Bangladesh Journal of Obstetrics and Gynecology最新文献

{"title":"Abstract Vol. 34(1)","authors":"S. Khatun","doi":"10.3329/bjog.v34i1.56677","DOIUrl":"https://doi.org/10.3329/bjog.v34i1.56677","url":null,"abstract":"Abstract not available \u0000Bangladesh J Obstet Gynaecol, 2019; Vol. 34(1): 56-59","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44191583","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":"Dengue in Pregnancy","authors":"S. Chowdhury, S. Abbasi","doi":"10.3329/bjog.v34i1.56673","DOIUrl":"https://doi.org/10.3329/bjog.v34i1.56673","url":null,"abstract":"Dengue fever during pregnancy is increasing day by day in Bangladesh. The knowledge of adverse effects on mother and neonate remains limited and there are also lack of management guideline in this regard. Mortality rate for severe dengue fever is 0.8–2.5%, and pregnancy should be considered as a coexisting risk factor for serious infection. However, the maternal and fetal outcomes not fully understood. Some review articles on outcomes of neonates born to mother with dengue fever was reported, and demonstrated that preterm birth and low birth weight were the most common adverse pregnancy outcomes; however, dengue fever was not significantly associated with these adverse outcomes, suggesting that symptomatic dengue fever may indicate risk. Other adverse effects such as stillbirth or postpartum hemorrhage (PPH) remain unclear. Therefore, we aimed to brief review of recent management guideline of OGSB about dengue fever in pregnancy. \u0000Bangladesh J Obstet Gynaecol, 2019; Vol. 34(1): 36-42","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47683624","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":"Histopathological Findings of 100 cases of Abnormal Uterine Bleeding and their Correlation with FIGO Classification","authors":"K. Nahar, Suraiya Apsara, Luna Farhana Hoque, Hosne Ara Baby","doi":"10.3329/bjog.v34i1.56671","DOIUrl":"https://doi.org/10.3329/bjog.v34i1.56671","url":null,"abstract":"Abnormal uterine bleeding(AUB) is one of the most common gynaecological problems encountered in clinical practice. The PALM-COEIN classification for causes of AUB was proposed by the International Federation of Gynaecology and Obstetrics (FIGO) in 2011, which has gradually been applied in Bangladesh for the diagnosis of AUB. \u0000Objective: the objective of this study was to evaluate the prevalence of chronic AUB according to FIGO classification in reproductive age women , carry out histopathological study and analyze it,s clinicopathological pattern. \u0000Material and methods: this descriptive cross sectional study was carried out among 100 women of reproductive age (20-49 years) who presented with abnormal uterine bleeding (AUB) in the department of obstetrics and gynaecology of Dhaka Medical College Hospital during the period of January 2012 to December 2012. Clinical diagnosis was made according to PALM-COEIN classification on the basis of history, examination and necessary investigations. Endometrial sample and hysterectomy specimen were assessed by histopathology. \u0000Result: Thirty five (35%) percent patients were 41-45 years. Ninety two (92%) patients were married ,2(2%) were unmarried and 6(6%) were widow. Among married women 98% were fertile and 2% were subfertile. Most common presenting symptom was menorrhagia (48%), followed by metrorrhagia (25%) and polymenorrhoea was observed in 22% cases. Ovulatory dysfunction (AUB-O) was the most common cause of abnormal uterine bleeding among the non structural causes and it was 44% . AUB-L were the most common (30%) among the structural causes, followed by AUB-A(10%) and AUB-P(5%). Regarding histopathological findings most of the patients( 34%) revealed unremarkable histopathological findings. Other findings were leiomyoma 27(27%), adenomyosis 13(13%) and fibroid uterus with adenomyosis in 5(5%) cases. \u0000Conclusion: AUB –O was the leading cause of abnormal uterine bleeding and histopathological evaluation correlated well with the clinical diagnosis. \u0000Bangladesh J Obstet Gynaecol, 2019; Vol. 34(1): 22-27","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45929770","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. 34(1)","authors":"Sabera Kahtun","doi":"10.3329/bjog.v34i1.56680","DOIUrl":"https://doi.org/10.3329/bjog.v34i1.56680","url":null,"abstract":"Abstract not available \u0000Bangladesh J Obstet Gynaecol, 2019; Vol. 34(1): 66","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41723433","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":"Recurrent Hydatidiform Mole: A Case Report of Five Consecutive Molar Pregnancies Complicated by Thyrotoxicosis and Review of Literature","authors":"S. Khatun","doi":"10.3329/bjog.v34i1.56676","DOIUrl":"https://doi.org/10.3329/bjog.v34i1.56676","url":null,"abstract":"Hydatidiform mole (HM) is the most common form of Gestational Trophoblastic Disease (GTD). Recurrence of HM is extremely rare. Here we report the case report of a patient with five consecutive complete hydatidiform moles without any normal pregnancy. A 41-years old lady, was referred to Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh with H/O repeated molar pregnancies. Her first molar pregnancy was in 2005, second in 2006, third in 2007 & fourth in 2014. All the molar pregnancies were managed by suction evacuation at her base hospital. Following evacuation of 4th molar pregnancy at base hospital, she was referred to BSMMU for subsequent management. Regular follow-up was done using molar card. All the pregnancies were complete hydatidiform mole (CHM) and were confirmed clinically and sonographically. None of the molar pregnancies needed treatment with chemotherapy. During her fifth molar pregnancy she developed shortness of breath and palpitation. Diagnostic work up in our hospital confirmed complete molar pregnancy with thyrotoxicosis, for which she received b-blocker agent and after normalization of thyrotoxicosis, she underwent total abdominal hysterectomy on 11. 10. 