Incidence of anemia in pregnancy. A randomized study at PMC hospital Nawabshah

In this part of the world anemia is one of the major public health problems especially in pregnant women. In our country the most important cause of anemia is poor diet repeated pregnancies and lack of awareness about contraception. Anemia can easily be managed with well nourish diet, with supplements of iron folic acid and multivitamin tablets. In our areas socio-economic problem is one of the causes which can be cope with help of Government and Non- Governmental Organizations by providing iron tablets and iron fortified foods to the population as a prophylaxis. To improve their health, pregnant women should regularly visit the clinics of Obs and Gynae and follow instructions of attending doctors and practice birth spacing in between the pregnancies. To determine the incidence of anemia in pregnant women in different socioeconomic classes in rural areas. Cross-sectional observational study. This study was conducted at the Department of Gynae and Obs, Peoples Medical College Nawabshah, and Sindh Pakistan from 1[st] March 2009to 30[th] June 2009. 850 pregnant ladies were included in the study who came to attend the antenatal clinic; where their history and clinical examination were recorded on a Performa. The ladies were divided into three socioeconomic classes, the higher, middle and lower class. 3ml of blood sample was taken from all the ladies for hemoglobin estimation and other necessary Lab test. A total number of 850 participants were included in this study, out of those 329 pregnant women were having hemoglobin [Hb] below 9 gm/dl, declared as anemic, the incidence as observed was 38.77% and the highest incidence was found in lower socioeconomic class. It can be concluded from this study that anemia is one of the major problem in pregnant women of rural areas. The incidence observed was 38.77% which was least [0.6%] in higher class and was highest [60.2%] in lower socioeconomic class

Current pattern of mechanical intestinal obstruction in adults

To evaluate the current pattern of mechanical bowel obstruction in adults. Descriptive case series. Surgical unit III and IV Bolan medical college/ complex hospital Quetta, from June 2007 to July 2009. The criteria for diagnosis were on the basis of history, clinical findings, radiological examination, exploration of abdomen and histopathological confirmation in selected cases. A total of 252 surgically treated cases of mechanical bowel obstruction were included. Out of the total, 187 [74.2%] presented with acute and 65 [25.8%] with sub-acute intestinal obstruction. The mean age was 37.4 years with male to female ratio of 2:1. Abdominal tuberculosis was found in 77 [30.6%] patients. Among the other causes bands/adhesions were found in 57 patients [22.6%] and obstructed hernias in 44 patients [17.5%]. In 161 patients [64%] the intestinal obstruction was without gut compromise, while in 91 patients [36% strangulated bowel obstruction was present. Forty patients [15.9%] developed postoperative complications mainly wound sepsis and chest problems in the form of atelectasis and pneumonia. The mortality rate was 2.4% [n 6]

study of 86 cases of abdominal tuberculosis

The aim of this study was to evaluate the varied presentation, morbidity/ mortality and outcome of various surgical procedures done in patients with abdominal tuberculosis. Case Series. Surgical Unit III and IV Bolan Medical College Complex Hospital Quetta, from January 2005 to June 2007. All those patients who were clinically suspected to have abdominal tuberculosis, supported by investigation and gross morphological findings at surgery and histopathologically proven caseating granulomas were included in this study. A total of 86 patients were managed during the study period. The mean age of patients was 35.6 years and male to female ratio of 1:2. Primary intestinal tuberculosis was found in 78%. About 52.3% of patients had single or multiple strictures involving the distal ileum and ileocaecal region. 27.9% of patient had mass in the ileocaecal region. Perforation was recorded in 19.8% cases. Mortality was 2.3%. Major postoperative complications occurred in 13.9% of patients. All patients were prescribed anti tuberculosis drugs for a period of 12 months. The median follow up was 6 month. 82.5% of patients were doing well till the last visit. Patients who present with bowel obstruction especially sub acute or chronic, should have a complete workup to prove or rule out intestinal tuberculosis. In the presence of bowel perforation with faecal peritonitis and intra-abdominal sepsis, ileostomy is a safer procedure than primary anastomosis