Anemia is pathological disorder usually caused by mal nutrition and it was very common among feminine gender during gestational period, number of disease and death are also associated with this type of disorder during pregnancy. The major theme of the study is to evaluate the anemic condition along with prescribed medication among females during the period of pregnancy. Descriptive cross-sectional study was carried out for the period of 9 months at various tertiary care hospitals situated in rural areas of Sindh province. Total 273 females with pregnancy along with anemic condition, were selected by purposive sampling method. From total number of study subjects 71% females were diagnosed as anemic, that were further categorized as mild, moderate and severe, depend on their medical condition. It was observed that anemic condition was more common among infancy pregnant females with ages 20-29 years, the number of patients were 209 (76.5%). females with primary or secondary education had more problem of anemia as compared to females with intermediate or graduation. Anemic females with primary education (126), secondary education (73) whereas anemic female with intermediate (46) and with graduation anemic females were only (28). Females with multipara had severe anemic condition as females with primigravida. Anemic condition becomes more severe among females with second or third trimester. Anemic condition among females with 1st trimester was 37, in second trimester 109 whereas in 3rd trimester 127 anemic females were reported. For management of anemia among females with pregnancy depends upon the medication taking by them, number of females was 142, which were taking 3 or 4 medicine, while females with mono pharmacy were 95 and only 36 females were taking various multi vitamin, intravenous Iron supplement and it was concluded that anemia was more common among females resident of rural area due to unawareness regarding anemia and its associated complication. Another major cause was observed was mal nutrition.

Objectives: The objective of this study is to assess the patterns of exercise and diet intake among the pregnant and pre pregnant women visiting the Gynae OPD Civil Hospital Khairpur, Sindh, Pakistan. Methodology: This is a descriptive cross sectional study conducted at the Gynae OPD Civil Hospital Khairpur, Sindh, Pakistan, from November 2020 to January 2021. A well-structured questionnaire was introduced to collect the study data and consent was taken. Sample size was calculated by Slovin’s Formula which was 400 with 95% confidence level and 5% margin of error. Results were analyzed by using statistical package for social sciences (SPSS) software version 23. Results: Results reported that, out of 400 women, during pregnancy 304 were not having gestational diabetes, before pregnancy 348 women did not exercise. It was also found that out of 322 having normal range of Body Mass Index (BMI) during pregnancy 36 of participants performed exercise, before pregnancy 40 performed the exercise, during pregnancy 256 did the household work, during pregnancy 42 followed the special diet. Conclusion: It was concluded that women who visited the OPD do not exercise properly and do not take proper diet before and during pregnancy because of inadequate awareness of role of exercise and diet for pregnancy.

Objectives: To compare the frequency of satisfactory quality of life between vaginal hysterectomy and abdominal hysterectomy. Study Design: Randomized controlled trial. Place and Duration of Study: Department of Obstetrics and Gynecology, Niazi Medical & Dental College, Sargodha from 1st April 2020 to 31st December 2020. Methodology: Ninety patients were comprised and they were divided in two groups; group A (vaginal hysterectomy) and Group B (abdominal hysterectomy) were performed. Hysterectomies (vaginal or abdominal) were performed by consultant gynecologist having experience at having least 5 years). Results: Mean age of the patients was 49.82±3.207 years, mean age of the patients of group A was 49.82±3.193 years and mean age of the patients of group B was 49.82±3.256 years. Satisfactory quality of life was noted in 38 (84.44%) patients of study group A and 29 (64.44%) patients of study group B. Statistically significant (P = 0.051) difference between the frequency of satisfactory quality of life between the both groups was noted. Conclusion: Results of this study reveals that post hysterectomy quality of life found more satisfactory in vaginal hysterectomy group as compared to abdominal hysterectomy group. Insignificant association of post hysterectomy quality of life with age group, marital status, parity and socio-economical status was found. Findings of this study also revealed that post hysterectomy satisfactory quality of life is not associated with education of the patients. Key words: Hysterectomy, Quality of life, abdomen, vagina, WHO, Uterus

Objectives: The aim of study was to determine vitamin d deficiency in age and sex groups associated with different regions. Therefore, this diagnostic method has played an important role in the prevention of various medical conditions. Study Design: Cross-sectional study. Setting: Department of Obstetrics and Gynaecology, Gambat Institute of Medical Sciences Gambat, Khairpur Sindh. Period: 14 August 2016 to 24 February 2018. Material & Methods: Total 1924 participants were screened and included in the study by fulfilling the inclusion criteria. Exclusion criteria were signs and symptoms of any chronic disease, active injury, abnormal liver function or any chronic kidney and pregnancy problem. All participants who met the inclusion and exclusion criteria were interviewed after taking informed consent. Questionnaires for the study were prepared and distributed to the selected population. According to the questionnaire and interviews by the researchers, details of lifestyles, social status, and monthly income were reported. Moreover, marital status, milk in take, and sun exposure hours were also asked. Blood sample of each participant was taken after taking written informed consent form. A total 1924 people screened for Vitamin D levels with help of direct chemiluminescence using ADVIA Centaur assay. Results: 1924 people from five different regions of Gambat. A total of 1153 (59.9%) people with vitamin D deficiency were found, while 724 showed normal rates and 47 found to be larger than normal. Females are more deficient for vitamin D (35.7%) than males (24.4%). Conclusion: The high population without symptoms with low levels Vitamin D is an alarming sign of deteriorating health, while multiple risk factors appear.

Background: There is a risk associated with spinal anaesthesia failure after immediate deliverance of epidural anaesthesia. Objective: To assess the risk of spinal anaesthesia failure followed by failed epidural block in caesarean deliveries. Study Design: Retrospective study Place and Duration of Study: Department of Obstetrics & Gynaecology, Khairpur Medical College Khairpur Mir’s from 1st July 2020 to 30th June 2021. Methodology: One hundred and seventy labour cases who have been given epidural anaesthesia and were prepared for caesarean section through spinal anaesthesia were included. The demographic and clinical information of each pregnant female was documented. Proper epidural dosage was maintained during labour. Results: The mean age of the patients was 26.5±5.2 years. There was a significant increase in body mass index among epidural converted spinal aesthesia patients. The higher incidence of non-reassuring foetal heart tracing and malpresentation in failure cases were found. Conclusion: There is a 11.17% risk of spinal anaesthetics failure for attaining block height when administered within 30 min of epidural dose. Keywords: Epidural, Spinal anaesthesia, Anaesthesia, Caesarean