18. Now she is on regular follow up by serum bhCG and has no complication. \u0000Bangladesh J Obstet Gynaecol, 2019; Vol. 34(1): 52-55","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69462074","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":"Risk Factors and Fetal Outcome of PE Cases in a Tertiary Level Hospital","authors":"K. Nahar, S. Banu, Sharmin Siddika, Atika Begum","doi":"10.3329/bjog.v34i1.56668","DOIUrl":"https://doi.org/10.3329/bjog.v34i1.56668","url":null,"abstract":"Objective: To study the risk factors and foetal outcome of pre-eclampsia in a tertiary level hospital. \u0000Materials and methods: A total 40 consecutive patients of pre-eclampsia (PE) were included in this study between April 2009 to March 2010. Patients whose B.P. was ³140/90 mm of Hg and proteinuria detected by dipstick test were included in this study. Detailed discussion about the study was done with the patient and then written informed consent was taken from them. Detailed history about patient profile, risk factors and foetal outcome in terms of birth weight, maturity and IUGR(intrauterine growth retardation) etc were recorded in predesigned data collection sheet. Data was expressed in terms of frequenies and percentages. \u0000Results: Most of the patients were in the age group of 20-30 years (52.5%) and 60% were primi gravida . Most of the patient (60%) developed pre-eclampsia at 37 weeks of gestation. Regarding risk factors 30% patients were obese, previous history of pre-eclampsia (PE) in 7.5% cases, pregnancy with diabetes was found in 5% cases and multiple pregnancy in 2.5% cases. Caesarean section was done in 72.5% cases and vaginal delivery occurred in 25% cases. Birth weight 2.5-3 kg found in 40% cases. 37.5% babies were premature, IUGR in 7.5%, intrauterine death in 5% and neonatal death was observed in 2% cases. \u0000Conclusion: Primi gravida are more prone to develop pre-eclampsia. Obesity, previous history of pre-eclampsia, multiple pregnancy and pregnancy with diabetes mellitus increase the risk of pre-eclampsia. Prematurity, intrauterine growth retardation (IUGR), intrauterine death (IUD), neonatal death are important foetal complications. \u0000Bangladesh J Obstet Gynaecol, 2019; Vol. 34(1): 3-7","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44800203","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":"Factors Associated with Maternal Deaths in District and Upazila Hospitals of Bangladesh","authors":"Abdul Halim, A. Biswas, A. Abdullah, F. Rahman","doi":"10.3329/BJOG.V31I1.34271","DOIUrl":"https://doi.org/10.3329/BJOG.V31I1.34271","url":null,"abstract":"Objective(s): Aim of the study was to use death review to explore medical causes and three delay causal factors responsible for maternal deaths in district or below level health facilities","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/BJOG.V31I1.34271","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45259068","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 Rare Shape of Placenta; Placenta Bipartite, Bilobata, Dimidiate, Duplex: A Rare Case Report","authors":"P. Biswas, G. Paul, M. Chowdhury, Selim","doi":"10.3329/BJOG.V31I2.34220","DOIUrl":"https://doi.org/10.3329/BJOG.V31I2.34220","url":null,"abstract":"Placenta bipartite is a rare variation of placental morphology. The estimated incidence is up to 2-8 % of pregnancy. There is no distinct racial, ethnic or geographical prediction observed. The diagnosis of an anomalous placenta is important for patient management at the time of delivery. Specifically, the bilobed placenta can be associated with first-trimester bleeding, polyhydramnios, abruption, and retained placenta. Careful attention to the cord insertion is also required for optimal fetal management. We report a case of a 24 years multi gravida with previous history of 2 C/S who had regular antenatal checkup and her pregnancy was uneventful till 36 wks. Her early USG at 16 weeks showed low lying placenta little away from the internal os of cervix. She was advised to take complete bed rest, avoid journey and coitus. Couple was warned about pervaginal bleeding, which may occur any time and also advised to ready at least four blood donors. Her 2 nd USG scan at 26wks showed placenta bipartite and insertion of cord over the internal os of cervix. Patient was treated conservatively and dose of inj. Oradexon was completed at 32wks for lung maturation. At 36 weeks, patient perceived less foetal movement and then emergency LUCS with BLTL was done. Baby was well and her postpartum period was uneventful. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(2) : 101-103","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"101-103"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/BJOG.V31I2.34220","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49127530","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":"Abstracts Vol.31(2)","authors":"S. B. Chowdhury","doi":"10.3329/BJOG.V31I2.34222","DOIUrl":"https://doi.org/10.3329/BJOG.V31I2.34222","url":null,"abstract":"","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"107-110"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49296023","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":"Outcome of Abdominal Sacrocolpopexy for Post Hysterectomy Vaginal Vault Prolapse","authors":"L. Chowdhury, N. Khanam, Junnu Rayen Janna","doi":"10.3329/BJOG.V31I2.34217","DOIUrl":"https://doi.org/10.3329/BJOG.V31I2.34217","url":null,"abstract":"Objective (s): The aim of this study was to explore the outcome of abdominal sacrocolpopexy for the correction of post hysterectomy vaginal vault prolapse. Materials and Methods: This prospective study was done over the period of five years from 2011 to 2015 where twenty patients of vault prolapse were subjected to abdominal sacrocolpopexy. Procedure was completed by securing the vaginal apex to the anterior longitudinal ligament of sacrum using synthetic mesh. Intra and postoperative complications and patients’ satisfaction was assessed. Results: No post-operative serious complications were reported during follow up period. The vaginal vault was well supported in all patients with no recurrent vault prolapse. One patient had mild asymptomatic rectocele. No mesh complication was found during the follow up period. Conclusion: The abdominal sacrocolpopexy achieves excellent correction of post hysterectomy vaginal vault prolapse with minimal morbidity. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(2) : 90-93","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"90-93"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47643324","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}