Objectives: This was a clinical audit, conduct to know the rational practice of anti-d prophylaxis in two early pregnancy complications. Methods: Information was gathered from 37 patients with early trimester miscarriages and 35 patients with ectopic pregnancies who admitted to Professorial gynecology ward, Teaching hospital, Peradeniya over single calendar year period. Data gathered from retrospectively from bed head tickets and recorded/ analysed with SPSS V21. Results: Among patients who had early trimester miscarriage mean age was 28.4(±6.4) years, mean period of gestations on admission was 123.9(±26.7) days. 21.6% were presented with per vaginal bleeding, 24.3% presented with abdominal pain and 37.8% were presented with both pain and the bleeding. 16.2% presented with the sonographic evidence of the missed miscarriage without any symptoms. Solely medical management done for 24.3%, solely surgical interventions done in 40.5% and in 35.1% of the occasion combination was used. Among the sample 81.1% were rhesus positive, 2.7% rhesus negative and 16.2% of the occasion rhesus status were not documented. Anti-D prophylaxis coverage was 100% in those who have undergone surgical management. Mean age of the patients with ectopic pregnancies were 30.4(±4.9) years, mean period of gestation was 51(±10.9, n=27) days. Surgical management was done in 94.3% of the occasion. Among them 2 were Rh negative and anti-D prophylaxis coverage was 100%. Conclusions: Early trimester miscarriages and ectopic pregnancies are presented with various presentations and managed medical, surgical or both methods. Among the population rhesus negative mothers were less and in some case rhesus status was not documented. It is essential to cover such rhesus negative mothers to minimise the future pregnancy related complications. Proper investigation, documentation and timely intervention will improve the quality of care.

helps to keep a serious and sometimes upsetting aspect of clinics a bit lighter and more fun.At present we have only tried this with teenagers but also plan on adapting it for younger children and to collect more formalised feedback.

ObjectivesTo determine the prevalence of childhood overweight, obesity and metabolic abnormalities among children aged 12-15 years within the schools in Kandy Municipality area, Sri Lanka. DesignCross- sectional observational study.SettingRandomly selected schools in Kandy municipality areaMethodsThe anthropometric measurements of 1766 school children were taken and those who were overweight or obese were recruited for further evaluation of metabolic abnormalities.ResultsThere were 1053 (59.62%) boys and 713 (40.37%) girls of whom 258 (14.60%) were overweight or obese (7.81% overweight and 6.79% obese). This included 106 girls of whom, 64 were overweight and 42 were obese and 152 boys of whom, 74 and 78 were overweight and obese respectively. Central obesity was seen in 16.93% and 5.01% of them had normal body mass index. Eighty-five children out of the 258 with body mass index > 85th percentile reported for further evaluation and the prevalence of metabolic syndrome among them was 11.67% (5 girls and 5 boys). When borderline and abnormal levels of lipids were taken together, more than 50% of overweight and obese children were found to have dyslipidaemia. Elevated Alanine Amino Transaminase and Aspartate Amino Transaminase levels were reported in 33 (38.82%) and 7 (8.24%) respectively. Evidence of fatty liver was present in 34.69% based on abdominal ultra sound scan findings.ConclusionWhile prevalence rates of overweight, obesity and metabolic syndrome are comparable with other urban settings in the country as well as neighbouring countries in Asia, the study highlights the detection of lipid abnormalities suggestive of familial hyperlipidaemia which warrants further evaluation. NAFLD is also identified as a significant comorbidity. Central obesity is underestimated by British standards.

Objective: To study the BCG vaccination scars among the under 5 year old internally displaced children in Vavuniya district. Study design: Cross sectional descriptive study Setting: Temporary settlement camps in Vavuniya district Method: All children between 6 to 60 months attending paediatric clinics held in the temporary settlement camps from 1st April to 15 th May 2009 were included in the study. The interviewer administered questionnaire and examination of the child for the BCG scar were used to collect data. Results: One thousand and six children attending the clinics during the study period were analyzed. Nine hundred and seventy five children received BCG vaccination whilst vaccination data for 31 patients was not available. One hundred and fifty three children did not have a visible scar. Conclusion: Fifteen percent of under 5 year old internally displaced children in Vavuniya district did not have BCG scars.