Pub Date : 2020-07-05DOI: 10.3329/bjog.v33i2.43554
S. Chowdhury
Postpartum haemorrhage (PPH) is one of the major causes of maternal mortality and morbidity globally. PPH complicates 11% of deliveries worldwide and is annually responsible for 1,32,000 maternal deaths.1 In developing countries, mortality from PPH remains high2 and PPH accounting for 30% of maternal death3, while in Bangladesh it is 31%.4 All pregnant women are at risk of complications during the third stage of labour.5
{"title":"Oxytocics and other Drugs in Prevention of Post-partum Haemorrhage","authors":"S. Chowdhury","doi":"10.3329/bjog.v33i2.43554","DOIUrl":"https://doi.org/10.3329/bjog.v33i2.43554","url":null,"abstract":"Postpartum haemorrhage (PPH) is one of the major causes of maternal mortality and morbidity globally. PPH complicates 11% of deliveries worldwide and is annually responsible for 1,32,000 maternal deaths.1 In developing countries, mortality from PPH remains high2 and PPH accounting for 30% of maternal death3, while in Bangladesh it is 31%.4 All pregnant women are at risk of complications during the third stage of labour.5","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"33 1","pages":"92-94"},"PeriodicalIF":0.0,"publicationDate":"2020-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/bjog.v33i2.43554","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43709059","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 : 2020-07-05DOI: 10.3329/bjog.v33i2.43574
Maruf Siddiqui, N. Ghafoor, Fahmida Naznine, Rusmila Shamim Abdullah, T. Chowdhury
Broad ligament pregnancy is a rare obstetric condition. Its diagnosis is quite difficult andmanagement is challenging. Here we report a case of a 26 years old primi gravida conceivedfollowing laparoscopy and ovulation induction. Diagnosis of the broad ligament pregnancywas done by a transvaginal ultrasound at her 9 weeks and was proceded with laparoscopyfollowed by laparotomy. A right broad ligament pregnancy was found and the sac with fetuswas removed. Laparoscopy was converted into a laparotomy as there was an uncontrollablebleeding from the broad ligament. Here we present a case of this extreme rare type of broadligament pregnancy. Bangladesh J Obstet Gynaecol, 2018; Vol. 33(2) : 164-166
{"title":"Broad Ligament Pregnancy: A Rare Case Report","authors":"Maruf Siddiqui, N. Ghafoor, Fahmida Naznine, Rusmila Shamim Abdullah, T. Chowdhury","doi":"10.3329/bjog.v33i2.43574","DOIUrl":"https://doi.org/10.3329/bjog.v33i2.43574","url":null,"abstract":"Broad ligament pregnancy is a rare obstetric condition. Its diagnosis is quite difficult andmanagement is challenging. Here we report a case of a 26 years old primi gravida conceivedfollowing laparoscopy and ovulation induction. Diagnosis of the broad ligament pregnancywas done by a transvaginal ultrasound at her 9 weeks and was proceded with laparoscopyfollowed by laparotomy. A right broad ligament pregnancy was found and the sac with fetuswas removed. Laparoscopy was converted into a laparotomy as there was an uncontrollablebleeding from the broad ligament. Here we present a case of this extreme rare type of broadligament pregnancy. \u0000Bangladesh J Obstet Gynaecol, 2018; Vol. 33(2) : 164-166","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"33 1","pages":"164-166"},"PeriodicalIF":0.0,"publicationDate":"2020-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46507064","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 : 2020-07-05DOI: 10.3329/bjog.v33i2.43561
H. Ferdousy, F. Sultana, MST. Kamrun Nahaer, Mst Moonmoon Begum, M. Begum
Background: Post partum haemorrhage (PPH) is one of the most common causes of maternal mortality worldwide. Primary PPH (which occurs within 24 hours of delivery) has been studied a lot. But data regarding secondary PPH (which occurs 24 hours after delivery upto to 6 weeks post partum) is sparse. Our aim was to find out the risk factors and maternal outcome of secondary PPH. Materials and Methods: A cross sectional analytic study of 32 cases admitted with secondary PPH in Gynae and Obstetric department of Rangpur Medical College Hospital during 1 year study period was carried out. Result: Frequency of secondary PPH was 0.58%. Mean age of the patient was 25.23±2.79 years; 22(69%) patients were multi para; 17 (53%) patients had education up to primary level. Maximum patients [18 (56%)] were from low socio economic status. Mean time of presentation was 13.5±2.78 days after delivery; 14(44%) patients delivered vaginally and 18(56%) patients delivered by caesarean section. Most of the vaginal delivery 9 (28%) were conducted by untrained dai or other family member. Among 32 patients, 31 were referred from outside the Hospital. Retained bits of placenta was the leading cause (15,47%) and caesarean wound dehiscence was the second cause (13,41%); 13 (40%) patients had fever on presentation. All were anemic with mean hemoglobin concentration 7.4±1.4gm and 24 (75%) of them required blood transfusion. Four patients was in shock. Antibiotic was given to all patients. DE&C was done in 15(47%) cases and laparotomy followed by total abdominal hysterectomy was done in 12 cases and repair in 1 case. Among 15 patients who underwent surgical evacuation there was histological evidence of placental tissue in only 6(40%) patients. Conclusion: In present study retained bits of placenta and caesarean wound dehiscence are found as main cause of secondary postpartum hemorrhage So care should be taken during active management of third stage of labour (AMTSL). Choosing appropriate suture material, maintaining personal hygine of patient and sterility of operation theate, using appropriate antibiotic to combat microbials and last but not list improving skillness of surgeon are the key to reduce the rate of secondary PPH. Keyword: AMTSL, Secondary PPH, Retained bits of placenta Bangladesh J Obstet Gynaecol, 2018; Vol. 33(2): 107-112
