ABSTRACT
Objectives: To elaborate the impact of family planning training on general practitioners' knowledge, attitude and practices regarding emergency contraception
Methods: A cross sectional survey involving 270 general practitioners was conducted in Hyderabad from 1[st] Oct to 31[st] Dec 2010. Participants were divided into two groups on the basis of attending family planning training course after graduation and were interviewed face to face. Data was noted on questionnaire asking their knowledge, attitude and practices regarding emergency contraception. Data was analyzed on SPSS version 11. Student t-test was applied to compare the proportions among two groups
Results: Out of 270 general practitioners, male and female participants were 132 [48.9%] and 138 [51.1%] respectively. Mean experience as private general practitioner was 7.48 +/- 7.6 years. One third of the participants 84 [31.1%] have attended five days training course on family planning in the past, while 186 [69.9%] did not have any training. Source of training was government institutes 46[17%] and non government organization in 38 [14.1%] cases. Significant positive difference was noted on emergency contraception knowledge, attitude and use in group who attended family planning training
Conclusion: Educational intervention has a positive impact on health care provider's knowledge, attitude and practices of emergency contraception
ABSTRACT
Background and Objectives: Pakistan is among the countries having high prevalence of HCV infection in the population but there is dearth of proper epidemiological data regarding acquisition of HCV infection in the pregnant population. Our objective was to determine the seroprevalence of HCV antibodies in healthy pregnant women and to assess the potential risk factors for HCV infection in HCV positive subjects and in the control group
Methodology: This cross sectional and comparative study was conducted from 1[st] January to 31[st] December 2010 in the Department of Obstetrics/Gynaecology Unit-I, Liaquat University Hospital Hyderabad. Sera were collected from all admitted pregnant women and tested for HCV anti bodies using Elisa kits [Abbott, USA]. Data were analyzed using SPSS version 16.0 statistical package
Results: The seroprevalence of HCV among pregnant population was found to be 4.7%. HCV positive women were more likely to have a history of blood transfusion [OR 1.99, 95% CI 1.26- 3.12], History of therapeutic injection use [OR 2.46, 95% CI 1.43-4.26], history of surgery [OR 1.72, 95% CI 1.12-2.66] and history of sharing household products [OR 1.81, 95% CI 1.14-2.87]
Conclusion: HCV seropositive pregnant women were more likely to have a history of blood transfusion, therapeutic injection use, surgery and sharing household items
ABSTRACT
Objectives: To assess knowledge and need for of emergency contraception among the women coming to Liaquat university hospital
Methods: A questionnaire based survey was conducted among 200 married women presenting at department of obstetrics and gynecology, Liaquat University Hospital Hyderabad, Sindh during the period of September to December 2009. The administered questionnaire served to find the status of knowledge and need for emergency contraceptives among these women. Ethical consideration and confidentiality was ensured. The data entry, processing and analysis were done using SPSS version 11
Results: Out of 200 women 172 [84.3%] were aware of contraception but only 47 [23%] had knowledge about emergency contraception. Eighty-seven [42%] women were without any formal education. Lady health workers and doctors were source of contraceptive knowledge in 104 [52%] cases. Unplanned pregnancy was observed in 134 [65.7%] women but unwanted was only in 39 [19.1%] women. Drugs were used to get rid of pregnancy by 12 [5.9%], and 13 [6.4%] went for termination of pregnancy
Conclusion: Contraceptive knowledge among 84% women is partial; as knowledge regarding emergency contraception is seen in only 23% and this indicate lack on part of knowledge provider. Lady health worker have been the main source of contraceptive knowledge among the community according to our findings. A prevalence of 67% of unplanned pregnancies is liable to increase acceptance of emergency contraception. The unmet need for emergency contraception is demonstrated by 13% who tried termination. Quality training of community health care workers to ensure complete knowledge will be helpful in increasing use of emergency contraception
ABSTRACT
Objective: to determine the frequency, risk factors, complications and outcome of obstructed labour in our setup
Study design: a retrospective study
Setting: obstetrics and Gynaecology Unit IV, Liaquat University Hospital, Jamshoro - Pakistan from January 2004 to December 2006 [three years]
Methods: patients' records, labour room registers, operation theatre books and perinatal records were reviewed retrospectively to gather information about patients admitted with obstructed labour
Results: out of 2126 hospital deliveries during the study period, 44 [2.1%] were admitted with obstructed labour as an emergency. Only 13 [29.5%] had received antenatal care at some stage of pregnancy. Thirty-two [72.2%] patients belonged to rural areas. Mean duration of labour was 15.9+/-11.6 hours. Cephalo-pelvic disproportion in 22 [49.3%] cases was the most common risk factor of obstruction, followed by malposition/malpresentation in 19 [43.3%] cases. Caesarean section was the most common mode of delivery [81.1%]. Three [6.8%] patients had ruptured uterus. Still birth rate was very high i.e. 14 [31%] and neonatal deaths were 4 [9%], while 26 [49%] babies survived with minor problems
Conclusion: obstructed labour still poses a great maternal and foetal problem in our setup. Malpractice by untrained persons is a major factor. Most of these cases are preventable by proper antenatal care provided by properly trained persons
ABSTRACT
Misoprostol exposure in the first trimester of pregnancy has been related to congenital malformations, particularly the mobius sequence and terminal transverse limb defects. An unusual case of a 25-years old primigravida who was exposed to misoprostol at 8-weeks gestation is presented here. Failing to medical termination, the pregnancy continued and a live baby girl was delivered preterm at 35-weeks gestation with multiple anomalies like fronto-nasal bone, scalp defects and protrusion of duramater. Microcephaly and equinovarus deformities were also present. Hence, clinicians must be aware of the teratogenic risk of misoprostol with especial context to its unsuccessful use in the first trimester of pregnancy. For the ongoing pregnancies, patient must also be informed in detail