Pub Date : 2020-09-01DOI: 10.3329/bjog.v34i1.56669
Tania Noor, Tahmina Parvin, Sharmin Siddika, Farjana Begum, S. Banu, S. Tasnim, P. Jahan
Background: Gestational Diabetes Mellitus (GDM) is linked with amplified risk of variety of maternal and perinatal complications. There have been a number of studies comparing metformin with insulin in the management of GDM. Methods: A clinical trial (Quasi experimental) was conducted on fifty women with GDM at their 24 – 34 weeks of gestation with the aim to compare maternal and perinatal outcomes treated by either insulin or metformin. The study population were recruited from obstetrics and gynaecology outpatient department of Medical College for Women and Hospital, Uttara, Dhaka, from July 2012 to December 2012.The patients were divided into two groups (nonrandomized), 25 patients in each, and were subjected to either injection insulin or oral metformin medication. Results: The patients were grouped as insulin or metformin group. They were compared in terms of age, parity and developing maternal complications like preeclampsia (p=0.24), UTI (p=0.40), polyhydramnios (p=0.70). However, the incidence of preterm birth was higher among metformin group in comparison to insulin group (P=0.007).There was no significant difference between insulin and metformin group as regard to mode of delivery. The proportion of neonatal hypoglycemia in insulin group was higher than metformin group (P=0.46) but statistically not significant. Other neonatal outcomes such as macrosomia, birth asphyxia and hyperbillirubinaemia did not differ significantly between two groups. Conclusion: In women with GDM, treatment with metformin is associated with higher proportion of preterm birth than with insulin. Proportion of neonatal hypoglycemia is higher with insulin use. Bangladesh J Obstet Gynaecol, 2019; Vol. 34(1): 8-14
{"title":"A Comparative Study on Feto-Maternal Outcome of GDM Treated by Either Insulin or Metformin","authors":"Tania Noor, Tahmina Parvin, Sharmin Siddika, Farjana Begum, S. Banu, S. Tasnim, P. Jahan","doi":"10.3329/bjog.v34i1.56669","DOIUrl":"https://doi.org/10.3329/bjog.v34i1.56669","url":null,"abstract":"Background: Gestational Diabetes Mellitus (GDM) is linked with amplified risk of variety of maternal and perinatal complications. There have been a number of studies comparing metformin with insulin in the management of GDM. \u0000Methods: A clinical trial (Quasi experimental) was conducted on fifty women with GDM at their 24 – 34 weeks of gestation with the aim to compare maternal and perinatal outcomes treated by either insulin or metformin. The study population were recruited from obstetrics and gynaecology outpatient department of Medical College for Women and Hospital, Uttara, Dhaka, from July 2012 to December 2012.The patients were divided into two groups (nonrandomized), 25 patients in each, and were subjected to either injection insulin or oral metformin medication. \u0000Results: The patients were grouped as insulin or metformin group. They were compared in terms of age, parity and developing maternal complications like preeclampsia (p=0.24), UTI (p=0.40), polyhydramnios (p=0.70). However, the incidence of preterm birth was higher among metformin group in comparison to insulin group (P=0.007).There was no significant difference between insulin and metformin group as regard to mode of delivery. The proportion of neonatal hypoglycemia in insulin group was higher than metformin group (P=0.46) but statistically not significant. Other neonatal outcomes such as macrosomia, birth asphyxia and hyperbillirubinaemia did not differ significantly between two groups. \u0000Conclusion: In women with GDM, treatment with metformin is associated with higher proportion of preterm birth than with insulin. Proportion of neonatal hypoglycemia is higher with insulin use. \u0000Bangladesh J Obstet Gynaecol, 2019; Vol. 34(1): 8-14","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42372714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-19DOI: 10.3329/bjog.v32i2.48281
