Male contraception; knowledge, attitude and practice among male population of Hansra Basti Bahawalpur

To determine the knowledge and practice regarding male contraceptive methods among married male population of Hansra basti Bahawalpur, Pakistan. This observational [Descriptive] cross sectional study was carried out at Hansra Basti Bahawalpur from May 2011, to June 2011. A total of 100 married males were selected by simple random sampling. Data was collected by pre-designed, pre-tested, questionnaire to collect the information from study population. An interview was conducted at respondents' house in local language. Privacy was ensured. About 82% have knowledge about any of the male contraceptive methods and out of those 18% were practicing any one of the family planning methods. Condom [Barrier] was most used method [77.7%] followed by the traditional methods i.e abstinence [27.7%] and coitus interrupts [11.11%] where as result regarding vasectomy was nil. Source of knowledge mainly was media [44%] followed by through health professional [30%], wife [25%] and friends [21%]. In present setting men have good knowledge of male contraceptive methods. However very small number is practicing the contraceptive measures

study to determine risk factors for abruptio placentae in pregnant women attending B.V. hospital Bahawalpur

To identify the risk factors responsible for abruptio placentae and to suggest measures for its prevention. Case Control Analytical [observational] study. Department of Obstetrics and Gynaecology Unit-I, Bahawal Victoria Hospital, Bahawalpur. Fifty cases of abruptio placentae were selected from emergency department of Bahawal Victoria Hospital Bahawalpur on the basis of history, clinical examination and ultrasonography. Five risk factors [age, parity, hypertension, previous history of abruption and pre mature rupture of membranes] were included in this study. Fifty controls for each risk factor were selected after matching. The condition was more prevalent among women of older age [70%], grand multipara [62%], hypertensives [52%], prior abruption [24%] and patients with pre mature rupture of membranes [06%]. It was concluded that the complications due to these risk factors are preventable if they are identified in time in order to modify behaviors pre-conceptionally or during delivery

Risk factors for preterm labour

To identify most common risk factors related with preterm labour existing in the study area and to recommend some suggestions for preventive measures in high risk patients. It was a case control [analytical-observational] study. Department of Obstetrics and Gynaecology Unit-I, Bahawal Victoria Hospital, Bahawalpur. From 16[th] April 2005 to 16t October 2005. Fifty eligible consecutive cases and 250 matched controls were selected by purposive sampling technique. Results revealed that preterm labour was more prevalent in patients with previous history of preterm labour or second trimester miscarriages with odds ratio 4.3. Preterm labour was associated with bacterial vagenosis and cervical incompetence with odds ratio 18.6 and 3.4 respectively. Twin pregnancies and anaemia were also significant factors for preterm labour with odds ratio 4.7 and 2.6 respectively. Previous preterm labour, second trimester miscarriages, bacterial vagenosis, twin pregnancies and anaemia proved to be risk factors for preterm labour

Placenta previa; a study to determine responsible factors

To determine the factors suspected to be associated with placenta praevia. It was a case control analytical study. Department of Obstetrics and Gynaecology Unit-I, Bahawal Victoria Hospital, Bahawalpur. This study was conducted from 13th August 2004 to 12th February 2005. 50 cases of placenta praevia was selected on the basis of ultrasonography from out patients, emergency and indoor patients. 250 controls were taken [50 for each variable i.e. age, parity, previous history of caesarean section, smoking and previous history of placenta previa] and were divided into 5 groups after matching. The study revealed that placenta praevia was more prevalent in elderly patients [72%], grand multiparas [68%] in patient with history of previous caesarean deliveries [52%] and in patients who smoked [30%] but this study did not identify previous history of placenta praevia [44%] as a risk factor for subsequent pregnancies. It was concluded that maternal and fetal mortality can be reduced by identifying high risk patients [in whom any of above mentioned risk factors were present] and educating them for care about next pregnancy

Job satisfaction among doctors working at teaching hospital of Bahawalpur, Pakistan

Doctor's profession has long been among one of the most attractive professions in Pakistani society, but doctors are increasingly getting dissatisfied with their jobs. The focus of this study is to point out the most prominent factors of job dissatisfaction among doctors working at Bahawal-Victoria Hospital/Quaid-e-Azam Medical College, Bahawalpur. A questionnaire was mailed to a random sample of 60 out of 244 doctors working at Bahawal-Victoria Hospital/Quaid-e-Azam Medical College, Bahawalpur. Questions included satisfaction with respect to designation, income, service structure, career prospects etc. Overall 56% doctors were not satisfied with the level of their income. It is found that 92% of all the doctors were neither satisfied with the present service structure nor with the career prospects in Pakistan. Further, 78% of the doctors would like to serve abroad. Main factors contributing towards job satisfaction were designation and working environment whereas service structure turned out to be the source of dissatisfaction. Most of the doctors in all ranks and with different qualifications were not found satisfied with their job due to lack of proper service structure and low salaries

Factors associated with breech delivery at term

To assess the various factors associated with breech delivery at term. Case control study. Apr 2004 to Sep 2004 Department of Obstetrics and Gynaecology unit-I, Bahawal Victoria Hospital Bahawalpur. This case control study was carried out in women with the age group 2040 years. Various risk factors [Parity, multiple pregnancy, placenta Previa, amount of liquor and congenital abnormalities] associated with breech [50 cases] at term [37-42 completed weeks] were compared with vertex [50 controls] after matching. Different factors associated with breech were oligohydramnios 44% vs control group, placenta previa 34% vs control group, primiparity 46% vs control group, multiple pregnancy 14% vs control group and congenital abnormalities 18% vs control group. Our study concluded that factors associated with breech delivery were oligohydramnios, placenta previa, multiparty, multiple pregnancy and congenital abnormalities

study to determine the risks associated with grand multiparity

The aim of the study was to determine various risk factors associated with grand mutiparity. Department of Obstetrics and Gynaecology Unit-I, Bahawal Victoria Hospital, Bahawalpur. It was a case control [analytical] study. It included all pregnant women having more than five children attending antenatal clinic at Bahawal Victoria Hospital, Bahawalpur. This study was conducted on hundred subjects. A total five hundred controls were selected after matching. Purposive partum haemorrhage, pregnancy induced hypertension and mal presentation. Data was collected through predesigned pro-forma. Analysis revealed that 82% of the cases were anaemic as compared to controls where anemia was prevalent in 25% of the subjects. Post-partum haemorrhage, anti-partum haemorrhage, pregnancy induced hypertension and malpresentation were observed 15% vs 4%, 12% vs 3%, 14% vs 4%, 10% vs 2% in cases and controls. Grand multipara are the women with high rate of complications