This cross sectional study was carried out on hundred patients of vesicovaginal fistula who were admitted and underwent surgical treatment in Dhaka Medical college Hospital (DMCH), Dhaka, during the period of January, 2001 to June, 2003. The aim of this study was to obtain the outcome of the different methods of repair of different types of vesicovaginal fistula. An in-depth interview was taken from patients by using an open ended questionnaire. Necessary information about the procedure applied, together with results of operation were recorded in the data sheet. The result of this study showed that the anatomical success in closure of fistula occurred in 94% cases. In 38% of cases the size of the fistula were small in size, in 49% cases location were at the Junction of bladder neck, 78% of cases experienced no postoperative complications. Route of operation were vaginal in 84% cases. Previous attempt of repair were in 62% cases whereas in 38% women had history of operation. Obstetric vesicovaginal fistula is a curable condition. The success rate has been increased over time. More complicated cases which have been failed in previous attempts of repair are being referred. Most of the unsuccessful repair were bad cases (2%). So more training and experience of surgeons for repair of fistulas, employing modified technique wherever applicable can improve the result. DOI: 10.3329/medtoday.v22i1.5598 Medicine Today Vol.22(1) 2010. 12-14

Background: Fibroid is the most common of all pelvic tumours, being present in 20 percent of  women in the reproductive age group and increases with age.Obstetric cesarean hysterectomy  is mostly done for indications deemed to be serious and life threatening to the patient and not  amenable to conservative management.Case: A 27 years old lady was admitted in BSMMU with 3rd gravida 35 wks pregnancy with  less fetal movement with fibroid uterus. Fibroid was diagnosed at her 21 weeks pregnancy by  ultrasonogram. Caesarean section was done at 35+ weeks of pregnancy because of nonreactive  CTG. After delivery of the baby and placenta, severe bleeding started. Caesarean hysterectomy  was done. The mother and baby were healthy at the time of discharge.Conclusion: Very few patients needed cesarean hysterectomy in case of fibroids in pregnancy. However there is no question that cesarean hysterectomy save lives especially in case of  bleeding that cannot be controlled by simpler measures. DOI: http://dx.doi.org/10.3329/bjog.v25i2.13746 Bangladesh J Obstet Gynaecol, 2010; Vol. 25(2) : 87-89

Background: Ovarian tumour is a leading cause of morbidity and mortality. Objective: The purpose of the present study was to observe the socio-economic conditions of the ovarian tumour patients. Methodology: This was a cross sectional observational study and was carried out in the Department of Obstetrics and Gynaecology at Bangabandhu Sheikh Mujib Medical University (BSMMU) Hospital, Dhaka from July 2008 to December 2008. Patient admitted in the Obstetrics and Gynaecology ward in BSMMU hospital with diagnosis as ovarian tumour were selected as study population. Woman suffering from ovarian tumour who were diagnosed by history, clinical presentation, laboratory finding's and finally, confirmed by operative findings and histopathological report were included in this study. Result: Out of total 382 patients admitted with different gynaecological problem into BSMMU Hospital, 50 (13.09%) were diagnosed as ovarian tumour. Out of 50 patients maximum number of patients belonged to age group 21-30 years (32%). Mean age 38.2±7.31 years with a range 16 to 69. Among the 50 patients 4% of patents belonged to upper class, 56% middle class and 40% were to lower class. Out of total 50 cases 8% were unmarried and 92% were married, of whom 12% were nuliparous and 80% were parous. Conclusion: In conclusion the ovarian tumours are most commonly occurred in middle aged women in the middle income group. The parous women are most commonly suffering from ovarian tumour.

Introduction:Obstetric fistula surgery presents many challenges. The injury usually occurs in resource-poor areas and is thus managed in hospitals that are themselves poorly resourced. The pathology is complex and extensive, affecting any and sometimes all parts of the lower urinary tract. The long obstructed labour and resulting ischemia throughout the pelvis can destroy all the normal mechanisms for urinary continence. 1 It is one thing to be able to close the defect and try to restore normal anatomy, but it is quite another thing altogether to obtain a functional closure, ensuring normal continence. There are varied reports about the extent of incontinence after fistula surgery, from 8% 1 to more widely accepted figures of 18-33%, 2 even up to 47% in an unpublished survey performed in the Addis Ababa Fistula Hospital in 2003. As with all things, it depends on how closely a fistula surgeon look for the problem. In the early work by Kelly and Kwast, 1 the figure was the number of women returning to the hospital with continuing incontinence despite a closed fistula. It is likely that many women would have remained at home with mild incontinence. The figures of 18-33% had accepted way of looking for incontinence including a basic set of structured questions ranging from'are you wet with cough or heavy activity? 'are you leaking urine involuntarily when lying?. 2 A cough examination with a full bladder was used to confirm the diagnosis.The exact nature of the incontinence is often complex and only a handful of studies have investigated the nature of the pathology. One study 3 of 22 women with severe incontinence following fistula closure underwent urodynamic assessment: 41% had genuine stress incontinence (GSI); 14% had GSI and poor Residual urinary Incontinence after SuccessfulRepair of Obstetric Fistula

Amniotic fluid volume is an indirect indicator of fetal well being. About 8% of pregnant women can have low amniotic fluid, with about 4% being diagnosed with oligohydramnios. Oligohydramnios can cause complications in about 12% of pregnancies that go past 41 wks of gestation. This cross-sectional observational study was carried out in the Department of Obstetrics and Gynaecology, BSMMU, Dhaka from July 2010 to December 2010 on 55 admitted pregnant mother of 28-40 weeks gestational age with low amniotic fluid index (<8cm) with or without medical disorders specially during and after delivery along with its impact on mode of termination of pregnancy & complications of the fetus. Most of the mother (64%) had mild oligohydramnios. Most of them were < 37weeks of gestation and 69.1% of them had to undergo caesarean section as there mode of delivery. The indications were mostly (66%) due to less fetal movement, IUGR, previous C/S, malpresentation etc. The current study showed significantly higher rate (65.5%) of low birth weight resulting from the low AFI. The APGAR score less than 7 in 5 minute was significantly higher in severe oligohydramnios group and majority of the neonate experienced complications like RDS (13%), meconeum aspiration (21%) with admission in neonatal ward (54%). Low AFI has poorer prognosis to some extent with maternal as well as fetal outcome. It is responsible for a significantly higher rate of caesarean section & also associated with low birth rate along with low APGAR score and increase in neonatal complications.Bangladesh Med J. 2015 Jan; 44 (1): 16-20