ABSTRACT
Objective: To compare the rates of vaginal delivery after one caesarean section in mechanically induced and spontaneous labour
Study design: Cross Sectional Study
Place and Duration of study: Department of Obstetrics and Gynecology Unit-II, Jinnah Postgraduate Medical Centre Karachi, from January 2011 to July, 2011
Methodology: Pregnant women with one previous caesarian section were included in the study after informed consent. They were divided into two groups. Group I included women in whom labour occurred spontaneously. Those women who did not enter into labour up to 40 weeks of gestation were put into group II. They were induced with intracervical Foley catheter. Satisfactory outcome measure was the vaginal birth
Results: A total 112 patients were included. Significant difference was not observed between groups in relation to mode of delivery [Chi square = 1.09, p=0.57]. Out of 112 pregnant women, satisfactory outcome was observed in 74 [66.1%], which was not significant between the two groups [66.1% vs. 66.1% p=0.999]
Conclusion: Mechanical induction of labour in patients with previous one caesarean section is the reasonable option, when patients are carefully and properly selected, coupled with vigilant intrapartum monitoring
ABSTRACT
Objective: to determine the frequency of abnormality of semen in infertile couples presenting to a tertiary care hospital
Study design: cross sectional study
Place and Duration of Study: department of Obstetrics and Gynaecology, Unit II [ward-9] Jinnah Postgraduate Medical Centre Karachi, from January 2012 to June 2012
Methodology: sixty male members of infertile couples with ages between 18 - 50 year, who were referred to infertility clinic included in this study. After five days of sexual abstinence, patient's semen analysis was done according to the WHO protocol
Results: the mean age of the patients was 33.32 +/- 6.04 year. Abnormality of semen was found in 18[30%] cases. Out of this azoospermia was found in one [1.7%], oligozoospermia in three [5%] and asthenozoospermia in 14[23.3%] men
Conclusions: this study demonstrated that abnormal semen quality was a major factor of infertility in present cohort. The most common abnormality was poor motility of sperms
ABSTRACT
To determine the frequencies of prematurity, low birth weight babies and perinatal deaths in pregnant women presenting with moderately severe mitral stenosis. Descriptive case series. Department of Obstetrics and Gynecology, Jinnah Postgraduate Medical Centre Karachi, from October 2008 till April 2009. Pregnant women with moderately severe mitral stenosis [mitral valve area <2cm2] fulfilling inclusion criteria, selected through antenatal clinic were included in the study. Perinatal outcome in terms of prematurity, low birth weight, and perinatal mortality were assessed. There werea total of 54 pregnant women with moderately severe mitral stenosis managed during the study period. Preterm babies numbered 22[40.7%], low birth weight babies [<2.5kgs] were found in 17 [31.5%] cases and perinatal mortality seen in 7[13%] cases. Encouraging perinatal outcome was observed in this study which was targeting very high risk cardiac patients