Objective: To compare the mean post-operative pain after intramuscular versus rectal Diclofenac Sodium in post-caesarean patients. Study Design: Quasi-experimental study. Place and Duration of Study: Department of Obstetrics & Gynaecology, Benazir Bhutto Hospital, Rawalpindi Pakistan, from May to Nov 2017. Methodology: A total of 60 women, aged 18-45years, undergoing elective caesarean section were selected. Patients in Group-A were given, Diclofenac 75mg intramuscularly in the gluteal area every 8 hours, while patients in Group-B received a Diclofenac Sodium suppository every 8 hours post-operatively. All patients were followed for pain post-operatively, and final post-caesarean pain was noted at 24 hours post-operatively using a visual analogue scale.Results: The mean age of patients in the Group-A was 29.27±4.68 years, and in Group-B was 30.57±4.80years. The range of gestational age in the study was from 37 to 41 weeks, with an average age of 39.07±1.26 weeks. Mean post-operative pain in Group-A (Intramuscular Diclofenac Sodium-Group) was 1.13±0.43 minutes, whereas in Group-B (Rectal Diclofenac SodiumGroup), was 2.16±0.83 (p-value = 0.001). Conclusion: Mean post-operative pain after using intramuscular Diclofenac sodium is less than Diclofenac Sodium administered rectally in post-operative patients in caesarean sections.

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Writing is an art. Medical writing is an amalgamation of art with science. Not all medical writers have the inherent capability to pen down their work. For some it is a source of contentment, happiness, and authorization whereas it’s a hard nut to crack for others, requiring additional efforts to accomplish this uphill task. Future medical writers confront many challenges before they embark upon this worthwhile endeavour. Some may not realize its importance; others simply enter into the world of bewilderment as to how to start. Yet others are well versed with the subject but just cannot pen it down and the majority cannot squeeze their time in because of their hectic daily routines. In order to counter these challenges, one has to overcome the conundrum of medical writing. Why to Write? Medical writing is an essential feature of evidence-based medicine and is mandatory for progress in the medical profession. Apart from religious, international, national, institutional, and professional gains, the honor, regard, and respect a medical writer earns in the scientific world is priceless. High research scores, h-indices, portfolios, citations, and references quoted by other researchers and writers elevate you to unfathomable heights. Your work creates an opportunity for others to get benefit from the work done and the medical knowledge grows in a stepladder fashion. Ultimately the main aim i.e.  Benefit humanity also fulfilling the divine requirement for a Muslim medical writer. This qualm of writers' hesitancy can have devastating effects on the professional career of a writer. Age limit constraints, fear of losing an opportunity to appear in examinations on time, poor prospects for gaining senior posts and promotions, etc. can be detrimental to the psychosocial well-being too. This initiates the unfortunate vicious circle causing further delay or even abandonment of work. This state of affairs could be demoralizing for a doctor who is otherwise humane, hardworking, conscientious, and has been courteous to patients. Even his research could be an extraordinary work but he is unable to put it down in black and white. The medical writers have to trounce over this perplexing situation by getting acquainted with the essence of writing. The significance of Medical writing cannot be undermined as it forms the basis of development, evolution, and progress in the medical field. It is the only preservable way of transferring knowledge to others. The importance of gaining knowledge and preserving it is very well depicted and stressed in Islam. The first Divine word “IQRA” and the second revelation related to “THE PEN” is ample evidence. Numerous   Hadiths stress gaining knowledge and preserving it. I quote one Hadith “TAQYID Al ILM”, {define, preserve and record knowledge by ‘writing it down}’.1

Objectives: To determine mean platelet distribution width in patients with pre-eclampsia. Study design: This is a cross-sectional, descriptive study performed in the Department of Obstetrics and Gynecology, Benazir Bhutto Hospital, Rawalpindi, retrospectively from 01 May 2017 to 01 November 2017 by non-probability consecutive sampling technique. Materials & Methods: A total of 150 pregnant females with mild and severe pre-eclampsia with gestational age > 20 weeks, and an age limit of 18-40 years were included in the study. Patients having deranged coagulation or multiorgan involvement were excluded. Blood and urine samples were collected at the time of presentation. All the blood pressure readings were confirmed by two readings 4-6 hours apart. Mean ± SD was used to express data values. The mean PDW value was calculated for pregnant females with mild and severe preeclampsia. Results: In our study Mean PDW in patients with preeclampsia was 15.86± 0.34. The mean PDW for mild preeclampsia was 15.8± 0.35 and for severe preeclampsia 15.98±0.28.. Conclusion: PDW is a useful marker for the prediction of the severity of preeclampsia before the disease progresses to severe preeclampsia and HELLP. Raised values can help the obstetrician to actively manage the patients in time to reduce maternal and fetal mortality.