{"title":"Risk Factors and Maternal Outcome of Secondary Post Partum Haemorrhage in Rangpur Medical College Hospital. - A one year study","authors":"H. Ferdousy, F. Sultana, MST. Kamrun Nahaer, Mst Moonmoon Begum, M. Begum","doi":"10.3329/bjog.v33i2.43561","DOIUrl":"https://doi.org/10.3329/bjog.v33i2.43561","url":null,"abstract":"Background: Post partum haemorrhage (PPH) is one of the most common causes of maternal mortality worldwide. Primary PPH (which occurs within 24 hours of delivery) has been studied a lot. But data regarding secondary PPH (which occurs 24 hours after delivery upto to 6 weeks post partum) is sparse. Our aim was to find out the risk factors and maternal outcome of secondary PPH. Materials and Methods: A cross sectional analytic study of 32 cases admitted with secondary PPH in Gynae and Obstetric department of Rangpur Medical College Hospital during 1 year study period was carried out. Result: Frequency of secondary PPH was 0.58%. Mean age of the patient was 25.23±2.79 years; 22(69%) patients were multi para; 17 (53%) patients had education up to primary level. Maximum patients [18 (56%)] were from low socio economic status. Mean time of presentation was 13.5±2.78 days after delivery; 14(44%) patients delivered vaginally and 18(56%) patients delivered by caesarean section. Most of the vaginal delivery 9 (28%) were conducted by untrained dai or other family member. Among 32 patients, 31 were referred from outside the Hospital. Retained bits of placenta was the leading cause (15,47%) and caesarean wound dehiscence was the second cause (13,41%); 13 (40%) patients had fever on presentation. All were anemic with mean hemoglobin concentration 7.4±1.4gm and 24 (75%) of them required blood transfusion. Four patients was in shock. Antibiotic was given to all patients. DE&C was done in 15(47%) cases and laparotomy followed by total abdominal hysterectomy was done in 12 cases and repair in 1 case. Among 15 patients who underwent surgical evacuation there was histological evidence of placental tissue in only 6(40%) patients. Conclusion: In present study retained bits of placenta and caesarean wound dehiscence are found as main cause of secondary postpartum hemorrhage So care should be taken during active management of third stage of labour (AMTSL). Choosing appropriate suture material, maintaining personal hygine of patient and sterility of operation theate, using appropriate antibiotic to combat microbials and last but not list improving skillness of surgeon are the key to reduce the rate of secondary PPH. Keyword: AMTSL, Secondary PPH, Retained bits of placenta Bangladesh J Obstet Gynaecol, 2018; Vol. 33(2): 107-112","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"33 1","pages":"107-112"},"PeriodicalIF":0.0,"publicationDate":"2020-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44094717","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 : 2020-07-05DOI: 10.3329/bjog.v33i2.43565
Jaglul Haider Khan, S. Rahman, C. Nasreen, Jahangir Alam, P. Fatema
Background: Endometriosis is a common gynaecological disorder which is found in about 5% of women and in 30% of infertile women. Identification of risk factors and timely intervention
{"title":"Risk Profiles Associated with Endometriosis among Infertile Women","authors":"Jaglul Haider Khan, S. Rahman, C. Nasreen, Jahangir Alam, P. Fatema","doi":"10.3329/bjog.v33i2.43565","DOIUrl":"https://doi.org/10.3329/bjog.v33i2.43565","url":null,"abstract":"Background: Endometriosis is a common gynaecological disorder which is found in about 5% of women and in 30% of infertile women. Identification of risk factors and timely intervention","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"33 1","pages":"131-139"},"PeriodicalIF":0.0,"publicationDate":"2020-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/bjog.v33i2.43565","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44806619","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 : 2020-07-05DOI: 10.3329/bjog.v33i2.43560
S. Basak, Zannatul Ferdosh, R. Begum, N. Mahmud