S. Begum, F. Begum, Nasimul Gani, F. Rahman, Farhana Jahan
Background: Ovarian tumours are common problem in gynaecology and have varied age of appearance of different histopathological types. Objective: This study was undertaken to find out the relationship of age and different histological types of ovarian tumors Methods: A retrospective study was carried out in the Department of Obstetrics and Gynaecology and Department of Pathology, Sir Salimullah Medical College and Mitford Hospital, Dhaka, during May 2010 and December 2014. Five hundred forty seven (547) cases of ovarian tumours were studied in respect to their age and histopathological appearance. Results: The range of age of patients with ovarian tumour was 11 – 82 years. About 63% malignant and 73% benign ovarian tumours were found in the age group of 20 – 49 yrs. About 31% malignant ovarian tumours and 15% Benign tumours occurred in menopausal woman (≤50 yrs.). Overall, mean age of presentation of ovarian tumours was 34.29± 12.84 yrs. Mean age of patients with malignant ovarian tumour was 40.29± 14.28 (median 40 yrs; mode 45 yrs.). Mean age of benign ovarian tumour was 34.69 ± 13.08 (median 34 yrs; mode 40yrs) and mean age for borderline tumours 32.75 ± 11.70 mm (median 33 yrs., mode 20 yrs.). Mean age of non tumour ovarian masses / cysts was 31.14± 10.76 yrs (median 29.5; mode 25.4). The difference of mean age of occurance of malignant and benign ovarian tumours were statistically significant P<0.00>. Dysgerminoma (mean age 23.5± 4.43) and yolk sac tumour (mean age 18 .00 ± 5.00 yrs) occurred in younger patients. Serous cyst adenocarcinoma, endometriod carcinoma and poorly differentiated carcinoma occurred around 45 years of age. Mean age of presentation of most of the benign ovarian tumours was between 30 – 37 yrs.; except thecoma which occurred in extremes of age. Conclusion: Most of the patients with malignant and benign ovarian tumours have presented in reproductive age adult women (20 – 49 yrs.); and some specific varieties of tumour (e.g. thecoma) presented in the extremes of age. Key word: ovarian tumour; age and ovarian tumour, benign ovarian tumour, malignant ovarian tumour, borderline ovarian tumour. Relationship of Age and Different Histological Types of Ovarian Tumors Shahnaz Begum et al. 100 till the patient has an acute emergency like torsion or rupture of a benign cyst. The worst is late presentation of a malignant ovarian tumour. Ovarian cancer accounts for 3% of all cancers in women; 80% of the ovarian tumors are benign, occurring in the age group of 20 to 45 years whereas malignant tumors are common in elderly women, between 45 to 65 years.1 Exact incidence in Bangladesh is not known but ovarian cancer is the sixth most common cancer among females of Bangladesh; fourth most common cause of death due to genital malignancies including breast. and continues to present at an advanced stage.[2] Incidence of ovarian malignancy is 4.7%; 5-year prevalence rate is 5.1% (7625 cases) and mortality rate is 5.1%.2 Estimated incidence, mor
{"title":"Relationship of Age and Different Histological Types of Ovarian Tumors","authors":"S. Begum, F. Begum, Nasimul Gani, F. Rahman, Farhana Jahan","doi":"10.3329/bjog.v32i2.48281","DOIUrl":"https://doi.org/10.3329/bjog.v32i2.48281","url":null,"abstract":"Background: Ovarian tumours are common problem in gynaecology and have varied age of appearance of different histopathological types. Objective: This study was undertaken to find out the relationship of age and different histological types of ovarian tumors Methods: A retrospective study was carried out in the Department of Obstetrics and Gynaecology and Department of Pathology, Sir Salimullah Medical College and Mitford Hospital, Dhaka, during May 2010 and December 2014. Five hundred forty seven (547) cases of ovarian tumours were studied in respect to their age and histopathological