Polycystic ovarian syndrome (PCOS) is a complex condition. In PCOS the metabolic and endocrine components are affected. The PCOS is an evolving condition and therefore has variable ultrasound presentations. Inappropriate gonadotrophin secretion causes ovarian dysfunction. Increased level of plasma testosterone is a common feature in PCOS. Women with PCOS have abnormalities in the metabolism of androgens and oestrogen. PCOS is a genetically heterogeneous syndrome. The abnormal menstruation patterns in PCOS is attributed to chronic anovulation. Women with PCOS should be assessed for their cardiovascular risk. The lifestyle modifications such as reducing the weight, increasing the exercise and restriction of carbohydrate intake consistently reduce the risk of diabetes. Medical management of PCOS is aimed at the treatment of metabolic derangements, anovulation, hirsutism and menstrual irregularity. The surgical management of PCOS is aimed mainly to improve ovulation. PCOS has many long-term complications. Therefore the patients need regular follow-up with their physicians for early detection and management of any untoward sequelae associated with the syndrome.

Pre-pregnancy mother's body mass index plays a role in increasing or decreasing maternal weight. Maternal body mass index is a prominent indicator for the nutritional status of pregnant women who can be at risk of increasing the occurrence of births with low birth weight babies. This study aims to analyze the relationship between pre-pregnancy body mass index and the occurrence of low birth weight babies at Abdul Moeloek General Hospital Bandar Lampung, Indonesia. This study uses an observational analytic research design with a cross sectional approach. The population in this study were all post-partum mothers who gave birth at the Abdul Moeloek Regional Hospital in Bandar Lampung and involved a sample of 79 respondents who were taken using the consecutive sampling technique. Sampling was carried out based on inclusion and exclusion criteria that met the research criteria until the desired number of samples was met. Analysis of the research data is the chi-square test and logistic regression test. The results showed that the two independent variables, namely the pre-pregnant mother's body mass index and weight gain during pregnancy, had a significant relationship to the baby's birth weight. The significance of body mass index is p-value=0.004 and the significance of weight gain during pregnancy is p-value=0.000. Thus the body mass index of pre-pregnant women and weight gain during pregnancy can affect low birth weight babies at Abdul Moeloek Hospital Bandar Lampung.

Introduction: A relatively new type of ectopic pregnancy is cesarean scar pregnancy (CSP). This is related to the increasing number of cesarean deliveries and to the advances in imaging. There are 2 types of CSP; CSP with progression to cervicoisthmic space or uterine cavity (type I, endogenic type) or with deep invasion of scar defect with progression towards bladder and abdominal cavity (type II, exogenic type). The endogenic type of CSP could result in a viable pregnancy; yet with a high risk of bleeding at the placental site. The exogenic type could be complicated with uterine rupture and bleeding early in pregnancy. As early diagnosis and treatment is important for the best outcome, every pregnant woman with history of cesarean delivery should be screened early in the first trimester of pregnancy. Diagnosis can be achieved with ultrasound and Doppler imaging. To date there have been only 5 randomized studies on CSP and evidence based management remains unclear. Until then, treatment should be individualized according to many factors including clinical presentation, β-hCG levels, imaging features, and the surgeon’s skill. We report a case of cesarean scar pregnancy successfully managed in our university hospital center.

Introduction: One of the most common causes of hospitalisation during pregnancy is preterm labour. Nearly one-fifth of women hospitalised for preterm labour. The frequency of preterm births is about 12%–13% in the USA and 5%–9% in many other developed countries. One of the main causes of preterm delivery is preterm premature rupture of membranes, while pre-eclampsia and foetal growth restriction (FGR) can be identified as other common causes that could lead to such complications. Objective: to assess the value of uterine artery doppler ultrasound measured of preterm labor in pregnant women with threatened preterm labor. Methods: We performed a single-center cohort study was carried out at Obstetrics and Gynecology, Sylhet MAG Osmani Medical College Hospital & Jalalabad Clinic, Modhushohid, Sylhet, Bangladesh from January to December 2020. Total 141 women were selected for the present study after applying inclusion and exclusion criteria. All participating women signed informed written consent. The study included singleton pregnant women who present to the casualty at gestations between 28 and 34 weeks of gestation with symptoms and signs of threatened preterm labor (defined as presence of at least one uterine contraction per 10 minutes, lasting at least 30 seconds, with a cervical dilatation ≤ 3 cm, and a cervical effacement < 80%). On admission, during obstetric ultrasound scanning, bilateral uterine artery Doppler ultrasound velocimetry was performed using the transabdominal technique. Uterine artery Doppler scans were both conducted at the peak of uterine contraction and in between contractions when the uterus is fully relaxed. Results: Total 141 women presenting with threatened preterm labor were included in the study. The mean gestational age at presentation was 30.86 ± 1.71 weeks (range: 28 – 33.86 weeks). Among 45 (31.9%) delivered within 7 days, while 96 (68.1%) delivered after 7 days of presentation. The mean uterine artery pulsatility index (UA-PI) measured both basally and at the peak contraction were significantly higher among women who delivered within 7 days. ROC curves showed that both basal and contraction UA-PI were significant predictors of delivery within 7 days. There was a significant negative correlation between contraction UA-PI and birth weight. Conclusion: Uterine artery Doppler ultrasound velocimetry measured in women with threatened preterm labor, seems to be a significant predictor of actual preterm labor within 7 days of admission.

