DOCSLIB.ORG

Risk Factors for Ruptured Uterus Among Patients at Khyber Teaching Hospital Peshawar

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Risk Factors for Ruptured Uterus Among Patients at Khyber Teaching Hospital Peshawar Risk factors for ruptured uterus among patients at khyber teaching JKCD January 2020, Online Issue RISK FACTORS FOR RUPTURED UTERUS AMONG PATIENTS AT KHYBER TEACHING HOSPITAL PESHAWAR Gul e Rana1, Seema Gul2, Manya Tahir3, Hooria Rashid4, Heema5, Asma Ambreen1 1Department of Gynaecology and Obstetrics, Khyber Teaching Hospital, Peshawar. 2Department of Gynaecology and Obstetrics, Watim Medical and Dental College Rawalpindi. 3Department of Community Medicine, Watim Medical and Dental College Rawalpindi. 4Rehman Medical Institute, Hayatabad Peshawar. 5Department of Gynaecology and Obstetrics, KMU Institute of Medical Sciences Kohat, Khyber Pakhtunkhwa. Available Online 30-March 2020 at http://www.jkcd.edu.pk DOI: https://doi.org/10.33279/2307-3934.2020.0117 ABSTRACT Objective: To determine the risk factors for ruptured uterus among patients in our local population. Materials and Methods: This descriptive cross sectional study was carried out at Gynaecology and obstetrics department of Khyber Teaching Hospital Peshawar, on a sample size of 134, over a period of two years from 01-05-2016 to 31 April 2019. Results: Mean age of patients was found to be 27 years. Mean period of gestation was almost 38 weeks. Mean parity was found to be more than 4. Scarred uterus was found to be the main factor for uterine rupture, contributing for 70 % of the total patients with uterine ruptures. Obstructed labor was the next main factor making 15% of all the patients, whereas the rest of 15 % patients had uterine rupture because of injudicious use of prostaglandins and oxytocin. Conclusion: Scarred uterus is the main causative factor for rupture of a gravid uterus. Keywords: Ruptured Uterus, Caesarean Section, Obstructed Labor, Oxytocin, Prostaglandins INTRODUCTION interruption of the integrity of uterine wall after fetal viability has been established.4 This complication is According to World Health Organization, 810 women died every day from preventable causes unlikely to occur silently during pregnancy; how- related to pregnancy and child birth in the year ever it can occur silently in patients with previous 2017. Among these 94% of the deaths occurred in classical cesarean scar usually from the early first 5 women of lower middle and low income countries trimester. Uterine rupture (UR) has two types, Com- of African and South Asian population.1 Maternal plete UR involves the entire thickness of the uterine mortality in Europe and America is 12/100,000 live wall, resulting in connection between uterine and births while in Pakistan maternal mortality is very peritoneal cavity. Fetus and sometimes the placenta high 178 deaths/100,000 live births.2 are discharged into the peritoneal cavity. The Incom- 6 Uterine rupture is a complication of pregnancy plete UR is the one where the serosal coat is intact. associated with severe maternal and fetal morbidity According to WHO systemic review, the incidence and mortality.3 The term uterine rupture refers to of uterine rupture in general population is 5.3/10,000 7 Correspondence: births. The prevalence is variable, being rare in Dr. Gul e Rana developed countries due to increased antenatal and Ex Senior Registrar Department of Gynaecology and Obstet- intra-partum care.8 However this grave problem is rics, Khyber Teaching Hospital, Peshawar, Pakistan. Email: [email protected] more common in developing countries and countries Contact: 00447492327558 in transition mostly because of ignorance, quackery, Available Online 30-March 2020 at http://www.jkcd.edu.pk DOI: https://doi.org/10.33279/2307-3934.2020.0117 1 Risk factors for ruptured uterus among patients at khyber teaching JKCD January 2020, Online Issue mal-distribution, maladministration, non-availability uterine rupture as studies on the subject are scarce in of essential medical supplies and lack of access to our setup. The results are shared with gynecologists antenatal and intra-partum care.9 and obstetricians and suggestions are made for timely and proper management of patients who are exposed In high income countries, ruptured uterus occurs to the risk factors for ruptured uterus. because of poorly supervised labor in scarred uter- us.10 Reported rates of uterine rupture in women with MATERIALS AND METHODS previous lower segment cesarean section in United A descriptive cross-sectional study was con- Kingdom depend upon whether the trail of labour ducted in Obstetrics and Gynecology Department, is spontaneous (0.15–0.4%), induced (0.54–1.4%) Khyber Teaching Hospital, Peshawar, over a period or augmented (0.9–1.91%).11 Risk after classical of two years from 01-05-2016 to 31 April 2019. cesarean section is found to be 1-12%.12 Other risk A total of 134 patients were included in the study, factors include gynecological uterine surgeries, using 14.7%2 of previous uterine