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  • 1
    Online Resource
    Online Resource
    Outcome of Premature Rupture of Membranes A Study of 120 Cases in Dhaka Medical College Hospital
    Bangladesh Academy of Sciences ; 2017
    In:  Journal of Dhaka Medical College Vol. 25, No. 2 ( 2017-09-13), p. 82-86
    Details
    In: Journal of Dhaka Medical College, Bangladesh Academy of Sciences, Vol. 25, No. 2 ( 2017-09-13), p. 82-86
    Abstract: Introduction: Premature rupture of membrane or PROM means when membrane ruptures before the onset of labour at a gestational age less than 37 completed weeks. In Bangladesh, every year, around 28,000 women die due to complications of pregnancy and childbirth. Nonscientific intervention in PROM made at various levels intensify the pregnancy complications several times, thereby leading many more deaths of foetus and newborn. Aetiology of PROM is largely unknown. The possible causes are either reduction of membrane strength or an increase in intrauterine pressure or both. Proper diagnostic facilities, proper monitoring and standard protocol in the management can improve the maternal and fetal outcome.Aim and objective: The aim of the study was to observe the incidence, type and maternal and fetal outcome of PROM.Materials and Method: A prospective case control analytical study was carried out at Dhaka Medical College Hospital, Dhaka from May 2000 to December2000. Total 120 patients were selected for this study among them 60 patients as case (Group A) and 60 patients were taken as control (Group B). Both primi and multigravida with Pregnancy more than 28 weeks with intact membrane as control and spontaneous rupture of membrane taken as case. High- risk patients such as hypertensive disorder of pregnancy, APH, cardiac disease, previous H/O caesarean section were excluded from the study. After taking proper history, speculum examination, some diagnostic investigations were carried out. Findings were recorded in predesigned questionnaire and statistical analysis were done using computerized software SPSS for Windows. A P value 〈 0.05 was taken as significant.Results: In our study maternal complications were significantly higher in Group A patients (Chi-square test: X2 = 6.263, df= 1, P 〈 0.05). Number of premature babies in PROM patients (25%) was significantly higher than control group. Perinatal morbidity was found higher in PROM (36.66%) compared to control group (31.66%). Most common morbidity was neonatal jaundice in PROM patients (13.33%) compared to babies of control group (8.33%).Conclusion: This study focused on certain risk factors in relation to PROM which can be preventable and reduce incidence and improvement of maternal and fetal outcome.J Dhaka Medical College, Vol. 25, No.2, October, 2016, Page 82-86
    Type of Medium: Online Resource
    ISSN: 2219-7494 , 1028-0928
    URL: Article
    DOI: 10.3329/jdmc.v25i2.33971
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2017
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  • 2
    Online Resource
    Online Resource
    Role of maternal serum homocysteine level on fetal birth weight
    Bangladesh Academy of Sciences ; 2016
    In:  Bangabandhu Sheikh Mujib Medical University Journal Vol. 6, No. 2 ( 2016-08-04), p. 116-
    Details
    In: Bangabandhu Sheikh Mujib Medical University Journal, Bangladesh Academy of Sciences, Vol. 6, No. 2 ( 2016-08-04), p. 116-
    Abstract: 〈 p 〉 〈 strong 〉 Objective: 〈 /strong 〉 The present study has been conducted to investigate the role of plasma homocysteine on neonatal birth weight. 〈 /p 〉 〈 p 〉 〈 strong 〉 Methods: 〈 /strong 〉 This prospective cross sectional analytical study was conducted in the inpatient department of obstetrics & amp; gynecology, Dhaka Medical College Hospital on 120 term, singleton pregnant women. Pregnant women with plasma total bomocysteine & gt;15 µmol/L were termed as having hyperhomocysteinemia (case, n = 25), while women with plasma total homocysteine ≤15 µmol/L were considered as notmal (control, n = 95). Neonatal birth weight was the main outcome variable which was compared between case and control groups. 