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Article
ANAEMIA IN WOMEN ATTENDING LABOUR. FREQUENCY AND RISK FACTORS EVALUATION

Author: Faiz A. Al-Waeely
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2004 Volume: 10 Issue: 1 Pages: 72-77
Publisher: Basrah University جامعة البصرة

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Abstract

The aim of this prospective study was to determine the frequency and degree of anaemia among pregnant women attending labour. One hundred-seventy seven pregnant women were included. We found that 78 (44.1%) women were anaemic, of them 64 (36.2%) having mild anaemia, 10 (5.6 %) with moderate anaemia and 4 (2.3%) with sever anaemia. The study revealed that low educational level, lack of antenatal care, increasing parity, lack of iron supplementation, close spaced pregnancy and antepartum haemorrhage were significant predisposing factor for the development of anaemia. On the other hand, the effects of the maternal age, lactation and postpartum haemorrhage on the development of anaemia were not significant. In conclusion, the frequency of anaemia among pregnant women at labour was high which necessitates an active intervention toward modifying the risk factors of anaemia.

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Article
SINGLE VERSUS DOUBLE INTRAUTERINE INSEMINATION IN CONTROLLED OVARIAN STIMULATION CYCLES FOR SUBFERTILE MALES

Author: Faiz A Al-Waeely
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2012 Volume: 18 Issue: 2 Pages: 57-61
Publisher: Basrah University جامعة البصرة

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Abstract

This study aimed to compare the efficacy of single intrauterine insemination (IUI) with double IUI in controlled ovarian hyperstimulation (COH) and IUI cycles for subfertile males. This is a prospective, nonrandomized study in hospital based outpatient infertility center. The subfertile males were diagnosed by at least two sperm analyses. The study included ovulatory women having patent tubes and undergoing COH cycles with either single or double IUI. Controlled ovarian hyperstimulation was induced by either clomiphene citrate (CC) with gonadotropins or only gonadotropins. Intrauterine insemination of husband’s sperm was performed 36 hours after hCG administration in single IUI group. In the double IUI group, first IUI was performed 12-18 hours and second IUI 36 hours after hCG administration. The decision as to which intervention group a patient was placed in was determined by the day of hCG administration. Ovarian response to hyperstimulation was the only factor influencing the day of hCG administration. Statistical analyses was carried out by using the student’s t test and chi-squared test. The main outcome measure is Clinical Pregnancy rate (CPR). Pregnancy was determined ultrasonographically by the presence of fetal cardiac activity. A total of 191 couples underwent 216 COH-IUI cycles; 110 couples underwent 124 cycles with single IUI and 81 couples underwent 92 cycles with double IUIs. Cycle pregnancy rates were 9.2% (12/124) in the single IUI group and 8.2% (9/92) in the double IUI group, respectively (p=0.782). It is concluded that a single IUI may be as effective as double IUI for couples undergoing COH/IUI for subfertile males.

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INTRAUTERINE --- INSEMINATION


Article
THE USE OF INTRA-UMBILICAL OXYTOCINE FOR THE ‎MANAGEMENT OF RETAINED PLACENTA ‎

Authors: Mohsen H Al-Sabbak --- Faiz A Al-Waeely --- Edward Z Khosho --- Ibtisam Shiaa
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2004 Volume: 10 Issue: 2 Pages: 99-108
Publisher: Basrah University جامعة البصرة

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Abstract

Postpartum haemorrhage & retained placenta are the most common serious abnormalities encountered ‎during the third stage of labour, the aim of this study was to compare three different management ‎protocols for retained placenta. This prospective study was carried out in Basrah Maternity & Children ‎hospital during the period from march 2001 till march 2002. A total of 75 women with retained placenta ‎after active management of third stage of labour were included, they were divided into three groups , the ‎first group received oxytocin and normal saline injected in the umbilical vein, the second received ‎normal saline and the third was the expectant group. In 56% of women in the oxytocin group, placental ‎expulsion occurred within 45 minutes compared to 16% in the expectant group and 24% in the saline ‎group respectively. Also 44% of women in the oxytocin group needed manual removal of the placenta ‎compared to 84% in the expectant and 76% in the saline group. We conclude that intraumbilical vein ‎injection in cases with retained placenta seems simple and promising technique to reduce the incidence ‎of potentially morbid procedures. ‎

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