ABSTRACT
This study was designed to determine the frequency of uterine atony in cases of primary postpartum hemorrhage [PPH] and to point out risk factors for it and observe different ways of management for control of atonic primary [PPH]. Prospective cross sectional study. This prospective cross sectional study was conducted in Obstetrics and Gynecology Department unit-I, Bolan Medical Complex Hospital Quetta from 1st January to 31st December 2002 [one year]. The study was conducted on 80 patients. The study included all the pregnant women either booked or non-booked, who gave the inform consent. The sampling technique was convenience non probability. The patients were admitted through out-patient department and emergency, irrespective of age, place and mode of delivery, developing atonic primary PPH within twenty four hours and diagnosed as a case of uterine atony. All the cases of primary PPH other than due to uterine atony were excluded. Complete history, general physical examination, abdominal examination and pelvic examination was done. All the data was analyzed by SPSS version 10. Total number of deliveries during study period was 1438. Total number of patients with PPH were 155 out of which, the cases with primary PPH were 139, contributing about 89.7%. The incidence of primary PPH was 9.6 %. Out of 139 patients, the leading cause of primary PPH was uterine atony, contributing to 57.6%. The incidence of atonic uterus was 5.6 %. The highest incidence of uterine atony [37.5%] was found in women aged 26-30 years, followed by [27.5%] women aged 21-25 years.The highest incidence of primary PPH due to uterine atony was found in para 5-8 [56.3%], 6.3 % were primigravidas, 8.7% in para 1-4 and 28.7% in patients having more than eight children. Simple management included inj. Syntometrine, Oxytocin, uterine massage controlled bleeding in 53.7% cases. Prostaglandins [PGF2-alpha and PGE2] were administered in 32 cases and successful in 22 [68.7%] cases. Uterine packing was done in 8 cases, out of it, in 5 patients bleeding controlled [62.5%]. Ligation of uterine arteries was performed in 5 cases, it proved successful in 4[80%] and hysterectomy was done in 7.5% cases. Uterine atony is a major cause of primary PPH and major threat to the life of women in reproductive age. Uterine atony is more common in grand multipara, young women and in home delivery. Major risk factor for atony are previous history of primary PPH, grand multiparity, baby weight > 3.5kg and prolonged labour
Subject(s)
Humans , Women , Adult , Postpartum Hemorrhage/etiology , Risk Factors , Disease Management , Prospective Studies , Cross-Sectional StudiesABSTRACT
The purpose of this study was to determine various post operative complications associated with two surgical procedures used for reduction of mandibular angle fractures. Experimental study. The study was conducted in Department of Oral and Maxillofacial Surgery Liaquat University Hospital Hyderabad from February 2012 to February 2013. Thirty patients with mandibular fractures were divided in to two categories. Fifteen patients were treated by intra oral approach [Group A] and Fifteen by extra oral approach [Group B]. At different intervals of their post operative visits, these patients were evaluated for post operative complications of infection, nerve damage, keloid scar, facial cosmetic dissatisfaction, malocclusion and limitation in mouth opening. 23 male patients and 07 female patients were affected with mandibular fracture. Most common etiology was RTA in 66.6% case. Most common complication with intraoral approach was postoperative infection while facial dissatisfaction was most commonly noticed with extraoral approach. The intra oral approach with rigid fixation is our effective and superior technique as compare to the extra oral approach
ABSTRACT
To analyze the prevalence of hepatitis B virus [HBV] and hepatitis C virus [HCV] carriers in oral and maxillofacial patients. Experimental study. This study was carried out at Oral and Maxillofacial Surgery Department, Liaquat University Hospital Hyderabad from 1[st] September 2011 to 31[st] August 2013. Data of 520 patients who were hospitalized at Liaquat University Hospital for treatment of maxillofacial fractures. Study design was descriptive/cross sectional study. All patients were treated both under general anesthesia as well as local anesthesia, sedation. Our hospital is tertiary referral center for Sindh province. Patients who were hospitalized at Oral and Maxillofacial Surgery Department during the study period for any category of maxillofacial surgery were screened before managing. 60% were males and 40% were females with age from 15-80 years. HBV was positive 15% in patients and HCV was positive in 11% of patients. The high prevalence of HBV and HCV in maxillofacial surgical patients recommended a regular test for HBV and anti-HCV for every one patient, to prevent spread of HBV and HCV among staff, patient to patient and oral surgeon
