Background: Anemia is regarded as a major risk factor for unfavorable outcome of pregnancy both for the mother and the fetus. Maternal anaemia is a common problem in pregnancy, particularly in developing countries.Aims: To determine the prevalence of anaemia in pregnancy and to find out the haemoglobin level of pregnant women reporting for antenatal checkup among the women reporting for antenatal care in Combined Military Hospital Dhaka.Method: This is a descriptive cross sectional study was done in the antenatal clinic at CMH Dhaka. One eighty four (184) pregnant women attending antenatal clinic at CMH Dhaka including CWC under CMH Dhaka were included for the study. The data were collected from 1st May 2001 to 31st May 2001 at the antenatal clinic, combined Military Hospital. Dhaka where pregnant women reported for antenatal check up. The data were collected by interviewing respondents in different dates & day of the week at different CWC and CMI-I Dhaka. Prior to the interview the respondents were explained clearly the objective of the study and sought their co-operation. The authority of CMH Dhaka was given prior information through issuing letter from AFMI. The respondent was assured on ethical point of view that strict secrecy would be maintained. Data were collected by the following methods: Interview Method; Laboratory Investigation for Hb estimation and Scrutinization of antenatal check up card.Results: A total of 184 pregnant women of them 70 were primi gravida and 114 were multigravida. The prevalence of anaemia as per WHO cutoff points was 56.52% (<11.0 g/dl). The mean age was 24.96 ± 4.49 years. The age groups 20-24 was the maximum. Out of 184 women 104 women was ariaemic. 15-24 age group was more anaemic (57.42%) than the 25-39 age group (55.42%) but the difference was not statistically significant, P>0.05. The prevalence of anaemia was higher in Illiterate (100%), lowest in degree and above level education group (48.48%). The maximum women (64.13%) belong to lowest income group. (Tk 2500-5000) Anaemia was the most common in the lowest income group (60.50%). The prevalence of anaemia was the highest among the family size 6 and above group (75%) and lowest in 2-3 family size group. Anaemia was more prevalent among high parity group (75%) and lowest in ‘0’ parity group (52.28%) but the difference was not statistically significant (P > 0.05). Multigravida were found more anaemic (62.28%) contrast to prirnigravida (47.14%) which was statistically significant (P<0.05). The prevalence of anaemia was less in higher birth interval group but the difference was not statistically significant (P>0.05). About the cultural belief only 33 women were found having cultural belief of avoiding food during pregnancy (17.93%) and anaemia was more prevalent among them (57.57%) but the difference was statistically significant (P>.05). In this study 14.13% women had concomitant illness during pregnancy. In this study 15 women had caesarian section of which 10 were anaemic (75%) and there was one Forcep delivery (non-anaemic).Conclusion: In this study anaemia is more prevalent among younger age group women (15-24), with less educated group low income group, large family size group, high parity and high gravida, less birth spacing and also in women having concomitant illness. Anaemia is more prevalent among women having cultural belief on avoiding food during pregnancy. The findings of this study may not reflect the overall picture of the country. It does not differ much from the results of similar studies at national level. However, this study can be a base for further studies in a broader perspective.J Dhaka Medical College, Vol. 26, No.2, October, 2017, Page 103-110

Background: Coronary artery disease is the principal cause of disability and mortality worldwide. Its prevalence is increasing around world. It is about 75% of deaths occurring in developing countries like Bangladesh. It is very important to know about the inflammatory risk factors of coronary artery disease for early assessment of coronary artery disease. Serumβ2-microglobulin (²2m) is a newly identified biomarker that has been found to increase in patients with coronary artery disease. Aims: To determine the role of â2m in predicting the severity of coronary artery disease. Methods: This cross-sectional study was carried out in Department of Cardiology and Laboratory Medicine, BSMMU, Shahbag, Dhaka during March 2017 to February 2018. Total seventy four patients who underwent coronary angiography as per criteria where included in this study. Serum β2-microglobulin (²2m)was done before angiography procedure by indirect ELISA method and severity of coronary artery disease was assessed by extent of diseased coronary vessels and SYNTAX score. Results: β2-microglobulin level was found higher (≥3/ml) in coronary artery disease patients which was statistically significant (p<0.001).β2-microglobulin was also correlated with number of diseased coronary vessels (r=0.562, p<0.001). Mean â2m level was found 4.48±0.95 μg/ml with range from 3-6.1 μg/ml and the mean SYNTAX score was found 16.27±08.99 with the range from 1 to 44. Pearson’s correlation coefficient was done between â2m level and SYNTAX score. Then the result is r=0.547 and p<0.001. Therefore, there was a positive correlation between â2m level and SYNTAX score. The area under the receiver-operator characteristic (ROC) curves ²2m cut off value of 3.6 with 81.4% sensitivity and 86.7% specificity as the value for identifying the coronary artery disease. Conclusion: Our study revealed that β2-microglobulin effectively correlates with the severity of coronary artery disease. So it may be used as a reliable marker for assessment of coronary artery disease severity. University Heart Journal Vol. 16, No. 1, Jan 2020; 22-27

Background: World health organization estimates that 25 million low birth weight (LBW) babies are born annually worldwide and 95% occur in developing countries. Low birth weight is a major public health problem of Bangladesh. So an attempt was made to study the incidence of low birth weight (<2.5kg) and also the associated risk factors of low birth weight among the new born babies born to Dhaka Medical College Hospital.Aims: To determine the Prevalence of low weight among the babies born and to determine the relationship of low birth weight with maternal factor like maternal weight, height, gestational period, antenatal checkup, heavy physical work during pregnancy, hypertension, age of the mother and parity, in Obs. & Gynae Department, DMCH.Method: This descriptive cross sectional study was done in Gynecology and Obstetrics Department of Dhaka Medical College Hospital. Five hundred (500) samples were selected for the study. The study was done from 1st January 2006 to 31 December 2006. Data processing and questionnaire are processed manually using scientific calculator and by computer using SPSS programmers version-16. All abortions, still born, gross congenital abnormalities were excluded from this study. The cut off point used for low birth weight is 2.5 kg.Results: A total of 500 women were interviewed. The incidence of low birth were found 21.6%. Younger than 20 yrs (31.25%) and more than 40 years (35.71%) mother delivered more low birth weight babies. The primigravida and multigravida (>4 parity) showed more low birth weight babies. Women from low socioeconomic condition produced significantly larger number of low birth weight babies as well as short stature. Low maternal height, less educated, illiterate, manual worker mother delivered more low birth weight babies. Preterm birth comprises larger number of low birth weight (LBW 35%). Low height of new born babies also associated with low birth weight. Female babies were higher than the male babies. Preterm babies were lighter (LBW) than the full term babies.Conclusion: The study finds out the incidence of low birth babies, the figure close to the developing countries. The study revealed that maternal age, gestational age, parity, socioeconomic status, maternal weight and disease condition have strong relations with birth weight of babies. Occupation and antenatal check up also affects birth weight of babies.J Shaheed Suhrawardy Med Coll, June 2018, Vol.10(1); 16-22