Objectives: To assess the various factors associated with breech delivery at term. Design: Casecontrol study. Period: Apr 2004 to Sep 2004 Setting: Department of Obstetrics & Gynaecology unit-I, Bahawal VictoriaHospital Bahawalpur. Materials & Methods: This case control study was carried out in women with the age group 20-40 years. Various risk factors (Parity, multiple pregnancy, placenta Previa, amount of liquor and congenitalabnormalities) associated with breech (50 cases) at term (37-42 completed weeks) were compared with vertex (50controls) after matching. Results: Different factors associated with breech were oligohydramnios 44% vs controlgroup, placenta previa 34% vs control group, primiparity 46% vs control group, multiple pregnancy 14% vs controlgroup and congenital abnormalities 18% vs control group. Conclusion: Our study concluded that factors associatedwith breech delivery were oligohydramnios, placenta previa, multiparty, multiple pregnancy & congenital abnormalities.

Objective: To determine the frequency of complications in patients with intrahepatic cholestasis of pregnancy. Study Design: Descriptive Case Series. Setting: Department of Obstetrics & Gynecology, Shahida Islam Medical College, Lodhran. Period: July 2019 to December 2020. Material & Methods: A total of 141 patients with intrahepatic cholestasis of pregnancy of age 18 to 40 years were included. Patients with multiple pregnancies, history of alcohol intake, CR and preexisting chronic liver disease were excluded. All women were followed till delivery (gestational age ≤ 41 weeks) and feto-maternal outcome i.e. postpartum hemorrhage, cesarean section, APGAR score <7 at 5 minutes, low birth weight, prematurity, meconium stained liquor and intrauterine fetal death (yes/no) was noted. Results: Feto-maternal outcome was as follows; postpartum hemorrhage in 18 (12.77%), cesarean section in 47 (33.33%), preterm birth in 34 (24.11%), APGAR score <7 at five minutes in 13 (9.22%), meconium stained liquor in 45 (31.91%) patients, low birth weight in 14 (9.93%) and Intra-uterine fetal death in 11 (7.80%) patients. Conclusion: Our study concluded that we should develop some serious recommendations for these high risk patients in our routine practice. It will reduce the morbidity and mortality related to this high risk condition.

Aim: To determine the association between obesity and hypertension among adult male population. Study design: Cross sectional analytical Place and duration: Conducted from June 2022 to December 2022 in Medical wards of BVH, Bahawalpur. Methodology: 1124 adult male between 20-40 years of age admitted in medical wards without any illness were included. Results: Mean age of the patient was 27.1±3.6 yrs. Mostly were between the ages of 26-30 yrs i.e. 51%. Number of patients with hypertension was 19.4% and in obese persons was higher as compared to non-obese group i.e. p<0.01. Conclusion: Hypertension is higher in obese persons when comparing with non-obese subjects. Keywords: Body mass index, Adults, Hypertension

Objective: To identify the association of blood pressure with DR and its severity in type two diabetics. Study Design: Descriptive, Correlational study. Setting: Outpatient Department of Layton Rahmatulla Benevolent Trust Eye Hospital, Lahore. Period: 1st July, 2016 to 30th August, 2016. Materials & Method: After recording of demographic data, 80 type two diabetics of age 45-65 years of both genders were evaluated by consultant ophthalmologist for status and grading of diabetic retinopathy. Blood pressure was recorded with the help of mercury sphygmomanometer. Data were entered and analyzed on SPSS version 22. Qualitative variables were mentioned as percentages. For comparison of quantitative variables, student ”t” test or mann whiten U test as per distribution of data, were applied. For exploring the association between blood pressure and diabetic retinopathy, spearman rho correlation test was employed. Results: Out of total 80 patients, 42 had DR of varying grade. Most of the study participants were females (62.5 %). On comparison between two groups, systolic blood pressure was not significantly different however, diastolic blood pressure had significant difference. Both systolic and diastolic blood pressure had significant association with severity of DR in both eyes of the patients with only exception of diastolic blood pressure with severity in left eye, which had non-significant correlation. Conclusion: The study results suggest that, blood pressure should be considered as a contributing factor for development and progression of diabetic retinopathy.

Objective: To determine the knowledge and practice regarding male contraceptive methods among married malepopulation of Hansra basti Bahawalpur, Pakistan. Material and methods: This observational (Descriptive) cross sectional study wascarried out at Hansra Basti Bahawalpur from May 2011, to June 2011. A total of 100 married males were selected by simple randomsampling. Data was collected by pre-designed, pre-tested, questionnaire to collect the information from study population. An interviewwas conducted at respondents' house in local language. Privacy was ensured. Results: About 82% have knowledge about any of the malecontraceptive methods and out of those 18% were practicing any one of the family planning methods. Condom (Barrier) was most usedmethod (77.7%) followed by the traditional methods i.e abstinence (27.7%) and coitus interrupts (11.11%) where as result regardingvasectomy was nil. Source of knowledge mainly was media (44%) followed by through health professional (30%), wife (25%) and friends(21%). Conclusion: In present setting men have good knowledge of male contraceptive methods. However very small number ispracticing the contraceptive measures.