Meher un nisa - Academia.edu (original) (raw)
Papers by Meher un nisa
Annals of King Edward Medical University, 2013
JCPSP. Journal of the College of Physicians & Surgeons Pakistan, Sep 1, 2018
OBJECTIVE To determine maternal and neonatal outcome in planned induction of labor versus expecta... more OBJECTIVE To determine maternal and neonatal outcome in planned induction of labor versus expectant management in mild pre-eclampsia at term. STUDY DESIGN Quasi-experimental study. PLACE AND DURATION OF STUDY Department of Gynecology and Obstetrics, Sir Ganga Ram Hospital, Lahore, from July to December 2016. METHODOLOGY After taking informed consent, 200 females fulfilling the inclusion criteria were included in the study. Sample was equally divided into two groups. In Group A (induction) depending upon the Bishop score, labor was induced with prostaglandins or amniotomy. In Group B (Expectant), expectant management was followed with feto-maternal monitoring. Maternal monitoring was done with blood pressure recording and laboratory tests while fetal monitoring was done by keeping maternal fetal kick count record, recording CTG and biophysical profile. Student t-test was used to analyze numerical data and Chi-square for qualitative data. A p-value of <0.05 was taken as statistically significant. RESULTS There were more maternal complications in expectant management group as compared to induction group, while neonatal outcomes were comparable in both groups. CONCLUSION In mild pre-eclampsia, induction of labor at term is beneficial for mother, but there is no difference in neonatal outcome in the two modes of management.
Pakistan Journal of Medical and Health Sciences
A 21 years old girl presented in Gyne OPD of Lady Aitchison Hospital Lahore with complaint of pri... more A 21 years old girl presented in Gyne OPD of Lady Aitchison Hospital Lahore with complaint of primary amenorrhea. There was no complaint of cyclical dysmenorrhea, urinary retention or feeling of abdomino pelvic mass. Her mother had menarche at 14 years of age. Her height was 5 feet and one inch. Her secondary sexual characteristics were of normal (female) and well developed, external genitalia were of female with rudimentary vagina.Ultrasound showed normal size ovaries and hypoplasticuterus and rudimentary vagina.Hormones (FSH, LH, Prolactin) were normal. HerKaryotype was 46XX.On the basis of these findings, diagnosis of Mullerianagenesis (Maye-Rokitansky-Kuster Hauser Syndrome) was made. Family was counselled about the case. They were informed the patient is unable to menstruate and reproduce. However, for sexual function, it is possible to create a new vagina bynon-surgical method using Hegar dilator or surgical by vaginoplasty.
Annals of King Edward Medical University, 2012
Background: Enzymatic wound debridement is an emerging concept in facilitating the wound healing ... more Background: Enzymatic wound debridement is an emerging concept in facilitating the wound healing process. Papaya has de-sloughing, antibacterial and wound healing properties. It has been used in African countries since centuries for different medicinal purposes. Apart from anecdotal reports and few studies on chronic ulcers and burns, no planned studies are available to support its action in postoperative wound infection. Objectives: To compare efficacy and safety of papaya dressing with conventional wound dressing with povidone iodine in post cesarean section gaped wounds. Setting: Gynecology Unit 3, Sir Ganga Ram Hospital Lahore – Pakistan, over a period of six months(June 2012 to Nov 2012). Study Design: Randomized, qausi experimental study. Materials and Methods: The study sample included 60 patients with post cesarean section gaped wounds. The sample was divided into two groups; thirty pati
Annals of King Edward Medical University, 2012
Background: Postpartum Hemorrhage (PPH) is still the leading cause of maternal mortality and mo... more Background: Postpartum Hemorrhage (PPH) is still the leading cause of maternal mortality and morbidity in developing world in spite of major developments in its prevention and management in 21 st century. While working in KSA, author observed a comparatively low frequency of postpartum hemorrhage in Kingdom of Saudi Arabia (KSA) as compared to her past experience in Pakistan where this figure is still very high. This observation led to conduct this study to find out the reasons for this difference. Objectives: The objective of this study is to find out the differences in frequency, risk factors and management options especially cesarean hysterectomy for PPH between KSA and Pakistan. Study Design: Observational study. Place and Duration of Study: One year study (2007) conducted in tertiary care hospitals i.e. Maternity and Children Hospital Buraida (MCH), KSA and Services Hospital Gyne. Unit II, Lahore (SHL) Pakistan. Methods: The sample included all patients who suffered fro...
