Statistics

Of
March 2024
Dr.Smita Muhury
Medical Officer
UNIT‐IV
Department of Obstetrics and Gynaecology
Chattagram Medical College Hospital
 Total Admission
06.3. 13.3. 20.3. 27.3. 29.3. % of Total
Total
24 24 24 24 24 Admission

Total admission 61 77 73 79 70 360

Total Gynae.Patients 15 16 15 22 19 87 24%

Total Obs . Patients 46 61 58 57 51 273 75.8%

Absconded 1 01 2 1 3 8 2.2%
Transferred to other
02 0 1 1 0 4 1.1%
dpt.
DORB 0 0 3 2 5 1.3%
Conservative
06 4 8 11 10 39 10.8%
management
 Total Obs Patient
% of
06.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total obs
Patient
Total Obs
46 61 58 57 51 273
Patient
Antenatal 39 56 56 52 48 251 91.9%

Primi 14 20 19 15 16 84 30.7%

Multi 25 36 37 37 32 167 61%

Postnatal 7 5 2 5 3 22 8%

*
 Total Deliveries

06.3.2 13.3 20.3.2 27.3. 29.3. % of total

4 .24 4 24 24
Total
deliveries

TOTAL 33 41 46 42 38 199

Vaginal Deliveries 13 12 18 25 12 70 35.1%

Operative Deliveries 20 29 28 26 26 129 64.8%

4
 VAGINAL DELIVERIES =
06.3.2 13.3.2 20.3.2 27.3.2 29.3.2
4 4 4 4 4 Total

Vertex 13 12 18 15 11 69

Breech 1 1
 VBAC

06.3.2 13.3.2 20.3.2 27.3.2 29.3.2

4 4 4 4 4 Total

TOTAL 1 1 2

Vertex 1 1 2

Breech
 AMTSL

06.3.2 13.3.2 20.3.2 27.3.2 29.3.2

4 4 4 4 4 Total

Done 33 40 46 41 38 198

Not done 1 1
 Obstetric operations
06.3.2 13.3.2 20.3.2 27.3.2 29.3.2
4 4 4 4 4 Total

Total 21 29 28 27 30 135

Caesarean section 19 28 28 26 26 127

Ventouse deliveries

Forceps deliveries

8
 Obstetric Operations cont..
06.3. 13.3. 20.3. 27.3. 29.3.
Operations 24 24 24 24 24
Total
1(2
Peripartum Hysterectomy PPH 1
)

01 (
1(2
Repair of Ruptured Uterus P/H/O
PPH)
2
1 c/s)

Hysterotomy 1 1
 Obstetric Operations cont..
06.3.2 13.3.2 20.3.2 27.3. 29.3.
Operations Total
4 4 4 24 24
Laparotomy
Exploration of broad ligament
hematoma
Repair of scar dehiscence
Manual Removal of Placenta 2 2
Exploration of genital tract 1 1
Repair of perineal tear
Repair of vaginal tear
Exploration of vulval haematoma 1 1
 Peripartum Hysterectomy

Cause 06.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total

Total 1

Ruptured uterus

PPH 1

PAS Disorder

11
 Maternal Death
06.3.2 13.3.2 20.3.2 27.3.2 29.3.2
4 4 4 4 4
Total

Total 0
 UNIT III

Cases Cause of death

Case 1

Case 2

Case 3
 UNIT‐I V

Cases Cause of death

Case 1
 Perinatal Outcome

06.3. 13.3. 20.3. 27.3. 29.3. % of total

24 24 24 24 24
Total
babies

Total baby Delivered 35 42 48 41 42 208

Alive 32 38 47 35 37 189 90.8%

Dead 3 4 1 6 5 19 9.1%

15
 Total Perinatal Death
06.3. 13.3.2 20.3.2 27.3.2 29.3.2
24 4 4 4 4
Total

Total 3 4 1 6 5 19

Still birth 1 1 2

IUD 2 2 1 6 4 15

Neonatal
1 1 2
death

16
 Still Birth
6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total
Total 2
Obstructed labour 1 1
Eclampsia
Severe pre eclampsia
Fetal anomaly
Hydrocephalus
Meningocele
Cord prolapse
Hand prolapse
APH
Ruptured uterus 1 1
Foetal distress
 Early neonatal death
06.3.2 13.3.2 20.3. 27.3.2 29.3.
4 4 24 4 24
Total
Total 1 1 2