surgery, 95%con- e.g. Myomectomies, resection of uterine anomalies fidence interval and 6% margin of error, under WHO (Metroplasty), or uterine cornual resection. In low software for size determination. Non probability income countries, it mostly occurs in unscarred purposive sampling technique was used. All patients uterus from obstructed labour.8 However, in most of with ruptured uterus confirmed on ultrasonography cases, there is a combination of risk factors including and patients with a period of gestation of ≥ 28 weeks induction of labor, maternal age, height, body mass were included in the study. Uterine ruptures resulting index, education, smoking, gestational age, instru- from direct uterine trauma like motor vehicle acci- mental vaginal delivery, decreased inter-pregnancy dents or falls or violence like gunshot wounds were interval, abnormal placentation, invasive mole and excluded. These were the confounders and made the chorio-carcinoma.13 study results biased were excluded from the study. A very common event in the past, its incidence Permission was taken from the hospital ethical has greatly decreased in the recent years. Complete committee. Data was collected from all those pa- rupture with irreversible loss is rarely seen except in tients who were received with uterine rupture. An primitive communities which lack modern facilities informed written consent was taken from all the of health care.14 Consequences of uterine rupture patients or their relatives. A detailed history about the depend on the time that elapses from rupture until age, parity, and period of gestation, booking status, the institution of definitive treatment. The sooner the obstetrical and past surgical and medical history treatment is started; the better is the maternal as well were taken. Other details like history of mishandling as fetal outcome.14 by unskilled persons like over use of oxytocin or Pakistan like many other developing countries prostaglandins were noted. Examination including of the world is struggling with poor indicators of general physical examination, abdominal and vaginal reproductive health. In Pakistan, maternal mortality examination was done. Friendly environment was is 178/100,000 live births. Uterine rupture accounts provided to collect the accurate data. 1-13% of maternal and 74-92% of perinatal deaths.15 All the ultrasounds were done through expert Uterine rupture is a serious happening in the life sonologist and strictly exclusion criteria was fol- of a woman. It may not only endanger her life but lowed so that to control confounders and bias in our may even affect her future fertility.16 Uterine rupture study results. accounts for peri-partum hysterectomy in 42% of the All collected information was analyzed via soft- cases in a study conducted in Pakistan.17 ware SPSS version 10. Means +standard deviations The escalating caesarean section rate in develop- were calculated for continuous variables e.g. age, ing countries, inappropriate use of oxytocin / instru- parity. Proportions and frequencies were calculated mentation and obstructed labor due to unsupervised for categorical variables like previous uterine surger- process of labor has led to emergence of this grave ies, injudicious use of oxytocin and prostaglandins, obstetrical problem. This has compelled me to carry and obstructed labor. Results were presented in the out this study to identify risk factors associated with form of tables. Available Online 30-March 2020 at http://www.jkcd.edu.pk DOI: https://doi.org/10.33279/2307-3934.2020.0117 2 Risk factors for ruptured uterus among patients at khyber teaching JKCD January 2020, Online Issue RESULTS Frequencies of patients with history of ob- structed labor in various age groups are shown in The study was conducted on 134 patients, who Table III. Only age group 31 – 35 had significant presented to us with ruptured uterus, and various number of patients with history of obstructed labor risk factors for the uterine rupture were found. The i.e. 11(37.9%) but most of the patients 18 (62.1%), patients were categorized in different groups on the even in this group had no history of obstructed labor. basis of various factors like age in years, parity and gestational age in weeks as shown in Table No I. Grouping of the patients according to their parity The mean age of the patients in the study was 27.14 is shown in Table IV. In this table the patients are years ±5.91SD from the mean. The eldest patient divided as nulliparous, with parity 1 – 3, 4 – 6, 7 – was 41 years old and the youngest was 16 years old. 9, and more than 9. Parity group of 1 – 3 had most The parity of the patients ranged from 0 – 11 with number of patients i.e. 53 (39.6%). There were 7 an average parity of was 4.56 ±3.19SD. The aver- (5.2%) nulliparous patients. Parity group 4 – 6 and age gestational age of the patients was 37.9 weeks 7 – 9 had significant number of patients, 36 (26.9%) with minimum of 28 weeks and the maximum of 42 and 27 (20.1%) respectively. 11 (8.2%) had parity weeks ±2.58SD.
