OBJECTIVES: To determine the maternal and fetal outcomes associated with uterine fibroids in pregnancy. METHODOLOGY: This study was conducted in the Gynaecology Department of Mardan Medical Complex from January 2018 to December 2019. All pregnant women of any age or parity or gestational age with sonographic evidence of uterine fibroids were included. Demographic details, gestational age, symptoms related to fibrosis, size, number and location of the fibroid, mode of delivery, antenatal, intrapartum and postnatal complication, and neonatal outcome were entered in a predesigned proforma. RESULTS: The incidence of uterine fibroids in pregnancy was 0.8%.77 patients were enrolled. The mean age was 26.5 + 3.22 years. The mode of delivery was a caesarean section in 32.4%, and vaginal delivery in 53% of patients.14% of patients miscarried. Fibroids were multiple in 58.4% and single in 41.5% of patients. Submucosal fibroids were seen in 23%, intramural in 18% and subserosal in 58% of cases. The most common maternal complication was abdominal pain (25%), followed by postpartum haemorrhage(23%) and antepartum haemorrhage(19%). Neonatal outcome was good, with 57% of babies being healthy and 9% being admitted to the Neonatal Intensive Care Unit (NICU) and discharged later. CONCLUSION: Pregnant women with fibroids should be cautiously screened during antenatal to avoid obstetric complications.
Objectives: To find out the personal, professional, and educational challenges in training by the post-graduate residents of Obstetrics and Gynecology in the three tertiary care hospitals of Peshawar during the Covid-19 Pandemic. Methods: This was a web-based cross-sectional study conducted among the postgraduate residents of Gynecology and Obstetrics in the three main teaching hospitals of Peshawar, from 1st April 2020 to 31st July 2020. A structured survey using Google forms was distributed among 98 postgraduate residents through emails and social media platforms. The challenges faced and their severity was assessed using the Likert Scale. Results were analyzed in Microsoft Excel. Results: Total number of participants was 98, with 99% being female. The mean age was 28.3±1.8 years. Their worst fear was of the family getting infected (86.7%). Their greatest challenge was the inability to practice social distancing due to the nature of their work (85%) amidst a lack of PPEs (51%). Their training suffered due to inadequate opportunities for elective surgeries (78%). Conclusion: Post-graduate residents in Gynaecology/Obstetrics faced substantial personal, professional, and educational challenges while training during the covid-19 pandemic. Keywords: training, challenges, Covid-19, postgraduate residents, Obstetrics and Gynecology
Objective: To find out risk factors, indications, causes, maternal mortality and morbidity after relaprotomy following caesarean section. Study Design: Descriptive (Cross Sectional) study. Setting: Department of Gynae, Mardan Medical Complex. Period: March 2015 to February 2020. Material & Methods: All women of any age or parity who had undergone caesarean section for any indication, which was followed by a relaprotomy, within a 60 days time period, irrespective of the location of the primary surgery, was included. Decision for relaprotomy was taken by the consultant in charge. All the data was entered in a predesigned proforma. Results: The rate of relaprotomy was 0.25%. Majority (88%) was in 20-35 years age group. 16 (61%) Patients were multigravidas and 8(31%) were primigravidas. Most (84.6%) of the cases were unbooked. 8(31%) patients were referred from remote areas and private centres, where caesareans had already taken place. Placental abruption was the most common indication (34.6%), followed by previous scars (19%) and placenta previa (15%). Mean interval between primary surgery and relaprotomy was 13.5 + 3.2 hours. Indication for relaprotomy was Postpartum and intraperitoneal haemmorhage in 34.6% cases each followed by rectus sheath and broad ligament hematoma in 7.7% cases each.84.6% patients were admitted in ICU, 65.4% received massive blood transfusions, whereas 30.7% developed DIC and febrile morbidity and renal impairment was seen in 19% cases. The mortality rate was 15.38% and all of them were referred cases. Conclusion: Relaprotomy after caesarean section is a very high risk situation. Postoperative vigilance, timely intervention and efficient referral system can reduce both maternal mortality and morbidity.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.