Pub Date : 2017-10-12DOI: 10.3329/BJOG.V31I1.34270
S. Tasnim, A. Haque, Summyia Nazmeen
Objective (s): The objective was to explore frequency of menopause related symptoms among middle aged women and their perception about menopause, Materials and Methods: This was a cross sectional study carried during March to May 2013 among women aged 45-60 years at the out patient Department of Obstetrics and Gynaecology of a tertiary hospital using structured questionnaire. Information was sought regarding menstrual pattern, self reported menopausal symptoms and attitude towards menopausal transition. Data analysis was done using SPSS version 16. Results: Total 106 women were interviewed, The mean age of the respondents was 50.3± 53 years, and 58.5% were post menopausal and 41.5% in menopausal transition. More than half (59.4%) were illiterate, 32% were working. Common menopausal symptoms were insomnia 51.8%, body ache 44.3% and feeling sad 31.3%. Hot flush and night sweats were reported by 50% and 33% respectively. Half of them regard menopause as normal and health seeking for menopausal problems was 42.5%. Conclusion: A significant proportion of women were suffering from vasomotor and psychosomatic symptoms but most of them did not seek treatment. To ensure quality of life health needs of middle aged women should be identified and their views towards menopause incorporated in formulating services for them Bangladesh J Obstet Gynaecol, 2016; Vol. 31(1) : 10-15
{"title":"Experience of Menopause and Menopausal Transition among Middle aged Women Attending A Periurban Hospital","authors":"S. Tasnim, A. Haque, Summyia Nazmeen","doi":"10.3329/BJOG.V31I1.34270","DOIUrl":"https://doi.org/10.3329/BJOG.V31I1.34270","url":null,"abstract":"Objective (s): The objective was to explore frequency of menopause related symptoms among middle aged women and their perception about menopause, Materials and Methods: This was a cross sectional study carried during March to May 2013 among women aged 45-60 years at the out patient Department of Obstetrics and Gynaecology of a tertiary hospital using structured questionnaire. Information was sought regarding menstrual pattern, self reported menopausal symptoms and attitude towards menopausal transition. Data analysis was done using SPSS version 16. Results: Total 106 women were interviewed, The mean age of the respondents was 50.3± 53 years, and 58.5% were post menopausal and 41.5% in menopausal transition. More than half (59.4%) were illiterate, 32% were working. Common menopausal symptoms were insomnia 51.8%, body ache 44.3% and feeling sad 31.3%. Hot flush and night sweats were reported by 50% and 33% respectively. Half of them regard menopause as normal and health seeking for menopausal problems was 42.5%. Conclusion: A significant proportion of women were suffering from vasomotor and psychosomatic symptoms but most of them did not seek treatment. To ensure quality of life health needs of middle aged women should be identified and their views towards menopause incorporated in formulating services for them Bangladesh J Obstet Gynaecol, 2016; Vol. 31(1) : 10-15","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"10-15"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45751786","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 : 2017-10-12DOI: 10.3329/BJOG.V31I1.34275
F. Haque, S. Tasnim
Zika, an emerging Aedes-mosquito-borne virus are currently being identified with alarming outbreak is spreading throughout the America. Health expert warn that anytime virus could enter Bangladesh due to worldwide easy communication of the people. Concerns have grown even stronger in Bangladesh after news media in Thailand and Taiwan reported cases of the viral infection among locals. Both places are popular destinations for Bangladeshi travellers, increasing the risk of the virus also spreading here. Aedes aegypti, the carrier of the virus, is also responsible for spreading dengue fever throughout the Indian sub-continent region, especially in Bangladesh and India. Pregnant women are at increased risk of neonatal complication like microcephaly if infected with ZIKA virus. This review describes epidemiology, transmission of ZIKAV, clinical presentation and recommendations for pregnancy according to CDC, RCOG,SGOC and WHO guidelines. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(1) : 40-45
