Frequency of ABO and RH blood groups in major ethnic groups and casts of Pakistan

To find out the frequency of ABO and RhD phenotypes in different ethnic groups and casts of Pakistan. Design: cross sectional descriptive study. Place and duration of Study: Combined Military Hospital Attock Punjab Pakistan from 1St Jan 2003 to 31 11 Dec 2003. Material and All healthy young adults reporting for recruitment in Armed Forces. Cast and sub cast were recorded. ABO grouping and Rhesus typing was done by slide method. Eight thousand three hundred seventy five young adults were screened. ABO blood group distribution in Arains was: A 25.6%, B 40.5%, AB 9.2%, O 24.7%. Awans: A 22%, B 31.7%, AB 9.9%, O 36.5%. Rajputs: A 23%, B 33.2%, AB 8.8%, O 35.1%. Misc Punjabi sub casts: A 23.6%, B 33.2%, AB 7.5%, O 35.7%. Balochs: A 23.3%, B 27.9%, AB 7.8%, O 40.9%. Sindhis: A 24.9%, B 31.8%, AB 6.9%, O 36.5%. Kashmiris: A 23.7%, B 32.5%, AB 10.2%, O 33.6%. Pathans: A 24.3%, B 31.4%, AB 8.9%, O 35.4% Rh-D negative [n=749] blood group in Araeens 8.3%, Awans 10.4%, Rajputs 8.5%, Misc Punjabi sub casts 8.8%, Balochs 7.8%, Sindhis 8.7%, Kashmiris 10.9% and Pathans 7.7%. There is no statistically significant difference of ABO and Rh-D distribution among various ethnic groups, O is the most common blood group except in Arains where B is the most common and O is less common

Vaginal birth after caesarean section [VBAC]

Aims and To find out the rate of vaginal delivery after one caesarean section Study Design: Non-interventional, descriptive study Study Setting: Department of Obstetrics and Gynaecology, Allama Iqbal Medical College and Jinnah Hospital, Lahore. Materials and A trial of vaginal delivery was carried out on 100 patients with previous one caesarean section. Selection criteria were subjects with normal pregnancy, adequate maternal pelvic dimensions vertex presentation and spontaneous onset of labour with previous one uncomplicated LSCS. Patients with classical caesarean section, medical complications, multiple pregnancy, IUGR, placenta previa and extensive myomectomy were excluded from the study. Informed consent was taken from all patients; trail of scar was given with vigilance. Maternal and fetal monitoring was carried out with facility of operation theatre, anaesthesia and paediatrician. Majority of patients was between 20-24 years of age. 58% of the patients were primipara. Successful vaginal delivery was achieved in 72% and rate of repeat section was 28%. Leading indications for repeat section were failure to progress, [50%], fetal distress [28.5%] and scar tenderness [21.43%]. No maternal and fetal mortality occurred. Trial of scar after one LSCS should be encouraged with vigilant monitoring provided no obstetric contraindication exists

Internal audit of use of blood and blood products issued by Armed Forces Institute Of Transfusion

We evaluated the use of blood and blood products supplied by this Institute during January 1993 to December 1993, by different military and civilian hospitals. 35315 units of blood and blood products were transfused. Fresh frozen plasma constituted 26% and platelet concentrates 19% of the total issue. Total wastage in the form of red cell concentration which was crossmatched but not later asked for issue made 30% of the total demands. The maximum use of blood was to correct nutritional anaemias, thalassaemia major and anaemia of pregnancy. Cirrhosis liver was the primary indication for fresh frozen plasma. Platelet concentrates were maximally used for haematological malignancies and cryoprecipitate for Factor VIM deficiency