highly dense population, and emerging from a birth of mythical phoenix to a development puzzle. Peers including the Economist (2012) and Sen (2013) have expressed similar views. Economic development and human development does not always go hand in hand. Achievements in some goals/targets in MDGs particularly in reducing under five mortality rate, women empowerment, and poverty reduction boosted the confidence of policy makers to effectively implement sustainable development agenda. For the first time in the history of country, Bangladesh economy crossed over 7% growth rate in 2016.The growth rate of 7.28 % that was registered in the fiscal year 2016-17 meant that Bangladesh economy has stepped into an elite group of developing countries that have been experiencing higher rate of growth. The per capita income has been increased from US$ 1465 to US$ 1610 1 .Poverty reduction rates are 1.8%, 1.7% and 1.2% in respectively. HIES 2016 Report stated that Head Count poverty rates are 24.30% and 12.90% for upper and lower poverty line though GINI coefficient slightly deteriorated from 0.45 to 0.48. The progress on the food security have not only contributed to revitalize rural economy but also helped reduce inequality. AbstractIntroduction: The Sustainable Development and 7th Plan include resource mobilization, tapping population momentum, managing unplanned urbanization, natural disasters and climate change, utilization of resources, skill development and quality education, improving competitiveness, governance, taming inequality and regional disparity. Bangladesh prepared its own post-2015 Development Agenda and contributed to the international discourse through UN. Conclusion: The General Economics Division (GED) of the Planning Commission, based on a consultative process initiated in 2013, goals and targets were developed in the context of Bangladesh. Through this process, 11 goals along with 58 targets with corresponding 241 measurable indicators were proposed. Civil society in Bangladesh also produced what is described as "a people-centred, equitable, inclusive, and sustainable Post-2015 Development Agenda." It came up with 13 Goals,50 Targets and 199 Indicators.
Background: Misoprostol is very useful for induction of labour among the pregnant women. Objective: The purpose of the present study was to see the indication and complication of induction of labour by misoprostol among pregnancy women. Methodology: This single center clinical trial was carried out in the Department of Obstetrics and Gynaecology at a private hospital in Dhaka city, Bangladesh from September 2005 to February 2006 for a period of six months. Primi or second gravida patients with the gestational age between 37 weeks to 42 weeks in singleton pregnancy with cephalic presentation and not in labour were selected as study population. After proper selection of the cases, induction of labour was done by applying tablet misoprostol 50mcg in the posterior vaginal fornix. Complication of induction were recorded. Result: A total number of 60 patients were recruited for this study. 24 patients were between 23 to 26 years and 12 patients were between 27 to 30 years. Pre-eclampsia, pregnancy induced hypertension and intrauterine growth retardation were the most common indication of induction. In this study 31(51.7%) patients needed only 1 dose of Misoprostol and 24 (40.0%) patients needed 2 doses and only 5(8.3%) patients needed 3 doses of Misoprostal. In this study 11.67% patients experienced Nausea & vomiting and 3.33% patients developed hyperstimulation. Conclusion: In the conclusion, the use of misoprostol results in a shorter induction to delivery time and miserable adverse effects on the method of delivery. Journal of Current and Advance Medical Research 2020;7(2): 80-83
Background: Several female factors are related with the cause of infertility. Objectives: The purpose of the present study was to assess female factors related with infertility and their pregnancy outcome after intrauterine insemination. Methodology: This prospective cohort study was carried out at a private infertility centre (Central Hospital Limited, Dhaka) in Dhaka city of Bangladesh from January 2012 to December 2017 for a period of 6 years. Infertile couples who already had undergone natural cycles of super-ovulation for six months or whose duration of infertility was more than one year were included. Infertile women were evaluated and the causes of infertility were assessed. The follow up was performed to see the pregnancy outcome. Result: A total number of 790 women were recruited. The mean age with standard deviation of study population was 28.94±5.386 years. Among 790 infertile women 12 women were become pregnant after IUI. Among these 12 women female factors of infertility was present in 8(66.7%) cases and the rest 4(33.3%) cases were absent. However, 778 women could not pregnant after IUI and among these 277(35.6%) cases had the presence of female factors and the rest 501(64.4%) cases had absence of female infertility causes. The presence of female factor had 3.62 (95% CI 1.08-12.12) times more risk to become pregnant among the infertile women after IUI (p=0.026). Among 790 infertile women 285(36.1%) women had presence of female infertility factors. Conclusion: In conclusion female factors are significantly related with infertility and their pregnancy outcome after intrauterine insemination. Journal of Current and Advance Medical Research 2019;6(2):87-91
Background: Quality of semen is very important during intrauterine insemination. Objectives: The purpose of the present study was to observe the changes of quality of semen after swim up method during intrauterine insemination. Methodology: This analytical type of cross-sectional study was carried out at a private infertility centre (Central Hospital Limited, Dhaka) in Dhaka city of Bangladesh from January 2012 to December 2017 for a period of 6 years. Infertile couples who already had undergone natural cycles of super-ovulation for six months or whose duration of infertility was more than one year were included. Semen samples were collected by the process of masturbation in semen production room after three days of abstinence in sterile, labelled container. After production all samples were placed in an incubator at 37 degrees Celsius for 30 minutes for liquefaction. Routine semen analysis was performed using World Health Organizations' (WHO) semen analysis criteria. Then the samples were randomly assigned to be processed either with swim-up or density-gradient procedure. Result: A total number of 789 male respondents were recruited for this study. The mean age with SD of the study population was 28.96±5.382 with the range of 19 to 46 years. The mean changes of sperm concentration before and after swim up method was 52.70±42.88 with the 95% confidence of 49.58 to 55.82 (p=0.000). The mean changes of sperm motility before and after swim up method was 29.03±14.849 with the 95% confidence of 30.11 to 27.95 (p=0.000). The mean changes of sperm morphology before and after swim up method was 23.96±11.328 (p=0.000). Conclusion: There is a significant changes of quality of semen after swim up method during intrauterine insemination.
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