Frequency of anemia among patients of abruptio placentae

To determine the frequency of anemia and need for blood transfusion in patients of placental abruption. This prospective cross sectional study was conducted at Department of Obstetrics and Gynecology for a period of 15 months from September 2010 to December 2011. All pregnant ladies who presented with Abruptio Placentae were included by completing a proforma for each patient After confirming the diagnosis, the blood of these patients was sent to laboratory for hemoglobin level, blood group and other routine investigations. According to hemoglobin level and the amount of bleeding, the number of blood units required by each patient was analyzed on SPSS v 15. 100 patients suffering from placental abruption were studied. 83% ladies were anemic and 61 were moderate to severely anemic. 98% received blood transfusion and 91% received 1-4 units of blood. Majority of patients presenting with placental abruption were found to be anemic and required multiple blood transfusions. The association between anemia and placental abruption is well documented, however, it needs to be established whether anemia leads to abruption or anemia is the consequence of abruption

Vesicovaginal fistulae: a surgical outcome

The aim of this study was to know sociodemographic data and causes of failure of surgical procedure for vesico vagina fistulae so that a better methodology be applied to improve the results. This study was conducted at Shaikh Zayed Women Hospital, [Gynaecology and Obstetrics Department] Chandka Medical College, Larkana from May 1997 to May 2002 Seventy patients of vesicovaginal fistula. [VVF] were managed in 5 years. Patients with stress incontinence, urgency and overflow incontinence were excluded. The age, parity, duration of fistula, causes of fistula, size, site of fistula, route of operation, type of operation, duration of operation, blood loss and results of surgery were recorded. The total admissions with gynaecological ailment were 4768 in five years. The relative frequency of VVF cases was 1.4%. The mean age was 34.6 years [Range 17 60 years]. The mean parity was 5 [Range 1 21]. Fifty four cases reported within 1 2 years time [Range 3 months to 20 years]. In Fifty one cases [72.8%] delivery took place at home. Most common site was midvagina 58.57 90 [41 cases]. Fifty four cases [91.42%] were obstetric fistulae caused by prolonged and obstructed labour. Sixty four cases [91.4%] were operated vaginally. Success rate was 85.5% [60 cases].Vesicovaginal fistula is a common health problem of developing countries caused by obstructed labour. Vaginal approach, utilizing basic surgical principles is simple and easy technique with better results

Ovarian carcinoma local experience at Shaikh Zayed Hospital for Women [CMCH] and LINAR Larkana

To study the frequency of Ovarian Carcinoma for early detection and appropriate management. DESIGN: Retrospective observational study. [One years study]. ShaiKhzayed Women Hospital [CMCH] Larkana. A tertiary care Hospital] and Larkana Institute of Nuclear Medicine and Radiotherapy. [LINAR]. The total number of carcinoma patients reported from January 2000 to December 2000, were analyzed. In our study total numbers of ovarian carcinoma presented was 29. Chronologically this was 2nd common gynaecological cancer in the women. Advanced cases [stage III and IV] were 58.5 percent. Surgery was performed in all cases. A complete course of postoperative chemotherapy as received by 7 patients only, remaining cases received incomplete chemotherapy course. Ovarian carcinoma is common health problem. Late presentation leads to poor prognosis

Urinary fistulae, surgical experience, retrospective study

This study analyses 53 cases of urinary fistulae during five year period from August 1989 to August 1994, in a tertiary referral hospital. Total number of gynaecology admissions were 4200/five year. Per year admissions were 840. The incidence of urinary fistulae being 1.2 percent. Majority of the fistulae were due to obstetric complications, while 20 percent were iatrogenic. Majority of patients were operated vaginally, 36 cases [68 percent]. Overall success rate was 69.7 percent [37 cases]. Success after first attempt was 67.6 percent [25 cases]