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Feto-maternal complications in hypertensive disorders of pregnancies at a tertiary care hospital
No full textObjective: To observe Feto-maternal complications seen in hypertensive disorders of pregnancies managed at a tertiary care hospital
Study Design: Cross-sectional survey Place & duration of study: Two year study conducted at CMH Lahore from January 2012 to January 2014
Methods: All pregnant patients booked at CMH Lahore ,diagnosed with a hypertensive disorder of pregnancy were included in the study after informed consent. Patients were followed throughout their pregnancy and at time of delivery. The fetal and maternal complications that occurred were noted.
Results: A total of 200 patients with hypertensive disorder of pregnancy were included in the study. Out of these, 90 cases were PIH, 50 were chronic hypertension, 40 were of pre eclampsia and 04 of HELLP syndrome. The most common maternal complication observed was placental abruption seen in 12 cases of pre eclampsia, 10 cases of PIH and 04 cases of chronic hypertension. The next most common complication was coagulopathy seen in pre eclampsia in 03 cases, in 04 cases of eclampsia and 04 of HELLP syndrome. Amongst fetal complications, most common was preterm delivery seen in 16 cases of pre eclampsia , followed by early neonatal death in 08 cases of pre eclampsia and growth restriction in 07 cases of preeclampsia. These complications were also observed in few cases of eclampsia and HELLP syndrome.
Conclusion: From the study it is concluded that even in a tertiary care setup with good obstetric care facilities, feto maternal complications occur frequently in hypertensive disorders of pregnancy. It is the need of the hour to look into our care facilities to see what we can do to decrease these complications. Keywords: Feto-maternal complications, Hypertensive disorders of pregnanc
A customized base former for orthodonic study models
No full textWell-trimmed bases on study models are fabricated to accurately represent maxillo-mandibular relations of the patient. Different commercially made base formers are available, but they have their shortcomings due to wide variation in arch size and different model trimming guidelines in different countries. The article describes a reliable and cost-effective method of fabrication of base former so that valuable time and material can be saved during trimming of the study models bases. Keywords: Study models, model trimming, orthodontic base former
Person Centered Care
No full textThe term "patient centered medicine” was coined in 1969 by the psychoanalyst Enid Balint'. This approach understands the patient as a unique human being and considers the patient as a whole instead of having a narrow focus on the condition or symptoms only. It is in contrast to “illness-oriented care” which is aimed at finding a localizable fault, diagnosing it as an illness and then treating it. Over the years, the terminology has symbolically shifted to “person centered care”. The word “person” is used to emphasize a holistic approach in which the person's personal preferences, wellbeing and social and cultural background are also given due importance
Prevalence of Postpartum Depression and its Risk Factors among Pakistani Females:
Full text linkBackground: A severe form of clinical depression is related to pregnancy and childbirth. As a new mom, a lot of challenges are encountered in getting used to life with a newborn including lack of sleep. Hormonal changes and fatigue may lead towards psychological maladjustment towards motherhood. Low socioeconomic status, family system, mode of delivery, ill health of infant may be the reasons behind postpartum depression.
Objective: To study the prevalence of postpartum depression among females.
Method: This Cross sectional study was conducted after ethical approval on a sample of 200 females of reproductive age (20-45years). Participants were selected through convenient random sampling on the basis of predefined eligibility criteria. Data were collected from primary and secondary healthcare facilities of district Sialkot using Edinburg postnatal depression screening tool.
Results: The mean age±Std Dev of the participants was 28.09±5.346 years ranging from 20 to 45. Mean±SD of total score EPDS was found 3.53±5.72 with 87.50% participants with score below 13. Out of 200, 25(12.50%) females were candidates for postpartum depression.
Conclusion: Postpartum depression screening helps recognition of the disorder. Postpartum depression among females of the target population is not negligible
Aortic Valve Involvement In A Patient with Alkaptonuria:
No full textInborn Error of Metabolism (IEM) is a group of uncommon disorders which has wide spectrum of presentation. Up till now more than 300 diseases have been documented. High probability of suspicion has to be kept in mind while diagnosing IEM. We report a 56 years old male who presented to the cardiologist with dyspnoea on exertion and chest pain. Further workup revealed aortic stenosis with single vessel coronary artery disease. Given his phenotypic appearance and history of premature large joint arthritis with right hip joint replacement at relatively young age led to the clinical diagnosis of alkaptonuria. He showed symptomatic improvement with medical treatment and was advised coronary artery bypass grafting with aortic valve replacement. Alkaptonuria is a genetic condition in which excessive amount of homogentisic acid is deposited in multiple organs of the body such as joints, skin, blood vessels, eye and heart. The most common manifestation is disabling arthritis leading to premature joint replacement. The involvement of cardiovascular system is reported rarely