RESUMO
To determine the maternal factors associated with low birth weight babies in women age of 15-35 years. Case control study. This study was carried out in the department of gynecology and obstetrics, Isra University Hospital [IUH] Hyderabad, Sindh from 02-05-2009 to 02-11-2009. Total 200 women were included in the study.100 as cases and 100 as control. Mothers aged 15-35 years, who deliver live or dead singleton baby through vaginal delivery or cesarean section after 37 week of gestation were included in the study while others who have delivered newborn with congenital abnormalities, had multiple pregnancy or known chronic illness [hypertension, tuberculosis, diabetes mellitus] were excluded from the study. The mean +/- SD of maternal age [years] in cases was26.40 +/- 4.77 and controls was 26.23 +/- 4.36 with P-value 0.739. The mean +/- SD of maternal weight [Kg] in cases was 53.13 +/- 8.93 and in controls was 64.97 +/- 13.72 with P-value < 0.001. Maternal history of smoking and anemia had significant association with low birth weight with P-Value of 0.005 and <0.001 respectively. It was concluded from our study that malnutrition, anemia, short stature like under weight and height are important risk factors for low birth weight
RESUMO
Sub-fertility is inability to ensure child bearing when it is wanted. Prevalence of sub-fertility in industrialised countries has been quoted as 20%, and seems to be on the rise. Traditional way to assess the uterine cavity, tubal structure and tubal patency was hysterosalpingography but it has now been largely superseded by laparoscopy and hysteroscopy. The objective of this study was to highlight the role of laparoscopy in establishing diagnosis of female infertility. This descriptive study was conducted in Gynaecology Unit of Liaquat University of Medical Health Sciences, Hyderabad, Pakistan from 28[th] August 2000 to 1[st] July 2001. Total 200 sub-fertile patients attended the gynaecology OPD. Out of these 30 patients were selected for laparoscopy and dye test who were suspected cases of endometriosis, abnormal HSG and unexplained infertility. Those patients who had medical disorders and contraindication for laparoscopy were excluded from study. Detailed history of every patient was recorded on a proforma and physical examination was performed. Laparoscopy was scheduled in proliferative phase of menstrual cycle. Data were analysed using SPSS 11. Frequency and percentages were calculated to describe the results. Out of 200 sub-fertile patients total 30 patients were selected for laparoscopy. Twenty [66%] patients were in primary infertility group while 10 [33%] patients were in secondary infertility group. Eleven [55%] patients of primary infertility belong to age group of 18-25 years while 6[60%] patients of secondary infertility belong to age group of 26-33 years [TABLE 1]. Mean duration of sub fertility at time of presentation in primary infertility group was 1.95 years while in secondary infertility was 2.70 years [Table 2]. In primary infertility group main associated symptoms were dysmenorrhoeal in 8 [40%], irregular cycles 5 [25%], and dyspareunia in 4 [20%]. In secondary infertility group 3 [30%] patients had dysmenorrhoeal and dyspareunia while 2 [20%] had irregular cycles. The commonest cause observed in patients with primary infertility was endometriosis spots which accounted for 11 [55%]. In secondary infertility tubal occlusion was more common which accounted for 3 [30%]. Laparoscopic procedures are less invasive, more convenient and more precise for diagnosis of sub-fertility in women