Academic literature on the topic 'Hospitals, Gynecologic and obstetric Victoria'

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Journal articles on the topic "Hospitals, Gynecologic and obstetric Victoria"

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Yasmin, Shakila, Saba Nadeem, Aisha Javed, Najm us Sehar, Sadia Shakeel, and Amna Anum. "A Clinical Study on Thyroid Dysfunction in Pregnancy and its Effect on the Fetomaternal Outcome." Pakistan Journal of Medical and Health Sciences 16, no. 4 (April 26, 2022): 323–25. http://dx.doi.org/10.53350/pjmhs22164323.

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Background: Thyroid gland is the power house of human body. It provides energy for the various biochemical processes of the body and helps to maintain basal metabolic rate. Objective: To estimate the prevalence of thyroid dysfunction in pregnancy and to evaluate the obstetric and perinatal outcomes in such pregnancies Setting: Department of Obstetrics & Gynecology, Bahawal Victoria Hospital Bahawalpur from 15 January 2021 to 15 JUNE 2021 Study Design: A Descriptive Case Series. Materials and Methods: A total of 292 cases of antenatal patients, irrespective of their period of gestation were enrolled in this study by random sampling method. Patients with multiple pregnancies and having bad obstetrical history were excluded. Detailed history and obstetrical examination, routine blood test and serum TSH were performed. These patients were followed during labour, delivery and puerperium and maternal outcome and neonatal outcomes were noted. Results: In this study we enrolled two hundreds and ninety two (292) antenatal women. Out of total 292 patients only 61 (20.9%) were nulliparous and rest of the patients were multiparous. The prevalence of thyroid dysfunction in pregnancy was 8.2%. Out of this, 2.74 % patients had sub clinical hypothyroidism (SCH). Overt hypothyroidism (OH) was seen in 2.40%, sub clinical Hyperthyroidism in 1.71% & the incidence of overt hyperthyroidism was 1.37%. Maternal complication included: abortion (5.5%), pre-eclampsia (3.4%), abruption-placentae (4.1%), preterm labour (4.5%), PPH (4.2%) and puerperal sepsis (2.8%). Neonatal outcomes included: preterm births (5.4%),LBW (5.1 %), IUGR (6.2%), still birth (4.4%), neonatal death (5.1%), low APGAR score ( <7 at 5 minutes ) (6.9%). Conclusion: Thyroid dysfunction in pregnancy, though has a low incidence, but is associated with adverse maternal and fetal complications. Thus thyroid screening should be done in antenatal period to improve fetomaternal outcome. Keywords: Thyroid dysfunction, Hypothyroidism, Hyperthyroidism, Fetomaternal outcome, Overt Hypothyroidism, Subclinical Hypothyroidism.
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Abbas, Hudda, Samina Badar, Zunera Javed, and Mohammad Ahmed Abdelmoneam Ramdan. "Level of Serum Uric Acid in Pre-eclamptic and Normal Pregnant Women." International Journal of Frontier Sciences 4, no. 1 (January 1, 2020): 20–22. http://dx.doi.org/10.37978/tijfs.v4i1.63.

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Objective: The objective of study was to find out serum uric acid level in normal andpreeclamptic pregnant women of third trimester visiting outpatient department of obstetrics and gynecology of Bahawal Victoria Hospital, Bahawalpur. Methodology: It was a cross sectional descriptive study conducted form July 2018 to June 2019. All primigravida women of age 18-35 years in third trimester of singleton pregnancy attending in Obstetrics and Gynecology Outpatient Department of Bahawal Victoria Hospital in study duration were included in the study. Statistical analysis was performed by using SPSS version 14. Chi-square test was performed to find the statistical difference regarding uric acid distribution between groups and ‘p’ value <0.05 was considered as a lowest level of significance. Results: Out of total 1212 women 84.6% were normal and 15.4% had preeclampsia. In our study out of 187 preeclamptic women, 63.6% had raised serum uric acid level and out of 268 normal pregnant women uric acid level was raised in only 39.5%. Results were found statistically significant. Conclusion: Results of our study suggest that serum uric acid level in pregnant women can be used as a useful and inexpensive marker in prediction of preeclampsia and preventive measures can be taken accordingly.
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AHMAD, AMEER, ABDUL REHMAN, and GHULAM QASIM KHAN KHICHI. "HEPATITIS B MARKERS." Professional Medical Journal 14, no. 02 (September 6, 2007): 307–11. http://dx.doi.org/10.29309/tpmj/2007.14.02.4894.

