RESUMEN
Objective: to assess the presence of Postnatal Depression in middle class Pakistani women
Material and Methods: this observational study was conducted in department of Gynecology and Obstetrics Hameed Latif Hospital, Lahore from 1st November 2009 to 31st October, 2010.Women between the age of 20 to 40 presenting to the obstetrical unit for simple vaginal delivery and caesarian section were included and were observed for 40 post-natal days. Any woman with co-morbid factors such as diabetes mellitus and hypertension were excluded from the study. The Edinburgh post-natal depression scale was used to assess and identify postnatal depression
Results: 250 women belonging to middle or upper social class were studied. 94 [38%] were identified with post-natal depression. 5 needed referral to a psychiatrist; the rest responded to counseling and support. Educational level had a direct bearing on the condition. Most women had never heard of post-natal depression
Conclusion: post-natal depression affects a significant number of Pakistani women but is not recognized; there needs to be better education of women in general and obstetricians in particular to manage this condition
RESUMEN
Objective: To compare the rate of rise of caesarean section, to know the factors which are responsible for this rise and what measures can be done to decrease its rate
Study Design: [1] A retrospective study [2] Two cycle of audit were conducted
Method: Case records of all women that underwent caesarean section in the Department of Obstetrics and Gynaecology, Shaikh Zayed Federal Postgraduate Medical Institute and Hospital, Lahore, from 1[st] January 1994 and second from January 2008 to December 2008 was collected on the basis of age, parity, booking status, gestational age, onset of labour and level of urgency of caesarean section
Results: Two cycle audit were conducted. In first from January 1994 to December 1994 total number of deliveries were 1685 and caesarean section rate was 27%, in second from January 2008 to December 2008 total number of deliveries 2167 and caesarean section rate was 42.6%. Analysis shows that caesarean section rate is increased in present practice
Conclusion: The result of our study shows that there is 15% increase in caesarean section rate was compared to 14 years back which is ideally not beneficial for long term interest of patients. So the all possible effort should be made to bring down the caesarean section rate without compromising the well being of mother and fetus