The purpose of our study was to determine the Fetomaternal outcomes of breech presentations in labour at term. The study was carried out in department of obstetrics and gynaecology, Hayatabad medical complex, MTI, Peshawar. This study included 140 women presenting with breech presentations at term in labour. They were watched for progress of labour and allowed to deliver vaginally or through caesarean section if required. Both vaginal deliveries and caesarean sections were performed by trained medical officers have experience of more than 3 years in teaching hospital. APGAR score of the newborns was noted at 1 & 5 minutes by an accompanied consultant pediatrician having at least 3 years of experience. All the data was collected on a proforma. Maternal outcomes were classified as Breech vaginal delivery or emergency caesarean section. APGAR scores of the neonates at 1 and then 5 minutes interval was used for neonatal outcome. Results showed vaginal breech delivery in 70% women while 30% women had caesarean sections. The APGAR score of majority of babies i.e. 93% was >7 while 7% of babies were born with APGAR score of <7.
Our goal was to study the success rates and peri-operative and post operative complications of Burch colposuspension in women having urinary stress incontinence. The study was performed in the department of gynaecology and obstetrics, MTI Hayatabad Medical Complex, MTI Lady Reading Hospital and a private set in Peshawar. Peri and postoperative outcomes were reviewed in 54 patients who underwent Burch Colposuspension from 2012 to 2017. All operations were performed by a single experienced surgeon and patients were followed post procedure for 18-24 months. Prior to the procedure, urodynamic studies were performed on 34 patients, while others showed signs of pure stress incontinence, so they did not require urodynamic studies. Urodynamics of 28 women showed genuine stress incontinence while six showed mixed stress incontinence. 10 patients underwent additional procedures along with Burch Colposuspension, mostly posterior colporrhaphy in 6 patients. The complication rate was relatively low, with 14.8% of patients experiencing voiding difficulties and 11% experiencing Denovo detrusor instability. Burch Colposuspension is a safe surgical treatment for genuine stress incontinence.
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