〈 strong 〉 〈 /strong 〉 〈 /p 〉 〈 p 〉 〈 strong 〉 Result: 〈 /strong 〉 The entire women in the case group were in their 3rd decades, while 80% of the control group were in this age range and 10% was below 20 and 10% above 30 years old. The cases were older than the controls (25.6 ± 2.0 vs. 23.7 ± 4.7 years, p = 0.051 ). Over three-quarters (76%) of the cases were SSC level educated, while majority (84.2%) of the controls was primary level educated. Eighty percent of the neonates born of mothers with hyperhomocysteinemia were of low birth weight as opposed to only 9.5% in the control group. The mothers of case-group carry nearly 40(95% of CI= 11.5 - 126.4) times higher risk of having low birth weight babies than the mothers with nonnal homocysteine level. The mean birth weight of neonates of case group was observed to be significantly higher (2.8 ± 0.4 kg) than that of control group (2.2 ± 0.4 kg). Correlation between the two variables shows that as plasma homocysteine level of women increases the birth weight of neonates decreases bearing an inverse relationship between these two variables (r = - 0.326, p & lt; 0.001 ). 〈 strong 〉 〈 /strong 〉 〈 /p 〉 〈 p 〉 〈 strong 〉 Conclusion: 〈 /strong 〉 Pregnant women with elevated plasma total homocysteine carry much higher risk of giving low birth weight babies than the women with normal or low level of total homocysteine. Thus, measuring total homcysteine during pregnancy is of much clinical importance as corrective measure could be taken to avert the adverse pregnancy outcome. 〈 /p 〉
    Type of Medium: Online Resource
    ISSN: 2074-2908
    URL: Article
    DOI: 10.3329/bsmmuj.v6i2.29126
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2016
    detail.hit.zdb_id: 2573885-9
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  • 3
    Online Resource
    Online Resource
    A Clinical Study of Labour and Outcome in Hundred Cases of Primigravida in Dhaka Medical College and Hospital
    Bangladesh Academy of Sciences ; 2018
    In:  Journal of Dhaka Medical College Vol. 27, No. 1 ( 2018-11-19), p. 9-13
    Details
    In: Journal of Dhaka Medical College, Bangladesh Academy of Sciences, Vol. 27, No. 1 ( 2018-11-19), p. 9-13
    Abstract: Introduction: Primigravida is one, who is pregnant for the first time. A successful well managed vaginal delivery first time around usually leads to subsequent deliveries being relatively uneventful. Conversely, a poorly managed first labour can add to subsequent obstetric problems. Therefore, utmost care and expertise is a predominant factor for a successful delivery. Aims and objectives: Objectives of this study is to enhance the rate of safer delivery for primigravida through monitoring progress of labour, mode of delivery and fetomaternal outcome. Methodology: This prospective study was carried out at labour ward in the Department of obstetrics and Gynaecology of Dhaka Medical College & Hospital from January, 2007 to June 2007. Hundred cases of primigravida were selected for this study. Data had been collected through questionnaires. Results : Largest number of patients (50%) had age group 20-24 years and likely to have normal vaginal delivery. Sixty percent patients had regular antenatal check up. Risk factors like PIH, Breech presentation, Face presentation, Rh negative, Jaundice and Pyrexia were found in 23% cases.About 96% fetuses presented by vertex, among them 52% had non engaged head. Sixty patients came with cervix at or less 3 cm dilated and 40 patients were at cervical dilatation 4 cm or more. Progress of labour was monitored by modified WHO partograph. Sixty two percent patient delivered vaginally, among them 3% patients need instrumental delivery. Thirty eight patients pregnancy were terminated by caesarean section. Ninety nine percent babies were live birth and 1% was still birth. Conclusion :Safest age group for delivery of primigravida in this study between 20-24 years. So, women should be encouraged to have their 1st child at this age. People should be made aware of the benefits of proper antenatal check up and choosing safest place for delivery. J Dhaka Medical College, Vol. 27, No.1, April, 2018, Page 9-13
    Type of Medium: Online Resource
    ISSN: 2219-7494 , 1028-0928
    URL: Article
    DOI: 10.3329/jdmc.v27i1.38887
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2018
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  • 4
