ABSTRACT
The three most common visual complications of preeclampsia and eclampsia are hypertensive retinopathy, exudative retinal detachment and cortical blindness. Preeclampsia-eclampsia can have neurological squelae; cortical blindness is one of these. We report case of parturient with mild preeclampsia that subsequently developed transient blindness
ABSTRACT
Objective: to compare the primary postpartum haemorrhage after spontaneous labour with induced and/ or augmented labour
Material and Methods: it is a comparative cross-sectional study, conducted in department of Obstetrics and Gynecology, Fatima Memorial Hospital, Lahore. This study was carried out over a period of one year from 1.7.11 to1.7.12.100 patients were included and divided into two equal groups. Group A, 50 patients having spontaneous labour and Group B, 50 patients having induced and/or augmented labour and delivered vaginally
Results: mean age of group-A was 26.4+/-3.48 and in group-B it was 26.88+/-3.64. Out of 50 patients in group B, 16 patients [42.1 %] were induced with prostaglandin E1, 22 patients [57.9%] with prostaglandin E2, and 12 patient's augmentation with syntocinon. 7 patients had PPH in group-B and prostaglandin E1 was used in 1 patient [14.2%], prostaglandin E2 used in 3 patients [42.9%] and augmentation with syntocinon was done in 3 patients [42.9%]. Duration of third stage of labour was 7 .84 minutes in group-A and in group-B it was 11. 76 minutes. Mean blood loss after delivery in group-A was 271.0+/-125.3 ml while in group-B it was 383.0+/-3 16.1 ml which are statistically significant
Conclusions: it is concluded from the study that primary postpartum haemorrhage occurs more in patients whose labour was induced and/or augmented as compared to the patients who had spontaneous onset of labour. The main aim of doing this study is to highlight the importance that all the obstetrician should wait for the spontaneous onset of labour and avoid undue inductions and its complicatios
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
Objective: multiple pregnancies still warrants special attention as it is associated with increasing risk for mother and fetus. Preterm delivery increases the risk for baby. This study was conducted to evaluate the risks of pregnancy complications and associated fetal and maternal outcome in women with twin pregnancies
Material and Methods: it was one year observational study from 1st January 2012 till 31st December, 2012 at department of obstetrics and gynecology Fatima Memorial Hospital, Lahore. All women admitted to the labour ward with twin pregnancies after 28weeks of gestation were included in the study. Main outcome measures were maternal complications [i.e., anemia, preterm labour, pregnancy induced hypertension, postpartum hemorrhage etc.] and perinatal morbidity and mortality. All data collected was analyzed using SPSS-16
Results: majority of women 78[78%] were unbooked and only 22[22%] were booked, 56[56%] women presented with preterm labor, anemia was found in 72[72%] patients and hypertension in 33[33%] patients. Majority presented between 30-35weeks gestation and 30[30%] patients delivered at 36weeks and above. The most common cause of neonatal death was very low birth weight followed by sepsis and jaundice
Conclusion: multiple pregnancies are associated with increasing risk for the mother and fetus. Preterm delivery increases the risk for baby
ABSTRACT
To identify the main causes and associated factors contributing to maternal deaths. The medical record of all the women dying in the department of obstetrics and gynecology were reviewed. Demographic records including age, parity, socioeconomic status and antenatal care were analyzed from the patient's records. There were 16 maternal deaths during the study period with the maternal mortality ratio MMR of 52.04/100,000 live births[16/30,741]. The probable causes of deaths were ascertained on clinical assessment done jointly by gynaecologist, anesthetist and physician as postmortem examination was not done. The major causative factors were hemorrhage in 8[50%] patients, thromboembolism in 2[12.50%] septic shock in 2[12.50%] and acute pancreatitis in 1[6.25%].12/16 patients were unbooked and brought in emergency department. The ages of the women, who died ranged between 21-39 years. There were 5 primigravidas, 5 patients were Para 1-4, and 6 women had a parity more than 4. Most of the maternal deaths can be prevented by providing skilled obstetrical care at the time of delivery, by emergency department and proper management of complications. Safe motherhood requires no costly technology but only appropriate setting of resources; we also need public awareness, raising the self determination and awareness of women rights and improvement of her role in decision making
Subject(s)
Humans , Female , Cause of Death , Comorbidity , Pregnancy Complications/mortality , Pregnancy Complications/prevention & control , Women's Rights , Socioeconomic Factors , Review Literature as TopicABSTRACT
To evaluae postpartum complications and their outcome in patients admitted to Nishtar Hospital, Mukit and to find out avoidable causes. This descriptive study was conducted in the Department of Obstetrics and Gynaecology, Nishtr Hospital, Multan from December, 2006 to December,2007. A total of 100 patients who were admitted through gynaecology outpatients department or emergency with postpartum complaints following delivery at home or hospital vaginally or through caesarean section were included in the study. Mean age of the patients was 26.70 + 4.85 years. Out of 100 patients, 50 patients had no complication. Out of remaining 50, 19 had postpartum haemorrhage while 18 had postpartum eclampsia. Seven had puerperal sepsis, 2 patients with thromboembolic disease, one with postpartum depression, 2 with urinary tract infection and one with breast disease. PPH is major cause of maternal morbidity and mortality followed by postpartum eclampsia Maternal mortality and severe morbidity may be reduced by regular prenatal care
Subject(s)
Humans , Female , Pregnancy Outcome , Maternal Mortality , Eclampsia , Postpartum Hemorrhage , Thromboembolism , Depression, Postpartum , Urinary Tract InfectionsABSTRACT
To compare the sensitivity, specificity, positive predictive value and Negative predicative value of risk of malignancy indices 1 and 2 [RMI 1 and RMI 2] in preoperative diagnosis of ovarian malignancy in ovarian masses. This Cross sectional-comparative carried out in the Department of obstetrics and Gynaecology, Nishtar Hospital Multan from 1[st] September 2007 to 31[st] March 2008. Total 60 patients were included in the study divided into two groups each having 30 pts, fulfilling the inclusion criteria. RMI 1 was calculated for each of the patient in group [A] to predict risk of malignancy. While RMI 2 was calculated for each patient in group B. The study confirmed that the malignancy risk index RMI 1/RMI 2 is more accurate than the menopausal status, Ultrasound findings and CA-125 level separately in diagnosing ovarian cancer. The RMI 1 at a cut off value of 200 gave a sensitivity of 75%, Specificity of 86.3% and positive predictive value of 66.6%. While RMI 2 at a cut off value of 200 gave sensitivity of 88%, specificity of 80.9% and positive predictive value of 66.6%. here is no statistically significant difference between two risk of malignancy indices 1 and 2 in preoperative evaluation of ovarian masses