Choice of contraception; are women aware and independent about their, a study conducted at Kasur

To observe the relationship of parity with awareness and liberty of use of contraception among married women. Descriptive study. 1.02.2014 to 30.09.2014. Department of Obstetrics and Gynecology, Bhatti International Hospital, Affiliated Central Park Medical College, LHR. All Primipara and multipara women delivering at Bhatti Hospital were included. The women opting for permanentmethod [Tubal Ligation] were excluded. A total of 100 women participated in the study. P1=44, P2-7=56, and out of total 100 women only 50 [50%] had simple awareness about contraception. Only 27% [all of group 2 i.e P2-7] had used some form of contraception. Among Group 2, 30% used Barrier [male condoms], 7% withdrawal, IUCD 5%, Pills 3%, Injections1%. Multipara were more aware than primiparas with p value 0.043[significant].Both groups were equally dependent on their husbandsand/or in laws directly or indirectly about their decision andchoice of contraception with p value 0.49 [not significant].The decision of contraceptives use depended on couples 36%, Only Husbands 34%,only women 27% and in laws 3%.The Group 2 had a low tendency to use contraception despite a general expectation with p value 0.36 [not significant] indicating that the probability of use in Group 2 was not very high. Both men and women need to be aware of the benefits of contraception and women's role in contraception decision making is still low in Pakistan

Uterovaginal prolapse; use of autologous rectus sheath to repair a good choice needing more follow-up

To follow post-op patients after autologous rectus sheath repair of utero-vaginal prolapsed.Observational study. Services Hospitals, SIMS, LHR and Bhatti International Hospital, Central Park Medical College LHR. 2008-2012. Pts from 28to38 yrs of age with utero-vaginal prolapse were selected. Due to their younger age group uterus retaining procedure was planned whether they had completed their family or not ,So autologous rectus sheath graft was used with abdominal approach to suspend the uterus along with plication of round ligament These patients were then observed for immediate post op complications and 6 months onwards follow up was also noted. 10 pts were included in the study. Only one pt had dysurea and 1 pt had 1st Degree cystocele on discharge. Long term follow up showed that 2 pts had 1st degree cystocele and only 1 pt had 1st degree uterovaginal prolapse. An easier procedure for utero-vaginal prolapse that can be easily performed in a regular hospital set-up without the need of Laparoscope, mesh or high surgical expertise

Vaginal birth after caesarean section; to evaluate factors for successful out come

Vaginal birth after caesarean section is currently the preferred method of delivery for pregnant women who had previous one lower segment caesarean section. This common practice warrants some reconsideration in light of recent clinical data on the risks associated with VBAC To evaluate conditions which can achieve successful vaginal birth after one caesarean section. Cross-sectional analytic study. Department of Obstetrics and Gynaecology, Unit-l, Services Hospital, Lahore. Study was carried out over a period of six months from 08-06-2006 to 07-12-2006. One hundred pregnant women meeting inclusion criteria were included. During trial of labour patients were closely monitored by vital signs, fetal cardiac activity, lower abdominal pain and tenderness, fetal distress, vaginal bleeding and loss of presenting part. Mean age of the patients was 34.27 + 6.45. According to distribution of cases by parity, maximum number i.e 64 [64.0%] was P 3-6.79 patients [79.0%] had prior vaginal delivery. Maximum 41.0% patients were due to fetal distress while in 28% indication for previous caesarean were breech presentation. In 71% patient membranes were intact while 29.0% patients presented with per vaginal leaking. 51.0% had dilatation between 3-4cm. VBAC was more successful in patients 58.0% with favourable Bishop score. BMI <20, prior vaginal delivery, non-recurrent indication for previous caesarean, spontaneous onset of labour, cervical dilatation or favourable Bishop score, weight of baby < 3.5kg predict an individual's likelihood of successful VBAC