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THE EVALUATION OF THE EFFECT OF BUSCOPAN (HYOSCINE-N-BUTYL BROMIDE) ON THE DURATION OF LABOUR

Authors: Fouad H Aldahhan --- Faiz A Alwaeely --- Fawzia Raheem
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2011 Volume: 17 Issue: 2 Pages: 25-29
Publisher: Basrah University جامعة البصرة

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Abstract

A double-blind study included 200 women attending labour ward. They were divided into two groups; group A (cases) received Buscopan 20mg I.V and group B (controls) received placebo intravenously. Assessment of cervical dilatation was carried out every hour post injection. The duration of the stages of labour, maternal and neonatal outcome was determined. The study revealed that cervical dilatation at 1 hour was significantly lesser in group A (6.8+1.8) cm compared to (7.6 + 2.1) cm in the control group (P<0.05). The duration of the first stage of labour was significantly longer among group A (4.1+1.8) hours as compared with the controls (3.4 + 1.6 hours) P<0.05. The frequency of caesarean section was significantly higher among group A (12 %) compared to controls (4%), P.value < 0.05. Fetal heart rate was significantly higher among group A (137.8+11.2 beat/min) compared to control (133.5+9.9 beat/min), P < 0.001. We conclude that the administration of Buscopan decelerate the cervical dilatation in the first stage of labour and causes prolongation in its duration. Also it is associated with small, but obvious fetal risk, and an increase in the rate of Caesarean section.

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Article
MATERNAL MORTALITY IN BASRAH HOSPITALS; AN OVERVIEW OF THE LAST TWO DECADES

Authors: Salman K Ajlaan --- Edward Zaia --- Faiz A Alwaeely --- Fouad H Al-Dahhan
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2006 Volume: 12 Issue: 1 Pages: 3-3
Publisher: Basrah University جامعة البصرة

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Abstract

This study aimed to determine the MMR in Basra hospitals for 20 years (1983-2002), to determine the main causes of maternal deaths with regards to direct, indirect & fortuitous causes & to verify the impact of major events including wars & sanction on the trend of maternal deaths. This is a retrospective study included all maternal deaths occurred in hospitals as well as deaths recorded in emergency departments, forensic medicine department & statistical units throughout the study period. Detailed information was taken to verify the cause of death in each woman. A total of 206 deaths occurred during the study period, MMR did not run a steady fashion, they showed gradual decline during 1980s. Following the second gulf war, there was considerable increase in MMR with the peak one observed in 1996. There after the ratio decline gradually to pre 2nd war levels. Direct obstetric causes remain the major causes of maternal death throughout the 20 years with, in a decreasing frequency, hemorrhage, sepsis & AFE were the major direct causes. However, indirect causes showed some, but noticeable increment during the sanction years. We concluded that the major political events, including wars that Iraq & Iraqi peoples exposed to had substantial adverse influence on the trends of maternal deaths. Although a direct maternal death outweigh indirect death, however, sanction years caused obvious increment in direct deaths.

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MATERNAL --- MORTALITY --- BASRAH


Article
THE PREVALENCE OF METABOLIC SYNDROME IN PATIENTS WITH POLYCYSTIC OVARY SYNDROME
تحديد إنتشار حدوث متلازمة الأيض (X) بين النساء اللواتي لديهن متلازمة التكيس المبيضي المتعدد

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Abstract

ABSTRACT Background:The metabolic syndrome ( syndrome X ) , also called "insulin resistance syndrome" is a cluster of cardiovascular risk factors associated with excess fat. the metabolic syndrome is more common among women with PCOS than in normal women), particularly in those with hyperinsulinaemia and obesity Objective: The Aim of the study was to determine the prevalence of metabolic syndrome, and it’s main determinants in women with PCOS. Methods: Two –hundred twenty women , 105 patients with polycystic ovary syndrome ( PCOS) and 115 control , were included in this study to determine the prevalence of the metabolic syndrome & its main determinants among women with PCOS . Results: The study revealed that 82.1% of women with PCOS were nulliparae compared to 8.91% of controls ( P < 0.001) . Blood pressure > 130/ 85 mm.Hg and waist circumference > 88 cm were found among 37.14% and 60% of patients with PCOS respectively in comparison to 12.17% and 25.2% of control women respectively ( P <0.001). Over weight and obesity were observed among 48.6% and 40% of PCOS women respectively compared to 25.2% and 12.2% of controls respectively ( P < 0.001) . Only 3.3% of patients with PCOS were fertile , 73.9% with primary infertility and 22.8% with secondary infertility . The comparative figures among controls were 82.3% , 4.2% and 13.5% ( P < 0.001) . The main menstrual disorder associated with PCOS was oligomenorrhoea , observed in 72.4 of patients , compared to 3.5% in control women ( P < 0.001) . Hirsutism was found among 62.9% of PCOS patients in comparison to 5.2% of controls ( P < 0.001) . Women with PCOS showed significantly higher FBG , TC, TG and LDL-C levels ( P < 0.001) and significantly lower HDL-C levels ( P < 0.01) compared to control women . The frequency of metabolic syndrome in PCOS was 34.3% compared to 6.1% in conrol women ( P < 0.001) . Conclusion : the prevalence of metabolic syndrome in PCOS is nearly 6 times higher than in controls . Women with PCOS share multiple cardiovascular risk factors , and thereby , more prone to cardiovascular events .