Load more

Recommended publications
  • PATIENT SATISFACTION; OPD Services in a Tertiary Care Hospital of Lahore
    ORIGINAL PROF-2337 PATIENT SATISFACTION; OPD services in a Tertiary Care Hospital of Lahore Dr. Fatima Mukhtar, Dr. Aftab Anjum, Dr. Muhammad Aslam Bajwa, Shahzana Shahzad, Shahzeb Hamid, Zahra Masood, Ramsha Mustafa ABSTRACT… Introduction: Patient satisfaction is a relative phenomenon, which embodies the patients perceived need, his expectations from the health system, and experience of health care. Objective: To determine the level of patient satisfaction towards OPD services with reference to doctor-patient interaction, registration desk, waiting area, and overall health facilities. Study Design: Descriptive cross sectional study. Setting: Tertiary care hospital of Lahore. Study Period: April 2013. Material & Methods: A sample of 250 patients was selected by employing systematic random sampling technique. The patients were interviewed and data was collected using a pretested questionnaire. Data was analyzed using the statistical package for social sciences (SPSS) version 16.00. Data was presented in figures and tables. It was described using frequencies, percentages and mean. Results: Majority of the patients i.e 232 (94%) reported being satisfied with the doctor. A vast majority agreed that hospital was clean 233 (94%) and adequately ventilated 224 (90%). The hospital staff in the waiting area was found to be respectful 220 (89%) and fair 198 (80%) towards the patients. The patients had no difficulty locating the reception desk of the health facility 235 (95%). A large proportion of patients i.e.220 (89%) said they would re-visit the hospital. Conclusions: The patients were highly satisfied with their doctors and were ready to re-visit the hospital. It is recommended that further studies should be conducted to assess patient satisfaction in the secondary and primary care health facilities and efforts should be made to get regular feedback from the patients.
    [Show full text]
  • Recurrent Episcleritis in Children-Less Than 5 Years
    J Ayub Med Coll Abbottabad 2006; 18(4) CASE REPORT RECURRENT EPISCLERITIS IN CHILDREN-LESS THAN 5 YEARS OF AGE Syed Ashfaq Ali Shah, Hassan Sajid Kazmi, Abdul Aziz Awan, Jaffar Khan Department of Ophthalmology, Ayub Medical College and teaching Hospital, Abbottabad. Background: Episcleritis , though common in adults, is a rare disease in children. Episcleritis is associated with systemic diseases in a third of cases in adults. Here we describe systemic diseases associated with recurrent episcleritis in children less than five years of age. Method: This Retrospective Observational case series study was conducted at the Department of Ophthalmology of Ayub Teaching Hospital, Abbottabad, from March 1995 till February, 2006. Six children diagnosed clinically with recurrent episcleritis were included in this study. Complete ophthalmologic as well as systemic evaluation was done in each case. Results: This study was conducted on 6 children with a diagnosis of recurrent episcleritis. There were four boys and two girls, with an age range of 35-52 months. Right eye was involved in three cases, left eye in two cases while one case had a bilateral disease. Recurrence occurred in the same eye in all cases, with one bilateral involvement. Four children (66%) had a history of upper respiratory tract infection in the recent past. No other systemic abnormality was detected in any case. Two cases had a history of contact with a pet animal. Conclusion: Recurrent episcleritis in young children is a benign condition. Upper respiratory tract infection is the most common systemic association. Pet animals may be a contributory factor. Keywords: Recurrent Episcleritis, Children, Age, Systemic Disease.
