Bangladesh Journal of Obstetrics & Gynaecology最新文献

{"title":"Outcome of Septic Abortion –Experience from a Tertiary Referral Hospital","authors":"Irin Parveen Alam, S. Paul, P. Akhter","doi":"10.3329/bjog.v35i1.58256","DOIUrl":"https://doi.org/10.3329/bjog.v35i1.58256","url":null,"abstract":"Objective: Septic abortion is a life threatening complication of induced abortion. Being a tertiary referral hospital in Bangladesh, Sir Salimullah Medical College and Mitford Hospital often deals with such cases of septic abortion. This research work was conducted with the aim of evaluation of frequency, complications and outcome of septic abortion in this institute. \u0000Method: A cross sectional observational study was conducted from January 2016 to December 2016 in the department of Obstetrics and Gynaecology, Sir Salimullah Medical College and Mitford Hospital, Bangladesh. All cases of septic abortion admitted in the department were included in the study. \u0000Results: During one-year period total number of Gynaecological admission cases were 11,351, of which 1065 were abortion cases, among them 28 cases were diagnosed as septic abortion. The frequency of septic abortion thus was 2.6% of the abortion admitted cases. Age range of the patients was between 15 to 45years. Majority (60.71%) of the cases were grand multigravida, belonging to poor socioeconomic group (71%). Most of the patients (68%) came with haemorrhage. The most frequent method (50%) used for termination of pregnancy in this study was Menstrual Regulation (MR) in unhygienic environment. Mostly (57.14%) the patients were managed by evacuation and curettage. Laparotomy was also needed for the definitive management of two patients. Maternal mortality in this study group was one out of 28(3.7%). \u0000Conclusion: Septic abortion contributes significantly to maternal morbidity and mortality. Proper use of contraceptives, avoidance of induced abortion in unhygienic condition can reduce the moribund consequences. In this study one maternal death among 28 septic abortion cases indicate proper standard of care of the hospital. \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(1): 3-6","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics & Gynaecology","volume":"142 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121626901","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":"Association of Dyslipidemia and Obesity in Postmenopausal Bangladeshi Women","authors":"Qumrun Nassa Ahmed, Choudhury Faisal Md Manzurur Rahim, Naimah Masood, K. Nahar, S. Khatun","doi":"10.3329/bjog.v35i1.58259","DOIUrl":"https://doi.org/10.3329/bjog.v35i1.58259","url":null,"abstract":"Objectives: Menopause is a natural process. After menopause the morbidity and mortality from cardiovascular disease in women is increased due to lack of oestrogen protection, aging effect, increased body weight, android pattern of body fat distribution, changes in metabolism and lipid profile.1,2 So the present study is aimed at measuring the serum lipid profile and BMI in postmenopausal women of Bangladesh, thus detecting dyslipidemia and obesity to ascertain the relative risk of developing cardiovascular disease in this group. \u0000Methods: A cross-sectional study was conducted at the Obst and Gynae Department of Green life Medical College Hospital among 150 otherwise healthy postmenopausal women from October 2017 to April 2018. Fasting blood obtained for testing lipid profile. Serum total cholesterol, triglycerides and high-density lipoprotein (HDL) cholesterol were measured using enzymatic procedures. Low-density lipoprotein (LDL) cholesterol concentration was estimated by Friedewald formula. Questionnaire-cum interview method was used to obtain relevant informations. BMI was calculated from weight in kg and height in cm by Metric BMI calculator. Dyslipidemia was identified based on serum lipid levels following the standard protocol proposed by the national guidelines. \u0000Result: A total of 150 participants aged between 43 years to 70 years, were included in this study. Average age of the study subjects were 53.53±3.2 years. A mean duration of menopause was 7.23±0.92 years. The range BMI level was 19.1 to 36.6. Among them BMI <24.9 , was found in 28.30% of women, BMI 25 to 29.9 was found in 49.5 % women and 22.23 % women had BMI of >30. According to standard guideline BMI <24.9 is considered normal, 25-29.9 is overweight and BMI more than 30 is obese. In this study among normal BMI group 59.4% had normal lipid profile and 29.7% had isolated hypertriglyceridemia and mixed dyslipidemia in 10.9% patients. In the group with BMI 25 to 29.9 (overweight) normal lipid level was in 52.3% women, isolated hypertriglyceridemia found in 17.6% women and dyslipidaemia was in 30.1% women. In the group with BMI >30 (obese) normal lipid level was in 5.8% of the women, isolated