Rate and risk factors for episiotomy at king Hussein medical center: a one year review from the department of obstetrics and gynecology king Hussein medical center

To determine the rate and risk factors for episiotomies at King Hussein medical center Jordan-Amman. This was a record review study conducted at King Hussein medical centre during a 12-month period between January 2013 and January 2014 on all women who had vaginal deliveries of a term alive single fetus in cephalic presentation. Information on age, parity, mode of vaginal delivery, birth weight of the newborn, and episiotomy rate, were recorded. Simple descriptive statistics, [Frequency and percentage], were used to describe the variables. The episiotomy rate was 52% in our hospital. The most common indications were nulliparous, instrumental deliveries, rigid perineum, fetal weight above 3,500 g, and prolonged second stage of labor. The episiotomy rate is high at our hospital [52%] in the face of current evidence based literature that supports restricted use of episiotomy. Nulliparity and instrumental deliveries appear to be the risk factors for episiotomy

two-year review of hysteroscopic practice at Queen Alia Military Hospital

To present a review of all hysteroscopic procedures performed over a two years period. During the study period, 890 hysteroscopic procedures were performed at the Department of Gynecology and Obstetrics, Queen Alia Military Hospital Jordan between September 2009 to November 2011. Indications, intraoperative diagnoses, and complications were reviewed. Simple descriptive statistics, [frequency and percentage] were used to describe the variables. The most common indications for diagnostic hysteroscopy were abnormal uterine bleeding [45%], abnormal ultrasound findings [27%], infertility [15%], recurrent abortions [12%], and missed intrauterine contraceptive device [1%]. The most common diagnostic findings were submucous fibroid [19%], hyperplastic endometrium [17.8%], uterine polyps [16.7%], uterine septum [4.8%], endometrial carcinoma and atrophy [1.7%]. The most common pathologies to operative hysteroscopy were endometrial polyps [39.5%], missed intrauterine contraceptive device [16.3%], uterine septum [14.6%] submucous myomas [12.45%], and Asherman's syndrome [9%]. The complication rate was 1.2% of the total hysteroscopies. Cervical laceration and uterine perforation were the most common acute complications. Hysteroscopy is an easy, inexpensive and effective procedure for the diagnosis and treatment of intrauterine pathology. It is minimally invasive and can be used with a high degree of safety. Hysteroscopy must take its place as one of the basic diagnostic methods in gynaecology

Indications and complications of total abdominal hysterectomy for benign disease

To describe the indications and complications of total abdominal hysterectomy for benign disease. This is a descriptive study which was conducted at Prince Hashem Hospital, Zarqa-Jordan during the period July 2008 to July 2010. Sixty-three women aged 30-55 years old who underwent total abdominal hysterectomy who were histologically confirmed benign disease were enrolled in this study. Simple descriptive statistics [frequency and percentage] were used to describe the variables. The most common indications for total abdominal hysterectomy among the study group were uterine leiomyomas [52.4%], abnormal uterine bleeding [38.1%], and endometriosis [3.2%]. Other indications were pelvic inflammatory disease [1.6%], chronic pelvic pain [1.6%], adenomyosis [1.6%], and chronic infection [1.6%]. The commonest complications were pain [96.8%], urinary tract wound infections [17.5%] and fever [15.9%] respectively. Uterine leiomyomas were the most common indication for benign hysterectomy. Nearly all women reported long-term benefit from the surgery; however women should be warned about early transient adverse effects

Oxytocin and syntometrine in prevention of postpartum hemorrhage

To compare the effect and side-effects of intramuscular syntometrine and syntocinon in the management of the third stage of labor. Five hundred eighty-three women with a singleton pregnancy and normal vaginal delivery were randomly allocated to receive syntometrine [n=293] or oxytocin [n=290] at Queen Alia Military Hospital between 1° February 30th April 1997. The rate of postpartum hemorrhage and side effects of syntometrine and oxytocin in the two groups were statistically compared using chi-square test. No statistical significant difference was found between both groups, for postpartum hemorrhage at the end of 2nd and 3rd stage of labour. However, there were significant statistical differences in the incidence of side effects [Nausea, vomiting, hypertension] at the end of 2nd and 3rd stage of labor between both groups. Intramuscular Oxytocin is equally effective to intramuscular syntometrine in prevention of post-partum hemorrhage, but carried less side effects and complication in comparison to intramuscular syntometrine

Continous fetal heart rate monitoring and neonatal outcome in low-risk obstetric population

To evaluate the benefits of continuous fetal heart rate monitoring during labour on neonatal outcome in low-risk obstetric population. Setting: Prince Hashem Military Hospital, Zarqa, Jordan. Materials and This study was conducted at Prince Hashem Military Hospital during the period Jaunary 1st until March 31st 2000, on 200 low-risk women, divided evenly and randomly into two groups. In group I, the women had continous fetal heart monitoring while in group II, intermittent auscultation with the sonic aide was used. Abnormal fetal heart rate patterns, need for operative delivery for fetal distress, perinatal morbidity and mortality and Apgar scores were assessed. Abnomralities in fetal heart rate were detected in 54% of the continously monitored group and in 9% of the routinely monitored group. More operative deliveries were performed in the monitored than in the control group. The incidence of caesarean section in both groups was low [6% and 3% respectively]. No significant difference was found in the Apgar score and neonatal outcome in both groups. This study demonstrated that continuous fetal heart rate monitoring should not be used as a routine in all labours. Furthermore, continuous fetal heart rate monitoring failed to demonstrate any improvement in perinatal outocme in a low-risk obstetric population