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Objective: To determine the transmission of Hepatitis B virus from infectedmother to their newborns. Design: Cross-sectional descriptive study. Setting: Pediatrics Ward-2 and Gynecology &Obstetric Department Bahawal Victoria Hospital/Quaid-e-Azam Medical College Bahawalpur. Period: From August2004 to December 2005 Material and Methods: A total of 300 pregnant ladies admitted in the gynecological andobstetric department for delivery were screened for HBsAG, HBeAG, HBcAB, HBsAB, and HBeAB. The newborns ofthe mothers with HBsAG and HBeAG were tested for the same antigens at the time of birth and the ones who werepositives for the antigens were labeled as having “vertical infection” through placenta. Results were tabulated; incidenceof hepatitis was calculated. RESULTS: HBsAG was positive in 37(12.3%) out of the 300 enrolled mothers. Out of the37 babies born to 37 hepatitis B positive mothers, 4(21%) newborns were positive for HBsAG.In the mothers of theseinfected newborns, HBeAG was present in 3 while one mother did not have HBeAG. CONCLUSION: Universal prenatalscreening for hepatitis B in all the pregnant women and protection of their off springs should be provided both by activeand passive prophylaxis immediately after birth depending upon their serological status.
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Shamima, Mosammat Nargis, Rubayet Zereen, Nargis Zahan, Most Rowshan Ara Khatun, Nurjahan Akter, and Mohd Alamgir Hossain. "Management and Outcome of Postoperative Complications among the Patients Undergoing Common Obstetric and Gynaecological Surgery outside the RMCH." TAJ: Journal of Teachers Association 30, no. 2 (December 3, 2018): 7–12. http://dx.doi.org/10.3329/taj.v30i2.39131.

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Objective: To review the management and outcome of postoperative complications after common obstetric and gynecologic surgeries performed in outside nonacademic private hospitals (clinics) and peripheral public hospitals (districts hospitals) and later admitted in Department of Obstetrics and Gynecology of Rajshahi Medical College Hospital (RMCH). RMCH is a tertiary referral hospital where all complicated patients were referred for better management from surrounding hospital.Methodology: This Quasi-experimental study was carried out in the Department of Obstetrics and Gynecology at Rajshahi Medical College Hospital, Rajshahi, Bangladesh between July 1, 2015 and June 30, 2017. All patients admitted with post operative complications following common obstetric and gynecologic surgeries during this period were included. Patients admitted with post operative complications, where primary surgery was done in this hospital were excluded. The common obstetric and gynaecological surgeries were caesarean sections (LUCS), total abdominal hysterectomy (TAH) and vaginal hysterectomy (VH) performed outside Rajshahi Medical College Hospital.Result: During this period a total of 39,929 patients were admitted through emergency way in obstetrics and gynecology department of Rajshahi Medical College Hospital. Among them 675 patients were admitted with the complaints of post operative complications following common obstetric and gynecologic surgeries with rate being 1.7%. In 560(83%) cases surgery was done in clinics and 115(17%) cases surgery was done in district hospitals. Among the patients 580(85.9%) cases primary operation was done by non-gynaecologic surgeon and 95(14.1%) cases by gynaecologic surgeon. Caesarean section was the primary obstetric surgery in 405(60%) cases .Gynecologic surgeries included TAH in 185(27.4%) cases and VH in 85(12.6%) cases. We found 25(3.7%) patients died from these complications. Repeat surgery was done in 90(13.33%) cases. Genitourinary fistula repair was done in 41 cases (45.55%). Rests were improved by conservative management.Conclusion: Any surgical procedure carries risk of complications. Careful selection of patients with suitable indications for operations, expertise of the surgeon, good surgical technique, proper knowledge of pelvic anatomy and careful postoperative follow up can minimize recognized complications.TAJ 2017; 30(2): 7-12
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Faridi, Sarwat, Humaira Imran, and Bushra Mukhtar. "Is striae gravidarum related to cesarean scar and peritoneal adhesions?" Professional Medical Journal 27, no. 08 (August 10, 2020): 1550–54. http://dx.doi.org/10.29309/tpmj/2020.27.08.3745.

