Since anemia is one of the most skyrocketed public health problems worldwide, an investigation has thus been conducted to assess the prevalence and associated factors of anemia among the pregnant women receiving antenatal care (ANC) at Fatima Hospital in Jashore, Bangladesh. Facility-based crosssectional study was carried out among 384 pregnant women at Fatima hospital, Bangladesh from February to April, 2019. Data were obtained using a structured questionnaire and participant's current medical record card. Binary logistic regression analysis was used to identify factors associated with anemia and a P-value < 0.05 was considered as statistically significance. The overall prevalence of anemia among pregnant women was 58.9% (226/384). Out of 226 anemic pregnant mothers, 36.3% (82/226) were mildly anemic, 62.4% (141/226) were moderately anemic and 1.3% (3/384) was severely anemic. Binary logistic regression analysis revealed that the following variables were significantly associated with anemia: Monthly family income (11,000 -20,000 Taka) [AOR (95% CI) = 0.45 (0.21 -0.98)], Family size (joint) [AOR (95% CI) = 1.59 (1.03 -2.45)], Gestational age (third trimester) [AOR (95% CI) = 2.18 (1.40 -3.40)], birth spacing < 2 years [AOR (95% CI) = 2.87 (1.51 -5.44)], Excessive blood loss during previous surgery (Yes) [AOR (95% CI) = 2.08 (1.14 -4.17)], Food group eaten 24 hours (1 -4 groups) [AOR (95% CI) = 3.43 (1.84 -6.39)], Breakfast regularly (No) [AOR (95% CI) = 3.64 (1.36 -9.75)]. The results obtained showed that the prevalence of anemia among pregnant women is severe at Fatima Hospital in Jashore, Bangladesh.

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BACKGROUND AND RATIONALETo describe the factors associated with acceptability of immediate post-placental intrauterine contraceptive device (PPIUCD) insertion in women according to their sociodemographic and obstetrics characteristics, and to determine the rates of uterine perforation, expulsion, pelvic infection, lost strings and displacement following PPIUCD insertion among the acceptors. This study will enable to advise the policy makers o n strategies to enhance positive factors {e.g. to establish programs that are dedicated in educating parturients and promote post-partum family planning (PPFP)} and remove negative factors that influence PPIUCD use (i.e. to adopt policies that dispel the parturient misbelieves), so as to increase contraceptive prevalence and ensure an increase in the PPFP choice of methods.

BACKGROUNDThe caesarean delivery (CD) rates are increasing worldwide. The CD rate in our hospital is around 32%. As CD rate increases the complications due to a caesarean delivery also increase. There is an increase in the serious and rare complication of caesarean delivery-that is caesarean scar pregnancy (CSP). This condition can present in a serious state if not detected early and can cause serious complications including hysterectomy which hampers a woman's future reproductive capacity. Hence, we decided to look into the details of CSP cases presenting in our hospital.The aim of our study was to discuss the clinical presentation, diagnosis and management of caesarean scar pregnancy cases admitted to the Department of Obstetrics and Gynaecology, during a period of two years from January 01, 2014 to December 31, 2016. MATERIALS AND METHODSA cross sectional study was conducted and all cases of CSP during the study period were included. The data were collected using a proforma by interviewing the patients and reviewing the medical records. RESULTSThere were 11 cases of CSP admitted during the study period. Mean gestational age at presentation was 8.96 ± 1.6 weeks. Most common symptom was painless bleeding which was present in 9 cases. 4 cases were referred due to excessive bleeding during curettage without suspecting CSP. 3 cases were diagnosed as CSP and referred. 7 patients received Methotrexate infusion intravenously one day before attempted evacuation or laparotomy. 1 patient received systemic Methotrexate alone. 5 patients received oral Mifepristone also one day prior to intervention. In 3 patients, re-evacuation was attempted and they had to undergo emergency laparotomy. In this study group, 8 patients had laparotomy, excision and repair and 2 patients had to undergo hysterectomy. CONCLUSIONHigh index of suspicion is to be maintained when women with prior caesarean delivery present with bleeding per vaginum and imaging should be done stressing on this aspect. In cases where CSP is diagnosed an early management should be ensued. Planned excision and repair can be helpful in reducing the morbidity of patients in low resource settings and conserving the reproductive potential of such women. KEYWORDSCaesarean Scar Pregnancy, Excision and Repair, Methotrexate, Mifepristone. HOW TO CITE THIS ARTICLE: Mathews D, Sathi MS. Caesarean scar pregnancy-the experience in a medical college in government sector.

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