Evaluation of reasons of failure of trial of labor for better prognosis of VBAC

The present study was conducted to determine the reasons of failure of VBAC after previous one caesarean section. Descriptive type of study. This study was carried out in the department of obstetrics and gynecology Ayub Teaching Hospital Abbott Abad from 21 October, 2007 to 20 April 2008. The study population included 201 cases that were declared eligible for TOL having only one previous CS for non recurrent cause, a low transverse uterine scar, and adequate pelvis. All the findings were noted and recorded on predesigned proformas. Data was analyzed on SPSS version 10.Discriptive statistics were used to calculate Mean and standard Deviation for age, frequencies for abnormal lie, fetal distress, failure to progress, placeta previa, and other maternal or fetal causes of failed trial. Chi square test was used to test for significant difference of frequencies between groups; the student T test was used for significant Result A total of 201 patients with previous one caesarean section were admitted. VBAC was successful in 60 patients, the rest i.e. 77 patients were given trial of labor but failed. Among them 20[26%] failure was due to scar tenderness in the prospective pregnancy, 15[19.5%] patients had emergency lower segment CS for failure to progress, 8[10.4%] patients had another CS for fetal distress, 6[7.8%] had CS for impending rupture, 1[1.3%] had failed trial of labor due to rupture of uterus and 4[5.2%] had scar dehiscence. Results show that trial of labor in patients with previous one caesarean section due to non-recurrent causes is safe and has a success rate of 43.7%, which brings a hope to check the existing rate of CS

delima of wisdom tooth

Estimation of age from 17years to 23 is being in practice on the basis of eruption of 3[rd] molar tooth. However it is important to know whether this method is and will still be applicable in the present decade or in coming decades. This study was conducted at Frontier Medical College, Abbottabad from May 2007 to April 2009. A cross sectional study is carried out in 400 students of FMC Abbottabad between 18 to 23 yrs of age to evaluate the status of eruption of 3rd molar tooth of both males and females. All informations were gathered on a performa especially designed for this purpose. Record of 400 students was collected.6 performas were bias and rejected. Out of 394, 196 were males and 198 were females. All 4 erupted 3[rd] molar were seen in 90 [22.84%] students,3 erupted 3[rd] molar in 67 [17%], 2 erupted 3[rd] molar in 63 [15.98], 83[21.06] showed eruption of only one 3[rd] molar and last but not the least 91[23%] didn't show eruption of 3[rd] molar at all. Result regarding 3[rd] molar tooth eruption shows that human beings of these decades are passing through evolutionary process of contracted jaw and resultant impaction of most of 3[rd] molars at the sight of eruption is the usual outcome. So we can predict that a time will come in coming few decades when forensic experts have to resort to some other factors to determine the age onwards from 17yrs rather than 3rd molar tooth eruption and development

role of medical man in cases of burns

Injuries caused by burns are a common occurrence in our country. Burn always evoke source of interest for forensic curiosity. The victim of burns needs a detailed scrutiny to evaluate the intentional status whether suicidal, homicidal or accidental to provide justice and to satisfy the weeping souls. A retrospective study. This study was conducted in the patients of burn at AMC from March 2005- May 2008. All of the patients were included irrespective of sex and age. Record of burn patient was taken on performas in which their age, sex, type of burn, percentage of burn, causative agent and reason of burning were noted. Total 53 patients were included in the study. Among them 47 sustained accidental, 5 patients homicidal and 1 suicidal burns. Out of 47 accidental cases 7 patients died, 4 out of 5 homicidal cases died and only one suicidal case revived. The patients who are registered as accidental or suicidal burns are not always so. A probe into the history of patients can bring out the key to truth. Moreover timely assessment of critical clinical conditions of patient is necessary to avail them their rights of justices