RESUMEN
Objective: to compare the primary postpartum haemorrhage after spontaneous labour with induced and/ or augmented labour
Material and Methods: it is a comparative cross-sectional study, conducted in department of Obstetrics and Gynecology, Fatima Memorial Hospital, Lahore. This study was carried out over a period of one year from 1.7.11 to1.7.12.100 patients were included and divided into two equal groups. Group A, 50 patients having spontaneous labour and Group B, 50 patients having induced and/or augmented labour and delivered vaginally
Results: mean age of group-A was 26.4+/-3.48 and in group-B it was 26.88+/-3.64. Out of 50 patients in group B, 16 patients [42.1 %] were induced with prostaglandin E1, 22 patients [57.9%] with prostaglandin E2, and 12 patient's augmentation with syntocinon. 7 patients had PPH in group-B and prostaglandin E1 was used in 1 patient [14.2%], prostaglandin E2 used in 3 patients [42.9%] and augmentation with syntocinon was done in 3 patients [42.9%]. Duration of third stage of labour was 7 .84 minutes in group-A and in group-B it was 11. 76 minutes. Mean blood loss after delivery in group-A was 271.0+/-125.3 ml while in group-B it was 383.0+/-3 16.1 ml which are statistically significant
Conclusions: it is concluded from the study that primary postpartum haemorrhage occurs more in patients whose labour was induced and/or augmented as compared to the patients who had spontaneous onset of labour. The main aim of doing this study is to highlight the importance that all the obstetrician should wait for the spontaneous onset of labour and avoid undue inductions and its complicatios
RESUMEN
The study was conducted to assess the awareness level about diabetes in patients coming to JPMC and to initiate steps to increase their knowledge and clear misconceptions. Descriptive Cross-Sectional Study. This study was conducted in JPMC hospital from April 2008 to October 2008. A non- probability convenience sampling technique was applied in a population aged 15