Bangladesh Journal of Obstetrics & Gynaecology最新文献

{"title":"The Clinical Characteristics of Infertile Women with Premature Ovarian Insufficiency: A Retrospective Analysis","authors":"Shakeela Ishrat, J. Banu","doi":"10.3329/bjog.v35i2.58792","DOIUrl":"https://doi.org/10.3329/bjog.v35i2.58792","url":null,"abstract":"Objective: To explore the clinical profile of infertile women with premature ovarian insufficiency, previously termed premature ovarian failure presenting to a public health facility. \u0000Materials and methods : A retrospective study was carried out in which the data collected over three years from 2015-2017 in the Gynae Endocrine Clinic of Infertility unit of the Department of Obstetrics & Gynaecology, Bangabandhu Sheikh Mujib Medical University. A total of 36 infertile women diagnosed as premature ovarian insufficiency were included in the study. Detailed data from the records of the clinic regarding symptoms, history related to possible etiology, investigations including endocrine profile and karyotype were included in the analysis. A follow up interview over cell phone was carried out in 2020 to have the information about any pregnancy and compliance with drug over 2- 5 years. \u0000Results: A total of 36 women with infertility which were due to premature ovarian insufficiency were included. The mean age was 30.35±5.16 years. Four women were under 25 years and one of them had primary amenorrhoea. Median values with interquartile range of serum FSH, serum AMH and estrogen were 47IU/L ,0.16ng/ml and 22.83pg/ml respectively.Hypoestrogenic symptoms like hot flush and vaginal dryness were present in 50% and 38.9% of the women respectively. While the possible causes of premature ovarian insufficiency were predicted from history, examination and investigations, autoimmune cause was most common (41.7%) followed by genetic/familial causes (25%). Two (5.6%) women conceived spontaneously. None of the women was compliant with the hormone replacement therapy we prescribed. \u0000Conclusions: Detailed evaluation with history, examination and investigation for possible causes of premature ovarian insufficiency should be done though the primary concern is infertility. Counseling should emphasize on the need of hormone replacement therapy and the probability, though small, of spontaneous pregnancy. \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(2): 90-95","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics & Gynaecology","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116825596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predisposing Factors and Outcome of Preterm Birth in a Tertiary Hospital","authors":"S. Tasnim, F. Begum, T. Begum, Razia Aktar, Summyia Nazmeen","doi":"10.3329/bjog.v35i2.58788","DOIUrl":"https://doi.org/10.3329/bjog.v35i2.58788","url":null,"abstract":"Preterm birth is a challenging issue for both mother and baby, and pose major threat to newborn survival. The purpose of this study was to find out the magnitude of preterm birth, factors predisposing to preterm birth and its outcome during perinatal period. This was a cross sectional study, conducted among mothers admitted with a gestational age > 28 weeks to < 37 weeks in Obstetrics and Gynae department of Institute of Child and Maternal Health (ICMH). During March-June, 2013, data was collected through face to face interview using structured questionnaire and review of hospital records. Data analysis done using SPSS version 20. Among enrolled 103 women mean age was 23.3±4 years, 64% were multigravida, about 78% were late preterm (35-37 weeks). Commonest associated factor was premature rupture of membrane (53.7%). Other factors were Preeclampsia (16%), UTI (12%) and moderate anaemia (75%). Neutrophilia was found in 7.6%, urinary pus cell raised in 37% and vaginal infection was found in 7.6%. Corticosteroids was given for lung maturity to 55% and Tocolytics used in 11 % mothers. About 50% born by CS, 24% by Obstetric Forceps and 26% by spontaneous vaginal delivery. Puerperal Pyrexia was the most common postpartum complication. Delayed cry was in 66%, , 56% required admission to neonatal ward, of them 91% and 45% belong to gestation age 28-34 weeks and 35-37 weeks respectively. Perinatal death was in 2%, 24.3% had neonatal jaundice and 29 % developed septicemia Preterm birth is associated with several risk factors like paternal smoking, high parity, infection and premature rupture of membrane. Change in obstetric practices in favor of early termination by caesarean section for maternal or fetal indication is also an important determining factor for preterm birth. Awareness among health professionals and public should be made for avoidance of risk factors and adoption of risk specific strategies may contribute to reduction of preterm births and its complications. \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(2): 74-80","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128216990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Awareness of Cervical Cancer among Staff Nurses in a Tertiary