Maternal As exposure was positively associated with IgGmat but not IgGcord . Elevated IgGmat may have implications as regards maternal morbidity and the placental transfer of specific IgGs. Further studies are required to better understand how As may affect maternal and child health by modifying the humoral immune system.

Low birth weight (LBW, <2500g) is an important indicator of reproductive health and general health status of population. LBW is considered as the single most important predictor of infant mortality, especially of deaths within the first month of life. This is a prospective case control study carried out in the Department of Obstetrics & Gynaecolgy, Faridpur Medical College Hospital, Faridpur, during the period of August 2015 to July 2016 to find out the risk factors associated with low birth weight babies and to know modifiable risk factors. Total 300 samples were included in this study. All pregnant women who delivered a LBW baby during one year of study period were selected. One hundred mothers who delivered babies having birth weight <2500 gram were selected as cases and 200 mothers who delivered babies having birth weight 2500 gram and above were taken as control. This study shows most frequent maternal age group was 18-25 years in case group and 26-35 years in control group. Fifty four percent were female and 46% were male babies in case group where as 39% were female and 61% were male babies in control group. In LBW babies mothers, having regular antenatal care were only 23.8%. Maternal factors including maternal height, maternal weight, pre-eclampsia, PROM, chronic hypertension & PPH, heart disease and DM were associated with low birth weight. Fifty six percent mothers had average food intake and 34% had poor food intake in mothers of low birth weight baby. The status of antenatal check-up and poor socio economic condition also strongly influence birth weight of baby. There is a need for national prospective research project to study the low birth weight problem at the national level.Faridpur Med. Coll. J. Jan 2018;13(1): 31-34

Cervical cancer continues to be a major public health problem in Bangladesh in the absence of satisfactory and organized cervical screening programs. World Health Organization (WHO) considered cervical cancer as a preventable disease, as it can be identified in the pre-invasive stage. Visual inspection of the cervix with acetic acid (VIA) is an effective, inexpensive screening test that can be combined with simple treatment procedure for early cervical lesions, provided by trained health workers. To evaluate the value of visual inspection with acetic acid (VIA) for early detection of cervical pre-cancer and cancer in low resource country like Bangladesh, diluted acetic acid 5% was applied to the cervix and visual inspection was done. VIA tests were done for at least 3 years interval, in case of married woman, for cervical cancer screening. Women with positive results were sent for colposcopy. From January to December 2014, in Gynae OPD of the Faridpur Medical College Hospital, Faridpur, a total of 2000 women were screened by VIA test. Fourty-one VIA positive cases were identified and referred for colposcopy. Out of 41 cases, 27 patients underwent colposcopic examination, among them CIN-1 was found in 21 cases, CIN-2 in 2 cases and CIN-3 in 2 cases. However, two cases were colposcopically negative. So even during gynecological practice, if we arrange a setup for cervical screening by VIA test, many women can be saved from future development of carcinoma cervix later in their lives.Faridpur Med. Coll. J. Jan 2018;13(1): 24-27

Abstract:Hysterectomy is the commonest gynaecological operation. It is still considered as the treatment of choice for benign lesion such as leiomyoma, adenomyosis, extensive pelvic infection or adhesions, dysfunctional uterine bleeding and obstetric complications. A Cross-sectional observational study was done in the Department of Obstetrics and Gynecology during the period from 1 st January to 31 st December 2015 at Faridpur medical college and hospital, Faridpur. This study was done to correlate the indications of abdominal hysterectomy to histopathological findings thus, determining histologically confirmed preoperative clinical diagnosis. One hundred patients undergoing abdominal hysterectomy were studied. Data were recorded on structured proforma, including demographic characteristics, clinical features and indications of the procedure. In this study, leiomyoma of the uterus was found to be the major indication of hysterectomy in 35% of total cases, followed by dysfunctional uterine bleeding (DUB) in 26%, and pelvic inflammatory disease (PID) in 6%. Histopathological confirmation of pre-operative diagnosis was 100% for malignancy, 85.71% for fibroid and 65.38% for DUB. Hysterectomy is currently the most widely performed major operation in gynecology and histopathology is mandatory for ensuring diagnosis and management of malignant diseases.

This Study was done to assess safety and feasibility of non-descent vaginal hysterectomy for benign gynecological disease. A prospective observational study was conducted over a sample size of 50 patients at the department of Obstetrics and Gynecology of Faridpur Medical College Hospital from 1 st January 2017 to 31 st December 2017. All patients requiring hysterectomy for benign gynecological disorders who did not have any uterine descent were recruited for this study. Non-descent vaginal hysterectomy was performed in cases where uterus was mobile with size not exceeding 16 weeks gestation and with adequate vaginal access. Morcellation techniques like bisection, myomectomy, wedge debulking or combinations of these were employed in bigger sized uterus. A total of 50 cases were selected for non-descent vaginal hysterectomy. Among these, 47 cases successfully underwent non-descent vaginal hysterectomy. Majority (44%) of the patients were in age group of 41-45 years. All patients were parous. Uterine size was <10 wks in 30 cases and >10 wks in 20 cases. Commonest indication was leiomyoma of uterus (46%). Mean duration of surgery was two hours. Mean blood loss was 200 ml. Reasons for failure to perform nondescent vaginal hysterectomy was difficulty in opening pouch of douglus in two cases because of adhesions and in one case there was difficulty in reaching the fundal myoma which prevented the uterine descent. The most common complication was post-operative pain in 22% of cases. Febrile morbidity was present in 4% of cases. Blood transfusion was required in 7 cases. Average duration of hospital stay was three days. Vaginal hysterectomy for benign gynecological causes other than prolapse safe, feasible and patient friendly.