Uterine rupture; four years experience on seventy four cases in secondary care hospital

To determine frequency and to identify social, demographic and obstetrical causes of rupture uterus in Bagh Azad Jamu Kashmir and to define appropriate recommendations for its prevention and effective management. A descriptive case series study. DHQ Hospital Bagh at AJK. 1[st] September 2008 to 30[th] September 2012 was done. Data was entered on pre-design preform included age, parity, booked or un-booked cases, time delay to reach hospital and etiological factors. Incidence of rupture uterus is 1:185 deliveries. Mostly occurred in grand multipara and injudious use of syntocinon and neglected labor are most common cause. Skilled birth attendant, free transportation and avoidance of undue use of syntocinon in peripheral health center are key element for better maternal outcome

To compare the frequency of PPH in patients given tranexamic acid versus control group in third stage of Labour

Obstetrical haemorrhage is the leading cause of maternal mortality, most commonly occurring in post partum period. Each year worldwide 530,000 die from causes related to pregnancy and childbirth. Post partum haemorrhage is a common and occasionally life threatening complication of labour and is mostly due to uterine atony, which is a failure of uterus to properly contract after the child is born. Consequently, bleeding from the blood vessels in the uterus is not controlled

Objectives: To compare the frequency of post partum haemorrhage in patients given tranexamic acid with active management of third stage of labour versus the control group given active management of third stage of labour alone

Methodology: A randomized controlled trial study carried out in the Department of Obstetrics and Gynaecology Unit-II, Sir Ganga Ram Hospital, Lahore. Total 420 patients were selected, 120 cases who received active management of third stage of labour with 1 gram injection of tranexamic acid and 120 controls who received active management alone

Results: Patients were divided in two groups with 210 patients in each group. As compared to active management of third stage of labour alone addition of tranexamic acid was associated with a significant reduction in frequency of post partum haemorrhage [PPH] and amount of blood loss. Frequency of PPH was 7.1% in control group and 2.4% in tranexamic acid group

Conclusion: It is concluded that adding tranexmic acid to the active management of third stage of labour is an efficient and safe method of reducing post partum haemorrhage

Menstrual abnormalities after tubal sterilization

To ascertain the menstrual abnormalities after tubal sterilization. Prospective cross-sectional study. All women aged 30 to 40 were selected from low income urban population at Quetta, with a body wt between 50 to 90 kg, who have undergone tubal ligation at Gynea unit III Sandeman Provincial Hospital, Quetta. This cross sectional prospective study has been carried out on 200 women at unit III Department of Obstetric and Gynecology, Sandman Provincial Hospital, Quetta during 1[st] June 2006 - 31 July 2007, to assess the effect of tubal ligation [sterilization] on the menstrual cycle. Two hundred healthy women under the coverage of the hospital family planning centre were selected randomly and all were assessed for the menstrual irregularities after tubal ligation. The menstrual abnormalities were significantly different between two age groups [35-36 and 38-40]. Tubal sterilization does cause menstrual irregularities

Frequency of risk factors for hepatitis-B surface antigen positive patients in a hospital setting

Identification and relative significance of various risk factors for hepatitis-B infection. This prospective study was carried out in District Head Quarter Hospital Mastung, Periphery of Balochistan, from May 2004 to September 2005. Hundred patients were included in the study. They were screened for hepatitis-B surface antigen. A proforma along with its questionnaire was filled in for every patient who was found to be HBsAg Positive and at the end we came to conclusion regarding the modes of transmission of hepatitis-B. In these patients 78 were male and 22 were female, ranging from 14 to 70 years of age group. The pattern of various risk factors for hepatitis-B surface antigen was and; follows. Repeated use of un-sterilized razors and blades 62%, repeated use of disposable syringes 60%, blood transfusion 11%, sexual transmission 18%, Hemodialysis 5%, tattooing 3% surgical procedures 2%, accidental needle prick 2%. We concluded that there are; some additional risk factors for transmission of hepatitis B in this part of World. These include un-sterilized syringes and surgical instruments used by unskilled health workers and quacks in periphery, repeated use of un-sterilized razors and blades and Tattooing with contaminated needles

Frequency of risk factors for hepatitis-B surface antigen positive patients in a hospital setting

Identification and relative significance of various risk factors for hepatitis-B infection. This prospective study was carried out in District Head Quarter Hospital Mastung, Periphery of Balochistan, from May 2004 to September 2005. Hundred patients were included in the study. They were screened for hepatitis-B surface antigen. A proforma along with its questionnaire was filled in for every patient who was found to be HBsAg Positive and at the end we came to conclusion regarding the modes of transmission of hepatitis-B. In these patients 78 were male and 22 were female, ranging from 14 to 70 years of age group. The pattern of various risk factors for hepatitis-B surface antigen was a follows. Repeated use of un-sterilized razors and blades 62%, repeated use of disposable syringes 60%, blood transfusion 11%, sexual transmission 18%, Hemodialysis 5%, tattooing 3%, surgical procedures 2%, accidental needle prick 2%. We concluded that there are some additional risk factors for transmission of hepatitis-B in this part of World. These include un-sterilized syringes and surgical instruments used by unskilled health workers and quacks in periphery, repeated use of un-sterilized razors and blades and Tattooing with contaminated needles

Repair of vesico-vaginal fistula absorbable versus non absorbable suture

In the repair of Vesico-Vaginal fistula absorbable and non-absorbable suture material has been compared in 38 cases after random selection during 3 year period ending January, 1988. Absorbable suture [catgut 00] was used in 19 cases and non-absorbable suture [prolene 00] in other 19 cases; all other factors being identical in both the groups. There were four failures in the first group [success rate 78%] and one failure in the second group [success rate 95%]. The purpose of the study was to establish the effectiveness of non-absorbable suture material in VVF repair due to the fact that it causes less tissue reaction and better wound healing. There have been no comparable studies