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Objectives: Determination of the relationship among the peritoneal adhesions, cesarean scar and striae gravidarum. Study Design: Cross sectional Study. Settings: Gynecology and Obstetrics Department of Bahawal Victoria Hospital, Bahawalpur. Period: June 2018 to May 2018. Material & Methods: A total of 150 cases of cesarean section which presented at gynecology and obstetrics department of Bahawal Victoria Hospital, Bahawalpur were involved in this study. Davey scoring system was applied in order to determine the severity of striae gravidarum. Intraperitoneal adhesions were classified into five subcategories on the basis of Modified Blauer classification. Grouping was done on the random basis. Three groups were made. Group 1 consisted of the women with no striae gravidarum, group 2 had women with number of striae gravidarum from mild to moderate and group 3 had women of severe number of striae gravidarum. Comparison between different groups was done using the Mann-Whitney and student T test. Mean and standard deviation were calculated for quantitative variables while qualitative variables were assessed by their frequency and percentage. Statistically significant P value was 0.05 or less. Results: Intraperitoneal adhesions of grade 2-4, pigmentations and keliods were frequent in group 2 and 3 but the difference between these groups was not statistically significant (p-value 0.517, 0.427 and 0.372, respectively). There was no difference present among the group regarding the appearance of scar as well (p=0.541). As far as the length and width of the scar was concerned, the length was relatively more in patients of group 3 while width was relatively more in patients of group 1 but there were no statistically significant differences (Table-II) (p=0.289 and p=0.248 respectively). Conclusion: It can be concluded that there is no association between intraperitoneal adhesions and striae gravidarum but correlation between scar characteristics and striae gravidarum are evident.
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Askarian, Mehrdad, AliReza Moravveji, and Mahyar Etminan. "Prophylactic antibiotic therapy in gynecologic-obstetric procedures: Experience from three Iranian teaching hospitals." Indian Journal of Medical Sciences 60, no. 6 (2006): 245. http://dx.doi.org/10.4103/0019-5359.25907.

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Caton, Donald. "John Snow’s Practice of Obstetric Anesthesia." Anesthesiology 92, no. 1 (January 1, 2000): 247. http://dx.doi.org/10.1097/00000542-200001000-00037.

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The influence of Queen Victoria on the acceptance of obstetric anesthesia has been overstated, and the role of John Snow has been somewhat overlooked. It was his meticulous, careful approach and his clinical skills that influenced many of his colleagues, Tyler-Smith and Ramsbotham and the Queen's own physicians. The fact that the Queen received anesthesia was a manifestation that the conversion of Snow's colleagues had already taken place. This is not to say that this precipitated a revolution in practice. Medical theory may have changed, but practice did not, and the actual number of women anesthetized for childbirth remained quite low. This, however, was a reflection of economic and logistical problems, too few women were delivered of newborn infants during the care of physicians or in hospitals. Conversely, it is important to recognize that John Snow succeeded in lifting theoretical restrictions on the use of anesthesia.
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M. Magdy, Ahmed, Mahmoud A. Seksaka, and Gehan F. Balata. "Antibiotic overuse in obstetric and gynecologic procedures at Zagazig university hospitals: A prospective observational study." Pharmacia 68, no. 4 (November 22, 2021): 883–89. http://dx.doi.org/10.3897/pharmacia.68.e71923.

