ABSTRACT
Introduction: Any pregnancy that has passed past expecteddate of delivery (EDD) is called post-dated pregnancy orprolonged pregnancy.Objective: The main objective of this study is to appraiseobstetric outcome for post-dated pregnancy in Patuakhali.Method: This was a potential observational type study.Patients whose pregnancy protracted beyond 40 weeks ofgestational age, patients who were certain of the date of lastmenstrual period (LMP) along with 1st trimester obstetrics scanwere included for this study. Patients not sure of LMP wereexcluded in this study. The study was conducted in thedepartment of obstetrics and gynaecology, of different privatehospital Patuakhali for study duration of 2 years. Total 150cases were selected purposively for this study.Results: Age segmentation of patients where the age ofpregnant women ranged from 16 to 30 years. Among the 150pregnant women highest 64% were in the age of 26-30 years.Delivery method amongst the 150 pregnant women are highestat 86% were caesarean delivery followed by normal deliveryonly 14%. Parity distribution among the 150 pregnant womenhighest 57.33% were Primigravida followed by Multigravida41.34% and 2nd pregnant were only 1.33%. Babies’ conditionamongst the 150 pregnant women, highest 96.30% foetuswere alive upon delivery and only 3.70% of the foetus weredead. In the gender distribution of the foetus, 49.33% wereborn as male and 50.67% were female. After delivery, thebabies that were admitted in hospital were 76.40%, in NICU6.40%, and not admitted in the hospital after delivery were at17.20% and 88.40% of the pregnant women’s managementresulted in oligo induction failure and the rest 11.60% wereconducted upon laparoscopy. Per operative findings of theselected patients show that the highest 74.40% were pretermpre-mature rupture of membrane, 18.80% were ectopicpregnancy and 6.80% had ruptured uterus.Conclusion: Post-dated pregnancy having almost 50% risk ofrecurrence in next pregnancy. It is a high-risk pregnancy thefoetal complication in the form of foetal distress, meconiumaspiration syndrome, birth trauma etc. It also raises rate ofinstrumental delivery and operative delivery.
ABSTRACT
Background: Nationally representative data on noncommunicable disease (NCD) risk factors are lacking in Bangladesh. This study was done to determine the prevalence of common risk factors for major NCDs among men and women of rural and urban areas of Bangladesh. Materials and Methods: This survey was done with 9,275 individuals aged 25 years or older randomly drawn from all over the country. Information on diet, physical activity, tobacco and alcohol, and treatment history for hypertension and diabetes were collected. Height, weight, waist circumference, and blood pressure (BP) were measured. Results: There were 4,312 men and 4,963 women with the mean age of 42 years (standard deviation 13 years). Half of them (54%) used tobacco in some form, <1% consumed alcohol within the past 30 days, 92% did not consume adequate fruit and vegetables (five servings or more), and 35% had low physical activity level [<600 metabolic equivalent (MET) min per week]. Documented diabetes was found in 4% of the participants. Seventeen percent were overweight [body mass index (BMI) ≥25 kg/m 2 and 21% had abdominal obesity (men ≥94, women ≥80 cm). Overall, 21% people had hypertension (blood pressure ≥140/90 mmHg or medication). Physical inactivity, alcohol intake, hypertension, obesity, and diabetes were more prevalent in urban areas, as opposed to tobacco. Tobacco intake showed a decreasing gradient, but hypertension, obesity, diabetes, and low physical activity showed an increasing gradient across the wealth quartiles. Conclusion: Risk factors are widely prevalent in Bangladeshi people across sexes and across both rural and urban areas of residences. NCD prevention through risk factor control, and early detection and treatment of hypertension and diabetes are warranted.