{"title":"Recent Update on Management of Pregnancy with ZIKA Virus Infection","authors":"F. Haque, S. Tasnim","doi":"10.3329/BJOG.V31I1.34275","DOIUrl":"https://doi.org/10.3329/BJOG.V31I1.34275","url":null,"abstract":"Zika, an emerging Aedes-mosquito-borne virus are currently being identified with alarming outbreak is spreading throughout the America. Health expert warn that anytime virus could enter Bangladesh due to worldwide easy communication of the people. Concerns have grown even stronger in Bangladesh after news media in Thailand and Taiwan reported cases of the viral infection among locals. Both places are popular destinations for Bangladeshi travellers, increasing the risk of the virus also spreading here. Aedes aegypti, the carrier of the virus, is also responsible for spreading dengue fever throughout the Indian sub-continent region, especially in Bangladesh and India. Pregnant women are at increased risk of neonatal complication like microcephaly if infected with ZIKA virus. This review describes epidemiology, transmission of ZIKAV, clinical presentation and recommendations for pregnancy according to CDC, RCOG,SGOC and WHO guidelines. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(1) : 40-45","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"40-45"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45959364","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 : 2017-10-12DOI: 10.3329/BJOG.V31I2.34216
F. Deeba, P. Fatima, J. Banu, Shakeela Ishrat, N. Begum, Anwary Sa
Objective(s): Aim of this study was to find out the prevalence of hypothyroidism in infertile women as well as to assess their response to treatment. Materials and methods: This descriptive study was conducted in Infertility unit of Department of Obstetrics and Gynecology, Bangabandhu Sheikh Mujib Medical University, Bangladesh, a tertiary care centre from January 2014 to December 2014. Four hundred women who visited infertility clinic of the department for fertility treatment were the target population for this study. Routine investigations such as CBC, Blood sugar 2 hours postparandial or GTT, TSH and Prolactin was done. Subclinical hypothyroidism was diagnosed when there was increased TSH and normal FT 4 . Hypothyroid patients were given Levothyroxin depending upon TSH levels and continued until end of the study. Patients were followed up for six months even if pregnancy was attained. Results: Out of 400 women 55% were primary and 45% were secondary subfertility. Mean duration of infertility was 4.5 ± 1.2 years. Ninety two (23%) patients were hypothyroid. Among them 66 (16.5%) were subclinical hypothyroid and 26 (6.5%) were frank hypothyroid. The mean TSH levels were 7.34 ± 2.13 iIU/ml, and the mean PRL levels were 52.46 ± 11.17 ng/ml. Out of 92 infertile women diagnosed as hypothyroidism 75 (81.52%) women conceived after treatment with drugs for hypothyroidism (dose depending upon severity of hypothyroidism, i.e. TSH levels). More than 90% women had regular ovulation for consecutive three cycles after initiation of treatment. Conclusion: The normal TSH levels are the pre-requisite for fertilization. The decision to initiate thyroid replacement therapy in both clinical and subclinical hypothyroidism at early stage is justified in infertile women. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(2) : 86-89
目的:本研究的目的是了解不孕妇女甲状腺功能减退症的患病率，并评估其对治疗的反应。材料和方法:本描述性研究于2014年1月至2014年12月在孟加拉国Bangabandhu Sheikh Mujib医科大学三级医疗中心妇产科学不孕科进行。本研究的目标人群为400名到该科不孕不育诊所接受不孕治疗的妇女。常规检查，如CBC、产后2小时血糖或GTT、TSH和催乳素。当TSH升高，ft4正常时诊断为亚临床甲状腺功能减退。甲状腺功能减退患者根据TSH水平给予左甲状腺素，并持续到研究结束。即使已怀孕，也对患者进行了6个月的随访。结果:400名妇女中55%为原发性不孕，45%为继发性不孕。不孕的平均持续时间为4.5±1.2年。92例(23%)患者甲状腺功能减退。其中亚临床甲状腺功能减退66例(16.5%)，明显甲状腺功能减退26例(6.5%)。TSH平均值为7.34±2.13 iu /ml, PRL平均值为52.46±11.17 ng/ml。在92名诊断为甲状腺功能减退的不孕妇女中，75名(81.52%)妇女在接受甲状腺功能减退药物治疗后怀孕(剂量取决于甲状腺功能减退的严重程度，即TSH水平)。超过90%的女性在开始治疗后连续三个周期排卵正常。结论:正常的TSH水平是受精的前提条件。决定在临床和亚临床甲状腺功能减退的早期阶段开始甲状腺替代治疗是合理的不孕妇女。孟加拉国妇产科杂志，2016;Vol. 31(2): 86-89