Level Cancer Centre in Bangladesh","authors":"Sushmita Bardhan, S. Pervin, Suzon Kumar Mazumder","doi":"10.3329/bjog.v35i2.58794","DOIUrl":"https://doi.org/10.3329/bjog.v35i2.58794","url":null,"abstract":"Background: Cervical cancer is the second leading malignancy and cause of death in Bangladeshi women. Health professional’s misconceptions about the disease and lack of knowledge may worsen the situation. Nurses form a large proportion of the health care provider workforce. Among them who had opportunity to work in cancer hospital should know better about cervical cancer than other hospitals in the country. This survey was undertaken with an intention to address this important health issue by determining the awareness of cervical cancer among nurses at a tertiary cancer centre of Bangladesh. \u0000Objective: To provide the baseline information about the knowledge of cervical cancer and explore attitude and practice of cervical cancer screening among staff nurses. \u0000Methods: A pretested structured self-administered questionnaire based cross sectional survey was done on 154 staff nurses working in National Institute of Cancer Research and Hospital (NICRH), Dhaka, containing mostly recognition and some recall type questions about knowledge of cervical cancer, its risk factors, screening techniques, attitude towards cervical cancer screening and its practices. \u0000Results: 100% respondents heard the name of cervical cancer but 35.7% did not know about any of its risk factors and only 3.2% aware about more than 3 risk factors. Twenty seven percent not aware about any symptom, only 51.9% identified the foul smelling excessive vaginal discharge and irregular abnormal vaginal bleeding as the symptom and 16.8% know that post coital bleeding may be the symptom. Only 42.2% know VIA as a screening test, 39.6% know actual screening interval, 23.37% know who should be screened, 42.2% aware about HPV vaccine, 35.7% can do VIA, 42.2% said that they referred patient for screening but only 16.2% of themselves have ever been screened. \u0000Conclusion: The majority of nursing staff in NICRH had inadequate knowledge about cervical cancer screening and their attitude and practice towards cervical cancer screening could not be termed positive. There is an urgent need for orientation course for working nurses and integration of cervical cancer prevention issues in the existing curriculum of nurses in Bangladesh. \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(2): 102-106","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124521922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long Term Evaluation of Post-Partum Intrauterine Device (PPIUD) In Terms of Safety and Efficacy","authors":"J. Sultana, F. Ashraf, J. Islam, Khadija Mannan, -. Musfiarifat, H. Begum, -. Khaledunnesa, M. Sultana","doi":"10.3329/bjog.v35i2.58789","DOIUrl":"https://doi.org/10.3329/bjog.v35i2.58789","url":null,"abstract":"Objectives: The purpose of this study was to evaluate the long term safety and efficacy of postpartum IUCD at a tertiary level hospital. \u0000Materials & Methods: This cross sectional study was carried out in Shaheed Suhrawardy Medical College & Hospital (ShSMCH) from March 2019 to December 2019. International Federation of Gynecology and Obstetrics (FIGO) in collaboration with Obstetrical and Gynecological Society of Bangladesh (OGSB) have been launched a project in Bangladesh to foster family planning activities by postpartum IUCD insertion since July 2015 in this hospital. All patients who were inserted PPIUD following delivery under FIGO- PPIUD project since 1st January 2017 to 31st December, 2017 were included in this study. Phone number of those PPIUD inserted women were collected from the register book. Clients were evaluated after 2 years of insertion. The outcome measures analyzed were safety measures – menstrual irregularities, vaginal discharge, pelvic infection, perforation and efficacy measures – continuation, removal, expulsion and failure rate. \u0000Result: Total number of patients delivered at ShSMCH in 2017 were 2,593. Out of them deliveries, 329 (12.70%) were introduced PPIUD. Among 329 PPIUD users, after about 2 years, 175 (53.20%) could be traced for follow up and rests couldn’t be reached by repeated attempts on phone call. After telephone call they attended our hospital and thorough interview and examination was done. All the informations were collected in a predesigned data collection sheet. Among 175 study population, 25 (14.28%) IUCD introduction were following vaginal delivery and 150 (85.71%) were during cesarean section operation. Those who are continuing PPIUD, 100 (82.0%) had no complications and few, 22 (18.0%) had some minor complaints for which they received treatment. The most common adverse event was the menstrual irregularities. There was no case of perforation. By the end of 2 years, out of 175 PPIUD inserted clients, missing string was found in 85 (69.7%) cases, continuation rate of PPIUD was 122 (69.7 %), spontaneous expulsion was 10 (5.7%), removal was 43 (24.6%) and