Uterine rupture; its maternal consequenses

To evaluate frequency, maternal morbidity and mortality in patients with uterine rupture at Gynae Unit -II of civil Hospital Hyderabad. Prospective descriptive study. Department of Obstetrics and Gynecology, unit-ll Liaquat University Hospital Hyderabad Sindh Pakistan; from 1st October 2010 to 31st March 2011. All the patients diagnosed as case of uterine rupture was taken as study subject. Data was collected in a pre-designed porforma. Variable analyzed were frequency, demographic characters, maternal morbidity and mortality. During the study, 34 patients out of 1400 deliveries presented with uterine rupture resulting in a frequency of 2.42%or 1:41 deliveries. 64.7%[22] patients were between 26 to 35 years age and 67.64%[23] were multipara.26.47%[9] presented with extension of tears, 17.6%[6] with shock,20.5%[7] with septicemia and 20.5%[7] with wound infection. Uterine rupture is yet a common obstetrical emergency in our area. The significant morbidity and mortality deserves our special attention by a collaborative approach. Regular ante natal checkups, careful selection of patients for vaginal delivery, vigilantly monitoring during labor with smooth switch over to operative delivery can reduce this drastic obstetrical complication

Prevalence and risk factors for cervical intraepithelial neoplasia in patients attending gynecological outpatient department of tertiary care hospital

OBJECTIVE: To determine frequency and risk factors for Cervical intra epithelial neoplasia [CIN] in patients screened with cervical cytology in gynecology outpatient department [OPD] of tertiary care hospital

STUDY DESIGN: Cross-sectional description study

PLACE AND DURATION: Gynecological outpatient department of Liaquat University Hospital Hyderabad, Sindh from July to December 2011

SUBJECTS AND METHODS: All sexually active women between age group 15 to 65 visiting to gynecology OPD who fulfilled the inclusion criteria were enrolled in the study after taking the consent. Frequency and predisposing factors for CIN were analyzed after entering in predesigned proforma

RESULTS: During study period 32 [4.5%] patients out of 700 were found positive for CIN. 297 patients [42.4%] had report positive for human papilloma virus. Mean age of patients positive for CIN were 37.5 +/- 9.4 years. Nineteen [59.4%] patients were married before 15 years of age

Twenty nine [90.6%] patients belonged to poor socioeconomic status and eleven [34.3%] patients were smoker. All patients were muslims and house wives

CONCLUSION: Though the frequency of CIN in current study was only 4.5% but infection due to human papilloma virus was much more [42.4%].Timely treatment and structured follow up of these patients can reduce carcinoma cervix in these patients

Obstetrical acute renal failure; analysis and outcome of patients in tertiary care hospital

Background and Objective: Acute renal failure is one of serious complication in pregnancy, in first trimester is usually related to unregulated and septic miscarriage while in third trimester it is due to obstetric complications. This prospective case serious descriptive study was conducted to determine the frequency, etiology and outcome of patients suffering from acute renal failure

Settings: Department of Gynecology and Obstetric at Liaquat University Hospital Hyderabad

Duration: One year [from 1st June 2011 to 31st May 2012]

Patients and Methods: Patients admitted in labor room during antepartum, intrapartum or post partum period were scrutinized by history, clinical examination, and investigations. Those with urine output less than 50cc in 24 hours were defined as case of ARF. Predesigned proforma filled to analyze etiology and outcome of patients with acute renal failure

Results: Out of 3220 patients admitted, 35 patients presented with acute renal failure giving incidence of 1.080%. APH[28.57%], PPH[25.7%], P.sepsis [14.28%] and Hypertensive disorder[5.14%] were leading cause of ARF. 60% patients recovered from injury and mortality in these patients were 11.4%

Conclusions: Poor health care facilities and lack of quality antenatal healthcare clinics were the major identified causes

Frequency, knowledge and practice of tobacco smoking in pregnant women at outpatient department of a tertiary care hospital

Objective: to determine frequency, knowledge, and practice of tobacco smoking in pregnant women visiting outpatient department of Liquate University Hospital Hyderabad

Study design: descriptive observational study

Subjects and methods: study carried out at Liquate University Hospital Hyderabad from 1[st] Dec 2009 to 31[st] Jan 2010. All pregnant ladies visited the outpatient department of Obstetrics and Gynecology for antenatal care with an age range 18-46 years were enrolled for study. Semi structured questionnaire consisting various items used to explore the range of knowledge and practice of pregnant women as far as tobacco smoking is concerned. Data was analyzed using SPSS version 16.0

Results: a total of 350 pregnant women were included in this study. Frequency of tobacco smoking was 60.57% [212]. 179[51.14%] women were also using smokeless tobacco along with smoking. Only 42 [12%] knew hazards of tobacco consumption .Knowledge was high in 27 [7.71%] patients. Peer pressure was the reason for commencement of smoking in 234[66.85%] of women and depression in 60[17.14%]

Conclusion: tobacco consumption is a major health problem in pregnant woman. Obstetrician should promote smoking cessation during pregnancy using evidence based methods