hypertriglyceridemia found in 29.4% women and dyslipidaemia was in 64.8% women. HDL-C level was low in 83.3% women of >30 BMI group and normal in 66.67% women of normal BMI group. \u0000Conclusion: The prevalence of dyslipidemia, based primarily on the high cholesterol level and high LDL was observed among the overweight and obese group of study population. Therefore, it can be concluded that menopause leads to changes in lipid profile by increasing total and LDL cholesterol and by reducing HDL cholesterol which indicates menopause may be an additional risk factor for dyslipidemia causing cardiovascular disease in Bangladeshi women. \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(1): 20-24","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125082200","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":"Menopause","authors":"T. Das","doi":"10.3329/bjog.v35i1.58255","DOIUrl":"https://doi.org/10.3329/bjog.v35i1.58255","url":null,"abstract":"Abstract not available \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(1): 1-2","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"282 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122945601","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(1)","authors":"The Editor","doi":"10.3329/bjog.v35i1.58266","DOIUrl":"https://doi.org/10.3329/bjog.v35i1.58266","url":null,"abstract":"Abstract not available \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(1): 53-57","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123076534","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":"Comparison of Serum Beta Human Chorionic Gonadotropin (S. b-HCG) Level in Preeclamptic and Normal Pregnancy","authors":"S. Khanam, S. Rouf, Chowdhury Shamima Sultana, Mst Sharmin Ferdous, Kabita Saha","doi":"10.3329/bjog.v35i1.58260","DOIUrl":"https://doi.org/10.3329/bjog.v35i1.58260","url":null,"abstract":"Background: Preeclampsia is a major cause of feto maternal morbidity and mortality worldwide. WHO estimated the incidence to be seven times higher in developing countries than in developed countries (2.8% of live births versus 0.4%). Overall preeclampsia/ eclampsia accounts for 10%–15% of maternal deaths. Exact etiology of the disease is unknown. \u0000Objective: To compare the serum b-HCG levels in preeclamptic and normal pregnant women. \u0000Methods: This case-control study was carried out in the Department of Obstetrics & Gynecology, Dhaka Medical College and Hospital, Dhaka, during July 2017 to June 2019 to evaluate the serum b-HCG level in preeclamptic and normal pregnant women. This study compare the b-HCG levels between the two groups as well as find out the association of serum b-HCG level with severity of preeclampsia. A total 80 women with ³37 weeks of gestation admitted into the Department, who fulfilled the inclusion criteria were enrolled. Out of 80 pregnant women 40 with preeclampsia and rest 40 normal pregnant women were considered as case (Group I) and control (Group II) respectively. Serum b-HCG level of all the women were determined in the Departments of Biochemistry and Molecular Biology, Bangabandhu sheikh Mujib Medical University. Statistical analysis of the results were obtained by using window based computer software devised with Statistical Packages for Social Sciences (SPSS-22.0). \u0000Result: The mean systolic blood pressure was 175.3±10.1 mmHg in group I and 113.1±14.0 mmHg in group II. The mean diastolic blood pressure was 106.75±10.47 mmHg in group I and 72.3±8.0 mmHg in group II. The difference was statistically significant (p<0.05). The mean b-HCG was 42235±34491 IU/L in group I and 29224±21022 IU/L in group II. The difference was statistically significant (p<0.05). The mean b-HCG was 27664.9±18076.4 IU/ L in mild preeclampsia and 48474.7±31554.1 IU/L in severe preeclampsia. The difference was also found statistically significant (p<0.05) between two groups. No difference in Serum b-hCG was found between mild preeclampsia and normal pregnancy. \u0000Conclusion: Significantly high level of Serum b-hCG was found in the preeclamptic compared to the normal pregnant women. Serum b-hCG level also found raised according to the severity of preeclampsia due to hyperplasic trophoblastic cells of placenta. The maternal serumb- hCG plays one of the important role in the pathogenesis of preeclampsia and its severity. \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(1): 25-31","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129655305","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":"Paradigm Shift in Clinical Practice of Induction of Labor: A Single Centre Experience and Literature Review","authors":"Sangay Tshering, N. Dorji","doi":"10.3329/bjog.v35i1.58262","DOIUrl":"https://doi.org/10.3329/bjog.v35i1.58262","url":null,"abstract":"The burden of induction of labor is rising globally. The clinical practice guidelines on induction of labor is time bound and must be built on evidence based practice. The scope of update must be contextual to the local setting with expected positive implications. Any recommendations or change in practice must ensure feasibility, accessibility and practicality. We present a review on IOL adapted to our setting. \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(1): 37-40","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114605978","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. 