Health needs and eHealth readiness assessment of health care organizations in Kabul and Bamyan, Afghanistan

This study assessed the need and readiness of health care institutions in Kabul and Bamyan, Afghanistan for successful implementation of information and communication technology in health care [eHealth]. A mixed methods design was adopted at 2 institutions in the Aga Khan Development Network in Afghanistan: the French Medical Institute for Children in Kabul and Bamyan Provincial Hospital, Bamyan. Information for the needs assessment was obtained from interviews and focus groups and eHealth readiness was assessed using a validated survey tool. The needs of institutions in the Aga Khan Development Network in Afghanistan were categorized as follows: provision of care needs; learning needs; and information management needs. eHealth readiness on average was lower in Bamyan compared with Kabul in all areas of the readiness assessment. Other institutions in Afghanistan may benefit from adopting the model of needs and readiness assessment used for Aga Khan Development Network institutions

Fetal and maternal out come in eclampsia

To Study the fetal and maternal complication of patient developed eclampsia. Prospective study. Department of Obs. and Gynae Lahore General Hospital Lahore. This Study way conducted from Aug 04 to Aug 05. All the patients presenting with eclampsia to the labor ward were included in study. A total of 3850admission were made in labour word. During Period and out of them 58 Cases were of eclampsia out of them 20 were Primigravida 22 multi gravida and 16 grand multi gravida. Out 58 patients 31 patient developed the complication of eclampsia, 15, IUGR., 6 abruptio Placenta, 4 PPH, 4 Pulmonary edema and 2 Cerebral in Farcts. Among the new born prematurity was found to be major cause of Perinatal mortality. Eclampsia is a dreadful complication of Preeclampsia associated with high perinatal and maternal mortality. An improvement in pre-natal consultation should make it possible to reduce its incidence

Comparison of maternal complication in elective Vs. Emergency caesarean section

To compare the maternal complication in elective vs emergency caesarean section. Prospective study. Department of Obstetrics and Gynaecology, Lahore General Hospital, The study was conducted from August 2004 to August 2005. During this period all women underwent elective or emergency caesarean section included. A total of 920 caesarean sections were performed, 770 were emergency and 150 were elective. Intraoperative and postoperative complications were 76, 70 in emergency and 6 in elective group. Postoperative complications were 120, 110 in emergency and 10 in elective cases. In emergency caesarean section maternal mortality and morbidity is high

Frequency of placenta praevia with previous caesarean section

Two hundred Cases of Previous Caesarean Sections were Studied. 130 were associated with Placenta previa. The aim of Study was to evaluate the frequency of Placenta previa with Previous Caesarean Section. Out of 130 Patients 73% were Symptomatic and 27% were asymptomatic. The most Common ante-natal Complications were anemia 40% and repeated Warning haemorrhages 64%. Out of 130 Patients 35 Patients had Previous one Caesarean Section 27%, 80 Patient had Previous two Caesarean Section 61.5% and 15 Patients had Previous three Caesarean Section 11.5%

Spontaneous recovery from depression in women: a qualitative study of vulnerabilities, strenngths and resources

To gain insight into the perceived vulnerability and restitution factors for anxiety/or depression. Focus group discussion of seven married women recovered spontaneously from anxiety and/or depression, belonging to a lower middle class semi-urban community of Karachi. Poverty, unemployment, abuse and on going difficulties were perceived as risk factors for depression, A reliable social support system, positive thinking approach, faith, prayers, and experiencing a "turning point" event were reported as factors that promoted recovery from anxiety and/or depression. Individual vulnerabilities, strengths and resources can have an important role in recovery from anxiety and/or depression in women

Complications of multiple gestation

A Total of selected 50 Patients with Multiple Pregnancy were Studied. The aim of the study was to see the complications of multiple gestation. It was concluded from the results that most common complication is Preterm labour [54%] anemia [38%] Pregnancy induced hypertension [32%] Preterm Premature rupture of membranes [12%] and antepartum haemmorhge in [6%]. Fetal Complications were prematurity and low birth weight

problems of first time expectant and recent fathers

Two hundred and fifty two first time expectant and recent fathers were interviewed to assess the prevalence of stress related disorder associated with the pregnancy of their wives. Eighty percent fathers manifested stress related behaviours. Out of them 93% were worried about increased financial responsibility, 80% about higher expectation of wife, 72% about the change in wife's physique, 64% about wife's attention being diverted to child 48% about theor out-door activities being curtailed and 40% thought that being a father would mean that they no longer belonged to younger generation. Based on these findings, it is suggested that expected fathers should be provided with counselling services to solve their problems