Keywords : labour


Whether Selective or Routine Episiotomy is More Useful to Protect Anal Sphincter in Primiparous Women

Adulrazak H. Alnakash

Iraqi Postgraduate Medical Journal, 2012, Volume 11, Issue 1, Pages 26-32

ABSTRACT:
BACKGROUND:
Perineal trauma is a common event, affecting up to 90% of first time mothers. It is a cause for
concern for many women and in some countries has led to a large increase in the numbers of
women requesting elective caesarean section.
OBJECTIVE:
To highlight when episiotomy can be useful in preventing anal sphincter injury in primiparous
women.
MATERIALS AND METHODS:
This study is a prospective interventional clinical study conducted at AL-Elwiya Maternity
Teaching Hospital in Baghdad throughout the period between Jan. 2009- Dec. 2009.
Three hundred term primiparous ladies at time of their delivery with cephalic presentation were
collected and subdivided into 3 equal groups randomly.
The first group, women who were subjected to routine mediolateral episiotomy, while the second
group of the participants were delivered without doing episiotomy, and the third group, a
mediolateral episiotomy was done selectively to them when we found it is necessary (selective
episiotomy).
State of the perineum, length of 2nd stage, weight of the baby, fetal head position and the
occurrence of anal sphincter injury were all notified and carefully recorded on special form
designed for the study.
RESULTS:
Selective episiotomy was found to be more useful than routine episiotomy in preventing anal
sphincter injury (the incidence of anal sphincter injury was 2% for those in whom episiotomy was
performed selectively, while it is 8% for those with routine episiotomy and 7% for those delivered
without episiotomy), and the difference is statistically significant (P value 0.045).
There was a significant effect of the length of second stage of labour on the incidence of anal
sphincter injury (P value 0.017), similarly for the weight of baby (P value 0.017).
CONCLUSION:
Selective episiotomy is more useful intervention than routine episiotomy in protecting the anal
sphincter when delivering a primiparous lady.

Whether Selective or Routine Episiotomy is more Useful to Protect Anal Sphincter in Primiparous Women

Abdulrazak H. Alnakash; Shaema Jafar; Yousef Abdul-Raheem

Iraqi Postgraduate Medical Journal, 2011, Volume 10, Issue 4, Pages 519-525

BACKGROUND:
Perineal trauma is a common event, affecting up to 90% of first time mothers. It is a cause for concern
for many women and in some countries has led to a large increase in the numbers of women
requesting elective caesarean section.
OBJECTIVE:
To highlight when episiotomy can be useful in preventing anal sphincter injury in primiparous
women.
MATERIALS AND METHODS:
This study is a prospective interventional clinical study conducted at AL-Elwiya Maternity Teaching
Hospital in Baghdad throughout the period between Jan. 2009- Dec. 2009.
Three hundred term primiparous ladies at time of their delivery with cephalic presentation were
collected and subdivided into 3 equal groups randomly.
The first group, women who were subjected to routine mediolateral episiotomy, while the second
group of the participants were delivered without doing episiotomy, and the third group, a mediolateral
episiotomy was done selectively to them when we found it is necessary (selective episiotomy).
State of the perineum, length of 2nd stage, weight of the baby, fetal head position and the occurrence
of anal sphincter injury were all notified and carefully recorded on special form designed for the
study.
RESULTS:
Selective episiotomy was found to be more useful than routine episiotomy in preventing anal
sphincter injury (the incidence of anal sphincter injury was 2% for those in whom episiotomy was
performed selectively, while it is 8% for those with routine episiotomy and 7% for those delivered
without episiotomy), and the difference is statistically significant (P value 0.045).
There was a significant effect of the length of second stage of labour on the incidence of anal
sphincter injury (P value 0.017), similarly for the weight of baby (P value 0.017).
CONCLUSION:
Selective episiotomy is more useful intervention than routine episiotomy in protecting the anal
sphincter when delivering a primiparous lady.

