Knowledge about hepatitis B and C among women attending obstetrics and gynaecology clinic at tertiary care hospital

Objective: To assess the level of knowledge and awareness regarding hepatitis B and C among women attending obstetrics and gynaecology clinic at Baqai University hospital Nazimabad

Study design: Descriptive cross sectional study

Place and duration: Obstetrics and Gynaecology Clinic at Baqai University Hospital Nazimabad Karachi from 10th March to 9th June 2011

Methodology: A total 151 women of 15 - 50 years of age who visited the out patient Department were selected for the study. Women who were Hepatitis B and C positive were excluded from study. Informations was collected on pre-designed questionnaire containing question regarding basic knowledge of disease, high risk group, modes of transmission and its prevention

Results: Out of total 151 women 75 [49.6 %] knew that Hepatitis B and C are the viral infection of liver. 82 [54.3 %] knew about transmission via sexual intercourse and 122 [80.7 %] knew about infected blood transfusion. Regarding high risk group 99[65.5%] knew about multiple sexual partners. Only 83[54.9%] women mentioned about vaccine against Hepatitis B and 78[51.6%] knew about the available treatment

Conclusion: The knowledge about Hepatitis B and C among women was inadequate and still needs improvement in order to prevent its spread rapidly

Open versus closed entry techniques of laparoscopy in gynecological practice

To compare open versus closed entry techniques of laparoscopy in order to determine the safety of either procedure in gynecologic practice. Cross sectional study. Star General Hospital Karachi, from January 2010 to January 2012. Patients selected for the study were divided into two groups. In Group A open technique was used and in Group B closed technique was applied. Informed consent was taken from all the patients. Data were collected regarding age, time spent for the procedure in both the techniques, immediate and late complications. SPSS-Version16 was used for analysis. A total of 90 patients were recruited, 50 in group A and 40 in group B. Age of patients ranged between 25-45 year in group A and 25-37 year in group B. Time required for creating pneumoperitoneum was 6-17 minutes in group A and 6-10 minutes in group B. One [2%] patient had hemorrhage from primary port site in group A, primary port infection was observed in 20 [40%] patients in group A. Forty [80%] patients had gas leakage from primary port in group A. No patient had primary port hemorrhage, infection or gas leakage in group B. Time spent on wound closure ranged between 10-15 minutes in group A and 4-6 minutes in group B. Closed entry technique was better and safer in terms of time spent, primary port site hemorrhage, gas leakage and primary port infection than open entry technique

Obesity and insulin resistance among infertile women with polycystic ovarian syndrome

To find out the frequency of obesity and insulin resistance among infertile women with polycystic ovarian syndrome [PCOS]. Descriptive case series. Baqai Institute of Reproduction and Developmental Sciences [BIRDS], from July 2012 to June 2013. Women who had PCOS were selected on the basis of Rotterdam criteria between the ages of 16 to 40 years. Detailed history, physical examination, transvaginal ultrasound and hormone profile were done. Women who had other endocrinological problems like thyroid disorder, hyperprolactinemia, diabetes mellitus, Cushing syndrome and androgens producing tumours were excluded from the study. A total of 318 [35.49%] infertile women were diagnosed as PCOS out of 896 women who visited BIRDS during the study period. Majority [n=178 - 55.97%] of the women were between 21-30 years of age. Oligomenorrhea was the commonest menstrual irregularity found in 203 [63.83%] women. Mild hirsutism was noted in 204 [64.15%] women. On transvaginal scan PCO were observed in 298 [93.71%] women. Class I obesity was observed in 64 [20.12%], while 8.49% [n=27] had class II obesity. Class III obesity was found in 2[0.62%] women only. The number of overweight women was 132[41.50%]. High LH/FSH ratio was found in 185 [58.17%] women. Insulin resistance was observed in 201[63.20%] women. All manifestations of PCOS were more frequent and severe in obese patients