Bangladesh Journal of Obstetrics and Gynecology最新文献

{"title":"Characteristics and Surgical Success of Patients Presenting for Repair of Genitourinary Fistula in VVF Center of a Tertiary Hospital","authors":"R. Ara, A. Amin, Shadiqul Hoque, Setara Binte Kasem","doi":"10.3329/BJOG.V31I1.34274","DOIUrl":"https://doi.org/10.3329/BJOG.V31I1.34274","url":null,"abstract":"Objective(s): To carry out a prospective review of patients who had undergone surgical repair of genitourinary fistula to determine patients’ characteristics and to explore success of surgery in relation to aetilogy of fistula and attempt of surgery. Materials and Methods : This cross-sectional study was carried out in patients attending the Fistula centre in Dhaka Medical College and Hospital (DMCH) from April 27 th to July25 th , 2013. Out of 47 patients 27 were recruited for this study. Detailed history was taken about socio-demographic character, gestational age, duration of labour, mode of delivery, conduction of labour and foetal outcome. Causes of fistula, information about fistula repair and success rate were noted. Main outcome measures were successful repair and correlation of success with aetiology of fistula, attempt of surgery. Data were analyzed by SPSS package. A p value of <0.5 was considered as significant. Results: Mean age of the patients was 33.73± 10.73 years with a range of 17 to 58 years and mean height was 144.67±3.013cm. Most of the women (66.7%) were from lower social class. The most common fistula 19 (70.37%) was obstetric due to obstructed labour and in 8 (25.93%) cases it was due to consequence of gynaecological surgery. Mean gestational age of the foetus were 38.57±1.409 weeks and duration of labour was 34.83±14.618 hours. Out of 27 patients, 7 had prior fistula repair without success, 4 patients had prior 2 attempts and 3 had previous 3 and 4 attempts. In 21 patients surgical repair was done through vaginal route while 6 required abdominal approach. Local repair was done in 18 (66.67%) cases and grafting was done in 5(18.52%) cases. Fifteen (55.56%) patients had successful repair and success rate was more when it was first attempted (90%) and 20% in repeat attempt but it was statistically significant p<0.05. Success of repair was more when causes of fistula was gynaecological (87.50%) than when it was obstetrical (42.11%), p<0.05. Conclusion: Success of surgery of genitourinary fistula depends upon so many factors. Gynaecological fistula can be repaired more successfully than obstetrical one. First attempt of surgery is the best attempt, so must be done at skilled hand. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(1) : 34-39","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"34-39"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47408400","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":"Efficacy and Safety of Para Cervical Block in Manual Vacuum Aspiration (MVA) - in Low Resource Setting","authors":"Nafisa Jesmin","doi":"10.3329/BJOG.V31I2.34213","DOIUrl":"https://doi.org/10.3329/BJOG.V31I2.34213","url":null,"abstract":"Objective (s): To determine the safety and effectiveness of para-cervical block for cervical dilatation and uterine evacuation by MVA. Materials and methods: This descriptive (cross-sectional) study was conducted in a low resource set-up at Homna, Upzilla Health Complex Comilla between January 2016 and June 2016. Forty five patients of 1 st trimester incomplete abortion of 12 weeks gestation were the target population for manual vacuum aspiration (MVA) for this study. All patients received para cervical block before MVA procedure. Three minutes after application of block, suction and evacuation of uterus was done. Perioperative oral analgesic (Ibuprofen) and anxiolytic (diazepam) were used 30 minutes before procedure in all patients. Before the procedure, all the women were asked to evaluate the level of pain on a visual analog scale ranged from 0-10. Thirty minutes after the procedure, the patient was asked to describe the pain that she had been feeling during MVA by using the same visual analog scale. Visual analog scale was described by: no pain (0 points), slight pain (1-3 points), moderate pain (4-6 points) and severe pain (7-10 points). Patients were followed up for 7 days and were evaluated for complications before leaving the facility and on the 7th day after procedure. A routine USG of lower abdomen was done on 7 th post-evacuation day in all patients, which revealed completeness of the procedure. Informed consent was taken from all the patients. Results: All were first trimester incomplete abortion cases. MVA was performed with para cervical block. Para cervical block reduced pain sensation on cervical dilatation. According to VAS 30 (66.67%) patients had mild pain, 3(6.67%) patients had moderate pain and 12(26.67%) patients had no pain during the procedure. Six (13.33%) patients had mild pain and others had no pain after the procedure. There was no severe pain before or after the procedure. Thirty (75.56%) patients discharged before 4 hours and 11 (24.44%) patients discharged after 4 hours of the procedure. No patients had any complications like pervaginal bleeding, infection or retention of product. The cost was minimum and patient’s satisfaction was high. Conclusion: Paracevical block is effective in reducing pain sensation during MVA with a reasonable cost of the procedure. