Objective: This is a cross-sectional study done to identify epidemiological perspectives, etiological factors, and clinical presentations of uterine fibroids. Methods: The study subjects were 50 patients diagnosed as a case of fibroid uterus, and admitted Department of Gynaecology and Obstetrics, Rangpur Medical College and Hospital from March 2011 to March 2012. A pre-selected data sheet was formed to collect relevant information about the women. All the information regarding age, parity, socioeconomic status, detailed menstrual history, obstetrics history, clinical exam, per speculum exam, and pelvic exam & investigations were done according to pre-selected data. Result: Total study population was 50 among them greater frequency was found in the fourth (60%) decades of life and the majority of them (56%) were of middle-class families 92% where 50% were Illiterate. Most (48%) of the patients were in para 3-5 and 72% of patients used contraception. We found that the majority (80%) of patients presented with menstrual abnormalities and out of 50 patients 41 patients had palpable uterus. Maximum (36%) patients suffered from obesity and 96% of patients had a haemoglobin percentage less than 60%. 98% of patients had conclusive USG findings in their clinical diagnosis. Conclusion: The majority of these patients were between 31 to 40 years of age. The common mode of presentation was menstrual disturbances 80% such as menorrhagia and dysmenorrhea. Diagnosis was based on clinical exam and some patients required USG.

Background: In Bangladesh, ovarian malignancy is quite common. Given the growing emphasis on improving female health, the prevention, early detection & and early treatment of female cancer will undoubtedly become more important at present & and in the future. Objective: To evaluate the clinical and laparotomy findings of ovarian tumor. Method: This cross-sectional study was conducted in the Department of Obstetrics and Gynaecology in a Tertiary Medical College and Hospital from July 2021 to December 2022. 50 consecutive patients who attended the outpatient and who were admitted to this Hospital during this period, were taken as the study population. Results: During this study, out of 50 cases 32 (64%) complained of vague abdominal discomfort and occasional pain in the lower abdomen and 23 (46%) complained of a lump in the lower abdomen. Anemia was present clinically in 45 (90%) Mass was present in the abdomen of 44 (88%) patients. There were unilateral neoplasm in 43 (86%) cases and (14%) cases were bilateral. In 7 (14%) cases, neoplasms were solid, in 7 (14%) cases adhesions to the surrounding structures, partly cystic partly solid were 7 (14%) cases, clear peritoneal fluid in 5 (10%) cases and peritoneal seedling in 3 (6%) cases. Conclusion: Incidence of hospital admission of ovarian neoplasm in this study was 5.8%. Regarding nature of the neoplasm, 86 percent were found benign and 14 percent malignant. The mean age of the patients having neoplasm 35.5 years. As ovarian neoplasm is a silent killer disease, if we can provide some information through mass media, it may be of some help in early diagnosis of ovarian neoplasm and thereby could help our youthful victims.

Background: Despite the fact that, ferritin is commonly regarded as a representation of total body iron reserves; its predictive value is also connected to COVID-19 severity. COVID-19 disease can manifest itself in pregnant women in a variety of ways. Comorbid conditions have a significant impact on the progression of COVID-19 severity. Several studies have showed that, serum ferritin level was associated with severity of COVID-19 infection. So, we conducted this study to evaluate the comparison of mean serum ferritin levels between non-severe and severe COVID-19 infection groups during third trimester of pregnancy. Objectives: The aim of this study is to compare the mean serum ferritin levels between non-severe and severe COVID-19 infection groups in third trimester of pregnancy. Methods: This cross-sectional study was carried out in Department of Obstetrics and Gynaecology, COVID-19 Unit, BSMMU and DMCH. Sampling method was purposive. Total 154 cases were included in this study after matching eligibility criteria. After collecting intravenous blood, serum ferritin level was measured. Results: Among 154 cases, 24.7% cases were asymptomatic, 40.3% cases were mild, 24.7% cases were moderate and 10.4% cases were severe COVID-19 infection during third trimester of pregnancy. The non-severe COVID-19 infection group consisted of 100 cases of asymptomatic and mild COVID-19 infected patients, with a mean serum ferritin level of 51.48 ng/ml. The severe COVID-19 infection group consisted of 54 cases of moderate and severe COVID-19 infected patients, with a mean serum ferritin level of 478.37 ng/ml. The independent samples t-test revealed a p-value of ≤0.05 (0.0000000002), when comparing the mean values of these two groups. Conclusion: Serum ferritin level rises significantly in severe COVID-19 infection during third trimester of pregnancy.

Background: Postpartum intrauterine contraceptives device (PPIUCD) offers an effective means of providing contraceptive services to women in countries with high rates of unmet needs for family planning services. Scientific literature estimating the long-term retention rates is scarce. The complications following PPIUCD insertion at the three follow-up visits. The PPIUCD can be placed immediately following delivery of the placenta, during cesarean section or within 48 hours following childbirth. Objectives: The aim of the study was to assess the evaluation of short-term complications of Post-Partum Intrauterine Contraceptive Device (PPIUCD). Methods: This is a prospective observational study was conducted at Department of Obstetrics and Gynecology, Dhaka Medical College Hospital (DMCH). 360 eligible postpartum women were counselled for PPIUCD insertion. These women were also interviewed for their reasons for accepting and rejecting PPIUCD. After consent, Cu-T 380A insertion was done. Follow-up was done at 6 weeks or when reported with any complaint. Results: PPIUCD implantation was performed on 48 (13.3%) of 360 eligible counseled postpartum patients. Acceptance of PPIUCD was higher in the age range of 25 - 30 years (43.75%), women from middle socioeconomic status (58.3%), those with family support (75%), those who had previously had PPIUCD health counselling (70.8%), and multipara (68.75%). Missing thread (8.3%), lower abdomen pain (6.25%), and irregular per vaginal bleeding (4.2%) were the most prevalent problems. There was 86% continuation of IUCD, 8% discontinuance, 6% expulsion, and no occurrence of unintended pregnancy. Conclusion: The awareness about availability of PPIUCD is quite low because it is recently introduced in the family planning methods. The most common reason for refusal is disagreement between the husband and his family. Acceptance can be increased further by disseminating information and providing proper counseling in antenatal clinics.

Background: Polycystic ovarian syndrome (PCOS) pregnant women appear to be more vulnerable to poor maternal and neonatal outcomes. The purpose of this study was to assess the outcome of pregnancies in women with PCOS. Methord: This descriptive study was conducted at a tertiary care hospital Jashore Medical College hospital, Jashore Bangladesh, on 115 pregnant PCOS patients. SPSS version 20 was used for data analysis on the recent pregnancy, PCOS, and maternal and perinatal outcomes. Parity and others perinatal and maternal outcomes were examined as categorical variables. Result: The average age was 25.07 years, 82% had a history of primary infertility, and 66% had a high BMI. The percentage of pregnant women with hypertensive problems was 18.26%, PROM was 33.91%, and the low APGAR score at five minutes was 12.17%. gestational diabetes (23.47%), miscarriage (2.1%), preterm delivery (13.91%), caesarean delivery (37.39%), low birth weight babies (2.6%), macrosomia (0.7%), PPROM (19.52%), perinatal mortality (1.73%) and NICU admission (21.74%). Conclusion: Pregnant women with PCOS were identified with either similar or lower rates of GDM, miscarriage, preterm delivery, meconium-stained liquor, caesarean delivery, small for gestational age/IUGR, macrosomia, PPROM, perinatal mortality, NICU admission, and congenital anomalies, but higher rates of hypertensive conditions of pregnancy, PROM, low birth weight babies, and low five-minute APGAR scores.