Annals of King Edward Medical University, 2013
Background: Emergency cesarean section done in advanced labor is a big challenge in obstetrics ... more Background: Emergency cesarean section done in advanced labor is a big challenge in obstetrics due to increased risk of intraoperative complications. In the last decade, a rapid increase in cesarean section done in advanced labor has been observed. Difficult deli-very of the fetal head during cesarean section carries a high risk of intraoperative complications like cervical and uterine tears, intra operative hemorrhage and trau-ma to the baby. Objectives: The purpose of this study is to find out the frequency and risk factors for intra-operative com-plications in emergency cesarean section done in adva-nced labor, so that appropriate management protocols can be planned to reduce these complications. Study Design: Prospective cohort study. Materials and Methods: This prospective study was carried out in Obstetrics and Gynecology Unit - 2 of Services Institute of Medical Sciences, Services Hos-pital, Lahore; from 1 st January 2007 to 31 st December 2007. All patients undergoing...
Journal of the College of Physicians and Surgeons Pakistan, 2018
OBJECTIVE To determine maternal and neonatal outcome in planned induction of labor versus expecta... more OBJECTIVE To determine maternal and neonatal outcome in planned induction of labor versus expectant management in mild pre-eclampsia at term. STUDY DESIGN Quasi-experimental study. PLACE AND DURATION OF STUDY Department of Gynecology and Obstetrics, Sir Ganga Ram Hospital, Lahore, from July to December 2016. METHODOLOGY After taking informed consent, 200 females fulfilling the inclusion criteria were included in the study. Sample was equally divided into two groups. In Group A (induction) depending upon the Bishop score, labor was induced with prostaglandins or amniotomy. In Group B (Expectant), expectant management was followed with feto-maternal monitoring. Maternal monitoring was done with blood pressure recording and laboratory tests while fetal monitoring was done by keeping maternal fetal kick count record, recording CTG and biophysical profile. Student t-test was used to analyze numerical data and Chi-square for qualitative data. A p-value of <0.05 was taken as statistically significant. RESULTS There were more maternal complications in expectant management group as compared to induction group, while neonatal outcomes were comparable in both groups. CONCLUSION In mild pre-eclampsia, induction of labor at term is beneficial for mother, but there is no difference in neonatal outcome in the two modes of management.
Annals of King Edward Medical University, 2016
Objective: To evaluate common difficulties encountered by the trainee registrars at C/Section. De... more Objective: To evaluate common difficulties encountered by the trainee registrars at C/Section. Design: An observational study. Place and Duration of Study: The Department of Gynae and Obstetrics Unit-II SIMS/Services Hospital, Lahore from 16th February to 16th September 2005. Patients and methods: One hundred cases of C/Section both emergency and elective were included. Almost all were done by trainee registrars and supervised by Senior Registrars. Common difficulties faced by trainees at C/Section were noted. Results: Out of 100, 59 were elective and 41 were emergency C/Sections. All were lower uterine segment C/Sections done on term or near term pregnancies. The commonest indication was previous scar (69) while 31 were primary C/Sections. The major problems encountered included difficulty to approach lower uterine segment due to adhesions formation (45), difficulty in delivering the baby from uterus (39) and the problem faced while securing haemostasis (31). One problem not direct...
Annals of King Edward Medical University, 2016
Objectives: To evaluate the effects of episiotomy on the frequency of perineal lacerations. Desig... more Objectives: To evaluate the effects of episiotomy on the frequency of perineal lacerations. Design: Cross-Sectional analytical study. Place & duration of study: Department of Gynae Obstetrics unit III. Lady willingdon Hospital Lahore. From April 1994 to March 1996. Patients & methods: 2918 women who delivered vaginally were included in the study. Only right mediolateral episiotomy incision was used in these cases. Local anaesthesia in the form of 2% Lignocain was used in all cases to infiltrate the area before episiotomy cut. The delivery was conducted in most cases by a resident. The rate of perineal lacerations with or without episiotomy in both primiparae and multiparae groups was noted. Results 2918 women of term singleton babies were entered into this study. Episiotomy was performed in 1419 (48.63%) of these women. There were 1095(37.53%) primiparae and 1823 (62.47%) multiparae in the study groups. The rate of episiotomy in primiparae and multiparae were 93.42% and 21.72% respe...