34(2)","authors":"S. Khatun","doi":"10.3329/bjog.v34i2.58284","DOIUrl":"https://doi.org/10.3329/bjog.v34i2.58284","url":null,"abstract":"Abstract not available \u0000Bangladesh J Obstet Gynaecol, 2019; Vol. 34(2): 148","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131600605","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. 34(2)","authors":"S. Khatun","doi":"10.3329/bjog.v34i2.58283","DOIUrl":"https://doi.org/10.3329/bjog.v34i2.58283","url":null,"abstract":"Abstract not available \u0000Bangladesh J Obstet Gynaecol, 2019; Vol. 34(2): 144-147","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126649864","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":"Malignant Mixed Mesodermal Tumour (MMMT) of the Ovary: An Unusual Primary Tumour","authors":"Razia Akter, S. Tasnim, K. Nessa, S. Banu","doi":"10.3329/bjog.v34i2.58279","DOIUrl":"https://doi.org/10.3329/bjog.v34i2.58279","url":null,"abstract":"Ovarian carcinosarcoma (Malignant Mixed Mesodermal Tumour) is rare malignant tumour with a poor prognosis. We here present a case of ovarian carcinosarcoma in a 72-yearswoman suffering from intermittent lower abdominal pain for 5 months with previous history of Total Abdominal Hysterectomy (TAH) with Unilateral Salpingo-Oophorectomy (USO) due to leiomyoma 27 years back. Explanatory laparotomy and right salpingo-oophorectomy with complete surgical staging was done at Dhaka Community Medical College Hospital. Histopathology revealed both sarcomatous and carcinomatous component. Surprisingly the patient had no metastatic foci and consulted with a medical Oncologist, who didn’t recommend any chemotherapy and was cancer free during last one and half years follow up. \u0000Bangladesh J Obstet Gynaecol, 2019; Vol. 34(2): 124-126","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"520 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116205732","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":"Effects of Long-Term Use of Depomedroxy Progesterone Acetate on Serum Lipids","authors":"Shahrina Ferdous, Mumtahena Amir, S. B. Chowdhury, B. Nasrin, F. Hamid, S. Banu","doi":"10.3329/bjog.v34i2.58277","DOIUrl":"https://doi.org/10.3329/bjog.v34i2.58277","url":null,"abstract":"Introduction: Long Acting Reversible Contraceptive (LARC) is one of the most popular method of family planning. The Aim of the study was to explore the effects of long-term use of Depomedroxyprogesterone acetate (DMPA) which is the most commonly used LARC, on serum lipid profile. \u0000Methods: This cross-sectional analytical study was carried out in the Department of Obstetrics and Gynaecology of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, during the period December 2015 to September 2016. A total 70 married women at the age range of 20-35 years attending, the family planning clinic of BSMMU were included in this study. Out of them 35 subjects who had been using DMPA for ³ two years uninterruptedly were considered as cases and another 35 subjects who did not use any hormonal contraceptives were labeled as control. In both the groups, age and BMI were matched. All the study subjects in both groups were apparently healthy. Fasting blood samples were collected from each subject for the estimation of Total Cholesterol (TC), Triglyceride (TG), High-density Lipoprotein Cholesterol (HDLC) and Low-density Lipoprotein Cholesterol (LDLC). The data were collected in a pre-designed data sheet and analyzed with student T-test for the statistical significance. \u0000Results: Serum TC and LDLC level in group-I (cases) were significantly higher compared to group-II (control) and the difference was statistically significant (p<0.05). Serum High-density Lipoprotein Cholesterol (HDLC) level in group-I was lower than group-II which was also statistically significant (p=0.001). Serum Triglyceride level in group-I was higher than group- II, however the difference was not statistically significant (p=0.177). \u0000Conclusion: DMPA use for ³ two years increases serum TC and LDLC and decrease serum HDLC, which may increase the risk of atherosclerosis. \u0000Bangladesh J Obstet Gynaecol, 2019; Vol. 34(2): 106-111","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"158 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125231435","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}