ORIGINAL RESEARCH ARTICLE | Nov. 23, 2020
Management of Incomplete Abortions by the Manual Intra Uterine Suction Technique at Sylvanus Olympio Teaching Hospital of Lome-Togo
Ameyo Ayoko Ketevi, Baguilane Douaguibe, Akila Bassowa, Dede Regine Diane Ajavon, Assiaham Walawita Tenete, Samira AYABA, Nagbe Massogblé Kodjo Koffi, Kodjo Fiagnon, Abdoul-Samadou Aboubakari
Page no 222-226
Objective: to assess the management of incomplete abortions using the manual intrauterine aspiration technique (MIUA) in the Obstetric Gynecology clinic of the SO CHU. Method: This is a retrospective, descriptive study that took place at the gynecology and obstetrics clinic of the SO University of Lomé, over a period of 12 months (January to December 2017). Results: Of the 7440 pregnancies recorded, there were 460 abortions, (6.18%). Among the abortions, there were 126 cases of incomplete abortions managed by the MIUA, a frequency of 27.39%. The average age was 27 years with extremes of 13 and 54 years. Local anesthesia coupled with verbacaine has been used in all of our patients. The use of analgesics by injection before and after aspiration was systematic. Red blood cells were prescribed in 13.5% of cases, fresh frozen plasma in 4.8% of cases and antianemics in 90.48% of cases. All of our women (100%) had fluids, antibiotics, analgesics and syntocinon. In 64.29%, our patients had not adopted a contraceptive method after counseling. In contrast, 22.22% of them opted for the pills. Conclusion: Abortions, whether spontaneous or induced, constitute a public health problem and therefore require adequate management. The availability and simplicity of the MIUA technique are definite advantages.
ORIGINAL RESEARCH ARTICLE | Nov. 25, 2020
“Fetomaternal Outcome in Term Oligohydramnios-A Study in Rajshahi Medical College Hospital, Rajshahi, Bangladesh”
Dr. Homaira Shahreen (Simi)
Page no 227-231
Introduction: Oligohydramnios is defined as AFI <5cm (amniotic fluid index) or the maximum vertical pocket of liquor is less than 2 cm. It has been correlated with increased risk of intrauterine growth retardation, meconium aspiration, severe birth asphyxia, low APGAR score and congenital abnormalties. There is an inverse relationship between amniotic fluid volume and pregnancy outcome. Objective: To find out the fetomaternal Outcome in Term Oligohydramnios. Materials and Methods: This study was conducted in the department of Obstetrics and Gynaecology at Rajshahi Medical College Hospital, Rajshahi, Bangladesh over a period of 1 year from January 2018 to December 2018. 65 patients in third trimester of pregnancy with oligohydramnios were selected randomly after satisfying inclusion and exclusion criteria. Results: This study was performed in 65 pregnant women with amniotic fluid index <5 cm with sinleton pregnancy. In this study 38 out of the 65 patients (58%) had vaginal delivery (either induced or spontaneous) and 27 patients (42%) underwent lower segment caesarean section. Patients with amniotic fluid index 4 - 5cm on USG were 39 (60%) followed by AFI 2-4 cm was 18 (28%) and AFI <2 cm was 8 (12%). Low birth weight (<2.5 kg) was seen in 19 newborns (29%). NICU was required in 22 newborns (34%). Fetal congenital anomalies were seen in 4 cases (4%). congenital anomalies were hydronephrosis, diaphragmatic hernia, hypoplastic kidneys and multiple congenital anomalies. Conclusion: In conclusion, oligohydramnios in term pregnancies is associated with an increased risk of obstetric intervention. All cases of oligohydramnios require intensive antepartum and intrapartum care. Early detection of oligohydramnios, evaluation of the cause and severity of oligohydramnios and assessment of gestational age are essential for management. Its management may help in reduction of perinatal morbidity and mortality and decreased caesarean deliveries.
ORIGINAL RESEARCH ARTICLE | Nov. 30, 2020
The Relationship between BMI and Age with Lipid Peroxidation, Antioxidant Enzyme Super Oxide Dismutase Glutathione and Serum Homocysteine Level in Polycystic Ovary Syndrome in Sudanese Patients
Ahmed Nassir Mohamed, Noon Babiker Mohammed, Abdelgadir Eltom, Amin Omer Abbas
Page no 232-240
Polycystic ovary syndrome, also known as Stein-Leventhal syndrome is a common health problem that affects teenage girls and young women. PCOS is associated with a wide spectrum of complications in various parts of health, including reproductive, metabolic and psychological features. This Analytical case control study was conducted to Assessment of Lipid peroxidation, antioxidant enzyme Super oxide dismutase, Glutathione and Serum Homocysteine level in Patients with Polycystic Ovary Syndrome in Khartoum State in which include 300 participant divided into 200 case and 100 control, the sample used to measure Homocysteine , Glutathione, Lipid peroxidation and superoxide dismutase level in serum of participant of high body mass index in case group and normal body mass index for the control by using spectrophotometer machine . out of 300 sample divided into 200 case and 100 control , the mean and standard deviation of the total glutathione was found mean 801.30 and the reduced glutathione 132.2 while in control 748.6,103.2 respectively, and for Super oxide dismutase mean and standard deviation was found 225.2, ± 57.8 in case while in control found 195.5, ± 25.6 respectively and Homocysteine mean and standard deviation found 14.9, ± 2.1 for case and 12.1 , ± 2.5 for control lastly also the mean and standard deviation investigated while the lipid peroxidation was found 3.4 , ± 1.1 for case and 2.4 , ± 0.7 Respectively. the total glutathione mean and standard deviation in group of <5 years disease duration PCOS found 1559.6 ,± 282.6 and for duration of >5 years of disease the total glutathione mean and standard deviation found 1196.9 , ± 253.9 regarding superoxide dismutase mean and standard deviation in group of <5 years disease duration was found 227.1 , ± 57.4 and for duration of >5 years of disease the superoxide dismutase mean and standard deviation was found 222.4 , ± 58.8.The Homocysteine mean and standard deviation in group of <5 years disease duration was found14.9 , ± 2.2 and for duration of >5 years of PCOS disease found 14.8 , ± 1.9 The age interval have low glutathione mean and standard deviation among age of 15-30 year 60(30%) found 804.5 , ± 118.8Hemoctoseine mean and standard deviation in age 15-30 year found 15.3 , ± 2.5. Polycystic ovarian syndrome could be a dilemma for many women of reproductive ages irrespective of their reproductive disorders; should incorporate assessment of lipid profiles and possibly oxidative stress markers.