المقدمة:تضمنت هذه الدراسة المستقبلية التي أجريت في مستشفى البصرة للولادة والأطفال 220 إمرأة منهم 105 إمرأة لديهن متلازمة التكيس المبيضي المتعدد (الحالات) و115 إمرأة لاتوجد لديهن أي علامات متلازمة التكيس المبيضي المتعدد (الحالات الضابطة).هدف الدراسة:كان هدف الدراسة هو لتحديد إنتشار حدوث متلازمة الأيض (X) بين النساء اللواتي لديهن متلازمة التكيس المبيضي المتعدد وأيضاً لتحديد العوامل الرئيسية المؤثرة على حدوثه مع دراسة بعض المتغيرات السريرية والخصائص الكيميائية للنساء المصابات بهذه المتلازمة ومتلازمة التكيس المبيضي المتعدد.النتائج:أظهرت الدراسة بأن 1,82% من النساء المصابات بمتلازمة التكيس المبيضي المتعدد كن ممن ليس لديهن أطفال بالمقارنة مع91,8% من الحالات الضابطة مع وجود فرق معنوي (P<0.001) إرتفاع ضغط الدم أكثر من 130/85 ملم زئبق ومحيط الخصر أكثر من 88 سم كان موجوداً في 14,34% و 60% من الحالات بالتتابع بالمقارنة مع 17,12% و 2,25% في الحالات الضابطة بالتتابع.لوحظ زيادة الوزن والسمنة بين 6,48% و 40% من الحالات بالتتابع بالمقارنة مع 2,25% و 2,12% من الحالات الضابطة بالتتابع.كان هناك 3,3% من الحالات لديهن خصوبة طبيعية، 9,73% لديهن عقم أولي و 8,22% لديهن عقم ثانوي مقارنة مقارنة بالحالات الضابطة، حيث كانت الأرقام 3,82%، 2,4% و 5,13% مع وجود فرق معنوي واضح (P<0.001).إضطراب الدورة في مجموعة الحالات كانت مقسمة كالآتي: شحة الدورة في 4,72% بالمقارنة 5,3% في مجموعة الحالات الضابطة (P<0.001)، ظهور الشعر كان موجوداً في 9,62% من الحالات بالمقارنة مع 2,5% من المجموعة الضابطة (P<0.001).أظهرت الفحوصات المختبرية وجود زيادة في نسبة السكر في الدم، الكولسترول، الترايكلسريد مع LDL-C (P<0.001) مع نقصان واضح في مستوى HDL-C (P<0.01) مقارنة بالحالات الضابطة.تبين أن تكرار حدوث متلازمة الأيض في مجموعة الحالات كان 3,34% مقارنة مع 1,6% في الحالات الضابطة وبفرق معنوي (P<0.001).الخلاصةإن إنتشار متلازمة الأيض في النساء اللواتي لديهن متلازمة التكيس المبيضي المتعدد هي 6 مرات أكثر من الحالات الضابطة.إن النساء المصابات بالتكيس المبيضي المتعدد لديهن خصائص سريرية وكيميائية مختلفة مثل: إرتفاع ضغط الدم، السمنة، إرتفاع نسبة السكر في الدم وإضطراب في مستويات الدهون، لذلك هؤلاء النساء لديهن عوامل كثيرة لزيادة الخطورة على القلب والأوعية الدموية ويكن أكثر عرضة لإصابات القلب.

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