Prolactin level in women with abnormal uterine bleeding visiting department of obstetrics and gynecology in a university teaching hospital in Ajman, UAE

This study was conducted among women in the reproductive age group with abnormal uterine bleeding [AUB] to determine the pattern of prolactin level. In this study, a total of 400 women in the reproductive age group with AUB attending GMC Hospital were recruited and their prolactin levels were evaluated. Age, marital status, reproductive health history and details of AUB were noted. SPSS version 21 was used for data analysis. Descriptive statistics was performed to describe the population, and inferential statistics such as Chi-square test was performed to find the association between dependent and independent variables. Out of 400 women, 351 [87.8%] were married, 103 [25.8%] were in the age group 25 years or below, 213 [53.3%] were between 26-35 years and 84 [21.0%] were above 35 years. Mean age was 30.3 years with a standard deviation 6.7. The prolactin level ranged between 15.34 mIU/l and 2800 mIU/l. The mean and SD observed were 310 mIU/l and 290 mIU/l respectively. The prolactin level was high among AUB patients with inter-menstrual bleeding compared to other groups. Additionally, the level was high among women with age greater than 25 years compared to those with age less than or equal to 25 years. But the difference observed was not statistically significant. With regard to BMI, 27.3% were obese and 37.5% were overweight. This study showed that as BMI increases, the level of prolactin decreases, with no statistically significant difference. The prolactin level was high in women with inter-menstrual bleeding as compared to those with other abnormal uterine bleeding. High serum prolactin level was observed in 11.3% of participants with oligomenorrhoea, 7.3% with polymenorrhoea, 3.7% with menometrorrhagia, 10.3% with menorrhagia, and 18.9% with inter-menstrual bleeding. But, the difference observed was not statistically significant. There is no statistically significant difference in the mean prolactin levels in AUB patients of different age groups and different BMI groups

Asymptomatic bacteriuria in pregnant women: a hospital based study

To study the incidence of bacteriuria during pregnancy with no presenting symptoms of UTI and to study the antimicrobial susceptibility pattern of the bacterial isolates. The study was conducted among 411 pregnant women [primi- or multigravida] on their first antenatal checkup visit in GMC hospital, Ajman over a period of one year. A structured questionnaire was administered to collect the demographic and health information from the subjects giving consent. The results of the laboratory investigations [bacteriuria, pus cells and culture sensitivity] were noted from the medical records. Bacteriuria was present in 48 [11.7%] cases, and 10 samples sent for culture sensitivity showed positive growth in 3 samples [30%]. Prevalence of culture positivity among patients with no bacteriuria, but showing presence of significant number of pus cells, was 22.2% [18/81]. Out of total 91 samples cultured, no growth was isolated in 70 samples on incubation. However, various gram positive and gram negative organisms were isolated from the remaining samples which showed variable sensitivity to different antibiotics. Asymptomatic bacteriuria among pregnant women suggests dormant urinary tract infection which might lead to complications such as low birth weight, hypertension and higher fetal mortality rates, if left untreated. It has been suggested that a urine culture should be obtained from all women during antenatal checkup even in the absence of UTI symptoms

unusual diagnosis for chest pain - Takotsubo cardiomyopathy: a case report

Takotsubo Cardiomyopathy or Stress Cardiomyopathy is non-ischaemic cardiomyopathy which mimics acute coronary syndrome [ACS]. It is becoming an increasingly reported condition, accounting for approximately 2% of all suspected cases of ACS. It is a well-recognized cause of acute heart failure, lethal ventricular arrhythmias, and ventricular rupture. Herein, we describe a patient who exhibited this syndrome and we review the existing literature on this condition and its associations. The case is about a 35 year old female who developed severe chest pain one hour following a normal vaginal deliver of twin babies. In view of her electrocardiogram and cardiac biomarkers, she was immediately diagnosed and managed as a case of ACS. But her subsequent investigations revealed a diagnosis of Takotsubo Cardiomyopathy. Her coronary angiography was normal and her echocardiogram which initially showed significant LV dysfunction improved drastically within a few weeks

Asymptomatic bacteriuria in pregnant women: a hospital based study

Objective: To study the incidence of bacteriuria during pregnancy with no presenting symptoms of UTI and to study the antimicrobial susceptibility pattern of the bacterial isolates

Materials and Methods: The study was conducted among 411 pregnant women [primi- or multigravida] on their first antenatal checkup visit in GMC hospital, Ajman over a period of one year. A structured questionnaire was administered to collect the demographic and health information from the subjects giving consent. The results of the laboratory investigations [bacteriuria, pus cells and culture sensitivity] were noted from the medical records

Result: Bacteriuria was present in 48 [11.7%] cases, and 10 samples sent for culture sensitivity showed positive growth in 3 samples [30%]. Prevalence of culture positivity among patients with no bacteriuria, but showing presence of significant number of pus cells, was 22.2% [18/81]. Out of total 91 samples cultured, no growth was isolated in 70 samples on incubation. However, various gram positive and gram negative organisms were isolated from the remaining samples which showed variable sensitivity to different antibiotics

Conclusion: Asymptomatic bacteriuria among pregnant women suggests dormant urinary tract infection which might lead to complications such as low birth weight, hypertension and higher fetal mortality rates, if left untreated. It has been suggested that a urine culture should be obtained from all women during antenatal checkup even in the absence of UTI symptoms