Objective: To demonstrate the value of iron sucrose complex in the treatment of anemia in pregnancy.Methods: It is a prospective clinical study, of 35 consecutive pregnant women suffering from anemia in pregnancy. The study was conducted over a period of twelve months. Hemoglobin concentration was measured three times during pregnancy. All women consumed timed release iron from 17 weeks onward up to birth of the baby. If hemoglobin level is (8.5 - 9) gm/dl, parentral Iron sucrose complex 2 doses (400gm of iron) were given intravenously and hemoglobin level was checked after 15 days.Results: There were 35 women who completed the treatment and data was available for analysis. Their mean age was 27.5(range21-35) years. Fifty six percent were 2nd gravid. Twenty eight (28%) percent women in 1st half of pregnancy, 53% in 2nd trimester and 16% in 3rd trimester suffering from moderate anemia and treated with iron sucrose complex (ISC). The average Hemoglobin concentration before treatment was 8.47gm/dl and after treatment was 9.67gm/dl. There was a statistically significant improvement in hemoglobin concentration. Three women developed side effects and did not get 2nd dose.Conclusion: Intravenous iron therapy is safe, convenient and effective in treatment of iron deficiency anemia during pregnancy. The intravenous iron therapy can replace blood transfusion in antenatal period in many patients. DOI: http://dx.doi.org/10.3329/bjog.v25i1.13728 Bangladesh J Obstet Gynaecol, 2010; Vol. 25(1) : 20-23
Family planning is an essential tool for reducing fertility rate. An increase in contraceptive prevalence rate results in reduction of population growth, which in turn contributes significantly to the improvement of people's health. It is a cross-sectional, descriptive type, observational study done during April-July 2007 in a large Medical Centre. Reproductive history was used as research instrument for data collection. The present study aimed at exploring Contraceptive prevalence and related issue among service holder and regulation of fertility among them. Two thirty one (231) women (childbearing age ) were selected randomly to find out their contraceptive prevalence. Eighty four (n=197) percent women need family planning service . Thirty three(33.53 %)percent couple practice barrier method, twenty two(22.54%) percent use oral pill, female sterilization is 9.25percent,injectable(DMPA) 5.78 percent,7.97percent mixed method .There is progressive decline in oral pill use from 55% to 26%. Fertility rate, menstruation regulation is lower among servicing women. Education, empowerment and social position of women help to reduce fertility. Introduction:Optimum period for child delivery, prevention of unwanted pregnancy by safe contraception, and birth of wanted children are known to be the main directions in family planning. Family planning not only offer contraceptive benefit, it also ensure improvement in women's health, child health ,decrease infant and maternal death, decrease population growth and ultimately enhance the socio economic development. Fertility status (fecundity) is largely determined by age at marriage, age at 1 st child birth, birth space, and use of contraceptives. These variables are indirectly regulated by income, nutrition, housing, education and medical care of the people. There are evidenced that conditional cash transfer or improvement in socio economic condition have unintended effect on fertility control. 1, 2
A 25yrs old lactating women present with membranous lesion of the tongue, painful ulceration of mouth and vulva. The differential diagnosis of vulval ulcer includes various causes of acute vulval lesion usually associated with STD, malignancy and immunosuppressive disease. Later it is diagnosed as a case of vulval tuberculosis. This common lesion is often misdiagnosed, leading unnecessary investigations and treatment. DOI: 10.3329/bmj.v38i2.3577 Bangladesh Medical Journal 38(2) 2009 65-67
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