Annals of King Edward Medical University, 2013
JCPSP. Journal of the College of Physicians & Surgeons Pakistan, Sep 1, 2018
OBJECTIVE To determine maternal and neonatal outcome in planned induction of labor versus expecta... more OBJECTIVE To determine maternal and neonatal outcome in planned induction of labor versus expectant management in mild pre-eclampsia at term. STUDY DESIGN Quasi-experimental study. PLACE AND DURATION OF STUDY Department of Gynecology and Obstetrics, Sir Ganga Ram Hospital, Lahore, from July to December 2016. METHODOLOGY After taking informed consent, 200 females fulfilling the inclusion criteria were included in the study. Sample was equally divided into two groups. In Group A (induction) depending upon the Bishop score, labor was induced with prostaglandins or amniotomy. In Group B (Expectant), expectant management was followed with feto-maternal monitoring. Maternal monitoring was done with blood pressure recording and laboratory tests while fetal monitoring was done by keeping maternal fetal kick count record, recording CTG and biophysical profile. Student t-test was used to analyze numerical data and Chi-square for qualitative data. A p-value of <0.05 was taken as statistically significant. RESULTS There were more maternal complications in expectant management group as compared to induction group, while neonatal outcomes were comparable in both groups. CONCLUSION In mild pre-eclampsia, induction of labor at term is beneficial for mother, but there is no difference in neonatal outcome in the two modes of management.
Pakistan Journal of Medical and Health Sciences
A 21 years old girl presented in Gyne OPD of Lady Aitchison Hospital Lahore with complaint of pri... more A 21 years old girl presented in Gyne OPD of Lady Aitchison Hospital Lahore with complaint of primary amenorrhea. There was no complaint of cyclical dysmenorrhea, urinary retention or feeling of abdomino pelvic mass. Her mother had menarche at 14 years of age. Her height was 5 feet and one inch. Her secondary sexual characteristics were of normal (female) and well developed, external genitalia were of female with rudimentary vagina.Ultrasound showed normal size ovaries and hypoplasticuterus and rudimentary vagina.Hormones (FSH, LH, Prolactin) were normal. HerKaryotype was 46XX.On the basis of these findings, diagnosis of Mullerianagenesis (Maye-Rokitansky-Kuster Hauser Syndrome) was made. Family was counselled about the case. They were informed the patient is unable to menstruate and reproduce. However, for sexual function, it is possible to create a new vagina bynon-surgical method using Hegar dilator or surgical by vaginoplasty.
Annals of King Edward Medical University, 2012
Background: Enzymatic wound debridement is an emerging concept in facilitating the wound healing ... more Background: Enzymatic wound debridement is an emerging concept in facilitating the wound healing process. Papaya has de-sloughing, antibacterial and wound healing properties. It has been used in African countries since centuries for different medicinal purposes. Apart from anecdotal reports and few studies on chronic ulcers and burns, no planned studies are available to support its action in postoperative wound infection. Objectives: To compare efficacy and safety of papaya dressing with conventional wound dressing with povidone iodine in post cesarean section gaped wounds. Setting: Gynecology Unit 3, Sir Ganga Ram Hospital Lahore – Pakistan, over a period of six months(June 2012 to Nov 2012). Study Design: Randomized, qausi experimental study. Materials and Methods: The study sample included 60 patients with post cesarean section gaped wounds. The sample was divided into two groups; thirty pati
Annals of King Edward Medical University, 2012
Background: Postpartum Hemorrhage (PPH) is still the leading cause of maternal mortality and mo... more Background: Postpartum Hemorrhage (PPH) is still the leading cause of maternal mortality and morbidity in developing world in spite of major developments in its prevention and management in 21 st century. While working in KSA, author observed a comparatively low frequency of postpartum hemorrhage in Kingdom of Saudi Arabia (KSA) as compared to her past experience in Pakistan where this figure is still very high. This observation led to conduct this study to find out the reasons for this difference. Objectives: The objective of this study is to find out the differences in frequency, risk factors and management options especially cesarean hysterectomy for PPH between KSA and Pakistan. Study Design: Observational study. Place and Duration of Study: One year study (2007) conducted in tertiary care hospitals i.e. Maternity and Children Hospital Buraida (MCH), KSA and Services Hospital Gyne. Unit II, Lahore (SHL) Pakistan. Methods: The sample included all patients who suffered fro...