Correlation of Angiographic Findings and Clinical Presentations in Unstable Angina

Ali Abdulamir Mohammad AL.Mossawi; Kasim Abbas Ismail; Azher Sabih Zubaidy; Adil Siwan Aqabi; Majid Hameed AL Maini; Jawad K. Mnuti; Fadhil A. AL- Abbudi; Amira H. Shubbar; Layth Rafea Taqa; Sawsan Sati; Abbas; Najat Abul; Razak; Noor Mustafa; Razeqa Abd Ali; Nassir Enssief Mohsun; Raji H AL-Hadithi; Suhaila Saadallah; Darya Akram Faqe Mahmood; Ari R. Qader; Kurdo A. Mohmmad; Dawood Salman Hameed Alazzawi; s Central Teaching Hospital in Baghdad; a Descreptive Study; Autism Among Children Attending Pediatric Psychiatric Department in Child; Jaafar Muhamed Hassan; AL- Ghabban; Haider Abdul Muhsin; Huda Adnan Habib; Maysaloun Muhammed Abdulla; Selwa Elias Yacoub; Abdulrazak H. Alnakash; Shaema Jafar; Yousef Abdul-Raheem; Alaa Hussein Ali; Montadhar Hameed Nima; Rasha Abbas Azeez; Jassim Mohammad Alkhazraji; Hussein Mahmood Gazi; Mohammed Shafik Tawfeek; Nabeel Ghazi Hashim; Hayder Hadi Lazim; Maysoon Mohammad Najeeb Mohammad Saleem; Arieg Abdul Wahab Mohammad; Majid Syki Jabir; Kareem Al-Tameemi; Malak A. Al-Yawer; Adel Rabea Alsaadawi; Mohammed S. Saeed; Thukaa T. Yahya; Osama E. Hudder; Issraa A. Hussein

Iraqi Postgraduate Medical Journal, 2011, Volume 10, Issue 4, Pages 449-455

ABSTRACT: BACKGROUND: Unstable angina is usually related to acute thrombosis superimposed on a disrupted plaque. The highest; level of Braunwald classification of unstable angina can be used to assess the severity of clinical presentation. However the highest classes have not been directly correlated with thrombotic and complex lesions. OBJECTIVE: The study was done to clarify the correlation between angiographic findings and the most acute and / or severe clinical presentation in unstable angina. PATIENTS AND METHOD: We conducted a prospective study of 110 patients of unstable angina at Ibn-Albitar Center for Cardiac Surgery. All of these patients underwent cardiac catheterization, culprit lesion was identified in 80 patients and in 30 patients there was no an identifiable culprit lesion .Complex lesions including complex morphology, intracoronary thrombus, or total occlusion were also quantitatively analyzed and Thrombolysis in Myocardial Infarction (TIMI) flow grade was assessed. Patients were classified according to Braunwald classification in instable angina .We compared patients with and those with no culprit lesions in regarding Braunwald classification. We sequentially compared the highest Braunwald classes II, C, 3 with classes

Keywords

braunwald classification
---
unstable angina

Correlation of Angiographic Findings and Clinical Presentations in Unstable Angina

Ali Abdulamir Mohammad AL.Mossawi; Kasim Abbas Ismail; Majid Hameed AL Maini; Adil Siwan Aqabi; Azher Sabih Zubaidy; Jawad K. mnuti; Fadhil A. AL- Abbudi; Amira H. Shubbar; DEFINITION GERD is described as any symptomatic or histopathological alteration resulting from episodes of gastroesophageal reflux; Layth Rafea Taqa; INTRODUCTION; Reflux esophagitis describes the subset of GERD patient with histopathological changes of; Sawsan Sati; Najat Abul; Razak; Noor Mustafa; Razeqa Abd Ali; Suhaila Saadallah; Raji H AL-Hadithi; Darya Akram Faqe Mahmood; Ari R. Qader; Kurdo A. Mohmmad; Dawood Salman Hameed Alazzawi; Entissar Hadi AL- Shimery; Jaafar Muhamed Hassan; AL- Ghabban; Haider Abdul Muhsin; Huda Adnan Habib; Maysaloun Muhammed Abdulla; Selwa Elias Yacoub; Abdulrazak H. Alnakash; Shaema Jafar; Yousef Abdul-Raheem; Alaa Hussein Ali; Montadhar Hameed Nima; Rasha Abbas Azeez; Jassim Mohammad Alkhazraji; Hussein Mahmood Gazi; Mohammed Shafik Tawfeek; Nabeel Ghazi Hashim; Hayder Hadi Lazim; Maysoon Mohammad Najeeb Mohammad Saleem; Arieg Abdul Wahab Mohammad; Majid Syki Jabir; Kareem Al-Tameemi; Malak A. Al-Yawer; Adel Rabea Alsaadawi; ABSTRACT; Issraa A. Hussein; Osama E. Hudder; Thukaa T. Yahya