appearance. Results: The range of age of patients with ovarian tumour was 11 – 82 years. About 63% malignant and 73% benign ovarian tumours were found in the age group of 20 – 49 yrs. About 31% malignant ovarian tumours and 15% Benign tumours occurred in menopausal woman (≤50 yrs.). Overall, mean age of presentation of ovarian tumours was 34.29± 12.84 yrs. Mean age of patients with malignant ovarian tumour was 40.29± 14.28 (median 40 yrs; mode 45 yrs.). Mean age of benign ovarian tumour was 34.69 ± 13.08 (median 34 yrs; mode 40yrs) and mean age for borderline tumours 32.75 ± 11.70 mm (median 33 yrs., mode 20 yrs.). Mean age of non tumour ovarian masses / cysts was 31.14± 10.76 yrs (median 29.5; mode 25.4). The difference of mean age of occurance of malignant and benign ovarian tumours were statistically significant P<0.00>. Dysgerminoma (mean age 23.5± 4.43) and yolk sac tumour (mean age 18 .00 ± 5.00 yrs) occurred in younger patients. Serous cyst adenocarcinoma, endometriod carcinoma and poorly differentiated carcinoma occurred around 45 years of age. Mean age of presentation of most of the benign ovarian tumours was between 30 – 37 yrs.; except thecoma which occurred in extremes of age. Conclusion: Most of the patients with malignant and benign ovarian tumours have presented in reproductive age adult women (20 – 49 yrs.); and some specific varieties of tumour (e.g. thecoma) presented in the extremes of age. Key word: ovarian tumour; age and ovarian tumour, benign ovarian tumour, malignant ovarian tumour, borderline ovarian tumour. Relationship of Age and Different Histological Types of Ovarian Tumors Shahnaz Begum et al. 100 till the patient has an acute emergency like torsion or rupture of a benign cyst. The worst is late presentation of a malignant ovarian tumour. Ovarian cancer accounts for 3% of all cancers in women; 80% of the ovarian tumors are benign, occurring in the age group of 20 to 45 years whereas malignant tumors are common in elderly women, between 45 to 65 years.1 Exact incidence in Bangladesh is not known but ovarian cancer is the sixth most common cancer among females of Bangladesh; fourth most common cause of death due to genital malignancies including breast. and continues to present at an advanced stage.[2] Incidence of ovarian malignancy is 4.7%; 5-year prevalence rate is 5.1% (7625 cases) and mortality rate is 5.1%.2 Estimated incidence, mor","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"32 1","pages":"99-105"},"PeriodicalIF":0.0,"publicationDate":"2020-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48225995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-19DOI: 10.3329/bjog.v32i2.48280
A. Mondal, R. Roy, A. Mondal
Background: Premature rupture of membranes (PROM) is a common obstetric complication. Knowledge of etiopathogenesis, diagnosis, complications & management of PROM has increased due to extensive research in the recent past. Yet, there is no unanimous opinion regarding optimum management of PROM. The aim of the study was to observe the patients during labor and compare the latent period, duration of first stage of labor, modes of deliveries and the use of oxytocin and its outcome in PROM cases with controls. Materials and methods: In this study, the definition of PROM used is – rupture of fetal membranes before the onset of true labor pain. The minimum gestational age was taken to be 28 weeks. Diagnosis of PROM was mainly clinical. A cohort study was conducted in the Dept. of Obs & Gynae of KPL Medical College & Hospital, Kolkata on 100 cases of PROM and 100 cases of comparison group, over a period of one year. Results: It was observed that onset of labor was more rapid with increasing gestational age, use of oxytocin for induction & augmentation of labor & operative deliveries were higher in PROM cases. Conclusion: Individualized management of PROM cases depending on the gestational age and risk of complications is the best way to achieve a good feto-maternal outcome.
