Objective: To determine the frequency of obstetrical hysterectomy in the morbidly adherent placenta in women with previous cesarean sections in tertiary care hospital. Study design: A cross-sectional study Place and Duration: Gynecology and obstetrics department of Liaquat university hospital Hyderabad from 5th November 2020 to 5th May 2021 Methodology: This study comprised 62 women who had placentas that were identified as morbidly adherent by Doppler ultrasound. Repeat ultrasound scans were used to monitor cases with grossly adherent placentas. The condition of the mother and fetus was routinely evaluated in the hospital, where blood was cross-matched for transfusion. All information was entered into a pre-made proforma. Results: The women were 30.68 ±4.70 years of age on average. When a placenta was morbidly adherent and in a woman who had previously had a caesarean section, 7.41% (17/62) of those women underwent an obstetrical hysterectomy. These women spent an average of 4.92 ±2.65 days in the hospital. Conclusion: - In 7.41% of cases, obstetrical hysterectomy was performed on women who had previously undergone caesarean section because of a morbidly attached placenta. These findings suggest that a morbidly adhered placenta can seriously interfere with a female's ability to procreate. It is crucial to make a well-informed decision about having a C-section in the first place, and following previous C-sections, vaginal birth should be given some thought. Keywords: caesarean section, morbidly adherent placenta, hysterectomy
Objective: To determine the awareness, practice, knowledge and attitude toward the Covid 19 among antenatal patients at tertiary care Hospital. Methodology: This was a cross sectional survey which was conducted at Gynae and obstetrics department at Liaquat University Hospital Hyderabad. Study duration was six months from March 2020 to August 2020. All the pregnant women visited antenatal clinic age 18 to 40 years and either of parity were included. All the pregnant females were interviewed by using a questioner regarding awareness, attitude and practice toward the Covid19 after taking informed consent. All the data was recorded via study proforma. Data was analyzed by using SPSS version 20. Results: Total 173 pregnant women were interview regarding COVID-19, their mean age was 29.34+13.12 years. Most of the women were presented with age between 18 to 37 years. 70.5% were multigravida and majority of women were uneducated. Mostly women 75.1% had heard regarding. 72.8% women said, they should stay at home and 25.4% said should wear the face mask, while 38.7% said the women should inform the health care provider in advance before visit to Hospital if developed any symptom. Most of the women had good knowledge and attitude, while preventive practice was found to be unsatisfactory. Conclusion: knowledge and awareness were found to adequate; while preventive practice has been observed unsatisfactory among pregnant women during antenatal clinic. Clinicians should provide appropriate counseling to reassure and elucidate doubts of pregnancy females regarding COVID-19 during antenatal visits.
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