RESUMO
Objective: To determine the frequency and the risk factors of hepatitis C virus in pregnant women at i Al-Tibri Medical College and Hospital in Gadap Town Karachi
Mhods: This was a descriptive cross sectional study conducted at Obstetrics a Gynecology OPD of Al-Tibri Medical College a Hospital, Isra University Karachi Campus from 10th June to 10th September 2016. A total of 400 pregnant women of 16-45 years of age, who came in outpatient department for antenatal checkup were selected for the study. The diagnosed cases of Hepatitis C were excluded from the study. Detailed history including age, parity, risk factor like history of transfusion, previous surgeries, vaginal deliveries was taken and relevant examination was performed. Patients on routine antenatal investigation if found to have Anti HCV positive on Immunochromatography Test [ICT] method were further confirmed by Elisa. A well designed proforma was used for data collection
Results: During the period of 3 months 400 women in antenatal clinic were tested for hepatitis C, out of which 27 [6.6%] were positive for HCV antibodies. The age of the women included ranges from 16-45 years. Thirteen [7.9%] pregnant women having HCV +ve antibodies fell in 26-30 years of age group. From 27 HCV +ve patients, 19 [70.3%] were multigravida a 8 [29.6%] were primigravida. Majority of the patients [77%] had history of injections
Conclusion: There is high prevalence of Hepatitis C infection among pregnant female in our setup. The possible risk factors are injection, blood transfusion and surgery
Assuntos
Humanos , Feminino , Adulto , Hepacivirus , Fatores de Risco , Gestantes , Estudos Transversais , GravidezRESUMO
Objective: To observe the effect of iron sucrose complex [Inj Venofer] in pregnant women; suffering from iron deficiency anemia
Study Design: Interventional retrospective study
Place and duration: The study was conducted at Al Tibri Medical College and Hospital, Isra University Karachi Campus and in Private practice from 1[st] April 2013 till 30[th]September 2013
Methodology: Study was carried out on 50 pregnant patients with gestational age of 28 - 32 weeks having iron deficiency anemia.The calculated total dose of iron sucrose was given to patient in infusion form to replenish the Haemoglobin status and iron stores. Hb Level, Red cell indices [MCV, MCH and MCHC] and Serum Ferritin level were performed before starting the therapy on which it was diagnosed and then 3 weeks after completion of therapy. Side effects of the therapy were also observed
Result: Among 50 women included in the study; no patient had any severe reaction. Mean duration of therapy was 3 + 0.7 weeks. After completion of iron sucrose infusion therapy the Hb% level rose to mean 11.2 gm/dl, mean MCV 86.6fL, mean MCH 31.6 pg/cell, mean MCHC 35.6 gm/dl and the value of mean Serum Ferritin level was 128.2ng/ml. In all enrolled pregnant women the differences in values were significant
Conclusion: The Intravenous Iron sucrose complex shows a rapid rise in the haemoglobin level and iron stores up to satisfactory levels in pregnancy and lactation
RESUMO
To analyze the late complications in patients undergoing tubal ligation by Pomeroy method. Descriptive case series. Family Health Hospital [Family Planning Association of Pakistan] and private clinics at Karachi, from January 2010 to January 2011. This study was done on women who underwent tubal ligation by Pomeroy method. Procedure was done under local anaesthesia. Mid portion of each tube was cut and ligated in the form of loop or knuckle. These patients subsequently came for follow-up for up to 2 years. The women with gynaecological complaints were considered for this study. This study was carried out on 300 women. Main complaints at follow up were heaviness in perineal region, chronic pelvic pain, depression [premenstrual syndrome] and intermenstrual bleeding. Complaints of minor nature were reported and easily managed. The procedure of sterilization was a safe and highly effective