ABSTRACT
Leiomyoma, myoma, leiomyoma or fibroids are synonymous terms. They may be present in as many as 1 in 5 women over age 35 years. If pregnancy is associated with fibroids, it leads to multiple complications. Objectives of this study were to evaluate the maternal and foetal outcome in women having pregnancy with fibroids in uterus and the complications associated with fibroids during the pregnancy. This descriptive study was conducted in the Department of Obstetrics and Gynaecology, Ayub Teaching Hospital Abbottabad from March 2009 to March 2010. Data were collected on performa regarding demographic variables, obstetrical history, mode of delivery, maternal outcome, maternal complications, and foetal outcome. Mean and standard deviation was calculated for age, period of gestation, and obstetrical history. Frequency and percentages was calculated for booking status, maternal outcome, maternal complications and foetal outcome. Thirty patients were included in this study who had pregnancy with fibroid. Normal delivery was achieved in 14 [46.66%] patients. Eight [26.67%] patients had caesarean section and eight [26.67%] had miscarriages. Seven [23.33%] patients had no complications while 8 [26.67%] had miscarriages, 8 [26.67%] had postpartum haemorrhage, 10 [33.33%] had preterm delivery, and 3 patients had ante-partum haemorrhage. Two [10%] patients had premature rupture off membranes and 1 patient [3.33%] had pain abdomen and technical difficulty during caesarean section. There were 12 [40%] healthy babies. Five [16.67%] babies delivered with morbidity but recovered. There were 4 [13.33%] intrauterine deaths and one early neonatal death. Fibroid in pregnancy, especially multiple intramural fibroids and fibroids larger than 10 Cm, cause miscarriage and preterm labour.
ABSTRACT
Clubfoot or congenital talipes equinovarus is one of the most common congenital anomaly affecting the lower limb. The exact cause is unknown and a number of theories have been postulated to explain its origin. Congenital talipes equinovarus affects both sexes and may be unilateral or bilateral. Clubfoot is sometimes associated with Arthrogryposis multilex congenital, spina bifida, meningomyelocele and muscular dystrophies. This study was conducted to determine the early results of ponseti technique for idiopathic congenital talipes equinovarus. Observational [Follow-up] Study. This study was conducted at orthopedic B-Unit of Ayub Teaching Hospital Abbottabad from 1[st] April 2009 to 30[th] September 2009. Thirty [30] patients from either gender with age from birth to 06 months of age attending the outpatient department of Orthopedic B-Unit of Ayub Teaching Hospital Abbottabad were included in the study. The patients were ranged in age from birth to 06 months of age, with 17 male [56.7%] and 13 female [43.3%]. In our series on follow up, fore foot adduction was detected in 06 cases [20%] and 02 cases had equines relapse [6.7%] and 03 patients had residual equines [10%] while bilateral residual equines was detected in 01 patient [3.3%] and 01 patient had recurrence of deformity [3.3%] for which posteromedial release was done. We concluded that the Ponseti method is a reliable, simple, effective and safe method for the treatment of idiopathic clubfoot deformity
Subject(s)
Humans , Male , Female , Orthopedic Procedures/methods , Congenital Abnormalities , Muscular Dystrophies , Hospitals, Teaching , MeningomyeloceleABSTRACT
To study the maternal and neonatal outcome of assisted vaginal delivery with vacuum extractor [ventouse]. This prospective study conducted in the department of obstetrics and gynaecology. Unit A, Ayub Teaching Hospital, Abbottabd included hundred consecutive cases of successful ventouse deliveries from May 2005 to April 2006. There were minimum [16%] maternal and neonatal complications during this study. As no serious maternal and neonatal morbidity noted during the study period, vacuum extractor should be the instrument of first choice for instrumental vaginal delivery