Objective: To assess the level of satisfaction with caesarean delivery and to see the relation between different parameters and satisfaction. Materials & Methods: This cross sectional study was done in the department of Obstetrics & Gynaecology of the District Sadar Hospital, Laxmipur during the period of 1st January to 30th June 2017. A total of 423 post-caesarean women were included in the study. The structured questionnaires were used for the collection of data from the patients and the data were processed and analyzed with the help of software SPSS. Results: During the study period, among the 465 caesarean delivery 423 were enrolled for the study. The mean age of the patients was 23.99±5.29 years and mean parity was 1.22±1.27. Initial negative reaction to the decision of caesaren section was expressed by 71.9% of the patients, 18.4% remained indifferent and 9.7% showed positive reaction. The major reasons of initial negative reaction were fear of death and dislike of caesarean section. The satisfaction following caesarean delivery was significantly associated with age, educational status and initial positive and negative reaction to the decision of caesarean section. Three hundred and fifty five (83.9%) women expressed their overall satisfaction following caesarean section. Conclusion: Most patients expressed their overall satisfaction to caesarean delivery.
{"title":"Evaluation of Patients Satisfaction following Caesarean Section in a Secondary level District Hospital","authors":"S. Basak, Zannatul Ferdosh, R. Begum, N. Mahmud","doi":"10.3329/bjog.v33i2.43560","DOIUrl":"https://doi.org/10.3329/bjog.v33i2.43560","url":null,"abstract":"Objective: To assess the level of satisfaction with caesarean delivery and to see the relation between different parameters and satisfaction. Materials & Methods: This cross sectional study was done in the department of Obstetrics & Gynaecology of the District Sadar Hospital, Laxmipur during the period of 1st January to 30th June 2017. A total of 423 post-caesarean women were included in the study. The structured questionnaires were used for the collection of data from the patients and the data were processed and analyzed with the help of software SPSS. Results: During the study period, among the 465 caesarean delivery 423 were enrolled for the study. The mean age of the patients was 23.99±5.29 years and mean parity was 1.22±1.27. Initial negative reaction to the decision of caesaren section was expressed by 71.9% of the patients, 18.4% remained indifferent and 9.7% showed positive reaction. The major reasons of initial negative reaction were fear of death and dislike of caesarean section. The satisfaction following caesarean delivery was significantly associated with age, educational status and initial positive and negative reaction to the decision of caesarean section. Three hundred and fifty five (83.9%) women expressed their overall satisfaction following caesarean section. Conclusion: Most patients expressed their overall satisfaction to caesarean delivery.","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"33 1","pages":"101-106"},"PeriodicalIF":0.0,"publicationDate":"2020-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/bjog.v33i2.43560","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41867622","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 : 2020-07-05DOI: 10.3329/bjog.v33i2.43563
S. Razzaque, A. Khan
Background: The risk of postpartum haemorrhage is much higher for women undergoing caesarean section, particularly in developing countries where the majority of operations are carried out as an emergency procedure. Postpartum haemorrhage is the leading cause of maternal mortality worldwide. Around 67–80% of cases are caused by uterine atony. Preventive measures include prophylactic drugs use to aid uterine contraction after delivery, thus avoiding severe blood loss and reducing maternal morbidity and mortality. Carbetocin a synthetic analogue of oxytocin is currently indicated for prevention of uterine atony after delivery by caesarean section in spinal or epidural anaesthesia. The Aim of Study: To see the efficacy and safety of Carbetocin for the prophylaxis of PPH during caesarean section. Patients and Methods: An open label single arm clinical trial was conducted in the Bagerhat Sadar Hospital, Bangladesh over a period of six months from May 2017 to October 2017. Ninety patients who had got admitted in Bagerhat Sadar Hospital, undergoing cesarean section at term were selected. Each patient obtained a single dose of 100 microgram carbetocin intravenously during cesarean section, immediately after the delivery of the baby and prior to the delivery of the placenta. Outcome measures such as primary PPH, blood loss was observed and measured by weighing sanitary napkin observed for six hours. Need for additional uterotonic drug, additional blood transfusion as well as adverse effects were all documented. Results: Massive blood loss occurred only in 3.3% patients. Among the study population 96.7% patients did not need any additional uterotonics. No patient had developed fever, arrhythmia, pulmonary edema, tremor, abdominal pain and pruritus. Only 2.2% had nausea, only 3.3% had hypotention, only 3.3% had vomiting and only 2.2% had headache which was not statistically significant. Only 4.4% patients developed PPH. Conclusion: Carbetocin appears to be an effective new drug for the prophylaxis of postpartum hemorrhage in cesarean section.