{"title":"Thyroid status and Treatment Response of Hypothyroid Infertile Women in Tertiary Care Center of Bangladesh","authors":"F. Deeba, P. Fatima, J. Banu, Shakeela Ishrat, N. Begum, Anwary Sa","doi":"10.3329/BJOG.V31I2.34216","DOIUrl":"https://doi.org/10.3329/BJOG.V31I2.34216","url":null,"abstract":"Objective(s): Aim of this study was to find out the prevalence of hypothyroidism in infertile women as well as to assess their response to treatment. Materials and methods: This descriptive study was conducted in Infertility unit of Department of Obstetrics and Gynecology, Bangabandhu Sheikh Mujib Medical University, Bangladesh, a tertiary care centre from January 2014 to December 2014. Four hundred women who visited infertility clinic of the department for fertility treatment were the target population for this study. Routine investigations such as CBC, Blood sugar 2 hours postparandial or GTT, TSH and Prolactin was done. Subclinical hypothyroidism was diagnosed when there was increased TSH and normal FT 4 . Hypothyroid patients were given Levothyroxin depending upon TSH levels and continued until end of the study. Patients were followed up for six months even if pregnancy was attained. Results: Out of 400 women 55% were primary and 45% were secondary subfertility. Mean duration of infertility was 4.5 ± 1.2 years. Ninety two (23%) patients were hypothyroid. Among them 66 (16.5%) were subclinical hypothyroid and 26 (6.5%) were frank hypothyroid. The mean TSH levels were 7.34 ± 2.13 iIU/ml, and the mean PRL levels were 52.46 ± 11.17 ng/ml. Out of 92 infertile women diagnosed as hypothyroidism 75 (81.52%) women conceived after treatment with drugs for hypothyroidism (dose depending upon severity of hypothyroidism, i.e. TSH levels). More than 90% women had regular ovulation for consecutive three cycles after initiation of treatment. Conclusion: The normal TSH levels are the pre-requisite for fertilization. The decision to initiate thyroid replacement therapy in both clinical and subclinical hypothyroidism at early stage is justified in infertile women. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(2) : 86-89","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"86-89"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/BJOG.V31I2.34216","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43641580","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 : 2017-10-12DOI: 10.3329/BJOG.V31I1.34273
Shaikh Mahmud Kamal Vashkar, Nazia Ehsan, F. Haseen
Objective(s): To identify the common psychosocial effects of infertility among the childless couples of Bangladesh. Materials and Methods: This cross sectional quantitative survey was conducted at a tertiary level fertility center in Dhaka, Bangladesh from November 14, 2012 to November 30, 2012. Respondents were chosen by judgment sampling. Only the couples without any child were chosen for interview. Sixty-six couples were interviewed and three couples refused who came for treatment at the center. Primary data was collected from the respondents with preformed questionnaire. Informed written consent was taken before the interview, from both partners or only one partner where the other was absent Results: The mean ages of the men were 36 years and women were 28 years. The mean age for age at marriage of men and women were 29 and 22 respectively. Among the psychological effects, stress and anxiety were common in both men and women. Family problems were found less among the respondents. Only significant one that was found in both men and women was the pressure from family members, which was found in about one third of the respondents. Social effects were not found among half of the respondents. The other half avoided family gatherings (16%), meeting friends (13%), social gatherings (10%) and 15% respondents said that they do not like to go out at all. Conclusion: The psychosocial effects of infertile couples can lead to depression, frustration and sometimes aggression making them dysfunctional social beings. It also decreases work productivity and quality of life. Necessary preventive measures should be taken through appropriate public health interventions like patient counseling, awareness campaign etc. to avoid the psychosocial consequences. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(1) : 28-33