    [Show full text]
  • Health Bulletin July.Pdf
    July, 2014 - Volume: 2, Issue: 7 IN THIS BULLETIN HIGHLIGHTS: Polio spread feared over mass displacement 02 English News 2-7 Dengue: Mosquito larva still exists in Pindi 02 Lack of coordination hampering vaccination of NWA children 02 Polio Cases Recorded 8 Delayed security nods affect polio drives in city 02 Combating dengue: Fumigation carried out in rural areas 03 Health Profile: 9-11 U.A.E. polio campaign vaccinates 2.5 million children in 21 areas in Pakistan 03 District Multan Children suffer as Pakistan battles measles epidemic 03 Health dept starts registering IDPs to halt polio spread 04 CDA readies for dengue fever season 05 Maps 12,14,16 Ulema declare polio immunization Islamic 05 Polio virus detected in Quetta linked to Sukkur 05 Articles 13,15 Deaths from vaccine: Health minister suspends 17 officials for negligence 05 Polio vaccinators return to Bara, Pakistan, after five years 06 Urdu News 17-21 Sewage samples polio positive 06 Six children die at a private hospital 06 06 Health Directory 22-35 Another health scare: Two children infected with Rubella virus in Jalozai Camp Norwegian funding for polio eradication increased 07 MULTAN HEALTH FACILITIES ADULT HEALTH AND CARE - PUNJAB MAPS PATIENTS TREATED IN MULTAN DIVISION MULTAN HEALTH FACILITIES 71°26'40"E 71°27'30"E 71°28'20"E 71°29'10"E 71°30'0"E 71°30'50"E BUZDAR CLINIC TAYYABA BISMILLAH JILANI Rd CLINIC AMNA FAMILY il BLOOD CLINIC HOSPITAL Ja d M BANK R FATEH MEDICAL MEDICAL NISHTER DENTAL Legend l D DENTAL & ORAL SURGEON a & DENTAL STORE MEDICAL COLLEGE A RABBANI n COMMUNITY AND HOSPITAL a CLINIC R HOSPITALT C HEALTH GULZAR HOSPITAL u "' Basic Health Unit d g CENTER NAFEES MEDICARE AL MINHAJ FAMILY MULTAN BURN UNIT PSYCHIATRIC h UL QURAN la MATERNITY HOME CLINIC ZAFAR q op Blood Bank N BLOOD BANK r ishta NIAZ CLINIC R i r a Rd X-RAY SIYAL CLINIC d d d SHAHAB k a Saddiqia n R LABORATORY FAROOQ k ÷Ó o Children Hospital d DECENT NISHTAR a .
    [Show full text]
  • Management of Ectopic Varix with Histoacryl
    J Ayub Med Coll Abbottabad 2014;26(4) CASE REPORT MANAGEMENT OF ECTOPIC VARIX WITH HISTOACRYL Adil Naseer Khan, Ismaa Ghazanfar Kiani, Muhammad Arshad*, Rania Hidayat, Khalid Said, Aamir Shehzad Department of Gastroenterology, Ayub Medical College, Abbottabad, *Azad Jamu Kashmir Medical College, Muzaffarabad, Pakistan Upper gastro-intestinal (GI) bleed is one of the most serious situations encountered in the emergency department. There is consensus regarding management of common causes of upper GI bleed but for rare causes no such consensus exists. We present a case of a 35 year old male who presented with 5–6 episodes of hematemesis associated with melena in 24 hours. On examination he was in hypotensive shock with no stigmata of chronic liver disease. Doppler studies showed portal vein thrombosis with cavernous transformation and varices in peripancreatic region and around duodenum. His upper GI endoscopy showed a large varix with ulceration in the duodenal bulb, indicating it as the source of bleeding. The varix was injected with 1cc of cyanoacrylate. The patient’s final diagnosis was non-cirrhotic portal hypertension secondary to portal vein thrombosis. At immediate and long term follow-up the patient had no complications. We conclude that cyanoacrylate injection effectively manages ectopic duodenal varices and can be used with a simple application technique. Keywords: Ectopic varices, hematemesis, upper gastro-intestinal endoscopy J Ayub Med Coll Abbottabad 2014;26(4):618–20 INTRODUCTION patient was not taking any medicines and had no known drug allergies. He was a farmer by profession, Upper gastro-intestinal (GI) bleed is one of the most non-smoker and non-addict.
