Browsing by Author "Chakma, B"

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    Measurement of serum vitamin D levels among the pregnant women
    (Medip Academy, 2025-07) Sharmin, SN; Das, TR; Fatema, J; Rahman, I; Noor, F; Islam, S; Chakma, B; Chowdhury, TI
    Background: Vitamin D deficiency during pregnancy has been implicated in adverse maternal and neonatal outcomes, including preterm labor. However, study on serum vitamin D status among pregnant women remains limited in the local context. This study aimed to assess the serum vitamin D levels among pregnant women presenting in labor and to explore associations with sociodemographic, behavioral, and obstetric factors. Methods: A descriptive type of cross-sectional study was conducted at the Department of Obstetrics and Gynaecology, Bangladesh Medical University (BMU), Dhaka, from July 2023 to June 2024. A total of 64 pregnant women aged 18-40 years in labor were enrolled, Data were collected using a semi-structured questionnaire. Serum 25(OH) vitamin D levels were measured using the Atellica IM assay. Statistical analysis was performed using SPSS version 26 with significance set at p?0.05. Results: The mean age of participants was 34.86±9.64 years. Most women were housewives (40.6%) and had completed primary, secondary, or higher secondary education (each 28.1%). Approximately 65.6% were primiparous, 45.3% were at 37-38 weeks of gestation, and 25.0% reported pregnancy complications. While 71.9% received vitamin D supplements, 34.4% had low intake of dairy/fish, and 89.1% had ?30 minutes of daily sun exposure. The BMI assessment showed 29.7% were overweight and 20.3% obese. Vitamin D insufficiency was observed in 90.6% of participants. Significant associations were found between serum vitamin D levels and parity (p =0.000) as well as gestational age (p =0.000). Conclusions: Vitamin D insufficiency is highly prevalent among pregnant women in labor, particularly in primiparas and those with preterm labor. Findings highlight the need for targeted nutritional interventions and routine vitamin D screening during antenatal care.
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    Menstrual problems among adolescent girls attending at a tertiary care hospital in Bangladesh
    (Medip Academy, 2025-04) Pervin, HH; Fatema, K; Chakma, B; Kazal, RK; Mahmood, S; Begum, KF
    Background: Adolescents constitute almost 20% of our population and one-fifth of the world’s total population. However, menstrual disorders are a common concern among adolescent girls, often impacting their physical and emotional well-being. This study aimed to assess the prevalence and causes of menstrual problems among adolescent girls attending a tertiary care hospital (BSMMU) in Bangladesh. Methods: This cross-sectional study was conducted in the Department of Obstetrics and Gynaecology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, from January 2017 to December 2017. This study included 668 adolescent girls with various menstrual disorders aged 10-19 years who attended the outpatient department of obstetrics and gynecology of our institution. Results: In this study, out of 668 adolescent girls, 418 (62.6%) had some form of menstrual disorder. The most common were menorrhagia (30.38%), oligomenorrhea (26.07%), and amenorrhea (21.76%). Among those with amenorrhea, 3.58% and 18.18% had primary and secondary amenorrhea respectively. Abnormal uterine bleeding (47.4%) and polycystic ovarian disease (PCOD) (44.29%) were the leading causes among 289 individuals with menstrual dysfunction. In cases of primary amenorrhea, the most frequent cause was Müllerian agenesis (60%), followed by imperforate hymen (20%). For secondary amenorrhea, PCOD (77.63%) was the dominant cause, with anemia, emotional disturbances, and premature ovarian failure. Conclusions: The findings show that menorrhagia, oligomenorrhea, and amenorrhea are frequently common menstrual problems among adolescent girls mostly due to abnormal uterine bleeding and PCOD. The study highlights the need for early diagnosis, proper medical intervention, and specialized adolescent gynecology clinics to improve reproductive health outcomes.