{"title":"Psychosocial Effects of Infertility among the Childless couples at a Specialized Fertility Centre in Dhaka, Bangladesh","authors":"Shaikh Mahmud Kamal Vashkar, Nazia Ehsan, F. Haseen","doi":"10.3329/BJOG.V31I1.34273","DOIUrl":"https://doi.org/10.3329/BJOG.V31I1.34273","url":null,"abstract":"Objective(s): To identify the common psychosocial effects of infertility among the childless couples of Bangladesh. Materials and Methods: This cross sectional quantitative survey was conducted at a tertiary level fertility center in Dhaka, Bangladesh from November 14, 2012 to November 30, 2012. Respondents were chosen by judgment sampling. Only the couples without any child were chosen for interview. Sixty-six couples were interviewed and three couples refused who came for treatment at the center. Primary data was collected from the respondents with preformed questionnaire. Informed written consent was taken before the interview, from both partners or only one partner where the other was absent Results: The mean ages of the men were 36 years and women were 28 years. The mean age for age at marriage of men and women were 29 and 22 respectively. Among the psychological effects, stress and anxiety were common in both men and women. Family problems were found less among the respondents. Only significant one that was found in both men and women was the pressure from family members, which was found in about one third of the respondents. Social effects were not found among half of the respondents. The other half avoided family gatherings (16%), meeting friends (13%), social gatherings (10%) and 15% respondents said that they do not like to go out at all. Conclusion: The psychosocial effects of infertile couples can lead to depression, frustration and sometimes aggression making them dysfunctional social beings. It also decreases work productivity and quality of life. Necessary preventive measures should be taken through appropriate public health interventions like patient counseling, awareness campaign etc. to avoid the psychosocial consequences. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(1) : 28-33","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"28-33"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/BJOG.V31I1.34273","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43143095","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 : 2017-10-12DOI: 10.3329/BJOG.V31I2.34224
S. B. Chowdhury
{"title":"International News Vol.31(2)","authors":"S. B. Chowdhury","doi":"10.3329/BJOG.V31I2.34224","DOIUrl":"https://doi.org/10.3329/BJOG.V31I2.34224","url":null,"abstract":"","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"112-113"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43528978","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 : 2017-10-12DOI: 10.3329/BJOG.V31I2.34215
M. M. Rahman, Raunak Jahan, J. Ferdous, F. Islam
Objective(s): Aim of the study was to find out the impact of LEEP (Loop Electrosurgical Excision) on overall sexual function in women with CIN. Materials and methods: This cross sectional study was performed at colposcopy clinic of Dhaka Medical College and Hospital from January 2016 to June 2016. Forty six women with CIN who underwent LEEP at least 6 months before were included in this study by purposive sampling. Face to face interview was taken with a preformed questionnaire on pre procedural sexual function and post-procedural sexual function. Results: Mean age of the women was 32.32 ±4.44 years (range 25 to 40 year). Time of resumption of sexual intercourse was 6.2 weeks on average. There was no change in coital frequency. About nine percent of women complaint of dyspareunia and vaginal dryness, 6.52% complaint of dissatisfaction to sexual intercourse, 10.87% felt lower abdominal pain after coitus and 13.1 % women felt decrease in sexual desire. Conclusion: LEEP for the treatment of cervical intraepithelial neoplasia doesnt significantly affect womens sexuality, when compared with sexual function before performing LEEP. Possible adverse effects may overcome by psychological counseling and healthy and hygienic life style. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(2) : 81-85
{"title":"The Impact of Loop Electrosurgical Excision Procedure for Cervical Intraepithelial Neoplasia on Female Sexual Function","authors":"M. M. Rahman, Raunak Jahan, J. Ferdous, F. Islam","doi":"10.3329/BJOG.V31I2.34215","DOIUrl":"https://doi.org/10.3329/BJOG.V31I2.34215","url":null,"abstract":"Objective(s): Aim of the study was to find out the impact of LEEP (Loop Electrosurgical Excision) on overall sexual function in women with CIN. Materials and methods: This cross sectional study was performed at colposcopy clinic of Dhaka Medical College and Hospital from January 2016 to June 2016. Forty six women with CIN who underwent LEEP at least 6 months before were included in this study by purposive sampling. Face to face interview was taken with a preformed questionnaire on pre procedural sexual function and