Background: The rising incidence of caesarean section all over the world has been of great concern both to the patients and obstetrician.1 Repeat caesarean section is one of the major reasons which have contributed greatly to high caesarean section (CS) rate.1,2 Although maternal death as a result of CS is now rare, reports of the short-and long-term consequences of the rising CS rate on the childbearing population are conflicting.3 Available data show that repeat caesarean section is associated with many maternal complications, specially intra-abdominal adhesions, central placenta praevia, uterine rupture, caesarean scar pregnancy, caesarean hysterectomy etc.4 Objective: To evaluate outcome and complications of multiple repeat caesarean section. Methodology: This was a cross sectional prospective study conducted in Shaheed Suhrawardy Medical College Hospital (ShSMCH) from 1st June’2016 to 30th November’2016 for a period of six months. The study population were 102 patients, selected randomly who were admitted in ShSMCH for repeat caesarean section. Results: Out of 102 patients admitted with history of previous caesarean section, maternal morbidity was 26 (25.49%), which includes intra-abdominal adhesions 19 (18.62%), excessive blood loss 6(5.88%), placenta praevia 4 (3.94%), placenta accreta 1 (.98%), postpartum haemorrhage 11 (10.78%), wound infection 12 (11.76%) etc. Conclusion: As the rate of repeat caesarean section continue to rise, surgeons should be more judgemental in doing caesarean section. J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 74-79

Background In the field of infertility, tubal factor has a great role. So the assessment of tubal patency belongs to the initial diagnostic tests in the work-up of an infertile woman. During the past few years, sonosalpingography has been suggested as the firstline method to study tubal patency. This comparative study of transvaginal saline SSG to the gold standard method of diagnostic laparoscopy with chromopertubation was performed for the assessment of tubal patency in infertile women. Methods At first thirty-four patients suffering from primary or secondary infertility were evaluated for tubal patency with sonosalpingography using a pediatric Foley urinary catheter using saline solution as a contrast medium. The uterine tubes were evaluated. One patient conceived and two patients denied before the scheduled laparoscopy. Ultimately they were excluded from the study. In the study, finally 31 patients were enrolled and the results of SSG were compared to the findings of laparoscopy and chromotubation performed independently. Results The findings of both methods agreed in 26 out of 31 tubes (concordance, 93.5%). The sensitivity of sonosalpingography in diagnosing tubal patency was 96.2% and the specifcity 80%. The positive predictive value for tubal patency by sonosalpingography was 96.29% and the negative predictive value 80%. Adverse events of sonosalpingography included mild abdominal pain in some patient. No infectious complications were recorded. Conclusions The results confirm that sonosalpingography using saline as a contrast medium is a reliable, simple and well-tolerated method to assess tubal patency in an outpatient setting. In addition, the procedure can be performed without prophylactic antibiotics. J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 52-58

Laparoscopic Hysterectomy is achieving great popularity nowadays. Our people are becoming increasingly interested in new advances in this field of surgery. Highly skilled surgical technique, longer operative time and expensive technology are observed to be the factors that impede the advancements in laparoscopic surgery1.Objective: The aim of our study is to analyze the limitations of laparoscopic hysterectomy in our country.Methods: This is a retrospective observational study where we have reviewed demographic data, compliance of the patients, quality of anaesthesia, efficiency of supportive staffs, adequacy of appropriate instruments, continuous training of surgeons and surgical risk factors. Total 80 Total Laparoscopic Hysterectomy (TLH) were done between January’ 2016 to December’2017 in Shaheed Suhrawardy Medical College Hospital (ShSMCH), Dhaka.Result: In this study, we analyzed eighty patients who underwent total laparoscopic hysterectomy for fibroid uterus, adenomyosis, recurrent post-menopausal bleeding, abnormal Uterine bleeding(AUB) etc. We tried to analyze some limitations and challenges which we can overcome. In spite of lack of appropriate instruments, adequate ICU support and repeated training in specialized centre at home and abroad, 87.5% patients recovered well. The aim of our study was to identify the surgical risk factors of the patients and limitations in our theatre environmentJ Shaheed Suhrawardy Med Coll, June 2018, Vol.10(1); 3-5

Background: Pre-eclampsia (PE), a hypertensive disorder of pregnancy is estimated to complicate 2%-8% of pregnancies and remains a principal cause of maternal and fetal morbidity and mortality. The identification of its predisposing factors in the pre-pregnancy and initial stage of pregnancy will help in reducing the morbidity and mortality. Aim: The aim of this study is to determine the risk factors for PE among pregnant women in a tertiary level hospital. Methods: This study was conducted in the Department of Obstetrics and Gynaecology of Shaheed Suhrawardy Medical College & Hospital, a tertiary care hospital in Dhaka, Bangladesh, from January to December 2019. A total number of 50 pregnant women with pre-eclampsia, who got admitted in this hospital were selected as study group. This was a hospital based descriptive study. Results: Most of the participants were within 35-45 years of age group and mean age 38.92 ± 2.21. The factors that were found to be significant predictors of risk for development of PE were primigravida, inadequate education, low socio-economic status, past history of PE or hypertension and family history of PE or hypertension. J Shaheed Suhrawardy Med Coll 2021; 13(1): 3-7