    [Show full text]
  • Frequency of Urological Diseases in Ayub Teaching Hospital
    IAJPS 2019, 06 (12), 16549-16553 Nubair Sarwar et al ISSN 2349-7750 CODEN [USA]: IAJPBB ISSN: 2349-7750 INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES Available online at: http://www.iajps.com Research Article FREQUENCY OF UROLOGICAL DISEASES IN AYUB TEACHING HOSPITAL 1 Nubair Sarwar,2 Mahnoor Rafique Butt,3 Muhammad Danish Shujaa 1 Ayub Teaching Hospital, Abbottabad, 2 Nawaz Sharif Medical College, Gujrat, 3 Quaid e Azam Medical College Bahawal Pur. Article Received: October 2019 Accepted: November 2019 Published: December 2019 Abstract: This study aims to determine the frequency of urinary tract diseases in urology ward of Ayub teaching hospital. Materials and Methods: This study was conducted in the urology ward of Ayub teaching hospital. The design was descriptive cross sectional study. The study period was of 6 months on a sample size of 100 patients. Results: Sample size was 100. Regarding the diagnosis of the common diseases in patients, 36% of the patients suffered from nephrolithiasis, 14% from benign prostatic hyperplasia, 10% from hydronephrosis, 8% from urinary tract diseases and 5% from ureteric calculi. Regarding gender, 75% were males while 25% were females.82% of the patients were poor and 71 % of patients belonged to rural areas. 83% of the patients were married and 75% of the patients were illiterate. Conclusion: Urinary tract diseases are frequent in males, with increased prevalence in illiterate married patients of poor socioeconomic status, living in rural area and having poor dietary intake. Keyword: Prevalence of urinary tract diseases, benign prostatic hyperplasia, urinary tract infections. Corresponding author: Nubair Sarwar, QR code Ayub Teaching Hospital, Abbottabad.
    [Show full text]
  • Pharmacy Shop Tender Document
    MEDICAL TEACHING INSTITUTION AYUB TEACHING HOSPITAL ABBOTTABAD. PHARAMCY SHOP TENDER CONTRACT AGREEMENT FOR PHARMACY SHOP FOR THE YEAR 2018-20. THIS CONTRACT is made at on day___ of 20___ between the Hospital Director AMTI Abbottabad (hereinafter referred to as the “Purchaser”) of the first Part; and m/s _____having its registered office at____(hereinafter called “the Supplier”)of the second part(hereinafter referred to individually as party and collectively as the “Parties”) Whereas the Purchaser invited the bids of procurement of good (Medicine/Non Drug Items) in pursuance whereof m/s ______being the Proprietor in Pakistan and ancillary services offered to supply the required item (s); and whereas, the purchaser has accepted the bid by the Supplier; Now the parties to this contract agree to following; ACCORDING TO THE AGREEMENT General Terms and Conditions 1 The Terms and conditions mentioned in the above advertisement notice and technical evaluation criteria (Pharmacy shop) are a part of bidding documents 2 The contractor must follow all the General Term and Conditions as prescribed in KPPRA. 3 The bidding documents is available on our official website www.ath.gov.pk 4 Tender shall be single Stage two envelop basis& the envelope must bear “TENDER For Pharmacy Shop for one Envelop marked as Technical Bids and other Envelop Marked as Financial Bids. 5 The Bidder Shall Submit the financial bid/offer in words & in Figure on Letter Head dully sign and stamp, tender having Cutting/Hand writing can not be accepted. 6 The Tender can be obtained and submitted in the Procurement cell of ATH after deposit of tender fee (Non Refundable) as per advertisement notice.