post-procedural sexual function. Results: Mean age of the women was 32.32 ±4.44 years (range 25 to 40 year). Time of resumption of sexual intercourse was 6.2 weeks on average. There was no change in coital frequency. About nine percent of women complaint of dyspareunia and vaginal dryness, 6.52% complaint of dissatisfaction to sexual intercourse, 10.87% felt lower abdominal pain after coitus and 13.1 % women felt decrease in sexual desire. Conclusion: LEEP for the treatment of cervical intraepithelial neoplasia doesnt significantly affect womens sexuality, when compared with sexual function before performing LEEP. Possible adverse effects may overcome by psychological counseling and healthy and hygienic life style. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(2) : 81-85","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"81-85"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46590803","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 : 2017-10-12DOI: 10.3329/BJOG.V31I2.34214
S. Sharmin, S. Chy, Diadrul Alam, N. Banu, Fahmida Rashid, S. Kabir
Objective(s): The aim of this study was to evaluate the association of serum C-reactive protein (CRP) in preeclampsia (PE) and its effect on fetal birth weight. Materials and methods: This case control study was conducted in Chittagong Medical College Hospital, Bangladesh, from July 2013 to June 2014. Study population was pregnant women of third trimester with preeclampsia (case group) and normal blood pressure (control group). The maternal serum C-reactive protein (CRP) levels were measured by immune turbidometric assay between 32 weeks to term. The women were divided into three groups: mild PE, severe PE (according to ACOG criteria) and normal healthy group. The value of CRP and its correlation with birth weight was compared between groups. Results: One hundred and fifty (150) pregnant women were analyzed. Among them 50 were case and 100 control. There was no difference between age of the patients of both groups. The mean systolic blood pressure was 148.40 ± 12.35 mm Hg in case and 122.15 ± 6.44 mmHg in control group. The mean diastolic blood pressure was 100.00 ± 9.74 mmHg in case and 74.05 ± 5.97 mmHg for the control. The systolic and diastolic blood pressure was significantly higher in preeclamptic group (P < 0.000). C-reactive protein was 10.28 ± 7.25 mg/ mL in mild PE and 10.94 ± 6.32 mg/mL in severe PE and 3.45 ± 1.71 mg/mL in normotensive group, which was significantly higher in case than control group (P = 0.000). Preeclamptic women delivered at a significantly shorter gestational age than normal pregnant women. Mean gestational age during delivery for the case group and control group was 39.02 ± 1.6 and 39.58 ± 0.8 weeks respectively. Mean birth weight in PE (2.52 ± 0.42 kg) was significantly lower than normal pregnancies (2.88 ± 0.29 kg). The sensitivity and specificity of CRP were 68% and 98% respectively. Multiple regression analysis showed that there is a strong association between CRP levels and PE and birth weight. Conclusion: This small study showed that in case group CRP was raised in 68% cases which is much higher in comparison to healthy control group where CRP was high only in 2% cases. High CRP has association with low birth weight. Therefore, CRP may be used as cost effective investigation to identify the risk of preeclampsia and its effect on fetal birth weight. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(2) : 75-80
{"title":"Association of Serum C-reactive Protein in Preeclampsia and its Effect on Fetal Birth Weight A Case Control Study","authors":"S. Sharmin, S. Chy, Diadrul Alam, N. Banu, Fahmida Rashid, S. Kabir","doi":"10.3329/BJOG.V31I2.34214","DOIUrl":"https://doi.org/10.3329/BJOG.V31I2.34214","url":null,"abstract":"Objective(s): The aim of this study was to evaluate the association of serum C-reactive protein (CRP) in preeclampsia (PE) and its effect on fetal birth weight. Materials and methods: This case control study was conducted in Chittagong Medical College Hospital, Bangladesh, from July 2013 to June 2014. Study population was pregnant women of third trimester with preeclampsia (case group) and normal blood pressure (control group). The maternal serum C-reactive protein (CRP) levels were measured by immune turbidometric assay between 32 weeks to term. The women were divided into three groups: mild PE, severe PE (according to ACOG criteria) and