ABSTRACT
Objective: to compare the effects of 2 units and 5 units bolus doses of oxytocin on heart rate
and mean arterial pressure during elective caesarian section under spinal anesthesia
Material and Methods: randomized control study, conducted over 6 months period on 150 patients at Maula Baksh Teaching Hospital Sargodha by dividing into 2 groups[group A and group B],through lottery method for randomization of oxytocin allocation
Results: in our study, majority of the patients i.e. 45.33% [n=34] in Group-A and 38.67% [n=29] in Group-B were between 26-30 years of age, mean +/- SD was calculated as 27.85+/-3.54 years. ,while 60% [n=45] in group A and 56% [n=42] in group B were between 37-39 weeks of gestation ,mean +/- SD was calculated as 38.63+/-4.61wks.Blood loss in both groups shows insignificant difference by recording 187.43+/-18.65 ml in Group-A and 194.24+/-21.47 ml in Group B, comparison of tachycardia in both groups was done which shows 32% [n=24] in Group-A and 61.33% [n=46] in Group-B while which shows a significant difference in both groups while hypotension was recorded as 4% [n=3] in Group-A and 17.33% [n=13] in Group-B, p value was calculated as <0.01
Conclusion: we concluded that frequency of tachycardia and hypotension in patients administered with 2 IU bolus dose of oxytocin is significantly lesser as compared to SIU bolus dose and there is no difference in the incidence of postpartum haemorrhage
ABSTRACT
To find out the causative factors for rising rate of ectopic pregnancy in young women at periphery. Descriptive study. Maula Bakhsh Teaching Hospital [Obstetrical and gynaecological unit] Sargodha, from January 2008 -December 2008. All patients who were presented in labour room emergency and gynaecological out patients department with confirmed diagnosis of ectopic pregnancy on USG were included in the study. A pre-formed proforma was used to record the details about the demographic features, pre-existing risk factors for ectopic pregnancy, clinical features at presentation and management. Frequency of ectopic pregnancy was too high in our study compared to international studies. Majority of patients were young and nullipara. Leading risk factor is pelvic inflammatory disease due to septic induced abortion. 92% of patients had acute presentation. Rising rate of ectopic pregnancy was found in young, nulliparous women secondary to pelvic inflammatory disease. The frequency can be reduced by awareness of reproductive health care, liberal contraceptive utilization, acceptable adequate planned family. Early diagnosis and timely referral may be helpful in treating the patients prior to tubal rupture with decreased morbidity and mortality