{"title":"A Study on Management of Premature Rupture of Membranes (PROM)","authors":"A. Mondal, R. Roy, A. Mondal","doi":"10.3329/bjog.v32i2.48280","DOIUrl":"https://doi.org/10.3329/bjog.v32i2.48280","url":null,"abstract":"Background: Premature rupture of membranes (PROM) is a common obstetric complication. Knowledge of etiopathogenesis, diagnosis, complications & management of PROM has increased due to extensive research in the recent past. Yet, there is no unanimous opinion regarding optimum management of PROM. The aim of the study was to observe the patients during labor and compare the latent period, duration of first stage of labor, modes of deliveries and the use of oxytocin and its outcome in PROM cases with controls. Materials and methods: In this study, the definition of PROM used is – rupture of fetal membranes before the onset of true labor pain. The minimum gestational age was taken to be 28 weeks. Diagnosis of PROM was mainly clinical. A cohort study was conducted in the Dept. of Obs & Gynae of KPL Medical College & Hospital, Kolkata on 100 cases of PROM and 100 cases of comparison group, over a period of one year. Results: It was observed that onset of labor was more rapid with increasing gestational age, use of oxytocin for induction & augmentation of labor & operative deliveries were higher in PROM cases. Conclusion: Individualized management of PROM cases depending on the gestational age and risk of complications is the best way to achieve a good feto-maternal outcome.","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"32 1","pages":"94-98"},"PeriodicalIF":0.0,"publicationDate":"2020-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/bjog.v32i2.48280","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47552668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-19DOI: 10.3329/bjog.v32i2.48284
U. Ruman, K. Khanam, S. Akhter, R. Karim
Pregnancy in a rudimentary horn of an unicornuate uterus is a rare and life threatening situation for mother and fetus. Usually pregnancy continues upto approximately 18-20 weeks of gestational age. Then it usually ruptures and severe haemorrhage ensues. Emergency laparotomy is the treatment of choice. Here we report a case of 36 years woman with secondary subfertility who has history of taking ovulation inducing drug. She presented with 20 weeks amenorrhoea with severe abdominal pain and hypovolemic shock. Urgent laparotomy was done and the diagnosis was confirmed. Fig.-1: USG showing empty uterine cavity. A Case of Ruptured Rudimentary Horn of Uterus during Pregnancy Ruman U et al. 122 Rudimentary horn was excised and uterus was repaired. Left salpingectomy was done. Patient was transfused with two units of blood during operation. Her postoperative period was uneventful. She was discharged on 10th postoperative day.
{"title":"A Case of Ruptured Rudimentary Horn of Uterus during Pregnancy","authors":"U. Ruman, K. Khanam, S. Akhter, R. Karim","doi":"10.3329/bjog.v32i2.48284","DOIUrl":"https://doi.org/10.3329/bjog.v32i2.48284","url":null,"abstract":"Pregnancy in a rudimentary horn of an unicornuate uterus is a rare and life threatening situation for mother and fetus. Usually pregnancy continues upto approximately 18-20 weeks of gestational age. Then it usually ruptures and severe haemorrhage ensues. Emergency laparotomy is the treatment of choice. Here we report a case of 36 years woman with secondary subfertility who has history of taking ovulation inducing drug. She presented with 20 weeks amenorrhoea with severe abdominal pain and hypovolemic shock. Urgent laparotomy was done and the diagnosis was confirmed. Fig.-1: USG showing empty uterine cavity. A Case of Ruptured Rudimentary Horn of Uterus during Pregnancy Ruman U et al. 122 Rudimentary horn was excised and uterus was repaired. Left salpingectomy was done. Patient was transfused with two units of blood during operation. Her postoperative period was uneventful. She was discharged on 10th postoperative day.","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"32 1","pages":"121-123"},"PeriodicalIF":0.0,"publicationDate":"2020-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45498917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-19DOI: 10.3329/bjog.v32i2.48277
