RESUMEN
To study knowledge, attitudes and practices oft he patients of induced abortion. Descriptive analytical study. This study was conducted from July 2004 to March 2005 in the department of obstetrics and gynecology, Islamic International Medical College, Railway General Hospital, Rawalpindi and Federal Government Services Hospital, Islamabad. The patients who were admitted in the Obstetrics and Gynecology with a history of induced abortion were included in the study. A special questionnaire was designed to explore the reasons which compelled them to undergo this illegal and dangerous procedure rather than using some contraception before. The patients were interviewed by a single post graduate trainee on a pre- designed Performa. The data collected was entered on SPSS- 10 and analyzed. The results were shown in percent. Most of the abortions [66%] were done by dais at their homes, while 28% terminations were done by doctors at their clinics. Majority of the patients [90% and 60% and respectively] were aware of not only the religious and legal implications of abortion but also knew that it could cause great harm to their health, including the fact that it could be fatal. Majority of women [74%] were not using any contraceptive measure for no specific reason.ln majority of patients [92%] it was an unwanted or unintended pregnancy which was terminated. Only 14% of patients showed reservations in using some contraceptive measure like religious position, husband's disapproval or fear of side effects. The problem of induced abortion is not merely a medical problem to be resolved through medical means. Rather it falls into the social norms of people. The physician is supposed to understand the deep seated psychological inhibitions and motives which lead the patient to have [or not have] abortion
RESUMEN
Objective: To observe the various presentations,clinical course and outcome of patients presentingwith ovarian cysts/ tumors
Study Design:Observational study
Study Period: March 2010-March 2012
Setting: Department of Obstetrics andGynaecology, Punjab Employees Social SecurityHospital [PESSI], Islamabad
Methods: Thirty onepatients presented in Gynae department with ovariancyst/ tumor or incidentally found to have a cystduring work up for other problems were included inthe study. Their clinical presentations, associatedproblems, course of their management and outcomes were observed. The histopathology reports ofthe surgically managed patients were also collectedin the data
Results: Most of the patients were inreproductive age group and multipara. Thecommonest presentation was acute abdominal painin 12 [38.70%] patients, followed by chronic pelvicpain in 7 [22.58%] patients, menstrual problems in 4[12.90%], patients and postmenopausal bleeding in3 [9.57%]. two [6.45%] patients were incidentallyfound to have complex ovarian cysts during work upfor infertility. Another 6.45% patients presentedwith enlarged ovaries with multiple clear ovariancysts as a result of ovulation induction. Two patientshad adenocarcinoma. Out of them, one presentedwith recurrence. Corpus luteal cyst was thecommonest histopathological diagnosis [55%],followed by endometrioma [44%]. Ten patients[32.25%] were managed conservatively, whilesurgery was performed in 21 [67.75%] patients
Conclusion: Ovarian cysts are common inreproductive age group. Most of them are benignand respond to conservative management, providedthey are clear, with no signs of acute complicationsin these cases. Unnecessary surgery can be avoidedwith proper monitoring and selection of patients.Surgery is mandatory however in post- menopausalage group because of increased chances ofmalignancy
RESUMEN
To assess the quality of antenatal care provided to pregnant women in our set up at social security Hospital Rawalpindi. Sectional. Department of Obstetrics and Gynaecology, Social Security Hospital, Islamabad from October to December 2011. Women attending the antenatal OPD were interviewed using a pre tested semi structured questionnaire. A total of 285 women were included in the study. They were interviewed at their first antenatal visit. Mean age of study population was 30 years and parity ranged from 0- 7. Majority were house wives and had their monthly family income less than 10,000 Rupees. Majority of the patients'were multigravidas. All [100%] patients were looked after by doctors in Out- Patient Department [OPD]. About 34.78% patients were educated about complications of Labour. Only 16.84% and 28.42% patients got advice about antenatal exercises and episiotomy care respectively. More than half [56.8%] patients were counseled for delivery in hospital, 26.31% patients were given contraception advice. About 57% received specific dietary advice for pregnant ladies and 45.26% were told about importance of breast feeding. Our study concluded that adequate antenatal care does not mean merely establishment or improvement of health centers or antenatal clinics, adequate supply of medicines and reducing waiting time, but italso involves education of pregnant women about good antenatal care and different health related issues