{"title":"Efficacy and Safety of Carbetocin for the Prevention of Primary PPH During Caesarean Section: An Open Label Single Arm Study","authors":"S. Razzaque, A. Khan","doi":"10.3329/bjog.v33i2.43563","DOIUrl":"https://doi.org/10.3329/bjog.v33i2.43563","url":null,"abstract":"Background: The risk of postpartum haemorrhage is much higher for women undergoing caesarean section, particularly in developing countries where the majority of operations are carried out as an emergency procedure. Postpartum haemorrhage is the leading cause of maternal mortality worldwide. Around 67–80% of cases are caused by uterine atony. Preventive measures include prophylactic drugs use to aid uterine contraction after delivery, thus avoiding severe blood loss and reducing maternal morbidity and mortality. Carbetocin a synthetic analogue of oxytocin is currently indicated for prevention of uterine atony after delivery by caesarean section in spinal or epidural anaesthesia. The Aim of Study: To see the efficacy and safety of Carbetocin for the prophylaxis of PPH during caesarean section. Patients and Methods: An open label single arm clinical trial was conducted in the Bagerhat Sadar Hospital, Bangladesh over a period of six months from May 2017 to October 2017. Ninety patients who had got admitted in Bagerhat Sadar Hospital, undergoing cesarean section at term were selected. Each patient obtained a single dose of 100 microgram carbetocin intravenously during cesarean section, immediately after the delivery of the baby and prior to the delivery of the placenta. Outcome measures such as primary PPH, blood loss was observed and measured by weighing sanitary napkin observed for six hours. Need for additional uterotonic drug, additional blood transfusion as well as adverse effects were all documented. Results: Massive blood loss occurred only in 3.3% patients. Among the study population 96.7% patients did not need any additional uterotonics. No patient had developed fever, arrhythmia, pulmonary edema, tremor, abdominal pain and pruritus. Only 2.2% had nausea, only 3.3% had hypotention, only 3.3% had vomiting and only 2.2% had headache which was not statistically significant. Only 4.4% patients developed PPH. Conclusion: Carbetocin appears to be an effective new drug for the prophylaxis of postpartum hemorrhage in cesarean section.","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"33 1","pages":"119-124"},"PeriodicalIF":0.0,"publicationDate":"2020-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46130133","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 : 2020-07-05DOI: 10.3329/bjog.v33i2.43578
S. Chowdhury
Abstract not available Bangladesh J Obstet Gynaecol, 2018; Vol. 33(2) : 174-177
孟加拉妇产科杂志，2018;Vol. 33(2): 174-177
{"title":"BJOG yearly CME program Vol.33(2)","authors":"S. Chowdhury","doi":"10.3329/bjog.v33i2.43578","DOIUrl":"https://doi.org/10.3329/bjog.v33i2.43578","url":null,"abstract":"Abstract not available \u0000Bangladesh J Obstet Gynaecol, 2018; Vol. 33(2) : 174-177","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"33 1","pages":"174-177"},"PeriodicalIF":0.0,"publicationDate":"2020-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47265967","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}
Background: Prevalence of subfertility in industrialized countries has been quoted as 20%, and seems to be on the rise. Traditional way to assess the uterine cavity, tubal structure and tubal patency was hysterosalphingography but it is now been largely superseded by laparoscopy and hysteroscopy. With the objective of this study was to highlight the role of laparoscopy in establishing the diagnosis of primary and secondary female subfertility and different therapeutic procedure done. Method: This cross sectional study was conducted in the Subfertility and Reproductive Medicine Unit of Gynae and Obstetrics department of Dhaka Medical College Hospital, Dhaka from January 2015 to June 2018. Total 4256 sub fertile patients attended the Infertility OPD. Out of these 215 patients were selected for laparoscopy. Those patients who had contraindication for laparoscopy were excluded from study. Detailed laparoscopic findings were recorded. Results: Out of 125 selected sub fertile patients 136 (63.26%) patients were in primary subfertility group while 79 (36.74%) patients were in secondary subfertility group. In primary subfertility group(n=136), most common laparoscopic finding was PCO in 44 (32.34%) patients followed by peritubal and periovarian adhesions in 24 (17.65%) patients, Bilateral tubal block in 23(16.91%) patients, Endometriosis in 15(11.03%), Unusual tortuous and lengthy tube in 15(11.03%) patients, fibroid in 11(8.09%) patients, Mullerian agenesis and hypoplasia in 3(2.21%) cases. No visible abnormality found in 22(16.18%) cases. The commonest finding by laparoscopy in patients with secondary