Compare the effectiveness of prostaglandin E2 vaginal gel versus vaginal tablets for the induction of labour at term

To compare the effectiveness of prostaglandin E2 vaginal gel versus vaginal tablets for the induction of labour at term. Retrospective comparative study. This study was conducted in Gynaecology and obstetric unit B, Lady Reading Hospital Peshawar, from 1st January 2013 till 31[st] December 2014. Study population was women with singleton, term pregnancy with cephalic presentation undergoing induction of labour after 37 weeks of gestation. Prostaglandin E2 [PGE2] vaginal tablets [3 mg] or vaginal [2 mg] was administered at 6-hourly intervals, two doses administered. Main outcome measured was rate of failed induction of labour, besides failed induction in primigravida and multigravida and mode of delivery was also observed in both groups. Descriptive statistics was used to analyze the data and the results are expressed in the form of frequency and percentages. The number of patients induced with PGE2 tablet [3mg] were 39.74 % [n=503] while 60.20 [n=761] were induced with PGE2 gel [2mg]. It was observed that failed induction was more in patients induced with PGE2 tablets14.11 % [n=71] as compared to PGE2 gel 8.67% [n= 66]. Sub analysis showed failed induction was more in primigravida as compared to multigravid women. Spontaneous vaginal birth was found to be the most common mode of delivery 75.31 % [n=952]. Prostaglandin E2 vaginal gel is superior to vaginal tablets for the induction of labour

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