    [Show full text]
  • Spatial Distribution and Accessibility to Public Sector Tertiary Care
    SHORT COMMUNICATION Spatial Distribution and Accessibility to Public Sector Tertiary Care Teaching General Hospitals: Tale of Two Khyber Pakhtunkhwa Districts – Peshawar and Abbottabad Masood Ali Shaikh1 and Naeem Abbas Malik2 ABSTRACT Effective utilisation of healthcare facilities is determined by spatial and non-spatial factors, including their spatial distribution and physical accessibility. Public sector plays an important role in the provision of healthcare services for improving health in developing countries like Pakistan. We analysed the spatial distribution and accessibility to public sector tertiary care teaching and general hospitals in the Khyber Pakhtunkhwa (KPK) districts of Abbottabad and Peshawar. Two such hospitals in Abbottabad and three in Peshawar were selected for the analyses. Out of the 44 union councils (UCs) in Abbottabad, there are 23 and 15 UCS that are partially or fully accessible within the 12-kilometer buffer and the service area around the hospitals, respectively. Out of the 93 UCs in Peshawar, there are 79 and 77 UCs that are partially or fully accessible, respectively, within the 12-kilometer buffer and service area around the hospitals. Key Words: Hospitals, Accessibility, GIS, Pakistan. tilisation of healthcare services is impacted by several to the two oldest public sector medical colleges in the spatial and non-spatial factors.1,2 Spatial factors Khyber Pakhtunkhwa (KPK) province in the northwestern influencing spatial accessibility involve ease of physical part of Pakistan. In terms of population size, Peshawar accessibility to the health facilities, in addition to travel is the largest district in the KPK; while Abbottabad district time and monetary cost associated with such travel for is the ninth largest district in KPK, based on the 2017 seeking preventive and curative healthcare services.
    [Show full text]
  • Treatment Outcomes of Patients with Drug Resistant Tuberculosis; Experience from a Tertiary Care Hospital in Abbottabad
    ORIGINAL ARTICLE Treatment outcomes of patients with drug resistant tuberculosis; Experience from a tertiary care hospital in Abbottabad Amir Suleman12 , Zafar Iqbal , Hamid Nisar Khan 13 , Raza Ullah 1Department of Pulmonology, ABSTRACT Ayub Teaching hospital, Abbottabad-Pakistan Background: The emergence of Drug resistant tuberculosis (DR-TB) 2 challenging all efforts against TB control and this disease now became a global Department of Pulmonology, Lady Reading hospital, health problem. It is a man-made problem and so this type of disease found Peshawar-Pakistan more in retreatment cases. 3Department of Pulmonology, Objective: This study was designed to study the outcome of management of Khyber Teaching hospital, drug-resistant tuberculosis in Abbottabad which is one of the PMDT sites Peshawar-Pakistan managed by the National tuberculosis program Pakistan since 2013. Address for Correspondence Methodology: This descriptive cross sectional study analyzes the data of DR- Dr. Zafar Iqbal Department of Pulmonology TB patients treated at the PMDT site Abbottabad from April 2013 to October Lady Reading hospital 2018. Peshawar-Pakistan Results: A total of 227 patients with DR-TB have been treated at the PMDT site Email: Abbottabad. The cure rate for DR-TB treatment regimens is 69.16%. Forty two [email protected] (18.5%) patients died during the course of treatment, treatment failure was Date Received: Aug 07, 2017 declared in 5 (2.2%) while 15 (6.61%) patients were lost to follow up. The Date Revised: Oct 11, 2018 frequency of primary MDR-TB was 15.42% during this course of treatment. Date Accepted: Nov 09, 2018 Conclusion: Despite a higher cure rates observed, there is a lot of room for Author Contributions improvement since primary MDR-TB appears to be on the rise.