failure rate was 3 (1.7%). \u0000Conclusion: PPIUCD is a safe, effective and convenient method of contraception and should be encouraged after both vaginal and Cesarean deliveries. \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(2): 81-89","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127631106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Carbetocin versus Oxytocin in the Prevention of Postpartum Haemorrhage after Caesarean Section","authors":"S. Yesmin, F. Begum, Shormistha Bain, A. Tareq, Sabrina Parvin, Farhana Jahan, Hafiza Farzana","doi":"10.3329/bjog.v35i2.58786","DOIUrl":"https://doi.org/10.3329/bjog.v35i2.58786","url":null,"abstract":"Background: postpartum haemorrhage is one of the major contributors to maternal mortality and morbidity worldwide. There are many pharmacological options for the management of postpartum hemorrhage, oxytocin being the first line choice of treatment.Carbetocin, a long acting oxytocin agonist, appears to be a promising agent for the prevention of PPH. This comparative study was between Carbetocin Versus Oxytocin for the Prevention of Postpartum Haemorrhage in Caesarean Section \u0000Objective: To determine the safety and effectiveness of carbetocin and oxytocin for the prevention of post-partum haemorrhage in caesarean section. \u0000Methods: Randomized controlled clinical trial was done in the department of Obstetrics and Gynaecology of Sir Salimullah Medical College Mitford Hospital, Dhaka, between February to July 2015. Study population were 64 pregnant women admitted for delivery and underwent caesarean section, who were randomly selected. Women in the intervention group (group I) received injection carbetocin a bolus of 100 mgm IV; women in the standard treatment group (group II) received 10 IU of oxytocin in IV.Both administered immediately after chiidbirth.This trial was registered in SSMC MH with reference no-SSMC/2014/76. \u0000Result: Difference of mean age,mean gestational age and indication of C/S were not statistically significant between two groups.Regarding haemodynamic effect,both drugs were almost similar.There was no significant difference in per-operetive blood loss,uterine tone, level of uterine fundus, urine output in urobag and hemoglobin level. Need for additional oxytocics required 0(0.0%) vs 5(16.7%) patients in group I and group II respectively and was found statistically significant.Blood transfusion needed was 0(0.0%) vs 3(10.0%) patients and primary PPH 0(0.0%) vs 3(9.4%),though both were not statistically significant. No significant difference regarding side effects and total expense was found. \u0000Conclusion: Administration of single bolus dose of carbetocin (100 μgIV) after delivery of the baby in caesarean section immediately reduces the need for additional oxytocics, occurrence of primary PPH and further blood transfusion. Side effects are mild and similar in both the groups. \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(2): 63-67","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127818097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"BJOG yearly CME program Vol. 35(2)","authors":"S. Khatun","doi":"10.3329/bjog.v35i2.58803","DOIUrl":"https://doi.org/10.3329/bjog.v35i2.58803","url":null,"abstract":"Abstract not available \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(2): 141-142","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115341843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ovarian Reserve and Low Anti-Mullerian Hormone (AMH)","authors":"M. R. Begum","doi":"10.3329/bjog.v35i2.58743","DOIUrl":"https://doi.org/10.3329/bjog.v35i2.58743","url":null,"abstract":"Abstract not available \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(2): 61-62","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127245180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Society News Vol. 35(2)","authors":"S. Khatun","doi":"10.3329/bjog.v35i2.58801","DOIUrl":"https://doi.org/10.3329/bjog.v35i2.58801","url":null,"abstract":"Abstract not available \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(2): 134-139","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"1106 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122922870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nerve injuries associated with Gynecological Surgery: Review Article","authors":"Jesmin Akter, Anzuman Ara Begum","doi":"10.3329/bjog.v35i2.58797","DOIUrl":"https://doi.org/10.3329/bjog.v35i2.58797","url":null,"abstract":"Abstract not available \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(2): 117-124","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124333249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"International News Vol. 35(2)","authors":"S. Khatun","doi":"10.3329/bjog.v35i2.58802","DOIUrl":"https://doi.org/10.3329/bjog.v35i2.58802","url":null,"abstract":"Abstract not available \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(2): 140","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124534094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}