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Surgical site infection (SSI) constitutes a major problem in healthcare in terms of healthcare cost, morbidity and mortality. Surgical antibiotic prophylaxis (SAP) is one of the effective strategies for SSI prevention. Poor adherence to SAP guidelines across different countries has been observed. Misuse of prophylactic antibiotics threatens patient safety and leads to an increase in the acquisition of antibiotic resistance. The aim of this study was to assess the utilization of SAP in obstetric and gynecologic procedures in terms of indication for prophylaxis, antibiotic selection, timing of administration and prophylaxis duration. A prospective observational study was conducted at the obstetrics and gynecology department of Zagazig University Hospital during the period from January 2020 to June 2020. Medical records of 264 women were recorded and evaluated. The American Society of Health-System Pharmacists (ASHP) therapeutic guidelines, World Health Organization (WHO) recommendations and The American College of Obstetricians and Gynecologists (ACOG) practice bulletin were used for data evaluation and hence women were stratified into two groups. For women who underwent procedures in which guidelines recommended the use of SAP (200 patients; 75.75%), 198 women (99%) received preoperative prophylaxis. None of women (0%) received the recommended first line antibiotic by guidelines while the most commonly used prophylactic antibiotics were Cefotaxime (86 patients; 43.43%) and Ampicillin-sulbactam (62 patients; 31.31%). Preoperative antibiotic prophylaxis timing was 0-60 minutes before skin incision. All women received postoperative prophylaxis that extended to an average of 7 days. Regarding the other group who underwent procedures in which prophylactic antibiotics weren’t recommended by guidelines (64 patients; 24.24%), 37 women (57.81%) followed the guidelines and didn’t receive SAP while 27 women (42.18%) received SAP. Poor adherence to guidelines recommendations regarding prophylactic antibiotic selection and prophylaxis duration was observed. High utilization rate of prophylactic antibiotics in procedures that didn’t require their use was reported..
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Nadeem, Saba, Shakila Yasmin, Naila Shabbir, Ayesha Javed, Shaheera Hussain, and Sara Reza. "Comparison of the Frequency of Wound Infection between Sub-cuticular Stitches Versus Interrupted Mattress Sutures after Cesarean Section." Pakistan Journal of Medical and Health Sciences 16, no. 2 (February 26, 2022): 619–22. http://dx.doi.org/10.53350/pjmhs22162619.

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Objectives: To compare the frequency of wound infection between subcuticular stitches versus interrupted mattress sutures after cesarean section. Setting: Obstetrics & Gynecology Department, Bahawal Victoria Hospital, Bahawalpur. Study duration: 21st July 2019 to 20th December 2020 Study design: Randomized controlled Clinical trial Materials & Methods: In this clinical trial study, A sum-total of 60 women, 18-40 yrs of age, scheduled for planned elective cesarean section through Pfannenstiel incision were enrolled. In Group I women, subcuticular sutures were placed while in group II women, interrupted mattress sutures were placed. All women were discharged on tablet Augmentin 1gram x twice a day for 7 days at which wound infection was noted. Results: The mean age of women in group I was 27.60 ± 5.16 years and was 27.40 ± 3.99 years in group II. My study has shown the wound infection in group I (sub-cuticular stitches) as 01 (3.33%) and in group II (interrupted mattress sutures) as 08 (26.67%) respectively with p-value of 0.011. Conclusion: The inference from my study shows that the wound infection after cesarean section is less after sub cuticular stitches as compared to interrupted mattress sutures. Keywords: cesarean section, sub cuticular stitches, wound infectio
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KHAN, BUSHA, NUZHAT RASHEED, and BUSHRA MUKHTAR. "PRE-LABOUR RUPTURE OF MEMBRANES AT TERM;." Professional Medical Journal 20, no. 05 (October 15, 2013): 731–35. http://dx.doi.org/10.29309/tpmj/2013.20.05.1216.

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Objective: To compare maternal and perinatal outcome in cases of PROM at term, following induction with vaginalmisoprostol (PGE1) to shorten the duration of labour with those managed expectantly. Design: Quasi Experimental study. Setting: Thestudy was carried out in department of obstetrics and gynecology labour room unit-1, Bahawal Victoria Hospital, Bahawalpur.Population: Term pregnancies (37-42 wks) with PROM and cephalic alive fetuses. Methods: Sixty patients with confirmed diagnosis ofPROM were randomized into two groups i.e, A&B. Group A comprising 30 patients were induced with tab. Misoprostol 25 ug at 6 hrlyinterval max of four doses and group B was managed expectantly for 24 hrs followed by induction with intravenous oxytocin. OutcomeMeasures: Total duration of labour, mode of delivery, maternal infection rates and, APGAR score at 1 and 5 min. Results: It was found thatboth groups had similar characteristics, but the misoprostol group had a significantly shorter time interval from PROM to delivery (18.9 vs27.5 hours) i.e total duration of labour. Caesarean section rates were 20% in the misoprostol group and 30.7% in the other. There were nodifferences between them regarding fetal well being, complications during labour and delivery and neonatal or postpartum maternalmorbidity. Within 24 hours, 44% of women had delivered in the expectant group against 73.3% in the misoprostol group. Conclusion:Immediate labour induction with misoprostol in cases of term PROM shortens the total duration of labour, and the time of maternalhospitalization without any maternal and perinatal outcomes disadvantages.
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Dissertations / Theses on the topic "Hospitals, Gynecologic and obstetric Victoria"

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Lee, Lap-chi Angela. "Perinatal care centre." Hong Kong : University of Hong Kong, 1996. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25948192.