normal healthy group. The value of CRP and its correlation with birth weight was compared between groups. Results: One hundred and fifty (150) pregnant women were analyzed. Among them 50 were case and 100 control. There was no difference between age of the patients of both groups. The mean systolic blood pressure was 148.40 ± 12.35 mm Hg in case and 122.15 ± 6.44 mmHg in control group. The mean diastolic blood pressure was 100.00 ± 9.74 mmHg in case and 74.05 ± 5.97 mmHg for the control. The systolic and diastolic blood pressure was significantly higher in preeclamptic group (P < 0.000). C-reactive protein was 10.28 ± 7.25 mg/ mL in mild PE and 10.94 ± 6.32 mg/mL in severe PE and 3.45 ± 1.71 mg/mL in normotensive group, which was significantly higher in case than control group (P = 0.000). Preeclamptic women delivered at a significantly shorter gestational age than normal pregnant women. Mean gestational age during delivery for the case group and control group was 39.02 ± 1.6 and 39.58 ± 0.8 weeks respectively. Mean birth weight in PE (2.52 ± 0.42 kg) was significantly lower than normal pregnancies (2.88 ± 0.29 kg). The sensitivity and specificity of CRP were 68% and 98% respectively. Multiple regression analysis showed that there is a strong association between CRP levels and PE and birth weight. Conclusion: This small study showed that in case group CRP was raised in 68% cases which is much higher in comparison to healthy control group where CRP was high only in 2% cases. High CRP has association with low birth weight. Therefore, CRP may be used as cost effective investigation to identify the risk of preeclampsia and its effect on fetal birth weight. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(2) : 75-80","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"75-80"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/BJOG.V31I2.34214","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44525323","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 : 2017-10-12DOI: 10.3329/BJOG.V31I1.34269
Sk. Nasreen
Objective(s): Aim of the study was to explore the outcome of conservative treatment for the postmenopausal women having small cysts. Materials Methods: This prospective cross sectional study was carried out in ZH Sikder Women Medical College & Hospital, Medinova and Popular hospital between January 2011 to June 2016. Five hundred (500) postmenopausal women with simple cysts were enrolled after counseling and taking written consent. Inclusion criteria were- cysts size should not be more than 5cm, they should be unilocular, without having any solid component or any debries. Exclusion criteria were, she or her family should not have any cancer of ovary, breast, or colon. Also women with HRT were excluded from the study. Thorough history taking, clinical examination, and some investigation like CA125, and TVS with colour Doppler was carried out for all women. CT Scan. MRI, and PET Scan were reserved for cases where colour Doppler ultrasonogram was suspicious. All the patients were followed up every 3 months for 3 to 5 years. Surgery was done if the patient developed any symptoms, or if there was any increment of sizes of cysts or there was any sonographic changes were evident. MRI1 (malignancy risk index) was calculated for each patient. Data were analyzed by SPSS where all calculation rate of less than 0.05 was considered significant. Results: Among 500 cysts, 285 cysts resolved spontaneously, which is highly significant (p <0.05), 165 cysts needed surgery and 50 cysts regressed very slowly and did not regress completely. Histopathology of surgical specimen revealed all were benign except 4 cysts, which became malignant or malignant potential. Conclusion: Postmenopausal women with simple cysts not more than 5cm,which are unilocular, unilateral, without having any solid component and with normal Doppler study are rarely malignant. So if MRI 1 is below 200 we may avoid unnecessary surgery and assure the postmenopausal women for the conservative treatment with regular follow up. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(1) : 3-9
