ABSTRACT
To determine the frequency of pregnancy following laparoscopic ovarian drilling in patients with clomiphene citrate resistant polycystic ovarian syndrome. Retrospective / Observational study. This study was carried out in the Department of Obstetrics and Gynaecology DGKhan Medical College, Dera Ghazi Khan from November 2012 to May 2013. One hundred eligible patients who suffer from anovulatory infertility and who failed to respond to the treatment with clomiphene citrate were enrolled from outpatient department. Overall frequency of PCOS was 4.84%. Majority of cases of PCOS were in age group 20-30 years. 72% of cases were having primary infertility and 28% were having secondary infertility. 41.86% of cases were resistant to CC given in a dose of 150 mg for three consecutive cycles. Conception rate was 66% in 6 month follow up period after LOD. Laparoscopic ovarian drilling with diathermy should be considered to be a preferred choice for the infertile women with history of failed response to clomiphene treatment as compared to the use of gonadotrphins
Subject(s)
Humans , Adult , Female , Laparoscopy , Clomiphene , Retrospective Studies , Pregnancy , OvaryABSTRACT
Objective: To determine the frequency of awareness and acceptance of contraception in married women
Study Design: Cross sectional descriptive study
Place and Duration of Study: This study was conducted in department of Obs and Gynae of D.G.Khan teaching hospital from 1[st] April 2014 to 1[st] April 2015
Materials and Methods: A questionnaire was designed and it was filled by interview of 200 women. This questionnaire carried socio demographic characteristics of women as well as knowledge and acceptance. This questionnaire includes knowledge of name of different methods and how to access these methods
Results: As the result, 92.5% women were aware on one family planning method out of 10 but acceptance for usage in one only 60% .The contraceptive prevalence was 33% which was less than 35% CPR from Pakistan national prevalence. Depo-Provera method is followed quit 70% as compared to oral contraceptive pills 68% and natural method 50% least known method was vaginal foam tablets/ Jelly 20%. Regarding permanent method, knowledge of sterilization awareness was 81% in females and 60% was in males. Emergency contraception awareness was low 11.5% as in table two
Conclusion: More efforts are required with the collaboration of print and electronic media to educate the public about the safety and convenience of modern irreversible as well as reversible methods of family planning
ABSTRACT
Objective: To access the effect of raised Maternal Body Mass Index [MBMI] on neonatal outcome
Subjects and Methods: This cohort study was carried out in the Department of Obstetrics and Gynecology District Hospital Dera Ghazi Khan, from 7th October 2011 to 6th April 2012. Total of 240 primigravida at 24 to 36 weeks pregnant women [120 with raised BMI and 120 with normal BMI were included in this study]. Pregnant ladies with raised BMI and normal BMI were followed by regular antenatal visits and neonatal outcome was observed after delivery
Results: Mean age was found to be 26.3+/-7.1 and 26.9+/-6.3 in exposed and non- exposed group. In exposed 23 neonates [19.1%] and 7 neonates [5.9%], in non-exposed group found to be macrocosmic Relative Ratio [RR=3.29, P =.001]. Congenital birth defects were developed in 9 neonates [7.5%] of exposed group and 2 neonates [1.7%] of non- exposed group [RR= 4.50, P = 0.30]. In exposed group 10 neonates [8.3%] and in non- exposed group 3 neonates [2.5%] were delivered preterm [RR=3.33. P= 0.045]. Still birth took place in 6 neonates [5.0%] of exposed group and in 1 neonate [0.8%] of non- exposed [RR =6.00, P = .0.055]. In exposed group 8 neonates [6.7%] and in non-exposed group 2 neonates [1.7%] died [RR = 4.00, P = 0.052]. Twelve neonates 10.0% of exposed group and 3 neonates 2.5% of non- exposed group were admitted to NICU [RR = 4.00, P = 0.016]
Conclusion: In summary our study confirmed the previously established association between raised maternal BMNI and macrosomia, birth defect, preterm birth, still birth, neonatal death and admission to NICU