Background: Stillbirth is a disastrous event faced by the obstetrician. Each stillbirth is a tragedy having devastating implications for mothers, their families and the health personnel. Globally it remains a significant public health issue, particularly in developing countries like Bangladesh. An understanding of the risk factors associated with stillbirth will facilitate optimum quality of maternal and child health services; which leads to reduce the burden of death. Objective: To determine the factors associated with stillbirth in a tertiary care hospital. Methodology: A descriptive type of cross sectional study was conducted in the department of Obstetrics and Gynecology of Shaheed Suhrawardy Medical College Hospital from 1st January 2019 to 31th December 2019. Total 32 pregnant women who had stillbirth occurred during the study period were included in this study. Non probability purposive sampling technique was followed as per inclusion and exclusion criteria. Result: Total stillbirth reported were 32 (3.37% of total births). Maximum cases were primigravida (65.62%) with illiterate (71.87%), low socio-echonomic status (68.75%) and lack of Ante natal care(56.25%). Main causes of stillbirth were hypertensive disorders(15.6%), labour abnormalities(6.25%), other medical disorders(9.37%), infections(3.12%), Antepartum haemorrhage (12.5%), prematurity (12.5%), cord accidents(3.12%), IUGR(6.25%),birth asphyxia (6.25%) and post maturity(6.25%). Conclusion: Hypertension and other medical disorders, Antepartum haemorrhage, labour abnormalities, prematurity, post maturity, IUGR and birth asphyxia were identified as the highest risks for stillbirth which can be reduced by early recognition of the problem with regular antenatal check-up, colour Doppler ultrasound to diagnose fetal growth restriction and cord abnormalities, anomaly scan, intrapartum use of CTG to know fetal distress and use of partograph to prevent prolongation of second stage of labour and timely obstetric intervention will help in reduction of stillbirth. J Shaheed Suhrawardy Med Coll 2021; 13(1): 15-19
Background: Management of early pregnancy loss is very crucial for the safety of women. Objective: The purpose of the present study was to see the safety and efficacy of misoprostol for the management of early pregnancy loss. Methodology: This non-randomized clinical trial was conducted in the Department of Obstetrics and Gynaecology in Shaheed Ziaur Rahman Medical College Hospital, Bogra, Bangladesh from January 2007 to December 2007 for a period of 12 months. Women with early pregnancy loss who were fulfilling the selection criteria were selected as the study population during the study period. On admission all women were received a vaginal administration of 800 μg misoprostol by digital insertion into the posterior fornix through a speculum (4 tablets of 200 μg misoprostol). The interval between administration of misoprostol and expulsion of product of conception was recorded. After 7 days (8th day) they were instructed to come to the hospital to see the completeness of expulsion of product of conception by ultrasonography. If sonography shows incomplete expulsion then surgical evacuation was done. Every woman were advised to come for follow-up on 15th day. Results: A total of 200 women with first-trimester pregnancy loss were non-randomly assigned to give treatment with misoprostol. The mean with the SD of the study population was 24.95±4.17 years. In most cases expulsion occurred within 24 hours of application of misoprostol, 142(71.0%) cases completed expulsion within 48 hours, 168(84.0%) cases within 7 days, 170(85.0%) cases out of 200 cases completed expulsion occurred. Complete evacuation after the first dose was in 142(71.0%) cases and remained incomplete was 58(29.0%) cases. After administration of the second dose (85.0%) complete evacuation occurred and 30(15.0%) cases remained complete that needed surgical evacuation. Analysis was reveled statistically significant (P<0.05). Vaginal misoprostol treatment appeared to be well tolerated. Only few percent shows mild side effects. About 190(95.0%) cases required no blood transfusion. Conclusion: In conclusion the efficacy of misoprostol for the management of early pregnancy loss gives a good results with minimum adverse events. Journal of National Institute of Neurosciences Bangladesh, July 2022;8(2):152-156
Background: Infertility is considered a taboo in the society of Bangladesh and is negated in reproductive health programs as well as in the research setting. Yet it is crucial and endemic for social and public health sectors. In Bangladesh, infertile women have to bear the drudgery of dishonor and shame because of their childlessness. The childless women have to shoulder most of the burden of ill-treatment for impotence regardless of who is at fault. Like other social stigmas, this also intersects across class, gender and setting barriers. Objective: The aim of the study is to understand the social struggles, stigmatization and treatment seeking behavior of infertile women of different classes in the urban context of Bangladesh. Methodology: A descriptive qualitative research methodology with in-depth interviews was used to collect data from 20 childless urban women aged between 18 to 45 years. They were urban residents for at least ten years and were aware of their infertile condition for at least one year. Results: The research results showed that childless women, irrespective of their class identities, always live with stigma, accusations and fear of abandonment in their personal lives. It also initiates an arena of violence. Many infertile women face physical and mental abuse due to their childlessness. The treatment seeking behaviors also vary based on financial conditions and the formality of the services among infertile women of different social classes. Conclusion: Infertility is a critical component of reproductive health. When a woman’s worth is measured by her reproductive functions, the childless woman faces humiliation and even abandonment. Attitude towards them is changed due to the societal norms and patriarchal social structures. This affects their treatment seeking behaviors as well. A proper understanding of the social condition of infertile women will facilitate the improved quality of women’s reproductive health care services. J Shaheed Suhrawardy Med Coll 2020; 12(2): 82-86
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