Annals of King Edward Medical University, 2013
Background: Emergency cesarean section done in advanced labor is a big challenge in obstetrics ... more Background: Emergency cesarean section done in advanced labor is a big challenge in obstetrics due to increased risk of intraoperative complications. In the last decade, a rapid increase in cesarean section done in advanced labor has been observed. Difficult deli-very of the fetal head during cesarean section carries a high risk of intraoperative complications like cervical and uterine tears, intra operative hemorrhage and trau-ma to the baby. Objectives: The purpose of this study is to find out the frequency and risk factors for intra-operative com-plications in emergency cesarean section done in adva-nced labor, so that appropriate management protocols can be planned to reduce these complications. Study Design: Prospective cohort study. Materials and Methods: This prospective study was carried out in Obstetrics and Gynecology Unit - 2 of Services Institute of Medical Sciences, Services Hos-pital, Lahore; from 1 st January 2007 to 31 st December 2007. All patients undergoing...
Journal of the College of Physicians and Surgeons Pakistan, 2018
OBJECTIVE To determine maternal and neonatal outcome in planned induction of labor versus expecta... more OBJECTIVE To determine maternal and neonatal outcome in planned induction of labor versus expectant management in mild pre-eclampsia at term. STUDY DESIGN Quasi-experimental study. PLACE AND DURATION OF STUDY Department of Gynecology and Obstetrics, Sir Ganga Ram Hospital, Lahore, from July to December 2016. METHODOLOGY After taking informed consent, 200 females fulfilling the inclusion criteria were included in the study. Sample was equally divided into two groups. In Group A (induction) depending upon the Bishop score, labor was induced with prostaglandins or amniotomy. In Group B (Expectant), expectant management was followed with feto-maternal monitoring. Maternal monitoring was done with blood pressure recording and laboratory tests while fetal monitoring was done by keeping maternal fetal kick count record, recording CTG and biophysical profile. Student t-test was used to analyze numerical data and Chi-square for qualitative data. A p-value of <0.05 was taken as statistically significant. RESULTS There were more maternal complications in expectant management group as compared to induction group, while neonatal outcomes were comparable in both groups. CONCLUSION In mild pre-eclampsia, induction of labor at term is beneficial for mother, but there is no difference in neonatal outcome in the two modes of management.
Annals of King Edward Medical University, 2016
Objective: To evaluate common difficulties encountered by the trainee registrars at C/Section. De... more Objective: To evaluate common difficulties encountered by the trainee registrars at C/Section. Design: An observational study. Place and Duration of Study: The Department of Gynae and Obstetrics Unit-II SIMS/Services Hospital, Lahore from 16th February to 16th September 2005. Patients and methods: One hundred cases of C/Section both emergency and elective were included. Almost all were done by trainee registrars and supervised by Senior Registrars. Common difficulties faced by trainees at C/Section were noted. Results: Out of 100, 59 were elective and 41 were emergency C/Sections. All were lower uterine segment C/Sections done on term or near term pregnancies. The commonest indication was previous scar (69) while 31 were primary C/Sections. The major problems encountered included difficulty to approach lower uterine segment due to adhesions formation (45), difficulty in delivering the baby from uterus (39) and the problem faced while securing haemostasis (31). One problem not direct...
Annals of King Edward Medical University, 2016
Objectives: To evaluate the effects of episiotomy on the frequency of perineal lacerations. Desig... more Objectives: To evaluate the effects of episiotomy on the frequency of perineal lacerations. Design: Cross-Sectional analytical study. Place & duration of study: Department of Gynae Obstetrics unit III. Lady willingdon Hospital Lahore. From April 1994 to March 1996. Patients & methods: 2918 women who delivered vaginally were included in the study. Only right mediolateral episiotomy incision was used in these cases. Local anaesthesia in the form of 2% Lignocain was used in all cases to infiltrate the area before episiotomy cut. The delivery was conducted in most cases by a resident. The rate of perineal lacerations with or without episiotomy in both primiparae and multiparae groups was noted. Results 2918 women of term singleton babies were entered into this study. Episiotomy was performed in 1419 (48.63%) of these women. There were 1095(37.53%) primiparae and 1823 (62.47%) multiparae in the study groups. The rate of episiotomy in primiparae and multiparae were 93.42% and 21.72% respe...