Fetal biophysical profile; as a tool to predict fetal outcome

To evaluate fetal Biophysical Profile as an effective technique for the assessment of fetal condition and to improve fetal outcome by early detection of fetal hypoxia. Co relational study: The study was carried out for a period of one year from Oct 2004-Oct 2005 at Obstetrics and Gynecology Department of Fatima memorial hospital Lahore. All patients with history of sluggish fetal movements and clinical suspicion of IUGR, were underwent BPP from 32-42weeks. 100 patients were selected and their BPP score was recorded and were followed till delivery. Those who went into spontaneous labor and who were induced monitored during labor and at any sign of fetal distress immediate caesarean section performed. APGAR score of newborn was noted at one and five minutes and those having poor APGAR score were resuscitated and were followed till one week after delivery. APGAR score was compared with BPP score, During this study 100 BPP were performed. 34patients were primigravidas and 66 were multigravidas. Among 100 patients 73hada BPP score of 9-10/10,21 patients had a score of 7-8/10 and 6 patients had 4-6/10. In 2 patients with 4/10 score emergency caesarean section led to the delivery of neonates with APGAR score of 8 at 5 minutes. Majority of patients with normal BPS of 8-9/10 had good APGAR score of 7-8/10.0nly 8 patients having BPP of 9-10/10 had poor APGAR score 6/10 or <6/10. The fetal BPP appears to be an effective technique for assessment of fetal condition

Preterm labour; comparison of efficacy of glyceryl trinitrate patch with salbutamol for prolonging gestation for more than 48 hours, 7 days and upto 37 weeks of gestation

To compare the efficacy of Glyecryl trinitrate patch for prolonging gestation for more than 48 hours, 7 days or up to 37 weeks of gestation with Salbutamol in preterm labour. Compartive descriptive study. Fatima Memorial Hospital Lahore. Dec 2003 to Jan 2005. The study was carried out on 60 pregnant patients admitted in hospital with the symptoms and signs of preterm labour. The results were statistically analyzed using SPSS version 8.0. Two groups [Transdermal Glyceryl Trinitrate group and Salbutamol] comprising 30 patients each were made. In Glyceryl Trinitrate group, transdermal patch was applied and in Salbutamol group, Intravenous infusion titrated according to frequency, duration and intensity of uterine contractions. All the patients in each group were evaluated for prolongation of gestation for 48 hours till 37th week of gestation. The mean prolongation of pregnancy was 26 days in GTN group and 32 days in Salbutamol group. The decrease in frequency of uterine contractions by 67.51 +/- 7.74% in first 48 hours of applying transdermal Glyceryl Trinitrate patch and by 80.14 +/- 8.43% in Salbutamol group which was statistically significant. Trinitrate appears to be a safe, well tolerated and non-invasive but less effectives method of suppressing uterine contraction in preterm labour as compared to Salbutamol