Iraqi Postgraduate Medical Journal, 2010, Volume 9, Issue 4, Pages 449-455

ABSTRACT:
BACKGROUND:
Unstable angina is usually related to acute thrombosis superimposed on a disrupted plaque. The highest;
level of Braunwald classification of unstable angina can be used to assess the severity of clinical
presentation. However the highest classes have not been directly correlated with thrombotic and complex
lesions.
OBJECTIVE:
The study was done to clarify the correlation between angiographic findings and the most acute and / or
severe clinical presentation in unstable angina.
PATIENTS AND METHOD:
We conducted a prospective study of 110 patients of unstable angina at Ibn-Albitar Center for Cardiac
Surgery. All of these patients underwent cardiac catheterization, culprit lesion was identified in 80
patients and in 30 patients there was no an identifiable culprit lesion .Complex lesions including complex
morphology, intracoronary thrombus, or total occlusion were also quantitatively analyzed and
Thrombolysis in Myocardial Infarction (TIMI) flow grade was assessed. Patients were classified
according to Braunwald classification in instable angina .We compared patients with and those with no
culprit lesions in regarding Braunwald classification. We sequentially compared the highest Braunwald
classes II, C, 3 with classes

Keywords

braunwald classification
---
unstable angina

Whether Selective or Routine Episiotomy is more Useful to Protect Anal Sphincter in Primiparous Women

Abdulrazak H. Alnakash; Shaema Jafar; Yousef Abdul-Raheem

Iraqi Postgraduate Medical Journal, 2010, Volume 9, Issue 4, Pages 519-525

ABSTRACT:
BACKGROUND:
Perineal trauma is a common event, affecting up to 90% of first time mothers. It is a cause for concern
for many women and in some countries has led to a large increase in the numbers of women
requesting elective caesarean section.
OBJECTIVE:
To highlight when episiotomy can be useful in preventing anal sphincter injury in primiparous
women.
MATERIALS AND METHODS:
This study is a prospective interventional clinical study conducted at AL-Elwiya Maternity Teaching
Hospital in Baghdad throughout the period between Jan. 2009- Dec. 2009.
Three hundred term primiparous ladies at time of their delivery with cephalic presentation were
collected and subdivided into 3 equal groups randomly.
The first group, women who were subjected to routine mediolateral episiotomy, while the second
group of the participants were delivered without doing episiotomy, and the third group, a mediolateral
episiotomy was done selectively to them when we found it is necessary (selective episiotomy).
State of the perineum, length of 2nd stage, weight of the baby, fetal head position and the occurrence
of anal sphincter injury were all notified and carefully recorded on special form designed for the
study.
RESULTS:
Selective episiotomy was found to be more useful than routine episiotomy in preventing anal
sphincter injury (the incidence of anal sphincter injury was 2% for those in whom episiotomy was
performed selectively, while it is 8% for those with routine episiotomy and 7% for those delivered
without episiotomy), and the difference is statistically significant (P value 0.045).
There was a significant effect of the length of second stage of labour on the incidence of anal
sphincter injury (P value 0.017), similarly for the weight of baby (P value 0.017).
CONCLUSION:
Selective episiotomy is more useful interv