infertility were PCO in 18 (22.78%) patients and peritubal and periovarian adhesions in 18 (22.78%) patients, followed by Bilateral tubal block in 12(15.19%) patients, fibroid uterus in 12(15.19%) patients, Endometriosis in 10(12.66%), Genital tuberculosis in 3(1.40%) cases. No visible abnormality found in 12(15.19%) cases. Various laparoscopic procedure like Ovarian drilling. Adhesiolysis, ovarian cystectomy, cyst puncture, salphingostomy, Myomectomy. Conclusion: Laparoscopy helped us to detect and treat important clinical condition in bath primary & secondary sub fertility. failed to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse. Since approximately 85% of couples may be expected to achieve pregnancy within that time interval without medical assistance, evaluation may be indicated for as many as 15% of couples3. The causes of infertility are broadly classified as male factors, female factors and unknown or combined 4. About 25-40% of cases of infertility are attributed to male factor2. During the investigations in the female it is mandatory to rule out the pathology of the genital tract. Diagnostic laparoscopy is generally not a part of initial infertility evaluation; however, number of reports have shown that it is effective procedure for evaluation of long term infertility1. Laparoscopy provides information
{"title":"Laparoscopic Evaluation of Primary and Secondary Subfertility","authors":"Setara Binte Kasem, Nilufer Sultana, F. Begum, Shaikh Abdur Razzaque, Raisa Adiba, Selma Anika","doi":"10.3329/bjog.v33i2.43570","DOIUrl":"https://doi.org/10.3329/bjog.v33i2.43570","url":null,"abstract":"Background: Prevalence of subfertility in industrialized countries has been quoted as 20%, and seems to be on the rise. Traditional way to assess the uterine cavity, tubal structure and tubal patency was hysterosalphingography but it is now been largely superseded by laparoscopy and hysteroscopy. With the objective of this study was to highlight the role of laparoscopy in establishing the diagnosis of primary and secondary female subfertility and different therapeutic procedure done. Method: This cross sectional study was conducted in the Subfertility and Reproductive Medicine Unit of Gynae and Obstetrics department of Dhaka Medical College Hospital, Dhaka from January 2015 to June 2018. Total 4256 sub fertile patients attended the Infertility OPD. Out of these 215 patients were selected for laparoscopy. Those patients who had contraindication for laparoscopy were excluded from study. Detailed laparoscopic findings were recorded. Results: Out of 125 selected sub fertile patients 136 (63.26%) patients were in primary subfertility group while 79 (36.74%) patients were in secondary subfertility group. In primary subfertility group(n=136), most common laparoscopic finding was PCO in 44 (32.34%) patients followed by peritubal and periovarian adhesions in 24 (17.65%) patients, Bilateral tubal block in 23(16.91%) patients, Endometriosis in 15(11.03%), Unusual tortuous and lengthy tube in 15(11.03%) patients, fibroid in 11(8.09%) patients, Mullerian agenesis and hypoplasia in 3(2.21%) cases. No visible abnormality found in 22(16.18%) cases. The commonest finding by laparoscopy in patients with secondary infertility were PCO in 18 (22.78%) patients and peritubal and periovarian adhesions in 18 (22.78%) patients, followed by Bilateral tubal block in 12(15.19%) patients, fibroid uterus in 12(15.19%) patients, Endometriosis in 10(12.66%), Genital tuberculosis in 3(1.40%) cases. No visible abnormality found in 12(15.19%) cases. Various laparoscopic procedure like Ovarian drilling. Adhesiolysis, ovarian cystectomy, cyst puncture, salphingostomy, Myomectomy. Conclusion: Laparoscopy helped us to detect and treat important clinical condition in bath primary & secondary sub fertility. failed to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse. Since approximately 85% of couples may be expected to achieve pregnancy within that time interval without medical assistance, evaluation may be indicated for as many as 15% of couples3. The causes of infertility are broadly classified as male factors, female factors and unknown or combined 4. About 25-40% of cases of infertility are attributed to male factor2. During the investigations in the female it is mandatory to rule out the pathology of the genital tract. Diagnostic laparoscopy is generally not a part of initial infertility evaluation; however, number of reports have shown that it is effective procedure for evaluation of long term infertility1. Laparoscopy provides information ","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"33 1","pages":"143-148"},"PeriodicalIF":0.0,"publicationDate":"2020-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42878762","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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