{"title":"Management of Postmenopausal Women with Simple Cyst","authors":"Sk. Nasreen","doi":"10.3329/BJOG.V31I1.34269","DOIUrl":"https://doi.org/10.3329/BJOG.V31I1.34269","url":null,"abstract":"Objective(s): Aim of the study was to explore the outcome of conservative treatment for the postmenopausal women having small cysts. Materials Methods: This prospective cross sectional study was carried out in ZH Sikder Women Medical College & Hospital, Medinova and Popular hospital between January 2011 to June 2016. Five hundred (500) postmenopausal women with simple cysts were enrolled after counseling and taking written consent. Inclusion criteria were- cysts size should not be more than 5cm, they should be unilocular, without having any solid component or any debries. Exclusion criteria were, she or her family should not have any cancer of ovary, breast, or colon. Also women with HRT were excluded from the study. Thorough history taking, clinical examination, and some investigation like CA125, and TVS with colour Doppler was carried out for all women. CT Scan. MRI, and PET Scan were reserved for cases where colour Doppler ultrasonogram was suspicious. All the patients were followed up every 3 months for 3 to 5 years. Surgery was done if the patient developed any symptoms, or if there was any increment of sizes of cysts or there was any sonographic changes were evident. MRI1 (malignancy risk index) was calculated for each patient. Data were analyzed by SPSS where all calculation rate of less than 0.05 was considered significant. Results: Among 500 cysts, 285 cysts resolved spontaneously, which is highly significant (p <0.05), 165 cysts needed surgery and 50 cysts regressed very slowly and did not regress completely. Histopathology of surgical specimen revealed all were benign except 4 cysts, which became malignant or malignant potential. Conclusion: Postmenopausal women with simple cysts not more than 5cm,which are unilocular, unilateral, without having any solid component and with normal Doppler study are rarely malignant. So if MRI 1 is below 200 we may avoid unnecessary surgery and assure the postmenopausal women for the conservative treatment with regular follow up. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(1) : 3-9","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"3-9"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/BJOG.V31I1.34269","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47227728","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 : 2017-10-12DOI: 10.3329/bjog.v31i1.34277
K. Nahar, Quorrate Eynul Farhad, Suraiya Apsara, Jereen Afsana
Morbidly adherent placenta (MAP) occurs when there is abnormally firm attachment of placental villi to the uterine wall with the absence of the normal intervening decidua basalis and nitabuch’s layer. There are several risk factors of this condition including previous uterine surgery like myomectomy, dilatation and curettage operation, placenta praevia following previous caesarean section, advanced maternal age, multiparity and tobacco use. A diagnosis of MAP can be confirmed with tissue histology; however, medical imaging can be effective diagnostic tool. USG can detect the presence of accreta (80% sensitivity) and absence of accreta (95% specificity). This condition is presented here as a 20 weeks pregnancy with missed abortion with morbid adherent placenta (MAP).
{"title":"Morbidly Adherent Placenta in Mid Trimester Abortion - A Case Report","authors":"K. Nahar, Quorrate Eynul Farhad, Suraiya Apsara, Jereen Afsana","doi":"10.3329/bjog.v31i1.34277","DOIUrl":"https://doi.org/10.3329/bjog.v31i1.34277","url":null,"abstract":"Morbidly adherent placenta (MAP) occurs when there is abnormally firm attachment of placental villi to the uterine wall with the absence of the normal intervening decidua basalis and nitabuch’s layer. There are several risk factors of this condition including previous uterine surgery like myomectomy, dilatation and curettage operation, placenta praevia following previous caesarean section, advanced maternal age, multiparity and tobacco use. A diagnosis of MAP can be confirmed with tissue histology; however, medical imaging can be effective diagnostic tool. USG can detect the presence of accreta (80% sensitivity) and absence of accreta (95% specificity). This condition is presented here as a 20 weeks pregnancy with missed abortion with morbid adherent placenta (MAP).","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"50"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/bjog.v31i1.34277","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49115740","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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