Shiffin Rijvi, S. Abbasi, F. Dewan, Sehereen Farhad Siddiqua, Anuradha Karmakar
Background: Perinatal health is influenced by maternal weight gain. Increase in obesity in population and excess weight during pregnancy may be different complications including large for gestational age fetus. As a result cesarean delivery has increased in prevalence. Maternal weight gain during the 2nd and 3rd trimesters is an important determinant of fetal growth Objective: To determine the relationship between maternal weight gain and birth weight of baby at term. Methodology : A cross sectional study was carried among 50 pregnant women at term in the Department of Obstetrics and Gynaecology, Shaheed Suhrawardy Medical College and Hospital and Anwer Khan Modern Medical College Hospital during the period of January 2013 to July 2013. Data were collected in pre-designed data collection sheet. Results: This study found maximum (36%) were age group 21-25 years followed by 28% were ≤20 years, 24% were between 26-30 years, 8% were between 31-35 years and only 4% were of 36-40 years. The average age was 25 years. Among these 50 pregnant women, 2 cases (4%) had BMI < 18.5, 15 cases (30%) had a BMI 18.5-24.9, 19 cases (38%) had a BMI 25-29.9 and 14 cases (28%) had a BMI ≥30. The mean birth weight was 2.77±0.33. kg. Mean weight gain was 10.72±3.72 Kg. Conclusion: This study showed that reasonable maternal weight gain significantly increased birth weight of the baby at term. Key word: Maternal weight gain in pregnancy, Birth weight of baby 1. Registrar Dept. of Obstetrics and Gynecology, Anwer Khan Modern Medical College Hospital 2. Assistant Professor, Dept. of Obstetrics and Gynecology, Anwer Khan Modern Medical College hospital 3. Head, Dept. of Obstetrics and Gynecology, Shaheed Suhrawardy Medical College and Hospital 4. Head Dept. of Obstetrics and Gynecology, Anwer Khan Modern Medical College Hospital 5. Registrar, Dept. of Obstetrics and Gynecology Delta Medical College Hospital Address of Correspondence: Dr. Shiffin Rijvi, Registrar Dept of obstetrics and gynecology Anwer Khan Modern Medical College Hospital Bangladesh J Obstet Gynaecol, 2017; Vol. 32(2): 79-83 Maternal Weight Gain and its Relationship with Birth Weight of Baby at Term Shiffin Rijvi et al. 80 underweight (BMI less than 19.8 kg/m2), normal weight (19.8 –26.0 kg/m2), overweight (26.1–29.0 kg/m2), and obese women (BMI more than 29.0 kg/ m2).2 Weight gain during pregnancy has been associated with high birth weight and measures of adiposity early in life. Because high birth weight predicts BMI later in life, these findings suggest that excessive weight gain during pregnancy could raise the long-term risk of obesity-related disease in offspring. High birth weight might also increase risk of other diseases later in life, including asthma, atopy, and cancer.3 Low weight gain in pregnancy is associated with increased risk of preterm delivery, particularly if women are underweight or of average weight before pregnancy. But still there is increasing evidence that higher weight gains during
{"title":"Maternal Weight Gain and its Relationship with Birth Weight of Baby at Term","authors":"Shiffin Rijvi, S. Abbasi, F. Dewan, Sehereen Farhad Siddiqua, Anuradha Karmakar","doi":"10.3329/bjog.v32i2.48277","DOIUrl":"https://doi.org/10.3329/bjog.v32i2.48277","url":null,"abstract":"Background: Perinatal health is influenced by maternal weight gain. Increase in obesity in population and excess weight during pregnancy may be different complications including large for gestational age fetus. As a result cesarean delivery has increased in prevalence. Maternal weight gain during the 2nd and 3rd trimesters is an important determinant of fetal growth Objective: To determine the relationship between maternal weight gain and birth weight of baby at term. Methodology : A cross sectional study was carried among 50 pregnant women at term in the Department of Obstetrics and Gynaecology, Shaheed Suhrawardy Medical College and Hospital and Anwer