Twin gestation-antenatal complications and fetal outcome

To determine the incidence of twin pregnancy in Pakistani women. To evaluate the prevalence of pregnancy complications in twin gestation and their effect on fetal outcome. Design: A prospective study. Setting: Women admitted in Labour Room-11 during a period of 12 month at SGRH Lahore. Subjects and All those women who were admitted and delivered twins were included in the study. On admission, patients were grouped according to the number of pregnancy complications. Out of 2816 deliveries, 41 pairs of twins were delivered during 12 months period. The incidence of twinning was 1.45% or 1 in 69. Eleven patients were booked and 30 were emergency admissions. 19, 14 and 8 patients were placed in Group I, II and III respectively. 34 [78%] patients achieved normal vaginal delivery and Cesarean section was carried out in 9 [21.8%] patients. Four still births and 4 neonatal deaths were recorded in Group-I and Group 11 patients. Perinatal mortality rate was 19.5%. Anaemia, PIH and preterm labor were most common antenatal complications

Adenomyosis: a study of 303 cases

The subject of adenomyosis was not given its due share of attention in the past owing to which sufficient data is not reported on its incidence in the Pakistani population. The present study was designed to determine the incidence of adenomyosis and its association with other pathological. In a one-year period, 303 hysterectomies were performed at the gynaecology department of Sir Ganga Ram Hospital, Lahore. Histopathological reports were retrieved from the pathology laboratory of the Fatima Jinnah Medical College, Lahore. The incidence of adenomyosis was found to be 26.37%. No association between adenomyosis and endometrial carcinoma could be demonstrated. However, chronic cervicitis, endometrial hyperplasia and leiomyoma were noted to have varying degrees of association with adenomyosis