Feedforward interview technique in obstetrics and gynaecology residents: a fact or fallacy

To determine the role of Feedforward Interview [FFI] technique in motivating residents of Obstetrics and Gynaecology for better learning and performance. An explorative study with mixed method approach being employed. Department of Obstetrics and Gynaecology, Sandeman [Provincial] Hospital, Quetta, from November 2010 till May 2013. Feedforward interview technique was complimented by survey questionnaire employing similar philosophy of FFI to triangulate data through two methods. Survey questionnaire was filled-up by 21 residents and analysed by SPSS version 17. Fourteen of these participants were identified for in-depth Feedforward Interviews [FFI], based on nonprobability purposive sampling after informed consent, and content analysis was done. Feedforward interview technique enabled majority of residents in recalling minimum of 3 positive experiences, mainly related to surgical experiences, which enhanced their motivation to aspire for further improvement in this area. Hard work was the main personal contributing factor both in FFI and survey. In addition to identifying clinical experiences enhancing desire to learn, residents also reported need for more academic support as an important factor which could also boost motivation to attain better performance. Feedforward interview technique not only helps residents in recalling positive learning experiences during their training but it also has a significant influence on developing insight about one's performance and motivating residents to achieve higher academic goals

Magnesium sulphate as an anticonvulsant in management of eclampsia: a hospital based study

To ascertain the efficacy of Magnesium Sulphate [mgso4] in cases of eclampsia with recurrent convulsions and establish the poor prognostic factors in cases that are unresponsive to mgso4 therapy. Prospective cross-sectional study. Simple convenient sampling. Obstetrical population of 3050 deliveries, both referred and non-booked cases. Unit-III, Department of Obstetrics and Gynaecology, Sandeman [Provincial] Hospital, Quetta. One year [1st January to 31st December 2006]. A proforma was filled for all women [booked or un booked] who came with eclampsia. Pritchard regimen of mgso4 therapy was used, in which 4gm intravenous [I/V] loading dose of 20% solution was infused over 10-15 minutes followed by 5gm of 50% solution in each buttock [I/M] and maintained by 5gm I/M every 4 hourly till 24hrs of last fit or delivery whichever occurred lasclinical monitoring of patients was done during treatment due to non-availability of serum Magnesium [Mg++] levels.. Statistical analysis was done by Chi-square test [P

Vaginitis and sexually transmitted infections in a hospital based study

To determine the frequency of Sexually transmitted infections [STIs] in immigrant population versus the local population, comparing the symptomatic patients against the asymptomatic women as controls. A cross-sectional comparative study was conducted in Gynaecology Clinic of Unit 1, Bolan Medical Complex Hospital, Quetta. The study duration was six months from 1st April, 2004 to 31st October, 2004, examining 500 women. World Health Organization [WHO] recommended questionnaire was answered and High Vaginal Swab [HVS] was taken from posterior fornix of patient's vagina. Gram staining was done by the Pathology Department of the same hospital and description was based on Nugent's score and modified Spiegel's criteria. Blood was analyzed for human immunodeficiency virus [HIV] and hepatitis-B surface antigen [HBsAg] by immunochromatography. Analysis of results was done by Chi square test, screening test validity and incidence testing. Women with vaginal discharge had higher incidence of STI [84%] than without it [38%]. Refugees and women with grand multiparity made the high risk groups of targeted testing [P <0.001]. The commonest notifiable infections, in this study were vaginitis [33.48%], bacterial vaginosis [30.7%], candidiasis [10%], trichomoniasis [7.2%], gonorrhea [1.35%] and 1 case each of lymphogranuloma venereum and chancroid, and 3 carrier states of HbsAg were detected. No case of syphilis or HIV/AIDS, or genital herpes was found. This study will serve as a marker for the tip of an iceberg of STI in Balochistan, needing targeted testing in high risk groups

Perinatal mortality rate in relation to gender

To calculate the gross and gender adjusted perinatal mortality rate [PMR] and determine the association between gender and susceptibility towards perinatal death. Design: A cross-sectional hospital-based study conducted at Gynae Unit-I of Bolan Medical Complex Hospital, Quetta from 1st January to 31st December, 2002. Patients and The study included the total births and perinatal deaths over one year period. The cause of death was ascertained through specifically-designed questionnaires and external autopsy. PMR was defined as the number of fetal deaths from 28 weeks of gestations to early neonatal deaths within 7 days after birth. Birth weight of >1000 grams or 35 cms crown-heel length was considered in lieu of unknown gestational age. Multiple pregnancies and stillbirths occurring at home were excluded. Extended Wiggles Worth classification was used to study the etiology of perinatal death separately. The PMR was calculated to be 113 per 1000 births. Stillbirth rate was 103 per 1000 total births; out of these, 56.5% were intrapartum and 43.3% antepartum. Male stillbirths were 89.24% in intrapartum and 62.5% in antepartum [df=1,X2=16, p<0.001]. Out of 16 early neonatal deaths, 11 were male infants. Aberdeen classification revealed obstetric causes of PMR as antepartum haemorrhage [34 cases;76% males], malpresentations [28 cases; 57% males], and congenital anomalies [26 cases; 80% males], after adjusting for maternal age and parity. This study shows fetal gender as statistically significant risk factor and it will pave the way for future community-based studies to confirm such an association, after adjusting for other co-variables