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    Online Resource
    Iatrogenic Genitourinary Fistula: A Rising Trend
    Bangladesh Academy of Sciences ; 2017
    In:  Bangladesh Journal of Obstetrics & Gynaecology Vol. 32, No. 1 ( 2017-04-01), p. 10-13
    Details
    In: Bangladesh Journal of Obstetrics & Gynaecology, Bangladesh Academy of Sciences, Vol. 32, No. 1 ( 2017-04-01), p. 10-13
    Abstract: Background:Obstetric fistula (OF) is not very uncommon in our country. But recent issue of increase in iatrogenic fistula (IF) creates a field of interest. Objective:To find out the frequency and the cause of iatrogenic genitourinary fistula admitted in National Fistula Centre (NFC), Dhaka. Methods:This prospective study was conducted in NFC, Dhaka from January, 2010 to December, 2012. All cases admitted during the study period were included in this study. All patients were evaluated through detailed history, physical examination, relevant investigations and examination under anaesthesia (EUA). Repair was done through abdominal or vaginal route based on the findings. Results of repair were noted and analyzed. Results:On an average more than 20% cases of genitourinary fistula (GUF) were due to iatrogenic causes. Among them about 90% cases had history of hysterectomy as an offending procedure. A rising trend of iatrogenic fistula is observed with 19.04% in 2010, 15.68% in 2011 and 30% in 2012. Conclusion:This study shows that iatrogenic injuries in women under 40 years of age form major share in the aetiology of GUF. Iatrogenic fistula are increasing day by day. It is the time to check the experience of surgeons doing the gynecological and obstetrical surgeries in a developing country like ours. Bangladesh J Obstet Gynaecol, 2017; Vol. 32(1): 10-13
    Type of Medium: Online Resource
    ISSN: 2408-8404 , 1018-4287
    URL: Article
    DOI: 10.3329/bjog.v32i1.56727
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2017
    detail.hit.zdb_id: 2573888-4
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  • 5
    Online Resource
    Online Resource
    Meigs Syndrome Associated With Elevated Ca 125 Level A Rare Case
    Bangladesh Academy of Sciences ; 2016
    In:  Journal of Dhaka Medical College Vol. 24, No. 1 ( 2016-09-07), p. 76-78
    Details
    In: Journal of Dhaka Medical College, Bangladesh Academy of Sciences, Vol. 24, No. 1 ( 2016-09-07), p. 76-78
    Abstract: Meigs syndrome is a rare but well known syndrome. It is a triad of ovarian fibroma with ascites and pleural effusion that resolves after resection of the tumour. Postmenopausal women with solid adnexal masses, ascites and pleural effusion with elevated CA125 level are highly suggestive for malignant ovarian tumour. Only few cases of Meigs, syndrome with elevated CA 125 have been reported in different literatures. Here we report a case of Meigs syndrome due to right sided ovarian fibroma with elevated CA 125 level in postmenopausal woman.J Dhaka Medical College, Vol. 24, No.1, April, 2015, Page 76-78
    Type of Medium: Online Resource
    ISSN: 2219-7494 , 1028-0928
    URL: Article
    DOI: 10.3329/jdmc.v24i1.29569
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2016
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  • 6
    Online Resource
    Online Resource
    Effect of BMI(Body Mass Index) on BMD (Bone Mineral Density) in Postmenopausal Women
    Bangladesh Academy of Sciences ; 2020
    In:  Journal of Dhaka Medical College Vol. 28, No. 1 ( 2020-03-03), p. 60-66
    Details
    In: Journal of Dhaka Medical College, Bangladesh Academy of Sciences, Vol. 28, No. 1 ( 2020-03-03), p. 60-66
    Abstract: Menopause is commonly associated with rapid bone loss and this bone loss manifests as a significant decrease in bone mineral density (BMD). Body weight or body mass index is the most important factor which influences BMD. Aim of this study was to evaluate the association between BMI and BMD in post menopausal women. Also to measure the correlation between age, duration of menopause, weight with BMD. This cross-sectional study was undertaken in the Department of Obstetrics and Gynaecology in Dhaka Medical College Hospital, Dhaka from January, 2012 to December, 2012. The study included women of 50 to 70 years who had menopause with three or more parity. Total 100 women were