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Thesis (M. Arch.)--University of Hong Kong, 1996.
Includes special report study entitled: Management on materials handling systems : improvement on the operatio & services of an independent perinatal care centre. Includes bibliographical references.
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Lee, Lap-chi Angela, and 李立芝. "Perinatal care centre." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1996. http://hub.hku.hk/bib/B31982943.

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Boyce, Rosalie A. "Resource acquisition and resistance to change at National Hospital for Mothers and Babies : a case study into the implications of medical dominance." Thesis, Queensland University of Technology, 1989. https://eprints.qut.edu.au/36382/1/36382_Boyce_1989.pdf.

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This research project is an expost case study analysis of the failed attempt of a small allied health professional department (dietitians) in a large public hospital to achieve a substantial increase in resources. The research utilizes a qualitative case study approach in which the researcher was an active and leading participant in the case events. The case study research methodology is critically reviewed and justified in terms of its applicability, objectivity and limitations. The case study investigates a five year (1983 - 1988) period at the National Hospital for Mothers and Babies (NHMB) . A detailed description of the case setting, the planning and change processes used by the dietitians, and the response of NHMB management are presented. This material provides the empirical data for analysis. An interdisciplinary approach from theoretical paradigms such as sociology, economics and organisational psychology are utilized in order to provide a complementary analysis. The NHMB case study is a single case with embedded units of analysis. The units selected for examination are presented in the form of an analysis of critical issues influencing the outcome of the resource acquisition process. From an analytical perspective the research concentrates on the implications of substantial resource acquisition goals in an emerging profession (dietitians) under the direct control of a dominant profession (medicine) in the hospital setting. A set of complementary hypotheses are developed and assessed in terms of their ability to adequately explain the case events from a theoretical perspective. The first hypothesis proposes that theories of medical dominance are able to explain case events on an organisational scale. The remaining hypotheses are located at the microanalytical level. The second hypothesis postulates that the actions of the dietitians to commence an aggressive campaign for additional resources can be explained as an adaptive behaviour in an environment of conflicting expectations. The third hypothesis contends that the dietitian's failure to achieve the desired resource objectives is able to be explained by assessing the levels of power able to be exercised by the dietitians relative to other actors in the case. The review of relevant literature and subsequent analysis of significant issues impacting on the outcome of the resource acquisition objectives suggests support for the hypotheses.
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Books on the topic "Hospitals, Gynecologic and obstetric Victoria"

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Standards for obstetric-gynecologic services. 7th ed. Washington, DC: American College of Obstetricians and Gynecologists, 1989.

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American College of Obstetricians and Gynecologists. Standards for obstetric-gynecologic hospital services., ed. Standards for obstetric-gynecologic services. 6th ed. Washington, DC: American College of Obstetricians and Gynecologists, 1985.

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O'Brolchain, Aisling. A report on the cost of having a baby in The Coombe Women's hospital. Dublin: University College Dublin, Centre for Health Economics, 1995.

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Tupper, W. R. C. History of the Department of Obstetrics and Gynaecology, Dalhousie University. [Halifax, Nova Scotia: Dept. of Obstetrics and Gynaecology, Dalhousie University, 1996.

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American College of Obstetricians and Gynecologists. Standards for Obstetric-Gynecologic Services. 7th ed. American College of Obstetricians & Gynecolog, 1996.

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(Hospital), Montreal Maternity, ed. Acts of incorporation and by-laws of the Montreal Maternity. Montreal: Witness Press, 1995.

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Midwifery: The integration of midwifery services into hospitals. Toronto: Ontario Hospital Association, 1994.

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Statistics of the University Lying-in Hospital, Montreal. [Montréal?: s.n.], 1994.

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