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(2) : 70-74","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"70-74"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/BJOG.V31I2.34213","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46141983","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":"A Ovarian Serous Cyst Adenocarcinoma Presented as Post-Menopausal Bleeding","authors":"Qumrun Nassa Ahmed, K. Nahar, J. Roy, Lima Shompa, Kazi Foyeza Akther, Husne Jahan Sultana, R. Sultana","doi":"10.3329/bjog.v32i1.56734","DOIUrl":"https://doi.org/10.3329/bjog.v32i1.56734","url":null,"abstract":"The various malignant forms of epithelial tumors of the ovary, in practice, are usually grouped together as ovarian adenocarcinoma. These tumors tends to occur in women aged 45-60 years and are commonly asymptomatic until they are achieved a considerable bulk: most common complaints are of increasing abdominal girth, lower abdominal pain or discomfort and the presence of pelvic mass. Urinary symptoms due to pressure on bladder are quite frequent while disturbance of menstrual cycle or post-menopausal bleeding are unusual. Here we present a case of a 60 years old postmenopausal lady with the complaints of post-menopousal bleeding, and heaviness & lump in the lower abdomen. She was clinically diagnosed as a case of ovarian tumor (ovarian malignancy) & went through laparotomy followed by surgical staging. Then TAH with BSO with infracolicomentectomy with pelvic lymphadenectomy was done. Histopathology revealed serous cyst adenocarcinoma (left ovary) without any metastasis to the opposite ovary or any other organs. In our case one of the most common ovarian neoplasm presented with the rarest symptom made the case interesting to report. \u0000Bangladesh J Obstet Gynaecol, 2017; Vol. 32(1): 42-44","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43889663","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":"Occurrence and Histopathological Patterns of Ovarian Tumours in a Tertiary Hospital","authors":"S. Begum, F. Begum, Mohammad Hedayetul Islam, S. Haque, Farhana Jahan","doi":"10.3329/bjog.v32i1.56726","DOIUrl":"https://doi.org/10.3329/bjog.v32i1.56726","url":null,"abstract":"Background: Ovarian tumours are common problem in gynaecology and have varied clinical presentation and histopathological appearances. \u0000Objectives: This study was undertaken to find out the occurrence and different histopathological types of the tumours originating from the ovaries. \u0000Methods: A retrospective study was carried out in the Department of Obstetrics and Gynaecology and Department of Pathology, Sir Salimullah Medical College and Mitford Hospital, Dhaka, between May 2010 and December 2014. Five hundred forty seven (547) cases of ovarian tumours were studied in respect to their histopathological appearance. \u0000Results: Out of total gynaecological admission of 5633 patients during the study period, 613 patients admitted with a clinical diagnosis of ovarian tumours: so, the occurrence was 10.9%. Out of 613 patients 547 did histopathology in the department of pathology of our institution. Of the 547 cases, majority were benign (n=379, 69.3%); followed by malignant (n=38, 7%); borderline (n=4, 0.7%); and others (n=126, 23%). Most commonly occurring benign ovarian tumours were serous cystadenoma (115; 30.3%); mature cystic teratoma (76; 20.1%) and mucinous cyst adenoma (66;17.4%). Common malignant tumours were serous cyst adenocarcinoma (21; 55.3%); mucinous cystadenocarcinoma (5; 13.2%) and dysgerminoma(4; 10.5%). \u0000Conclusion: Nine out of ten ovarian tumours were nonmalignant. Epithelial tumours were most common among both benign and malignant ovarian tumours. Overall, most common was serous cyst adenoma in benign group and serous cyst adenocarcinoma in malignant group. \u0000Bangladesh J Obstet Gynaecol, 2017; Vol. 32(1): 5-9","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41616115","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":"Evaluation of Osteopenia and Osteoporosis among Female Doctors","authors":"Setara Binte Kasem, F. Begum, Shaikh Abdur Razzaque, Raisa Adiba, Selma Anika","doi":"10.3329/bjog.v32i1.56730","DOIUrl":"https://doi.org/10.3329/bjog.v32i1.56730","url":null,"abstract":"Osteopenia and Osteoporosis are increasing health care problems due to increased life expectancy. Women are specially vulnerable to osteoporosis at their later ages of lives. Among the working population of Bangladesh, female doctors make a big contribution for nation, so focusing on their wellbeing is very much important. In this study BMD (Bone Mineral density) were measured among 80 female doctors \u0000Objective: To find out the Bone Mineral Density (BMD) among working female doctors of Bangladesh. \u0000Materials and Methods: A cross sectional study was conducted on 80 female doctors aged between 25-80 years at their reproductive, premenopausal and postmenopausal age group, at a conference venue over a period of two days. Measurement of bone mineral density was done by quantitative ultrasound densitometry1. \u0000Result: Majority of women were between 30-64 years of age; 