ABSTRACT
This study was conducted to evaluate the complication rate of treatment of mandible fracture using 2.0-mm miniplate and MMF for up to two weeks. Descriptive study. This study was conducted at Liaquat University of Medical and Health Sciences Jamshoro, Hyderabad Sindh from May 2004 to April 2006. Fifty patients with single mandibular fracture were evaluated in this study at Liaquat University of Medical and Health Sciences Jamshoro, Hyderabad Sindh. Single miniplate was applied according to champy's principle of osteosynthesis and secured with four mono cortical screws and Maxillomandibular fixation was applied for up to two weeks. Follow up was done for at least eight weeks after surgery. The incidence of infection, malocclusion, delayed union, non union, nerve damage and TMJ dysfunction were evaluated. Bone union was achieved in all patients. No evidence of malocclusion, delayed union, nonunion, nerve damage and TMJ dysfunction observed. Two cases [4%] developed post operative infection and was healed with in 7 to 10 days after administration of antibiotics and local wound care. Single miniplate along with Maxillomandibular fixation for up to two weeks has proven to be the most effective treatment modality for mandible fracture
ABSTRACT
To determine the frequency of histological types and comman sites of oral cancer in patients presenting at Liaquat University Hospital Jamshoro/Hyderabad Sindh. Descriptive Study. This study was conducted on patients presenting at Oral and Maxillofacial Surgery Department, Liaquat university hospital Jamshoro/ Hyderabad Sindh over a period of one year from January 2010 to December 2010. Patients of all age group and gender with biopsy proven oral cancer along with its Histopathological types were included in the study. Patients reported irradiated,metastatic,benign and inflammatory lesions were excluded from the study. Total number of patients was 100. There were 53 Males and 47 Females. Age range was 3 years to 85 years. means age was 44.2 years. Most comman site was cheeck mucosa. Histopathological analysis showed 75% patients having well diffrentiated squamous cell carcinoma, 13% patients having moderately diffrenciated squamous cell carcinoma, 2% patients having poorly diffrenciated anaplastic carcinoma, 7% patients having basel cell carcinoma.1% Patients having Melanoma, 1% patients having Mucoepidermoid Carcinoma and 1% patients having Rhabdomyosarcoma. This study gives a detailed account of the histopathological types of oral cancer along with their frequency and site. oral cancer occurred at a younger age with male prepondrance
ABSTRACT
Background: Urinary Incontinence is a worldwide problem that remains a highly prevalent cross-cultural and costly condition affecting millions regardless of age and gender. Physiotherapy is among the recommended treatment options for the management of stress incontinence
Objectives: To assess the awareness among doctors regarding the role of physiotherapy in stress incontinence management
Methods: A cross-sectional study was done among gynecologists, nephrologists and urologists selected from public and private hospitals of Karachi through non-probability convenient sampling; total sample size of the study was 100. Data was entered and analyzed using SPSS version 17. Chi square test was used to find association for qualitative variables and p value <0.05 was considered as significant
Results: Awareness regarding role of physiotherapy management in stress incontinence was found among 79% doctors. Urinary tract infection [55%], Post partum [45%] and post surgical [45%] were considered by doctors as the most common causes of stress incontinence. Preferable choice of management for stress incontinence was physiotherapy by 75% doctors. Regarding referral of patients with stress incontinence for physiotherapy 47% of the doctors referred their patients depending on patient condition and about 25% of the doctors were of the opinion that their patients recovered completely
Conclusion: The study showed that there was awareness among doctors about the role of physiotherapy in management of stress incontinence and most of them referred their patients for physiotherapy
ABSTRACT
