Assessing patient satisfaction in gynaecology and obstetrics in tertiary care hospital

To assess patient satisfaction in gynaecology and obstetrics in Tertiary care hospital and to highlight the areas of improvement. This cross sectional study was conducted in Gynaecology and Obstetrics unit B in Lady reading hospital Peshawar. Admitted Patients [who stayed in hospital for at least two days] were given an option to consent to inclusion in the study after consenting. Provided with a set of pre-furnished questions regarding the level of communication, satisfaction of treatment as well as the hygiene of the hospital was observed. Data was analyzed on SPSS 10.0 for descriptive data. A total of 1847 patients participated in this study. 90.9% [n=1679] of patients were satisfied with their treatment, 89% [n=1645] patients had confidence in their doctor's competency, 60%[n= 1109] thought treatment was easily affordable, cleanliness could satisfy 20% [n= 387] of patients, and the way doctors greeted their patients could satisfy 17%[n= 312] of patients, 5%[n=109] of patients were called by their names. 11% [n=218] of patients reported that their disease and reason of tests were explained to them. Communication skills of doctors and hospital cleanliness are the areas which require improvement. Our Study Suggests that there is an imperative need to communicate effectively with the patients about their disease and the treatment, it will help to remove anxiety and misconceptions, and they will comply with the treatment and develop confidence in the health system for achieving the standards of good health

To determine the most common semen abnormalities and risk factors associated with different types of semen abnormalities in infertile male

To determine the most common semen abnormalities and risk factors associated with different types of semen abnormalities in infertile male. Cross sectional study. This study was conducted in the Department of Obstetrics and Gynaecology, Unit B, Lady Reading Hospital Peshawar, for a period of one year from 1[st] January 2009 to 31[st] December 2009. Hundred male patients with abnormal semen analysis were recruited after fulfilling the inclusion criteria. Semi structured Questionnaire was filled and data was collected regarding association of male infertility with common risk factors. Results were expressed in percentages. Descriptive statistics was applied using Microsoft Excel and the frequency and percentages were calculated. Among 100 infertile male patients, 44% patients had asthenospermia, 17% had oligospermia 14% had azoospermia, 13% had pyospermia and 12% had oligoasthenospermia. Drug addiction was [cigarette or cigarette plus THS] observed in 55% [n=55] of patients. Among all participants 46% [n=46] were overweight or obese, In 40% [n=40] infertile males, there were coital problems. Systemic illness was found to be in 34% [n=34] of males with infertility, of all the participants largest number of infertile males were farmers 19% [n=19]. Asthenospermia accounted for the frequently associated problem of abnormal semen analysis followed by oligospermia, azoospermia pyospermia and oligoasthenospermia respectively. Cigarette smoking and obesity are the most frequently associated risk factors

Risk factors for preterm births in lady reading hospital, Peshawar

To determine the various maternal and neonatal risk factors of preterm birth. A descriptive case series was conducted from 1st January 2010 to 3Jxt December 2010. In this study all cases, a live Pre term birth [PTB] [29 - <37 weeks] by vaginal delivery or caesarean section and their mothers were included. A total of 205 [04.04%] neonates were identified as premature neonates. Majority [29.3%] were in the age range of 2 days with mean age of 1.5073 +/- 1.2627 days. Out of 205, 51.7% were male and 48.3% were female. Maternal age of 21-35 years was recorded in majority 79.51% with mean age of 28.10 +/- 5.8982 years. Majority of mothers [96.1%] were illiterate, 76.6% belonged to rural areas, 76.1% belonged to poor class, 35.1% were multiparas. A history of Premature rupture of membrane [PROM] was found in 61% cases, history of burning micturition 4.9%, physical injuries 0.5%, polyhydramnios 14.14%, previous low birth weight baby 41.5%, threaten abortion 27.8%, antepartum hemorrhage 36.1%, previous perinatal loss 31.2%, previous premature birth 30.2%, maternal pyrexia 14.1%, previous twins 6.3% and placenta previa 4.4%. Frequency of prematurity was 04.04%. Among the various risk factors maternal age, illiteracy, rural residence, poverty, joint family setup, history of PROM, previous low birth weight babies, history of antepartum hemorrhage, multiparity, previous perinatal loss, previous premature babies, threaten abortion, were the prominent risk factors found in majority of cases

Frequency of postpartum haemorrhage in maternal mortality in a tertiary care hospital

To determine the frequency of postpartum haemorrhage as a cause in maternal mortality during a period of seven years in a tertiary care hospital. This descriptive study was conducted in Gynae A unit of Department of Obstetrics and Gynecology, Lady Reading Hospital Peshawar. Data was collected from maternal mortality records retrospectively from 1[st] January 2003 to 31[st] December 2009. All patients who died in the hospital with a diagnosis of postpartum haemorrhage as the primary cause of death were included in the study. A total of 302 maternal deaths were recorded during the study duration. Out of these 302, 74 were due to Post-partum Haemorrhage which constituted 24.5% of maternal deaths. The mean age of the sample was 29.69 +/- 7.10. Uterine atony was the cause of death in 45.9% [n=34], rupture uterus in 32% [n=24], genital tract tears in 14.86% [n=ll] and retained placenta in 6.75% [n=5] of the cases of Postpartum Haemorrhage. Subtotal abdominal hysterectomy was performed in 51.35% [n=38]; repair of tears and removal of placenta in 6. 75% [n=5] each; Subtotal abdominal hysterectomy with internal iliac If gat ion was performed in 5.4% [n=4] cases while only internal iliac ligation and B Lynch suture was applied in 1.35% [n=l] each. The remaining 20 cases expired before they could be prepared for it. Postpartum Haemorrhage was found to be leading cause of maternal mortality making up to one quarter of total deaths in 7 years. Uterine atony and ruptured uterus were the major causes of Postpartum Haemorrahge. Subtotal abdominal hysterectomy was the major procedure performed