Shahnaz Wasti - Academia.edu (original) (raw)

Papers by Shahnaz Wasti

Research paper thumbnail of Prevalence of Chlamydial Infection in Females Attending Antenatal and Family Planning Clinics in Karachi Pakistan

The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1997

Research paper thumbnail of An Audit of Labour Following Caesarean Section at the Aga Khan Medical Centre

The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1994

ABSTRACT : An audit of labour following Caesarean section was carried out over a 70-month-period ... more ABSTRACT : An audit of labour following Caesarean section was carried out over a 70-month-period to assess our management of labour following Caesarean section and to support the hospital quality assurance review progress for obstetric care: 419 patients with 1 previous Caesarean section were given a trial of labour: 314 (75%) women had a vaginal delivery and 105 (25%) had a repeat Caesarean section. The highest failure rate was observed in women whose previous indication for Caesarean section was cephalopelvic disproportion. There were 6 (1.4%) cases of scar dehiscence and 4 (1%) of uterine rupture. Vaginal delivery following Caesarean section is a viable cost-effective, safe procedure in a high quality labour and delivery unit in a developing country.

Research paper thumbnail of Analysis of cervical smears in a Muslim population

Annals of Saudi Medicine, 2004

Screening for cancer of the cervix remains a neglected health care issue in Pakistan. To provide ... more Screening for cancer of the cervix remains a neglected health care issue in Pakistan. To provide baseline data for future efforts to improve screening, we conducted a retrospective analysis of cervical smears taken in the obstetrics and gynaecological clinics of the Aga Khan University Hospital, Karachi, Pakistan. We collected data on cervical smear cytology for cervical smears taken from January 1, 1990 to December 31, 1996. We assessed risk factors for dysplasia, including age, age at first marriage, and number of pregnancies. The overall prevalence of abnormal smears in our study was 0.5%. Of 20,995 cervical smears, 12,451 (59.3%) smears showed non-specific inflammation, 7302 (34.8%) were reported as normal, 809 (3.85%) showed monillial infection, 148 (0.71%) showed atypia, 105 (0.5%) had dysplastic cytology, and 52 (0.25%) samples were inadequate. The highest incidence of dysplastic smears was seen in the age group 35 to 44 years. Of 105 patients with dysplasia, 12 were pregnant, and all were asymptomatic, while in 93 non-pregnant women, 33 were symptomatic. The low prevalence of abnormal smears, compared with data from Western populations, could be due to the inherent bias of health awareness in the women who attended our hospital. The results of this study may serve as a baseline for future comparisons. A larger community-based study may establish the exact prevalence of malignant and premalignant lesions so as to plan for future screening.

Research paper thumbnail of Analysis of cervical smears in a Muslim population

Annals of Saudi medicine

Screening for cancer of the cervix remains a neglected health care issue in Pakistan. To provide ... more Screening for cancer of the cervix remains a neglected health care issue in Pakistan. To provide baseline data for future efforts to improve screening, we conducted a retrospective analysis of cervical smears taken in the obstetrics and gynaecological clinics of the Aga Khan University Hospital, Karachi, Pakistan. We collected data on cervical smear cytology for cervical smears taken from January 1, 1990 to December 31, 1996. We assessed risk factors for dysplasia, including age, age at first marriage, and number of pregnancies. The overall prevalence of abnormal smears in our study was 0.5%. Of 20,995 cervical smears, 12,451 (59.3%) smears showed non-specific inflammation, 7302 (34.8%) were reported as normal, 809 (3.85%) showed monillial infection, 148 (0.71%) showed atypia, 105 (0.5%) had dysplastic cytology, and 52 (0.25%) samples were inadequate. The highest incidence of dysplastic smears was seen in the age group 35 to 44 years. Of 105 patients with dysplasia, 12 were pregnant, and all were asymptomatic, while in 93 non-pregnant women, 33 were symptomatic. The low prevalence of abnormal smears, compared with data from Western populations, could be due to the inherent bias of health awareness in the women who attended our hospital. The results of this study may serve as a baseline for future comparisons. A larger community-based study may establish the exact prevalence of malignant and premalignant lesions so as to plan for future screening.

Research paper thumbnail of An Audit of Labour Following Caesarean Section at the Aga Khan Medical Centre

The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1994

ABSTRACT : An audit of labour following Caesarean section was carried out over a 70-month-period ... more ABSTRACT : An audit of labour following Caesarean section was carried out over a 70-month-period to assess our management of labour following Caesarean section and to support the hospital quality assurance review progress for obstetric care: 419 patients with 1 previous Caesarean section were given a trial of labour: 314 (75%) women had a vaginal delivery and 105 (25%) had a repeat Caesarean section. The highest failure rate was observed in women whose previous indication for Caesarean section was cephalopelvic disproportion. There were 6 (1.4%) cases of scar dehiscence and 4 (1%) of uterine rupture. Vaginal delivery following Caesarean section is a viable cost-effective, safe procedure in a high quality labour and delivery unit in a developing country.

