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 Outcome and Quality of life between Breast Conserving Surgery and Modified Radical Mastectomy for Breast Cancer

Sun, 01 Jun 2025 00:00:00 GMT

Comparison of Outcome and Quality of life between Breast Conserving Surgery and Modified Radical Mastectomy for Breast Cancer Muhammad Zafar Mengal; Uzma Shaheen; Muhammad Muneeb Saqlain Bajwa; Rehan Hameed; Zain Mukhtar Chaudhary; Zafar Ali Chaudhary Objectives: To compare the clinical outcomes, recurrence rates, post-operative complications, and quality of life between patients undergoing BCS and MRM for early-stage breast cancer. Study Design and Setting: This was a prospective cohort study (comparative) conducted at DHQ Teaching hospital Narowal Methodology: This one-year study (January 2023–January 2024) included 93 early-stage breast cancer patients, with 46 undergoing MRM and 47 BCS. Demographics, tumor traits, recurrence rates, complications, and quality-of-life outcomes were analyzed. Statistical tests, including chi-square were performed using SPSS version 20. Results: Complications occurred in 18.1% (17 out of 93) patients in which 7 (14.9%) were from the BCS group, and 10 (21.7%) were from the MRM group. Recurrence rate was 10.9% in MRM group and 4.3% for the BCS group (P<.05). Wound infection was more common in the MRM group (6.5%) compared to the BCS group (4.3%), though this difference was not statistically significant (p = 0.41). Tests of quality of life at the end of a year revealed that BCS patients have far better body image and mental health findings than MRM patients. Conclusion: Although BCS offers higher quality-of- life results, both BCS and MRM are appropriate surgical choices for early-stage breast cancer. These findings make BCS appear like a reasonable choice compared to MRM, More research is advised using larger samples.