Infertility affects approximately 10% of the world’s population and has been termed the 5th highest serious global disability by the World Health Organization WHO, (2018). It is defined as the inability of a couple to achieve pregnancy after 1 year of regular sexual intercourse of at least thrice a week or after an achieved pregnancy. Fertility declines with age in both men and women, but the effects of age are greatly pronounced in women due to multifactorial causes in women. Hysterosalpingography (HSG) is the radiographic examination of the uterus and fallopian tubes and is regarded as the gold standard for assessing the fallopian tubes, providing accurate information on their patency and shape. Limitations to hysterosalpingography are seen in identifying uterine factors affecting fertility in most findings. Other radiographic examinations such as the ultrasound scans should be used alongside in evaluating findings of infertility as it gives precise description of the outline of the uterus and can capture intramural myoma which isn't easily seen on hysterosalpingogram scans hence the importance of combining these radiographic evaluations. The result showed that the commonest pathological tubal finding on infertility using Hysterosalpingography evaluations is Bilateral Tubal Occlusion (27.8%) while the commonest pathological uterine findings seen using ultrasound evaluation is Uterine Myoma (24.1%). Predominant age group was 32-37 years. This also showed that there is positive correlation between Age and Infertility type.

Introduction: The garment industry is a crucial contributor to the economy of Bangladesh and employs a large number of women of reproductive age. However, contraceptive use among these women is low, which can lead to unintended pregnancies and adverse health outcomes. The present study aimed to assess the contraceptive practices and associated factors among female garment workers in Bangladesh. Methods: This prospective observational cross- sectional study was conducted at Islami Bank Hospital, Mirpur, Dhaka, Bangladesh. The study duration was 1 year, from November 2021 to October 2022. During this period, a total of 300 garment workers were enrolled in the study following the inclusion and exclusion criteria from those employed at any of the various garments of Mirpur region, Dhaka, Bangladesh. Result: The study found that a majority of participants were aged 21-25 years (44.33%), Muslim (77.67%), had a primary level of education (44.33%), and had 1-2 children (69.33%). Almost half of the participants had good knowledge of contraception (48.33%), 66.67% had a positive attitude and 66.00% reported using contraception regularly. The most commonly used method of contraception was oral contraceptive pills (43.04%), followed by condoms (29.13%), and injections (22.17%). A considerable number of participants (14.35%) reported an unknown source of contraception. Among the 70 participants who did not use contraceptives, the most commonly reported reasons were an expectation that the patient will not get pregnant (45.71%) and partner refusal (41.43%). Only 25.33% of participants had access to family planning services. The accessibility of family planning services was significantly associated with the knowledge of contraception, the attitude toward contraception, and the use of contraception. The use of contraception was higher among participants who reported access to family planning services (84.93%) compared to those who did not have access (59.91%). Conclusion: The study highlights the low prevalence of contraceptive use among female garment workers in Bangladesh and the need for increased access to family planning services. Partner involvement and education on contraceptive methods and their side effects may also contribute to increased contraceptive use.

Introduction: Spontaneous onsets of labour within expected date of delivery not always occur. Some pregnancies cross the expected date of delivery, and need induction of labour. Induction of Labor means initiation of uterine contraction that can be done by pharmacological or non-pharmacological method. Induction of labor is not risk- free. The present study aimed to investigate initiation of uterine contractions beyond the expected date of delivery. Methods: This Prospective cross-sectional study was carried out in the Department of Obstetrics & Gynecology, Bangabandhu Sheikh Mujib Medical University, Hospital, from January 2008 to June 2008. A total of 50 patients were enrolled in this study following the inclusive criteria. Data were collected using the predesigned semi-structured questionnaire. Verbal consent was taken before recruiting the study population. Completed data forms were reviewed, edited, and processed for computer data entry. Result: Among the study population (N=50), one-fifth of the mothers’ (10,20.0%) age was under twenty. The majority of mothers were (34,68.0%) between 20-30 years old with a mean age of 25.4 ± 4.32 years. In seventeen patients (17,34.0%) labour induction was given by oxytocin drip followed by ARM, in ten patients labour induction was given by ARM followed by oxytocin drip & in twenty-three patients (23,46.0%) with unfavorable cervix prostaglandin was used and then followed by oxytocin drip and ARM. The total number of induction failures (who needed a caesarian section) was twenty (20,40.0%). Among the total number of caesarian sections, eleven (11,55.0%) were done due to fetal distress, nine (9,45.0%) were done due to abnormal uterine action, one (1,5.0%) was done due to cervical dystocia. Conclusion: Labor induction should be applied to improve birth consequences and when the potential aids outweigh the potential dangers. Researches point out that inducing labour lessens the risk of having a stillbirth, macrosomia and developing high blood pressure as the pregnancy advances.

Bladder endometriosis is a rare location of endometriosis. We present a case of female patient with an inter vesical-uterine septum mass that was an incidental finding during the realization of a pelvis IMR to characterize an ovarian tumor. We performed a surgical resection. Histopathological examination revealed a bladder adenomyomas.