Birth asphyxia 1 1
Prematurity

VLBW 1 1

Fetal malformation

Anencephaly
Aplasia cutis
Hydrocephalus
 Referred to NICU (Cause)
06.3. 13.3.2 20.3.2 27.3.2 29.3.2
24 4 4 4 4
Total
Total 11 10 12 8 14 55
Birth asphyxia 4 5 5 3 5 22
LBW 2 2 4 2 6 16
Preterm 5 3 3 3 3 17
Cong.anomaly
Baby of HBsAg(+) mother
Infant of diabetic
mother/Macrosomia
IUGR
Neonatal jaundice

19
 Referred to NICU

06.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total

Total 11 10 12 8 14 55

Improved 10 9 12 8 14 53

Died 1 1 2
 Obs. Cases Admitted
6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total
Term Preg (37‐42 WKS) with LP 18 20 32 17 32 119

P/H/O LSCS 6 13 10 16 11 56
Hypertensive Disorder 9 4 9 4 6 32
Preeclampsia 6 4 8 1 3 22
Mild 2 2 4
Severe 4 8 1 3 16
Eclampsia 1 1 2
Antepartum 1 1 2
Intrapartum
Postpartum
Gestational HTN 2 2 1 3 2 10
Chronic HTN
 Obs Cases Admitted Cont..
13.3. 20.3.2 27.3. 29.3.
6.3.24 Total
24 4 24 24

Prolong pregnancy 9 1 5 4 10 29

Post dated 9 1 5 3 7 25

Post term 1 3 4

22
 Obs. Cases Admitted Cont..
13.3.2 20.3. 27.3.2 29.3.2
6.3.24 Total
4 24 4 4
Malpresentation 1 3 0 1 3 8
Breech Presentation 1 2 1 3 7
C/S 1 2 1 2 6
Assisted breech delivery 1

Spontaneous breech delivery

Face Presentation
Transverse lie
Shoulder presentation
Hand prolapse
Compound presentation
Cord Prolapse 1 1

23
 Obs. Cases Admitted Cont..
6.3.2 13.3. 20.3. 27.3. 29.3.
Total
4 24 24 24 24
Fetal Distress 4 6 1 3 5 19
Prolonged labour 2 7 5 2 2 18
•Prolonged 1st stage 2 7 5 2 2 18
•Prolonged 2nd stage
IUD 2 2 1 6 4 15
PROM 6 2 1 5 4 18
Term 4 2 1 4 2 13
Preterm 2 1 2 5
APH 1 3 2 2 2 10
Placenta praevia 1 1 2 2 2 8
Abruptio Placenta 2 2
24
 Obs. Cases Admitted Cont..

6.3.2 13.3.2 20.3. 27.3. 29.3.2

Total
4 4 24 24 4
Preterm labour 2 2 4 4 1 13
Obstructed labour 2 3 1 1 7
Rh (‐ ve ) mother 2 1 1 1 2 7
CPD 2 2
Ruptured uterus 1 1

IUGR 1 3 4
Chorioamnionitis 1 1 2

25
 Obs case Admitted cont..
13.3.2 20.3.2 27.3.2 29.3.2
6.3.24 Total
4 4 4 4
Pregnancy with medical disorder 2 6 3 4 4 19
Diabetes in pregnancy 4 1 3 3 11
GDM 4 1 3 8
DM 3 3
Heart Disease
Bronchial asthma
Liver disease/HbsAg +ve 1 1
UTI
 HIV
 Thyroid disorder 2 1 3
Hyperthyroidism
Hypothyroidism 2 1 3
Thalassemia
 SLE 19
 Obs case Admitted cont…

20.3.2 27.3.2 29.3.

6.3.24 13.3.24 Total
4 4 24
Anaemia 2 1 3

AWD

Stroke
Multiple pregnancy 2 1 3 6
Twin 2 1 2 5
Triplet 1 1
 Obs. Cases Admitted Cont..
6.3.24 13.3.24 20.3.24 27.3.2429.3.24 Total
Pregnancy with BOH 1 1

Pg with false labour pain

Pg with H/O prolonged infertility

 Hydrops fetalis

Congenital malformations 1 1 2

• Anencephaly 1 1 2
• Hydrocephalus

• Club foot

• Meningocele

28
 Obs. Cases Admitted Cont..

6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 TOTAL

 Pregnancy with Gynae

1 1 2
disorder
Fibroid uterus 1 1 2
Ovarian tumour
Cervical incompetence
Vulval Hematoma
Ca cervix
 Obs. Cases Admitted Cont..

