Background: To determine ability of cervical cerclage to improve pregnancy outcome in patients having cervical incompetence. Methods: A retrospective study was conducted at Central Hospital Limited, Dhanmondi, Dhaka on 35 patients. All had history of one or more mid trimester abortion and were subjected to cervical cerclage (McDonald suture). Results: Average pregnancy prolongation was 17 weeks. Just over half of these women (51%) delivered at term and just over half the newborns (51%) weighed above 2.5 kg. Over 11% had abortion, 14% had preterm PROM and 14% preterm labour. Term PROM was the outcome in 5.7% and cervical injury occurred in 8.6%. Conclusion: Cervical cerclage is beneficial for pregnancy with cervical insufficiency and hence placement of cervical cerclage can reduce early pregnancy loss. JOPSOM 2020; 39(2): 70-73

violence against women. In general population, conception is expected to occur in 84% of women with in 12 months and 92% within 24 months 2 . Sub-fertile couples pass through a painful life with psychological stress and a social disgrace in our country. It is estimated that the infertility affects 15% of couples. About 5% of male sub fertility is correctable. Male sub-fertility has been neglected more than female sub fertility worldwide, especially in developing countries including Bangladesh and is often to refer patients for specialist opinion. According to a study by Chain in Singapore in 2000, smoking, density of sperm, viability of sperm, were found to be significant predictor for sub-fertility among men 3 .However, very little studies have been done to identify the original causes of male infertility and in several reports it was found that the major part of male infertility is unexplained 4 . Materials and MethodsThis is a prospective study carried out with infertile and sub fertile couples treated in Dhaka CMH in the period from 01 March 2013 to 28th Feb 2014. Semen specimens were obtained from 100 consecutive male patients between 23 and 58 yrs of age. These patients attended clinical pathology laboratory, Armed Forces Institute of pathology (AFIP) for fertility evacuation. All subjects or patients were asked to produce a first semen sample after a sexual abstinence of 3 days, as because increase in abstinence with individual days significantly affects semen volume, sperm count, sperm Abstract Introduction: This study aimed to identify the risk factors for abnormal semen parameters in male partner of sub-fertile couples. Materials & Methods: This was a prospective study of 100 diagnosed infertile & sub-fertile couples in the age group between 23-58 yrs old male were from 1st March 2013 to 28th Feb 2014 treated in Dhaka Combined Military Hospital (CMH). On the basis of sperm count the cases were grouped as follows. normozoospermia, oligozoospermia & azoospermia. Semen analysis was done in all the cases, The results were described with arithmetic mean and standard deviation. Male partners with normal semen parameters was undertaken among the sub-fertile couples attending the General Outpatient Department (GOPD) of CMH Dhaka. The history was taken from selected individual and it includes personal, socio-economics, occupational, medical, surgical history and drug intake to find out risk factors for abnormal semen parameters. Results: In Normozoospermia mean and SD of sperm count, sperm abnormally, sperm motillity were 65.98±5. 05, 24.44±1.57 and 45.5±2.94 respectively. In 0ligozoospermia the mean and SD of sperm count, sperm abnormality, sperm mtility were 7. 74±1.23, 41.1±3.78, 14.54±2.77 respectively. In azoospermia the mean and SD of sperm count, sperm abnormality, sperm motility were absent. Conclusion: Here data statistically showed person with normozoospermia having good sperm morphology & motility than oligozoospermia and azoospermic subjects thereby causing male infertility which was responsible fo...

Objectives: To find out the proportion and maternal outcome of placenta accreta.Materials and Methods: Total 10579 deliveries were served during January 2013 to 31st December 2013 in the Department of Obstetrics and Gynecology of Addin Women Medical College Hospital, Dhaka. All patients who needed postpartum or cesarean hysterectomy for postpartum hemorrhage and diagnosed as placenta accreta after postpartum hysterectomy were included for the study. Among them who were antentally diagnosed as placenta previa with having other risk factors of placenta accreta, were evaluated by Doppler Sonography. All these cases such as diagnosed, suspected or only had multiple risk factors of placenta accreta were managed by a team approach and proper counseling of the patient’s guardian about need of massive transfusion, hysterectomy, Intensive Care Unit (ICU) admission .Results: Among the total 10579 deliveries 22 cases were diagnosed as placenta accreta after postpartum hysterectomy. On histopathology 8 of these cases were placenta percreta, 7 cases were placenta increta and 7 cases were placenta accreta vera. Almost ninety one (90.90%) patient had placenta previa and 90.90% patient had past H/O one or two cesarean section. Placenta percreta cases were more common in patients with H/O two previous C/S or one C /S and dilatation & curettage (D&C). In all preoperatively diagnosed cases, Right lower paramedian incision was given and hysterectomy was done leaving the placenta in situ.Conclusion: Placenta accreta is associated with previous two or more cesarean deliveries, or multigravidae with past H/O repeated D&C or M/R or combined. History of of these operations are diagnosed as having anterior or central placenta previa.Bangladesh J Obstet Gynaecol, 2013; Vol. 28(2) : 71-75

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Background: Cement industries are playing a key role in economic growth and infrastructure development. But its production is a dusty process and is a major source of air pollution. Its exposure may affect respiratory system and impairment of pulmonary functions. Objective: This study was aimed to assess the effects of cement dust on pulmonary functions of workers working in cement factory. Methods: This case control study was conducted in the department of physiology, Chittagong Medical College, Chattogram in collaboration with Heidelberg Cement Bangladesh Ltd. in Chattogram from January 2018 to December 2018. A total of 88 male workers, aged between 20-45 years were included in this study by consecutive sampling method who met the inclusion criteria. Workers working at least two years in direct contact of cement dust were considered as exposed (case) group. Non exposed (control) group were selected from office workers of same factory those who were not directly exposed to cement. Each group included 44 subjects. A predesigned data collection form containing information regarding general information, job history, present and past disease, drug history was filled up. Individual’s height, weight was measured and BMI was calculated. FVC, FEV1, FEV1/FVC (%) was recorded by a digital spirometer (Chestgraph HI-101, Japan) in upright sitting posture. After compiling data,statistical analyses were done by using SPSS version Windows 25. Unpaired student’s ‘t’ test was done for statistical analysis. Results: Exposed (case) group showed significant reduction of FVC and FEV1 (p<0.001)with unaltered FEV1/ FVC (%) (p>0.05) in comparison to non exposed (control) group. Conclusion: The results of this study concluded that occupational exposure to cement dust reduce pulmonary functions of cement workers. Bangladesh Med Res Counc Bull 2021; 47(2): 199-204