The study was conducted to analyze the frequency, gender distribution, age groups, mechanism of accident and site involvement of mandibular fractures reported at liaquat university hospital Hyderabad. Retrospective study. The study was conducted in Department of Oral and Maxillofacial Surgery Liaquat University Hospital Hyderabad from March 2012 to March 2013. A data of 228 of patients who had been diagnosed with a mandibular fracture between March 2012 and March 2013 at the Liaquat University Hospital of Hyderabad, Oral and Maxillofacial Surgery Department was retrospectively reviewed. Patients data including gender, age, mechanism of accident, fracture sites were analysed. 166 [72%] male patients and 62 [27%] female patients were reported with mandibular fracture. Most common age group was between 30-40 years. Most common mechanism of accident was RTA in 153 [67%]cases followed by fall from height 42 [18%] cases. Most common site involved was Parasymphysis in 112 [49%] cases followed by angle in 51 [22%] cases. The result of this study shows that road traffic accident is most common cause of mandibular fractures in this region
Subject(s)
Humans , Female , Male , Hospitals, University , Mandibular Fractures/etiology , Accidents, Traffic , Retrospective StudiesABSTRACT
The purpose of this study was to find out the most common strains of bacteria encountered in chronic suppurative otitis media and their sensitivity to various antibiotics. Retrospective, analytic study. This study was conducted on out patients presenting to ENT department at Liaquat University Hospital Hyderabad, Sindh-Pakistan from January 2011 to June 2011. This study was conducted jointly at ENT Unit II in collaboration with Oral and Maxillofacial surgery Department LUMHS with the help of microbiology laboratory of Liaquat University Hospital, Hyderabad, Sindh, Pakistan. The study was conducted for the period of 6 month A total of hundred samples of ear discharges were collected and analyzed for bacterial growth; and sensitivity towards various antibiotics were determined by using standard microbiological techniques using disc diffusion method. Among hundred patients, 59% were male and 41% females. Age of patients varied from 2 to 60 years. There were different species of bacteria isolated. Pseudomonas aeruginosa [46%] was the most frequent organism followed by staph aureus [27%] and proteus [27%]. The prevalence of gram negative bacterium was greater than gram positive. Among the antibiotics, ciprofloxacin and enoxacin were found to be the most effective against these organisms. Early and precise diagnosis of infective disease of ear is decisive in order to administer the correct antibiotic therapy and avoid complications
ABSTRACT
Objectives: the objectives of the study were to determine the incidence of associated injuries with maxillofacial fractures and to enlist the age and gender distribution of maxillofacial trauma and also to find out cause, bone most frequently affected with it
Material and methods: history was taken from patients affected with facial trauma along with 2 diagnostic radiographs. Age, gender, cause, type of injury and fractures elsewhere in the body were recorded. Study was carried out at Emergency Department of Liquate University Hospital Hyderabad in a period of 1 year i.e. from 1[st] January 2011 to 30 December 2011
Results: total of 680 patients was included in this study. Out of these males were predominantly affected [72%], mean age was found to be 36.4 years. Road traffic accident [RTA] was the most common cause of injury [51%] and mandible was the most common bone involved [51%]. Out of associated injuries tibia [12.35%] and ulna [11.23%] were most common injuries
Conclusion: our study showed a high frequency of trauma in males in 3[rd] decade of life. Road traffic accident [RTA] was the most common cause and mandible the most common bone affected. Tibia and ulna were common associated injuries with facial trauma
ABSTRACT
This study aims to identify maternal risk factors for macrosomia, in order to alert the attending obstetrician to increase probability of foetal macrosomia and its complications among UAE obstetric population. A retrospective controlled study was conducted at the Obstetrics and Gynaecology Department at Tawam Hospital, a tertiary referral centre in United Arab Emirates. Five thousand four hundred and four mothers delivered in the period of the study between January 1st 1998 to December 31st 2000. 271 mothers [5.01%] delivered at >/= 37 weeks of gestation macrosomic babies [birth weight >/= 4000 gm]. 285 women delivered at >/= 37 weeks of gestation non-macrosomic foetuses in the same period of time were included as a control group. The mothers of 36.5% of these babies had gestational diabetes mellitus [GDM]. There was a statistically significant higher incidence of GDM, obesity, increased maternal age, male neonatal sex, previous history of macrosomia and prolonged pregnancy among mothers of macrosomic babies when compared to control group [P