71(88.75%) women had normal BMD, 9(11.25%) women had osteopenia and none of them had osteoporosis. Among women with age between 25-44 years age (total 30) none was suffering from osteopenia or osteoporosis. Between 45-64 years (total 47), 8(17.02%) were suffering from osteopenia and between 65-80 years (total 3), 1(33.33%) was suffering from osteopenia. Nobody had osteoporosis. \u0000Conclusion: Among the working female gynaecologists of Bangladesh there were no osteopenia or osteoporosis in reproductive and premenopausal (25-44 years) age group.Only 17.04% of premenopausal women and women at early menopause ( 45-64 years) suffer from osteopenia and 33.33% of women at late menopause (65-80years) had osteopenia. None had osteoporosis. \u0000Bangladesh J Obstet Gynaecol, 2017; Vol. 32(1): 25-28","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48922336","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. 32(1)","authors":"F. Begum","doi":"10.3329/bjog.v32i1.56737","DOIUrl":"https://doi.org/10.3329/bjog.v32i1.56737","url":null,"abstract":"Abstract not available \u0000Bangladesh J Obstet Gynaecol, 2017; Vol. 32(1): 50-52","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42138466","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. 32(1)","authors":"F. Begum","doi":"10.3329/bjog.v32i1.56739","DOIUrl":"https://doi.org/10.3329/bjog.v32i1.56739","url":null,"abstract":"Abstract not available \u0000Bangladesh J Obstet Gynaecol, 2017; Vol. 32(1): 55-57","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44553432","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":"Iatrogenic Genitourinary Fistula: A Rising Trend","authors":"Taufiqua Hussain, Afrina Begum, N. Akhter, T. Ghani, -. Noorjahan, Dina Layla Hossain, Gul a Anar","doi":"10.3329/bjog.v32i1.56727","DOIUrl":"https://doi.org/10.3329/bjog.v32i1.56727","url":null,"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. \u0000Objective:To find out the frequency and the cause of iatrogenic genitourinary fistula admitted in National Fistula Centre (NFC), Dhaka. \u0000Methods: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. \u0000Results: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. \u0000Conclusion: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. \u0000Bangladesh J Obstet Gynaecol, 2017; Vol. 32(1): 10-13","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42706099","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":"Management of Super-Obese Pregnancy – A Successful Outcome","authors":"A. Begum, A. Maruf, Sm Shahida","doi":"10.3329/bjog.v32i1.56735","DOIUrl":"https://doi.org/10.3329/bjog.v32i1.56735","url":null,"abstract":"Pregnancy associated with obesity is a challenge1.When surgical delivery is indicated that present a unique challenge2. A case of pregnancy with morbid obesity with a successful outcome is presented here.\u0000Bangladesh J Obstet Gynaecol, 2017; Vol. 32(1): 45-47","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46156856","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 Serum Cystatin C with Pre-eclampsia: A Case Control Study","authors":"N. Akhter, F. Deeba, B. Nasrin, S. B. Chowdhury","doi":"10.3329/bjog.v32i1.56731","DOIUrl":"https://doi.org/10.3329/bjog.v32i1.56731","url":null,"abstract":"Background: Cystatin C, an endogenous marker of renal function, which increases in pregnancy as more so in pre-eclampsia, studies show it may be marker of pre-eclampsia. \u0000Objective (s): The objective of the present work was to investigate the association between serum cystatin C levels in normal and pre-eclamptic pregnancy. \u0000Methods and material: This case control study was conducted in the department of obstetrics and gynaecology in three tertiary care hospitals of Dhaka city (BSMMU, DMC, BIRDEM ) during the period from January 2009 to December 2010. A total 240 women of 20-40 wks of pregnancy were enrolled in the study. One hundred and twenty four women of pre-eclampsia were recruited as case and 116 healthy pregnant women were enrolled as control. Serum cystatin C was measured in both case and control by a fully automated particle-enhanced immune-turbidimetric assay for cystatin C in undiluted samples. Serum cystatin C level was compared between the groups. P value reached from unpaired student t-test and chi square test by analyzing the data. P value less than 0.05 was considered to be significant. \u0000Results: The mean (±SD) serum cystatin C levels in case group was 1.17±0.34 mg/lranged from 0.1-2.2 mg/l. In control groups the mean (±SD) serum cystatin C level was 0.87±0.31 mg/l, ranged from 0.24-1.98 mg/l, which was significantly higher (p<0.001) in case. There was statistically significant association between serum cystatin C and pre-eclampsia. Serum Cystatin C level >1mg/l was found in more than half (69%) of the cases compared to 25% of the control group (p<0.001). Computation of odds ratio reveals that the cases had 6.79 times higher risk of having pre-eclampsia than that of the control group (p<0.001). \u0000Conclusion: There is significant association between pre-eclampsia and serum cystatin C \u0000Bangladesh J Obstet Gynaecol, 2017; Vol. 32(1): 29-32","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45286696","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}