    [Show full text]
  • International Journal of Anesthesiology & Research (IJAR) ISSN 2332-2780
    http://scidoc.org/IJAR.php International Journal of Anesthesiology & Research (IJAR) ISSN 2332-2780 Prospective Study of Proportions and Causes of Cancellation of Surgical Operations at Jimma University Teaching Hospital, Ethiopia Research Article Haile M1*, Nega Desalegn2 1 Lecturer and Senior Anesthetist, Department of Anesthesia, Jimma University, Ethiopia. 2 College of Public Health and Medical Sciences, Department of Anesthesia, Jimma University, Ethiopia. Abstract Background: Cancellation of scheduled surgery is a major quality of health care problem affecting the individual patients, family and the actual health care organization. Objective: The aim of this study was to assess the incidence, causes and magnitude of cancellation of elective surgical operations and to find the appropriate solutions for better patient management and effective utilization of resources. Methods: A longitudinal study design was conducted at Jimma University Teaching Hospital from February 1, 2014 to June30, 2014. All consecutive scheduled cases (n=1438) to undergo elective surgical procedures were included in the study. Result: A total of 1438 patients were scheduled for elective surgical operations. Of these, 331(23.0%) were cancelled. about 45.6 % male and 54.4 % female ware not operated on the intended day of schedule respectively. General surgery had the highest rate of cancellations 198(23%) followed by orthopedic surgery 78(20%). In appropriate scheduling and unavailabil- ity of sterile drapes and lab sheets were the main causes of cancelation. Conclusion and Recommendation: Inappropriate scheduling and unavailability of sterile clothes were the main causes of Cancellation of elective surgical operations in our hospital. Concerned bodies should bring a sustainable change and im- provement to prevent unnecessary cancellations and enhance cost effectiveness through communications, careful planning and efficient utilization of the available hospital resources.
    [Show full text]
  • Dietary and Fluid Intake Habits in Nephrolithiasis Patients Presented to Ayub Teaching Hospital, Abbottabad
    International Journal of Scientific Reports Farooq MU et al. Int J Sci Rep. 2018 Nov;4(11):274-277 http://www.sci-rep.com pISSN 2454-2156 | eISSN 2454-2164 DOI: http://dx.doi.org/10.18203/issn.2454-2156.IntJSciRep20184674 Original Research Article Dietary and fluid intake habits in nephrolithiasis patients presented to Ayub Teaching Hospital, Abbottabad Muhammad Umer Farooq1*, Syed Hassan Mustafa1, Muhammad Tariq Shah2, Muhammad Junaid Khan1, Osama Iftikhar1 1Department of Medicine, 2Department of Surgery, Ayub Teaching Hospital, Abbottabad, Khyber Pakhtunkhwa, Pakistan Received: 11 September 2018 Accepted: 05 October 2018 *Correspondence: Dr. Muhammad Umer Farooq, E-mail: [email protected] Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Background: Nephrolithiasis is the 3rd most common clinical problem worldwide. The dietary and fluid intake factors play an important role in its causation. The present study was conducted to determine the dietary and fluid intake habits in patients presented with nephrolithiasis to Ayub Teaching Hospital, Abbottabad. Methods: This cross-sectional study enrolled 140 patients by convenient sampling. The study was carried out at the Urology ward of Ayub Teaching Hospital, Abbottabad from June 2017 to June 2018. In this study, a self-maintained structured questionnaire was used to interview 140 patients admitted in both male and female urology ward of Ayub Teaching Hospital, Abbottabad. The questionnaire covered the fluid intake and dietary habits of patients with relevance to determinants such as the number of glasses per day, level of education, physical activity, the occupation of patients and source of drinking water.
