Background: Gestational diabetes (GDM) burden has been increasing progressively several years. Specially in pandemic days situation gets more tough as risk of getting infected is higher. However telemedicine approaches offers new hope to many. Objective: In this study our main goal is to evaluate the management of GDM patients by telemedicine in covid-19 pandemic situation in Bangladesh. Method: This prospective study was conducted at tertiary medical college and hospital from June 2020 to august 2021 where 100 women diagnosed as having GDM before 28 weeks of gestation were included as a sample population. Results: During the study, most of the patients belong to 31-40 years age group, 52% and 55% were housewife. In addition multigravida were 95.8% cases were noted. However, lower blood glucose level higher systolic, diastolic pressure and HbA1C % were noted GDM cases which gets lower after intervention approaches 180 ± 8.7mg/dl, 99.9 ± 10.5 mmHG, 62.4 ± 8.6 mmHG. and 5.1± 0.4. Moreover, 65% cases delivered normally and preterm birth seen in 5% cases. Conclusion: GDM is the most prevalent metabolic alteration diagnosed during pregnancy, where through artificial-intelligence-augmented telemedicine monitoring task getting easier as it offers a good alternative, saving resources while maintaining the standards of care proposed in the clinical guidelines. The data presented in this study show the feasibility and acceptance of the developed smart telemedicine system in covid-19 pandemic days.

Background: Caesarean section is a lifesaving procedure in the presence of maternal and fetal complications. In recent decades the rate of caesarean section is increasing rapidly due to several associated risk factors. The objective of this study was to assess the prevalence and associated risk factors of C-sections among women at Kumudini Women's medical college. Methods: This retrospective cross-sectional study was conducted at the department of obstetrics and gynaecology in Kumudini Women's Medical College, Tangail, Bangladesh. The study was conducted during the period of July 2019 to January 2020. The total sample size this study was 2105. Results: Majority 696 (33.1%) of participants were aged between 18-24 years and followed by 464(22%) aged 25-30, 569 (27%) aged 31-35 and the rest 376 (17.9%) were aged 36-40 years. A significant association was noticed in respect of previous history of CS, gestation age and fetal weight with the type of delivery (p value, 0.000, 0.033, 0.021). whereas in parity there was no significant relationship with caesarean section (p value, 0.421). A significant association was noticed in respect of pre-eclampsia, eclampsia induction failure, fetal distress, APH, twin, malpresentation, and the type of delivery (p value, 0.02, 0.003, 0.001, 0.001, 0.002, 0.04, 0.03 and 0.1). Whereas in PROM there was no significant relationship with caesarean section (p value=0.1). Conclusions: This study concludes that the incidence of caesarean sections is seemed to be very high in Bangladesh. Although it is a life-saving procedure, it is important to choose carefully when performing a C-section birth.

Background: Maternal anaemia especially iron deficiency anaemia has become a common problem worldwide. It is associated with adverse pregnancy outcomes like preterm birth, low birth weight and increases incidence of postpartum haemorrhage (PPH). Hence, this study aimed to find the association between maternal iron deficiency anaemia and pregnancy outcome. Methods: This retrospective cross-sectional study was conducted at the department of Obstetrics and Gynaecology in Kumudini Women's Medical College, Tangail, Bangladesh. The study was conducted during the period of July 2019-January 2020. A total of 93 pregnant women were found to be anemic through this whole trial. Result: In this study, 52% patients had mild level anaemia, 32% had moderate and 16% had severe anaemia. Patients who had severe anaemia significantly suffered from preeclampsia (46.7%), PPH (26.7%), need a blood transfusion during/within 24 hours of delivery (100%), prolonged labor (53.3%), fetal distress (53.3%), placenta praevia (86.7%), low birth weight (86.7%), preterm delivery (40.0%), stillbirth (13.3%) and early neonatal death (within 24 hours) (13.3%). All the complications were strongly associated with severity of anaemia (p value=0.000) except prolonged labour (p-value=0.04). Conclusion: This study concludes that iron deficiency anaemia has significant impact on pregnancy outcome. Hence, iron supplementation can be an effective way for improving IDA among the pregnant anaemic women. Also, proper antenatal care is important so that early detection and treatment of IDA can be possible.

No abstract

No abstract