Association of pelvic tuberculosis with tubal factor infertility.

Tubal block is a common cause of infertility. Therefore Laparoscopy or Hysterosalphingoraphy or Hydrosonosalphingography are accepted methods for diagnosis of tubal block. Genital tuberculosis has a world wide distribution, more common in developing countries. Tubal block is the sequel of that disease. This prospective study by determination of Acid Fast Bacilli (AFB) in the endometrium of infertility patients was carried out in 60 patients at the Infertility unit, department of Obstetrics & Gynecology Bangabandhu Sheikh Mujib Medical University (BSMMU) during January 2005 to December 2006. In this study AFB positive in endometrium was in 14(46.7%) cases and 4(13.3%) in control. Out of 30 cases 60% had primary sub-fertility and 40% had secondary sub fertility. Most common tubal pathology was adhesion in 11(36%) cases. Others were beaded and tortuous in 8(26.7%) and hydrosalphix in 6(20%) and tube was dilated in 2(6.7%) cases. There were bilateral tubal block in 18(60%) and unilateral tubal block in 12 (40%) cases.

Induction of labor by intracervical prostaglandin gel and oxytocin infusion in primigravid women with unfavorable cervix.

The rate of Cesarean Section for failed induction of labor and maternal and fetal compilations are high when labor is induced in a nulliparas women with an unripe cervix by amniotomy and oxytocin infusion. Prostaglandins (PG) in different forms have been used for ripening the cervix with an aim of reducing these problems. A prospective randomized trial was performed on one hundred primigravid women between 37 and 42 weeks of gestation with singleton pregnancy, cephalic presentation and unfavorable cervix (Modified Bishop Score < or = 5) in the department of Obstetrics & Gynaecology of Institute of Postgraduate Medicine & Research from 1st May 1996 to 30th April 1997. In this study the efficiency of prostaglandin E2 intracervical (PGE2 IC) gel in induction of labor in a group of primigravid women with unripe cervix was assessed and compared with another group with similar characteristics using oxytocin infusion and artificial rupture of membrane (ARM). The Modified Bishop Score (MBS), interval between IOL and onset of labor and the duration of labor after insertion of PGE2 gel was significantly different from those of oxytocin infusion group. But the Apgar Score at 1 & 5 min had shown no statistically significant difference. Any significant difference could also not be detected in the mode of delivery between the two induction group. The proportion of emergency Cesarean Section (CS) was high in the oxytocin infusion group than that of in the prostaglandin group. There was also no significant difference regarding the acceptability of both the induction methods.