Khan Modern Medical College Hospital during the period of January 2013 to July 2013. Data were collected in pre-designed data collection sheet. Results: This study found maximum (36%) were age group 21-25 years followed by 28% were ≤20 years, 24% were between 26-30 years, 8% were between 31-35 years and only 4% were of 36-40 years. The average age was 25 years. Among these 50 pregnant women, 2 cases (4%) had BMI < 18.5, 15 cases (30%) had a BMI 18.5-24.9, 19 cases (38%) had a BMI 25-29.9 and 14 cases (28%) had a BMI ≥30. The mean birth weight was 2.77±0.33. kg. Mean weight gain was 10.72±3.72 Kg. Conclusion: This study showed that reasonable maternal weight gain significantly increased birth weight of the baby at term. Key word: Maternal weight gain in pregnancy, Birth weight of baby 1. Registrar Dept. of Obstetrics and Gynecology, Anwer Khan Modern Medical College Hospital 2. Assistant Professor, Dept. of Obstetrics and Gynecology, Anwer Khan Modern Medical College hospital 3. Head, Dept. of Obstetrics and Gynecology, Shaheed Suhrawardy Medical College and Hospital 4. Head Dept. of Obstetrics and Gynecology, Anwer Khan Modern Medical College Hospital 5. Registrar, Dept. of Obstetrics and Gynecology Delta Medical College Hospital Address of Correspondence: Dr. Shiffin Rijvi, Registrar Dept of obstetrics and gynecology Anwer Khan Modern Medical College Hospital Bangladesh J Obstet Gynaecol, 2017; Vol. 32(2): 79-83 Maternal Weight Gain and its Relationship with Birth Weight of Baby at Term Shiffin Rijvi et al. 80 underweight (BMI less than 19.8 kg/m2), normal weight (19.8 –26.0 kg/m2), overweight (26.1–29.0 kg/m2), and obese women (BMI more than 29.0 kg/ m2).2 Weight gain during pregnancy has been associated with high birth weight and measures of adiposity early in life. Because high birth weight predicts BMI later in life, these findings suggest that excessive weight gain during pregnancy could raise the long-term risk of obesity-related disease in offspring. High birth weight might also increase risk of other diseases later in life, including asthma, atopy, and cancer.3 Low weight gain in pregnancy is associated with increased risk of preterm delivery, particularly if women are underweight or of average weight before pregnancy. But still there is increasing evidence that higher weight gains during","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"32 1","pages":"79-83"},"PeriodicalIF":0.0,"publicationDate":"2020-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48327476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-19DOI: 10.3329/bjog.v32i2.48290
S. Khatun
Abstract Not Available Bangladesh J Obstet Gynaecol, 2017; Vol. 32(2) : 134-136
Abstract Not Available Bangladesh J Obstet Gynaecol，2017；第32卷（2）：134-136
{"title":"BJOG yearly CME program Vol.32(2)","authors":"S. Khatun","doi":"10.3329/bjog.v32i2.48290","DOIUrl":"https://doi.org/10.3329/bjog.v32i2.48290","url":null,"abstract":"Abstract Not Available \u0000Bangladesh J Obstet Gynaecol, 2017; Vol. 32(2) : 134-136","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"32 1","pages":"134-136"},"PeriodicalIF":0.0,"publicationDate":"2020-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47373779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-19DOI: 10.3329/bjog.v32i2.48276
K. Nahar, Hosna Akter, Summyia Nazmeen, S. Tasnim
Background: Management of severe pre eclampsia remote from term remains one of the most difficult challenges in obstetric practice. Expectant management of early onset severe pre eclampsia improves neonatal outcome. Methods: A prospective case series extending over five years peiod were recorded to evaluate the maternal and perinatal outcome of expectant management of severe preeclampsia presenting between 24-34 weeks of gestation in a tertiary referral center. All women (n=160) presenting with early onset (24-34 weeks of gestation) severe preeclampsia , where both the mother and the fetus were otherwise stable. Frequent clinical and biochemical monitoring of maternal status with careful blood pressure control. Foetal surveillance included six hourly foetal heart rate monitoring, bi weekly