evaluated by history taking, physical examination and laboratory investigation (BMD).The results showed that there was significant positive correlation between BMI and BMD value of L1-4 and total femur (Pearson‘s coefficient was +0.285, P 〈 0.01 and +.350, P 〈 .001). There was also significant positive correlation between weight and T- score of L1-4 (r =+ .482, P 〈 .01) and Total femur (r = +.513, P 〈 .01). In addition, significant negative correlation was found between BMD with age and duration of menopause. It can be concluded that in postmenopausal women as the BMI decreases bone mineral density also decreases. So, adequate weight and BMI necessary for the prevention of osteoporosis. J Dhaka Medical College, Vol. 28, No.1, April, 2019, Page 60-66
    Type of Medium: Online Resource
    ISSN: 2219-7494 , 1028-0928
    URL: Article
    DOI: 10.3329/jdmc.v28i1.45758
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2020
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  • 7
    Online Resource
    Online Resource
    Early Puerperal Complications - A Prospective Clinical Study on Caesarean Deliveries
    Bangladesh Academy of Sciences ; 2018
    In:  Journal of Dhaka Medical College Vol. 27, No. 1 ( 2018-11-21), p. 68-71
    Details
    In: Journal of Dhaka Medical College, Bangladesh Academy of Sciences, Vol. 27, No. 1 ( 2018-11-21), p. 68-71
    Abstract: Introduction : when a healthy pregnant woman with no obstetric or medical risk factors goes into spontaneous labour, she should anticipate a normal delivery. But still 580, 000 women in the world die from pregnancy and childbirth each year.1 Lack of attention to postpartum care in developing countries is neglected tragedy and requires immediate attention. This study evaluates the incidence of complications of early puerperium and also focuses the specific types of complications and to detect the risk factors associated with these complications. Aims and objectives : Main aim of the study is to evaluate the common complications in early puerperium with special attention to identify the risk factors. Materials and method : This study was carried out in Dhaka Medical College Hospital and Sir Sallimullah Medical College Hospital within the period of March ’2004 to August’ 2004. Two hundred patients were selected for this study who were delivered by caesarean section in these two institutions and complications occurring within 7 days excluding first 24 hours. Patients delivered outside the hospital and with known medical diseases were excluded from this study. Detailed history taking and appropriate clinical examination and specific investigations were done for diagnosis of complications. All relevant informations was noted in prescribed data sheet and results were tabulated and statistical analysis was done. Results : Among 200 cases only 44(22%) cases had early puerperal morbidity.Most of the patients who suffered complications underwent caesarean section for obstructed labour and fetal distress who had trial at home. Many of the patients suffered from wound infection and endometritis (40.9%). Among patients, age group - 〈 20 years suffered from wound infection(53.8%) and endometritis(45.8%) were common in age group 21-30 years. VVF was common in patients in age 〈 20 years.Endometritis (42.2%) was maximum in women with parity 1-3 and wound infection (50%) in women with parity 4-6. Some of the patients had more than one early puerperal morbidity. Maximum number of poor class suffered from wound infection (42.4%).Early puerperal morbidity was more prevalent in women with duration of labour 〈 18 hours and Premature rupture of membrane had relationship with endometritis (15.9%), wound infection (13.6%) and UTI (11.4%). Conclusion : Incidence of early puerperal morbidities is still quite high (22%) and many patients experiences more than one problem at a time.Long term sequelae of early puerperal infectious morbidity should not be neglected as this may interfere quality of life of a woman. J Dhaka Medical College, Vol. 27, No.1, April, 2018, Page 68-71
    Type of Medium: Online Resource
    ISSN: 2219-7494 , 1028-0928
    URL: Article
    DOI: 10.3329/jdmc.v27i1.38949
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2018
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