Browsing by Author "Sultana, Nargis"

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    Perinatal Outcome According to Gestational Age- A study of 50 Cases
    (Scholars Publisher, 2023-04) Begum, Ferdousi; Sultana, Nargis; Begum, Yasmin Ara; Akhter, Hachina; Sultana, Mosammat Rehana
    Background: Gestational age supports predicting a potential due date, informing obstetrical care and testing, and assessing the baby’s health at birth. It is vital to obtain a gestational age in all pregnancies to offer regular care and medical management for both mother and fetus. The ultimate suitable techniques for calculating gestational age are ultrasonography. The study aims to investigate the perinatal outcome according to gestational age. Material & Methods: A Prospective cross-sectional study was carried out in the Department of Obstetrics & Gynecology, Bangabandhu Sheikh Mujib Medical University, Hospital, from January 2008 to June 2008. A total of 50 patients were enrolled in this study following the inclusive criteria. Data were collected using the predesigned semi-structured questionnaire. Verbal consent was taken before recruiting the study population. Completed data forms were reviewed, edited, and processed for computer data entry. Results: Among the study population (N=50), one-fifth of the mothers’ (10,20.0%) age was under twenty. The majority of mothers were (34,68.0%) between 20-30 years old with a mean age of 25.4 ± 4.32 years. Twenty-three patients (23,46.0%) came at 40+ weeks of pregnancy, eighteen patients came at (18,36,0%) on 41 weeks of pregnancy and nine patients (9,18.0%) came at41+ weeks of pregnancy. There was no perineal tear and two patients (2,4.0%) had cervical tears which were repaired. In two patients (2,4.0%) there was postpartum haemorrhage, among them two patients (2,4.0%) needed a blood transfusion. Among the healthy babies, the majority of the babies (20,40.0%) were born at 40 completed weeks of gestation, eighteen babies (18,36.0%) at 41 completed weeks and two babies (2,4.0%) were born at 42 completed weeks of gestation. Conclusion: Many childhood and adult diseases are linked with size at birth and are mostly inclined by early postnatal growth is widely accepted. The evolving fetus formulates itself for post-partum life by reporting to metabolic signals in its uterine environment.
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    Prediction of preterm premature membrane rupture by the platelet-lymphocyte ratio
    (Medip Academy, 2023-11) Sultana, Nargis; Karim, Farha; Rahman, Mohammad Khalilur
    Background: Premature rupture of membranes is a significant obstetric problem. Evaluating platelet -lymphocyte ratio is expected to illuminate the potential scope of early prediction of PPROM. This study showed that PLR could be a new inflammatory marker for diagnosing preterm PROM.Methods: The study place was the燚epartment of Obstetrics and Gynaecology, Sir Salimullah Medical College & Mitford Hospital, Dhaka, Bangladesh, from May 2019 to October 2019.燫esults: It was a case-control study. All mothers were selected by purposive sampling who were PPROM as cases. Age-matched non-PPROM pregnant women at term were also enrolled as control. Afterward, they were scrutinized according to eligibility criteria, and 200 mothers were enrolled. Among them, 100 were cases, and the other 100 were in control. A pre-tested, observation-based, peer-reviewed data collection sheet was prepared before the study. Data regarding clinical, biochemical, and surgical profiles were recorded. Data were compiled, edited, and analyzed. The P-value was determined by the chi-square test (categorical variables) and the student抯 t-test (continuous variables). The p-value was significant at <0.05.Conclusions: The mean age of 100 patients from the case was 24.39�81 (age range: 18-36) years, and that of the control, like 100 normal pregnant women, was 24.31�34 (age range: 19-35) (p=0.49). The mean parity of case and control were 2.1�9 (range: 0-5) and 1.98�2 (range: 0-3). The mean gravida of case and control were (3.1�2 vs. 3.4�4). Platelet count was found to be significantly higher in preterm PROM group (case) than control (241.6�.7�00/mm� vs. 201.7�.9 �00/mm�), p value is <0.001 which is statistically significant. So, PLR might be an excellent inflammatory biomarker to predict preterm PROM.