Frequency of Surgical Intervention Due to Cord Around the Neck

Objective: To see the frequency of cord around the neck. Study Design: Retrospective Observational Study. Place and Duration of Study: This study was carried out at Shaikh Zaid Women Hospital, CMCH, SMBBMU, Larkana from January 20 12 to December 20 13. Materials And Methods: Total patient 8250 taken from Jan 2012 to Dec 2013. All cases were studied in detail with reference to course of labour, mode of delivery, interference required and maternal and fetal outcome. A detailed history was taken and general and systemic examination was done. The muller Munro Kerr maneuver was used to assess the adequacy of the pelvis and diagonal conjugate was accurately measured. Results: Total patient taken 8250, from Jan 2012 to Dec 2013 among them vaginally delivered 4238[51.3%], 92 have applied forcep 27[0.63%] babies delivered cord around the neck with 30 patient have applied vacuum out of which 16 [0.37%] cord around the neck. Spontaneously vaginal deliveries without surgical intervention 41 16 [3 1.9%], out of which 13 12 [1 5.9%] have cord around the neck. 2360 [28.6%] patient delivered through emergency LSCS. 722[17%] babies with cord around the neck and 1560 [18.9%] patient delivered through elective LSCS among them 759 [17.9%] babies delivered with cord around the neck. Conclusions: Most of these cases delivered vaginally with minimal maternal and fetal morbidity. Frequency of surgical intervention in these cases can be reduced by proper antenatal care especially in 31d trimester, by plotting partogram and using oxytocin judiciously during intrapartum period

Eclampsia and its Association with Seasonal Variations and other External Factors

Objectives: his study was carried out to evaluated the epidemiological aspects of patients presenting with eclampsia in the Shaikh Zaid Women Hospital, Larkana. Study Design: Descriptive retrospective observational study Place and Duration of Study: This study was carried out in the Department of Obstetric and Gynaecology SZWH, CMC and SMBBMU, Larkana from Jan 2012 to Dec 2013. Materials and Methods: All the patient admitted in eclmpasia were included in the study. All the patients were managing according to basic protocol for eclampsia. The data were compiled for frequency distribution of eclmapsia according to gage, parity, socioeconomic status of the patients and seasonal variation. Pregnant patient with other convulsive disorder and more than 7 days post-partum were excluded. Results: In the duration of study of 24 months 50.8% cases of Eclampsia occur in Summer, 25% in Autumn, 12.9% in Winter and 11.2% in Spring Season. During this period of 24 months > 10977 patients were admitted in SZWH, Larkana out of them 108[0.98%]were cases of eclampsia. Conclusion: Pre eclampsia and eclampsia are major obstructed complication with unclear etiologies. Understanding the exist association with different weather patterns may help us in understanding what factors may be involved in triggering these event.

To determine the frequency of chronic backache in the nursing staff of tertiary care hospital

To Determine the frequency of chronic backache in the nursing staff of a tertiary care hospital. Cross sectional study. This study was carried out at Civil Hospital Karachi from 1[st] November 2011 to 30[th] April 2012. Two hundred seventy two patients were included who fulfilled the inclusion criteria after taking the informed consent. The SPSS version 14 was applied to the data. Data was analyzed through SPSS software. 49 [18%] males and 223 [82%] females. The mean age of study population was 43 +/- 7.5 years and mean duration of job was 19.3 +/- 7.6 years. 10 [3.7%] subjects had history of daily duration of work of less than 6 hours and only 06 [2.2%] work for more than 12 hours daily as compared to this 256 [94.1%] study subjects work for 6-12 hours daily. 05 [1.8%] had history of posture of sitting at most of their working hours, followed by 10 [3.7%] standing, 85 [31.3%] mobile and 172 [63.2%] subjects had non-specific posture. 197 [72.4%] had backache as compared to this 75 [27.6%] did not had backache. Out of 197, 05 [1.8%] had backache at thoracic area, another 05 [1.8%] had backache at cervical and lumbar areas followed by 20 [7.4%] had backache at cervical area and 167 [61.4%] had backache at lumbar area. 77 [28.3%] had the history of radiation of backache. 7 [2.6%] had backache for <6 weeks, 32[11.8%] had backache for 6 weeks to 3 months and 158 [58.1%] had back ache for >3 months. The findings of this study suggest that backache is a common problem in the population of nurses in Pakistan. LBP is a widespread disease affecting nurses but not a major cause of sickness absence in the workplace. Poor knowledge of back care ergonomics and unavailability of lifting equipment are major predisposing factors to LBP among nurses [occupation hazard oriented]