Placenta previa and correlation with scarred uterus

Placenta previa refers to placenta that is situated wholly or partially in the lower uterine segment. Placenta previa is an obstetric complication that may cause serious morbidity and mortality to both fetus and mother. To determine the frequency of placenta previa among patients with scarred and unscarred uterus. To list the complications associated with placenta previa in patients with scarred and unscarred uterus. Cross sectional descriptive study for six months from 25.08.05 to 24.02.06. It was carried out in the department of obstetrics and gynaecology, Jinnah Hospital, Lahore. Total 50 women having placenta previa were enrolled. The frequency of placenta previa in scarred and unscarred uterus and its complications were studied. The study showed that out of 50 cases of placenta previa, 44% of the women were more than 30 years of age and 76% of the women were in 3rd. and higher gravida group. 44% of the women had uterine scar. There was not significant difference in the complications associated with placenta previa in scarred or unscarred uterus except for morbidly adherent placenta, which was seen in 72.73% of cases having scarred uterus as compared to 27.27% of cases having unscarred uterus. The clinical outcomes of placenta previa are highly variable and cannot be predicted confidently from antenatal events. Nonetheless, in the majority of cases without bleeding, outpatient management would appear safe and appropriate irrespective of the degree of placenta previa

Pregnancy induced rhinitis

Objective of this prospective study was to evaluate the occurrence of nasal congestion during pregnancy. Nasal congestion during pregnancy in 54 patients was evaluated at 12, 20, 28 and 36 weeks and was correlated to age, parity and body mass index. Results were recorded on the basis of subjective experience of patients. The prevalence of nasal congestion increased during pregnancy and occurred in 16% of women at 12 weeks of gestation, in 25% at 20 weeks, in 29% at 28 weeks and in 30% at 36 weeks. It was more common in multiparous women. Age and body mass index were not associated with nasal stuffiness. More than half of the patients reported nasal congestion for more than two weeks during pregnancy. Nasal congestion should be recognized and referred for treatment to improve the quality of pregnancy

Experience with pelvic masses following hysterectomy for benign diseases

This observational analytic study was carried out in gynae unit II, Jinnah Hospital, Lahore from January 2001 - Dec 2003 to evaluate nature, clinical presentation and treatment of pelvic masses which appear after hysterectomy. The ages of patients ranged from 30-65 years. In a total of 43 cases, 34 [79.1%] patients were operated abdominally and 9 [20.9%] patients underwent vaginal hysterectomy at least 1 year ago. Nine [20.9%] patients had lost operation record so ovarian conservation or removal could not be ascertained. According to sonographic appearance 24 [55.8%] patients had simple unilocular cyst, 8 [18.6%] had complex mass and 11 [25.6%] presented with solid mass. Eleven [22.58%] patients were managed conservatively with spontaneous resolution. Twelve [27.9%] patients were treated with USS guided aspiration. Nineteen [44.18] patients with complex and solid masses were managed surgically. Masses were benign/malignant ovarian tumours, hydrosalpinx, fluid loculation with bowel, retroperitoneal tumours and broad ligament cyst. Among these 19 patients two sustained small bowel injury intraoperatively. Postoperative complications of wound included infection in two and deep vain thrombosis in one patient

Septic induced abortion- the prevalence, logics and complications

This study was conducted at Jinnah Hospital, Lahore during the period of one year from January 2003 to December 2003. The purpose of the study was: to determine the prevalence of the problem in gynaecological patients, to identify the reasons for seeking abortion, and lastly to assess the range of complications. Out of 6036 gynaecological patients, 102 [1.69%] were presented with a septic induced abortion. Among these, 68 patients [66.6%] had more than 3 children, 10 women [9.8%] were unmarried, 12 patients [11.76%] had contraceptive failure, whereas 22 women [21.57%] were totally unaware of the contraceptive measures. Fifteen patients [14.7%] were cured by medical treatment, 63 [61.7%] required evacuation and curettage for retained product of conception, whereas 24 patients [23.5%] required laparotomy and one necessitated hysterectomy for irrepairable damage for the uterus. The common reason was found to be the lack of adequate contraceptive awareness