JBUMDC

Fetomaternal Outcome and its Associated Factors in Patients with Decreased Fetal Movements

Tue, 01 Jul 2025 00:00:00 GMT

Fetomaternal Outcome and its Associated Factors in Patients with Decreased Fetal Movements Maimoona Qadir Objective: To determine the fetomaternal outcome of antenatal patients with reduced fetal movements and its association with different maternal parameters. Study Design And Setting: Prospective case control study Gynae Department of Khyber Teaching Hospital, Peshawar. Methodology: This study was conducted from 1st February 2022 to 31st July 2022.80 antenatal women at >34 weeks, reporting less fetal movements were included. Exclusion criteria was multiple pregnancies, refused consent, IUFD, congenital malformations, and <34 weeks gestation. Sampling technique was consecutive non probability sampling. After detailed history and examination, 20-minute non-stress test, Color Doppler and Ultrasonography (AFI)was assessed and recorded. NICU admission, perinatal morbidity, meconium stained liquor and APGAR score < 7 were recorded. Control group of 80 pregnant women, not reporting any reduction in fetal movements, at similar gestation, delivering within 48 hours of admission, was constituted. Descriptive statistics and Chi-square test were applied. Results: 58 (73%) patients were 21-30 years old.63 (79%) were primiparous.57 (72%) were at term pregnancy. AFI was < 5 cm in 19(23.7%),15 had spontaneous labor, whereas 56 (67%) were induced. 54 (67%) had NVD, 9 (11.5%)instrumental delivery, and 17 (20%) Caesaraen section.16 (20%) with an AFI < 5 cm had NVD. Mean birth weight was 2.67+0.46 kg.68 had > 7 and 12 had < 7 APGAR, no perinatal mortality among the 14(20%) newborns admitted to NICU. Conclusion: Reduced fetal movenets are reliable method of assessing fetal well being. Primigravidae and term pregnancy are risk factors for RFM. Modalities like non-stress testing, ultrasound, and color Doppler studies are useful in diagnosis.

Making Oral Pathology Clinically Relevant: A Call to Action for Pakistan’s Healthcare System

Tue, 01 Jul 2025 00:00:00 GMT

Making Oral Pathology Clinically Relevant: A Call to Action for Pakistan’s Healthcare System Sadiq, Muhammad Shahrukh Khan; Daud Mirza; Shahid Ali Khan

Hidden Hearing Loss - Revisiting the Limits of Audiometric Diagnosis

Tue, 01 Jul 2025 00:00:00 GMT

Hidden Hearing Loss - Revisiting the Limits of Audiometric Diagnosis Iqbal Hussain Udaipurwala

Comparison of Extracorporeal Shock Wave Lithotripsy (ESWL) With and Without DJ Stenting in Proximal Ureteric and Renal Pelvis Stones

Tue, 01 Jul 2025 00:00:00 GMT

Comparison of Extracorporeal Shock Wave Lithotripsy (ESWL) With and Without DJ Stenting in Proximal Ureteric and Renal Pelvis Stones Anum Ansari; Naresh Kumar Valecha; Arif Ali; Ayesha Khan; Abdul Mujeeb; Hassan Siddiqui Introduction: Urolithiasis requires effective management. ESWL is common for proximal ureteric and renal pelvis stones, but the role of routine DJ stenting is debated. This study evaluates its impact on stone clearance for 1.5–2 cm stones. Study Design and Setting: A prospective comparative cohort study was conducted over a six-month period from September 2024 to February 2025. Methodology:A total of 70 patients with renal pelvis or proximal ureteric stones (1.5–2.0 cm, =1000 HU) were enrolled through non-probability consecutive sampling and divided into two equal groups: Group A (ESWL without DJ stent) and Group B (ESWL with DJ stent) by simple randomization through lottery technique. Patients underwent up to five ESWL sessions using the Dornier Sigma Plus 2 lithotripter. Treatment success was defined as complete stone clearance confirmed by X-ray KUB and ultrasound one month after the final session. Data were analyzed using SPSS version 26, Chi square tests were applied, with significance set at p = 0.05 Results:Stone clearance was achieved in 29 (82.9%) patients in the DJ stent group and 27 (77.1%) in the non-stented group. Statistical analysis revealed no significant difference between the groups (p = 0.550). Subgroup analysis by stone size, density, and Body Mass Index (BMI) showed no clear correlation with treatment success. Conclusion: The findings indicate that routine DJ stenting does not notably improve stone clearance in ESWL for 1.5–2 cm proximal ureteric and renal pelvis stones. A selective, risk-based stenting approach is advised, particularly in resource constrained settings.