Background: Teenage pregnancy is a risk of adverse neonatal outcome. Objective: The purpose of the present study was to estimate the risk of teenage pregnancy in the adverse neonatal outcomes. Methodology: This case-control study was conducted in the Department of Obstetrics and Gynecology at Dhaka Medical College & Hospital, Dhaka, Bangladesh and Sir Salimullah Medical College & Mitford Hospital, Dhaka, Bangladesh from April to July 1999 for a period of four (4) months. The teenage mothers with the age group of 11 to 19 years who were admitted in the study period was selected as case and pregnant women with the age group of more than 19 years were selected as control group. Perinatal mortality rate was calculated by foetal death after 28 weeks of gestation up to death within one week of delivery per 1000 live births. At birth, babies were examined for any congenital malformation. Gestational age of infants was assessed by Perkins' scoring system. Babies were assessed by Apgar score at l and 5 minutes. Result: A total number of 100 pregnant mothers were recruited for this study of which 50 pregnant mothers were in the case group and the rest 50 mothers were in the control group. Thirty-two babies of teenage mothers were asphyxiated at birth and 56.0% were healthy. At 1 minute, 52.0% babies of teen mothers have more than 7 Apgar score, whereas 86.0% babies born to non-teen mothers showed a Apgar score more than 7 which was also a significant difference. Among the cases, 54.0% babies have birth weight >2.5 kg. On the other hand, 72.0% of babies of non-teen mothers have birth weight >2.5 kg. Higher rate of perinatal morbidity in terms of birth asphyxia, prematurity, intrauterine growth retardation (IUGR), jaundice and septicaemia was found among the neonates of teen mothers than non-teen mothers. Conclusion: In conclusion birth asphyxia, prematurity, intrauterine growth retardation, jaundice and septicaemia are most commonly found among the neonates of teen mothers than non-teen mothers.
Background: Management of urinary outflow obstruction is very crucial.Objective: The purpose of the present study was to see the different management of urinary outflow obstruction with their post-operative outcomes.Methodology: This non-randomized clinical trial was conducted in the Department of Surgery at Rajshahi Medical College, Rajshahi, Bangladesh from September 1994 to December 1995 for a period of one year and three months. All the patients who were presented with bladder outflow obstruction and were admitted in the general surgical unit of the hospital were taken as study population. These patients were surgically managed in different procedures. The follow up was done to record the post-operative surgical outcomes.Result: A total number of 50 patients were recruited for this study. Benign enlargement of prostate was found in 13 cases of which 11(22.0%) cases were managed by suprapubic transvesical prostatectomy. Impacted urethral stone was found in 13 cases of which 4(8.0%) cases were managed by urethro-lithotomy followed by repair of urethra and indwelling catheter. Stricture urethra was found in 11 cases and all cases (100.0%) cases were managed by intermittent dilatation under general anesthesia. In 7 cases of rupture urethra, initially all patients were managed by suprabpublic cystostomy which was 7(14.0%) cases in number. All the 3 cases of carcinoma prostate were managed by prostatectomy and radiotherapy plus hormone therapy. A total number of 16 patients were managed by prostatectomy of which 1(2.0%) case was developed immediate postoperative hemorrhage which was managed by blood transfusion and continuous irrigation with normal saline. One patient developed postoperative clot retention due to blockage of Foley’s catheter, two patients developed postoperative incontinence, immediately after removal of the catheter. Out of 11 patients of impacted urethral stone, one developed urethral fistula and one developed UTI. Recurrent stricture urethra occurred in 3 patients. Seven patients with rupture urethra, 3 developed stricture urethra and 3 developed stricture urethra.Conclusion: In conclusion different surgical procedure are employed during the management of urinary outflow obstruction and immediate postoperative hemorrhage, postoperative clot retention, postoperative incontinence, urethral fistula, UTI and recurrent stricture urethra are the most common complication after surgical management of urinary outflow obstruction patients.Journal of National Institute of Neurosciences Bangladesh, 2017;3(2): 84-88
Cryptorchidism is a common risk factor for the testicular germ cell tumors (TGCTs). The risk of malignancy in an undescended testis is 10% with the highest risk in an intra-abdominal testis. It usually presents with non-specific symptoms so a complete systemic physical examination should not be neglected in an elderly patient with intra-abdominal mass. We here present a case of an intra-abdominal testicular seminoma in middle aged man as an asymptomatic abdominal mass.Journal of Science Foundation, January 2017;15(1):26-28
Background: Women have experienced different menopause-related symptoms. Objective: The purpose of the present study was to see the menopause-related symptoms and help seeking behavior among the women attended at a tertiary care hospital. Methodology: This cross-sectional study was conducted in the outpatient Department of Kushtia Medical College Hospital, Kushtia, Bangladesh from October 2015 to September 2016 for a period of one (01) year. Menopausal women who were attended in the outpatient Department of Hospital were included as study population. The eligible women had at least one year of amenorrhoea. Surgical menopause or due to severe illness, extreme weight loss endocrine disorders or radio therapy were excluded. Each subject completed a questionnaire that elicited their sociodemographic information, personal and family history and current medical problems. Result: A total number of 437 women were recruited for this study. The most prevalent menopausal symptom among the participants was generalized body ache 91.30%. Followed by low back pain 88.55%, muscle & joint pain 87.18%, tiredness 86.04%, hot flush 64.30%, urinary symptoms 43.93%, vaginal dryness 48.28%, insomnia 73.91%, irritability 23.56%. Most of the participants consulted at first with village doctors (63.15%) followed by general practitioners 20.82% due to their health problems. Some sought help from traditional healers like kobiraj 3.20%. Conclusion: In conclusion, body ache, low back pain, muscle and joint pain and tiredness are the most commonly reported menopause-related symptoms that are mostly consulted with village doctors.
Background: Teenage pregnancy is a huge problem in developed as well as developing countries.Objective: The purpose of the present study was to see the socio-demographic characteristics of teenage pregnant mother.Methodology: This cross-sectional study was conducted in the Department of Obstetrics and Gynecology, Dhaka Medical College & Hospital, Dhaka, Bangladesh and Sir Salimullah Medical College & Mitford Hospital, Dhaka, Bangladesh from April to July 1999 for a period of four (4) months. The teenager mothers with the age group of 11 to 19 years who were admitted in the study period was selected as study population. At the time of entry, all relevant parameters like religion, residence, occupation, education and monthly income were recorded in a predesigned data sheet.Result: A total number of 50 teenager mothers were recruited for this study. Majority of the study population were Muslim which was 45(90.0%) cases followed by Hindu which was 3(6.0%) cases. Maximum were non-city dweller which was 26(52.0%) cases followed by city and slum dwellers which were 16(32.0%) cases and 8(16.0%) cases respectively. Majority of the study were housewife which was 49(98.0%) cases. Monthly income was less than 3000 taka in 29(58.0%) cases. Majority of the study population were completed the primary education level which was 26(52.0%) cases. Married was found in 49(98.0%) cases.Conclusion: In conclusion Muslim non-city dwellers housewife were the most common group of teenager motherJournal of Science Foundation 2018;16(1):3-7
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