non stress test and weekly USG evaluation. Results: Mean number of days of prolongation of gestation was 6 days ( range 1-24days). The largest prolongation of pregnancy was recorded in patients with the lowest gestational age. Conservative management was associated with a 1.63% ( 17/160) intrauterine fetal loss rate. The days of pregnancy prolongation and perinatal mortality were significantly higher among those managed at <30 weeks. Increasing gestational age correlated with a reduction of RDS ( respiratory distress syndrome). Maternal morbidities were significantly higher among those managed at < 32 weeks. But there was no maternal mortality. Conclusion: Good perinatal outcome and less risk to mother can be achieved at 30-34 weeks gestation. Bangladesh J Obstet Gynaecol, 2017; Vol. 32(2) : 73-78
{"title":"Expectant Management of Severe Pre-eclampsia remote from term: Maternal and Perinatal outcome","authors":"K. Nahar, Hosna Akter, Summyia Nazmeen, S. Tasnim","doi":"10.3329/bjog.v32i2.48276","DOIUrl":"https://doi.org/10.3329/bjog.v32i2.48276","url":null,"abstract":"Background: Management of severe pre eclampsia remote from term remains one of the most difficult challenges in obstetric practice. Expectant management of early onset severe pre eclampsia improves neonatal outcome. \u0000Methods: A prospective case series extending over five years peiod were recorded to evaluate the maternal and perinatal outcome of expectant management of severe preeclampsia presenting between 24-34 weeks of gestation in a tertiary referral center. All women (n=160) presenting with early onset (24-34 weeks of gestation) severe preeclampsia , where both the mother and the fetus were otherwise stable. Frequent clinical and biochemical monitoring of maternal status with careful blood pressure control. Foetal surveillance included six hourly foetal heart rate monitoring, bi weekly non stress test and weekly USG evaluation. \u0000Results: Mean number of days of prolongation of gestation was 6 days ( range 1-24days). The largest prolongation of pregnancy was recorded in patients with the lowest gestational age. Conservative management was associated with a 1.63% ( 17/160) intrauterine fetal loss rate. The days of pregnancy prolongation and perinatal mortality were significantly higher among those managed at <30 weeks. Increasing gestational age correlated with a reduction of RDS ( respiratory distress syndrome). Maternal morbidities were significantly higher among those managed at < 32 weeks. But there was no maternal mortality. \u0000Conclusion: Good perinatal outcome and less risk to mother can be achieved at 30-34 weeks gestation. \u0000Bangladesh J Obstet Gynaecol, 2017; Vol. 32(2) : 73-78","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44783138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-19DOI: 10.3329/bjog.v32i2.48282
F. Begum, T. Chowdhury
Background: Pre-eclampsia is a major cause of mortality and morbidity during pregnancy and childbirth. There are recommendations on use of medications to prevent preeclampsia, including low dose aspirin. Objective: The objective of this review is to discuss role of aspirin in reducing the incidence and maternal mortality and morbidity due to preeclampsia including its dose and duration
{"title":"Aspirin to Prevent Preeclampsia","authors":"F. Begum, T. Chowdhury","doi":"10.3329/bjog.v32i2.48282","DOIUrl":"https://doi.org/10.3329/bjog.v32i2.48282","url":null,"abstract":"Background: Pre-eclampsia is a major cause of mortality and morbidity during pregnancy and childbirth. There are recommendations on use of medications to prevent preeclampsia, including low dose aspirin. Objective: The objective of this review is to discuss role of aspirin in reducing the incidence and maternal mortality and morbidity due to preeclampsia including its dose and duration","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"32 1","pages":"106-116"},"PeriodicalIF":0.0,"publicationDate":"2020-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48006009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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