Background: Maternal outcome is an important issue among the primigravida women presented with fetal head engagement. Objectives: The purpose of the present study was to observe the maternal outcome of among the primigravida women presented with fetal head engagement. Methodology: This descriptive cohort study was carried out in the Department of Gynecology and Obstetrics at Sir Salimullah Medical College and Mitford Hospital, Dhaka from June 2006 to December 2006 for a period of sic (6) months. Primaigravida women with 38 or more weeks of pregnancy having single foetus with cephalic presentation were selected as study population. Maternal outcome was measured in terms of incidence of post-partum hemorrhage, injury to the birth canal, wound infection and puerperal sepsis. Result: A total number of 1440 pregnant women were recruited for this study. Maximum number of patients was in the age group of 21 to 24 years which was 897(62.29%). Post partum hemorrhage (PPH) was reported in 7(2.67%) cases in engaged group and 17(1.44%) cases in non-engaged group. Birth canal injury was recorded in 4(1.53%) cases and 12(1.02%) cases in engaged and non-engaged group respectively. Wound infection was found in 8(3.05%) cases and 81(6.88%) cases in engaged and non-engaged group respectively. Regarding puerperal sepsis it was found in 3(1.15%) cases and 11(0.93%) cases in engaged and non-engaged group respectively Conclusion: In conclusion PPH, birth canal injury, wound infection and puerperal sepsis are commonly found in non-engaged group Journal of Science Foundation 2018;16(2):34-37

Background: Morbid adherent placenta among pregnant women is a very serious condition. Objective: The purpose of the present study was to identify the risk factors predisposing to morbidly adherent placenta, different modes of management and maternal and neonatal outcomes. Methodology: This cohort study was conducted in the Department of Obstetrics and Gynaecology in Enam Medical College, Dhaka, Bangladesh from January to December 2018 for a period of one (01) year. The study included all pregnant women, irrespective of parity status, with gestational age more than 29 weeks who had any type of morbid adherent placenta. The diagnosis was made only during attempted manual removal when the plane of cleavage between the placenta and the uterine wall could not be made out. The complete history, physical examination of the patient along with relevant investigations for diagnosis of morbid adherent placenta were documented. The mood of the presentation of the patient and duration of gestation, history of previous lower segment or classical caesarean section or other intrauterine operative procedure, by lateral uterine ligation, internal iliac artery ligation, hysterectomy-classical or lower segment or peri-partum, neonatal outcome and duration of the hospital stay all were recorded. Result: The incidence of morbidly adherent placenta was 12.75 per 1000 pregnancies. Patient profile comprising third gravida in the age group of 25 to 28 years, 92 % of the patient in this study have previous caesarean section and co-existing placenta praevia was diagnosed in 93%. 47% of the women delivered between 36 & 38 weeks. Caesarean section was the mode of delivery in 93% of the patient. Conclusion: In conclusion young adult women with previous caesarean section with co-existenting of placenta praevia are the most commonly suffering from morbidly adherent placenta Journal of National Institute of Neurosciences Bangladesh, 2020;6(1): 33-37

Background: The clinical and demographic profiles of pregnant women with diabetes mellitus are very important consideration during management. Objectives: The purpose of the present study was to see the clinico-demographic characteristics of pregnant women with diabetes mellitus attended at a referral diabetic care hospital in Bangladesh. (02) years. Pregnant women diagnosed as diabetes mellitus or gestational diabetes mellitus (GDM) selected for caesarean section or induction of labour, gestational age 236 weeks having 23700 gm by clinical method were included in this study. All the clinical relevant data and demographic characteristics were recorded. Result: A total number of 69 pregnant women with diagnosed DM or GDM were recruited for this study. The mean (+SD) age of the patients was 30.8±5.1 years ranged from 20 to 40 years. 60.9% patients were from middle socioeconomic class, 30.4% from low and 8.7% from high class. 58.0% had DM and 42.0% had GDM. The mean (1SD) gestational age of the patients was 37.511.5 weeks range from 36 to 41 weeks. Conclusion: In conclusion majority of the pregnant women are in the middle age group with the middle income group.

Background: Pelvic Inflammatory Diseases can be associated with the different obstetrical condition. Objectives: The purpose of the present study was to see the Presence of Obstetrical Conditions among Women with pelvic inflammatory diseases (PID). Methodology: This cross-sectional of study was conducted in the Department of Obstetrics and Gynaecology at Dhaka Medical College, Dhaka from January 2007 to June 2007 for a period of six (6) months. Women with the age group of 15 -45 years presented with lower abdominal pain, tenderness, per vaginal discharge and cervical motion tenderness were included in this study. A pre-designed data collection sheet was used to record the history of different obstetrical condition. Result: A total number of 50 women presented with PID were recruited for this study of which majority was in para 2 to 5 which was 30 (60.0%) cases. Majority of the patients had given the history of home delivery (74.0%) which was performed by untrained birth attendance (60.0%). The history of induced abortion was given by 24.0% cases. History of more than 2 times menstrual regulation (MR) and 2 to 5 times were performed in 20 (40.0%) cases in each. Among 50 cases majority used intrauterine device (IUCD) which were 20 (40.0%) cases. Conclusion: In conclusion majority of the women presented with PID have given the history of para 2 to 5, home delivery with untrained birth attendance, induction abortion and history of more than two times MR.

Background: Pelvic inflammatory disease (PID) is a major health problem for adult female. Women presented with pelvic inflammatory diseases give different per-vaginal findings. So we designed this study to assess the per-vaginal findings among the women presented with pelvic inflammatory diseases.Objective: The purpose of the present study was to measure the pervaginal findings among the women with PID.Materials and Methods: This cross-sectional study was conducted in the Department of Obstetrics and Gynaecology at Dhaka Medical College & Hospital, Dhaka during January to June 2007. Women in the age group of 15−45 years presented with lower abdominal pain, tenderness, per-vaginal discharge and cervical motion tenderness were included in this study. After taking verbal consent from the patients, a pre-designed data collection sheet was filled in after per-vaginal examination.Results: The study was done on 50 cases, of which 20% patients had 1st degree perineal tear, 6% had utero-vaginal prolapse and 24% had foul-smelling vaginal discharge. Majority (90%) patients had healthy vagina. Ninety percent patients had anteverted uterus; and uterus was mobile in 60% cases. Cervical motion tenderness was present in 44% cases, tenderness of fornix was found in 34% cases and thickening of fornix was found in 22%.Conclusion: In this study first degree perineal tear, foul smelling vaginal discharge and cervical motion tenderness are the commonest findings among the women presented with pelvic inflammatory diseases.J Enam Med Col 2018; 8(2): 90-93