Research paper thumbnail of Prevalence of Chlamydial Infection in Females Attending Antenatal and Family Planning Clinics in Karachi Pakistan

The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1997

Research paper thumbnail of An Audit of Labour Following Caesarean Section at the Aga Khan Medical Centre

The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1994

ABSTRACT : An audit of labour following Caesarean section was carried out over a 70-month-period ... more ABSTRACT : An audit of labour following Caesarean section was carried out over a 70-month-period to assess our management of labour following Caesarean section and to support the hospital quality assurance review progress for obstetric care: 419 patients with 1 previous Caesarean section were given a trial of labour: 314 (75%) women had a vaginal delivery and 105 (25%) had a repeat Caesarean section. The highest failure rate was observed in women whose previous indication for Caesarean section was cephalopelvic disproportion. There were 6 (1.4%) cases of scar dehiscence and 4 (1%) of uterine rupture. Vaginal delivery following Caesarean section is a viable cost-effective, safe procedure in a high quality labour and delivery unit in a developing country.

Research paper thumbnail of Analysis of cervical smears in a Muslim population

Annals of Saudi Medicine, 2004

Screening for cancer of the cervix remains a neglected health care issue in Pakistan. To provide ... more Screening for cancer of the cervix remains a neglected health care issue in Pakistan. To provide baseline data for future efforts to improve screening, we conducted a retrospective analysis of cervical smears taken in the obstetrics and gynaecological clinics of the Aga Khan University Hospital, Karachi, Pakistan. We collected data on cervical smear cytology for cervical smears taken from January 1, 1990 to December 31, 1996. We assessed risk factors for dysplasia, including age, age at first marriage, and number of pregnancies. The overall prevalence of abnormal smears in our study was 0.5%. Of 20,995 cervical smears, 12,451 (59.3%) smears showed non-specific inflammation, 7302 (34.8%) were reported as normal, 809 (3.85%) showed monillial infection, 148 (0.71%) showed atypia, 105 (0.5%) had dysplastic cytology, and 52 (0.25%) samples were inadequate. The highest incidence of dysplastic smears was seen in the age group 35 to 44 years. Of 105 patients with dysplasia, 12 were pregnant, and all were asymptomatic, while in 93 non-pregnant women, 33 were symptomatic. The low prevalence of abnormal smears, compared with data from Western populations, could be due to the inherent bias of health awareness in the women who attended our hospital. The results of this study may serve as a baseline for future comparisons. A larger community-based study may establish the exact prevalence of malignant and premalignant lesions so as to plan for future screening.

Research paper thumbnail of Analysis of cervical smears in a Muslim population

Annals of Saudi medicine

Screening for cancer of the cervix remains a neglected health care issue in Pakistan. To provide ... more Screening for cancer of the cervix remains a neglected health care issue in Pakistan. To provide baseline data for future efforts to improve screening, we conducted a retrospective analysis of cervical smears taken in the obstetrics and gynaecological clinics of the Aga Khan University Hospital, Karachi, Pakistan. We collected data on cervical smear cytology for cervical smears taken from January 1, 1990 to December 31, 1996. We assessed risk factors for dysplasia, including age, age at first marriage, and number of pregnancies. The overall prevalence of abnormal smears in our study was 0.5%. Of 20,995 cervical smears, 12,451 (59.3%) smears showed non-specific inflammation, 7302 (34.8%) were reported as normal, 809 (3.85%) showed monillial infection, 148 (0.71%) showed atypia, 105 (0.5%) had dysplastic cytology, and 52 (0.25%) samples were inadequate. The highest incidence of dysplastic smears was seen in the age group 35 to 44 years. Of 105 patients with dysplasia, 12 were pregnant, and all were asymptomatic, while in 93 non-pregnant women, 33 were symptomatic. The low prevalence of abnormal smears, compared with data from Western populations, could be due to the inherent bias of health awareness in the women who attended our hospital. The results of this study may serve as a baseline for future comparisons. A larger community-based study may establish the exact prevalence of malignant and premalignant lesions so as to plan for future screening.

Research paper thumbnail of An Audit of Labour Following Caesarean Section at the Aga Khan Medical Centre

The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1994

ABSTRACT : An audit of labour following Caesarean section was carried out over a 70-month-period ... more ABSTRACT : An audit of labour following Caesarean section was carried out over a 70-month-period to assess our management of labour following Caesarean section and to support the hospital quality assurance review progress for obstetric care: 419 patients with 1 previous Caesarean section were given a trial of labour: 314 (75%) women had a vaginal delivery and 105 (25%) had a repeat Caesarean section. The highest failure rate was observed in women whose previous indication for Caesarean section was cephalopelvic disproportion. There were 6 (1.4%) cases of scar dehiscence and 4 (1%) of uterine rupture. Vaginal delivery following Caesarean section is a viable cost-effective, safe procedure in a high quality labour and delivery unit in a developing country.