    [Show full text]
  • Cross Sectional Study
    ORIGINAL ARTICLE Different Endoscopic Findings among patients Suffering Dyspepsia: Cross Sectional Study ZABIH ULLAH1, SHAWANA ASAD2, SULTAN ZAIB KHAN1, HAFIZULLAH KHAN1, TALHA LAIQUE3* 1Department of Gastroenterology, Ayub Medical College, Abbottabad -Pakistan. 2Department of Surgery, Ayub Medical College, Abbottabad -Pakistan 3Department of Pharmacology, Lahore Medical and Dental College, Lahore-Pakistan Correspondence to Dr. Talha Laique, Email: [email protected] Tel:+92-331-0346682 ABSTRACT Background: Chronic dyspepsia is the most common disease among patients due to many contributing factors like stressful life, drugs, Helicobacter pylori infection and psychological disorders. Aim: To determine the frequency of different endoscopic findings among patients suffering dyspepsia. Methodology: This cross sectional (descriptive) study was carried out in the Department of Gastroenterology of Ayub Teaching Hospital Abbottabad from February to July 2019. A total of 145 patients with dyspepsia were selected and their endoscopic findings were recorded. SPSS software, v22 analyzed the data. Results: Out 92 patients, 58(63%) were males and 34(37%) were females. In 70(76.1%) patients, pain affects/limit the daily routine. The mean calcium level was higher in patients with normal vitamin D levels as compared to vitamin D deficient groups with p-value of <0.05. Conclusion: It was concluded that the endoscopy is a very important to investigative and identifies the specific pathology in patients of Dyspepsia. Keywords: Gastritis, Esophagitis, Gastric ulcer, Dyspepsia and Endoscopy. INTRODUCTION current project to determine the frequency of different endoscopic findings among patients suffering dyspepsia. Dyspepsia is an upper abdominal discomfort that can be long standing or recurring in nature. It involves the gastro- METHODOLOGY duodenal region presenting with symptoms like nausea, belching, vomiting, postprandial fullness and early This cross sectional study with a sample of 145 patients satiety1,2.
    [Show full text]
  • Supracondylar Fracture of Humerus in Children Treated with Closed Reduction and Percutaneous Cross Pinning VS Lateral Pinning
    DOI: https://doi.org/10.53350/pjmhs211551190 ORIGINAL ARTICLE Supracondylar Fracture of Humerus in Children Treated with Closed Reduction and Percutaneous Cross Pinning VS Lateral Pinning MUHAMMAD SHOAIB ZARDAD1, SHAKEEL AHMAD SHAH2, MUHAMMAD YOUNAS3, MAAZ ULLAH4, IMTIAZ MUHAMMAD5, KAMRAN ASGHAR6 1Assistant Professor, Orthopaedic Unit, Ayub Medical Teaching Institute Abbottabad 2Associate Professor Orthopedic, DHQ Teaching Hospital Gomal Medical College Dera Ismail Khan 3Assistant Professor Orthopedic Department, Ayub Teaching Hospital, Abbottabad 4Post Graduate Resident, General Surgery Ayub Teaching Hospital Abbottabad 5Post Graduate Resident Orthopaedic, Ayub teaching hospital Abbottabad 6Assistant Professor Orthopedics, Fauji Foundation Hospital Rawalpindi Correspondence to: Dr Muhammad Younas, Email: [email protected], Cell Phone: +923319096376 ABSTRACT Objective: The aim of this study is to determine the outcomes between percutaneous cross pinning vs two lateral pinning in treatment of closed reduction supracondylar fracture of humerus in children. Study Design: Prospective study Place and Duration: Study was conducted in Orthopaedic Unit Ayub Medical Teaching Institute Abbottabad and DHQ Teaching Hospital Gomal Medical College Dera Ismail Khan during from October 2019 to May 2020 (09 months duration). Methods: Total 60 patients of both genders were presented in this study. Baseline demographically details of patients age, sex and body mass index were recorded after taking consent. Patients were aged between 2-14 years were included. Children who had supracondylar humerus fractures were enrolled and divided equally into 2- groups. Group I had 30 patients and received percutaneous cross pinning technique and group II had 35 patients underwent for lateral pinning. Radiological and functional results were assessed by Flynn’s criteria among both groups, frequency of complications was also observed.
    [Show full text]