6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 TOTAL

Pg with surgical disorder

 Appendicitis
 Obs. Cases Admitted Cont..

6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 TOTAL

 Oligohydramnios 2 1 3 2 8

 Polyhydramnios 1 1

 Hyperemesis
1 1 1 1 4
Gravidarum

Pregnancy with
1 1
physical assault
 Post Natal Patient
6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total
Total 7 5 2 5 3 22
PPH ( Outside ) 1 2 1 4
Primary PPH 1 1 2
VD 1 1 2
LSCS
Secondary PPH 1 1 2
VD
LSCS 1 1 2
Retained placenta 1 2 3
Postpartum eclamsia

Postpartum HTN
1 1 2
Puerperal sepsis

Puerperal pyrexia
32
 Post natal patient cont ….
6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total
Wound infection following
3
LSCS
Episiotomy Wound infection 1
2⁰perineal tear
Vaginal tear
Admitted for baby 2 3 1 2 8
Acute confusional state
following peripartum
hysterectomy
 Primary PPH (Outside)
13.3.2 20.3.2 27.3.2 29.3.2
6.3.24
4 4 4 4 Total
Total 1 1 2
Following VD 1 1 2
Medical Management 1 1 2
Intrauterine tamponade
Surgical
Following LSCS
Medical Management
Intrauterine tamponade
Surgical
 Secondary PPH (Outside)
6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total
Total 1 1 2
Following VD
Medical Management
Intrauterine tamponade
Surgical
Following LSCS 1 1 2
Medical Management
Intrauterine tamponade
Surgical 1 1 2
 PPH (Inside)
13.3.2 20.3.2 27.3.2 29.3.2
6.3.24
4 4 4 4 Total
Total 4
Following VD 1 1
Medical Management 1 1
Intrauterine tamponade
Peripartum hysterectomy
Following LSCS 1 2 3
Medical Management 1 2 3
Intrauterine tamponade
Peripartum hysterectomy
 Caesarean Section

6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total

Caesarean section 19 28 28 26 26 127

Elective 5 11 8 10 8 42

Emergency 14 17 20 16 18 85

37
 Indications of Caesarean Section
13.3.2 20.3.2 27.3.2 29.3.
Indication 6.3.24
4 4 4 24 Total
Hypertensive disorder of pregnancy 4 5 1 5 15
PE with Severe
4 5 1 4 14
features
Eclampsia 1 1
Previous C/S 5 11 8 14 8 45
1 LSCS 5 10 7 10 5 37

 2 LSCS 1 1 4 3 9

3 LSCS

38
 Indication of Caesarean Section
Cont..
Indication 6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total

Malpresentation 1 1 2 4
Breech 1 1 2 4
Shoulder presentation
Face
Compound
Cord presentation
Cord prolapse
Hand prolapse
Oblique lie

39
 Indications of Caesarean Section Cont..
Indication 6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total

Fetal distress in 1st stage 4 5 5 2 3 19

Chorioamnionitis 1 1
APH 1 1 2
•Placenta praevia 1 1 2
•Abruptio placenta
IUGR 3 3
 CPD 3 3
 Prolonged 1st stage 2 7 5 2 2 18
 Obstructed labour 2 3 1 1 7
 Post term pregnancy 1 2 3 40
 Indication of Caesarean Section Cont..
13.3.2 20.3.2 27.3.2 29.3.2
Indication 6.3.24
4 4 4 4
Total

Multiple pregnancy 1 2 3
Severe oligohydramnions
Unfavorable cervix
H/O Prolong subfertility
BOH
Medical disorder
DM

Heart disease

 Failed medical induction

41
Ten group classification system
(TGCS)
 Unit VI (Total women delivered , Total no of CS )

Group Number of Number of Group size Group CS Absolute group

LSCS in women in (%) rate contribution to overall CS
group group (%) rate (%)

1. Nulliparous single cephalic 37wks or more

spontaneous labour
2. Nulliparous single cephalic 37 wks or more induced
or CS before labour

3. Multipara (exclude previous caesarean sections)

single cephalic 37wks or more spontaneous labour

4. . Multipara (exclude previous caesarean sections)

single cephalic 37wks or more induced or CS before
labour.

5.Previous caesarean section single cephalic 37weeks

or more
6. All nulliparous breech
7.All multiparous breeches (inlcuding previous
caesarean section)
8. All multiple pregnancies (previous caesarean section
)
9. All abnormal lie (including previous caesarean
section)
10.All single cephalic ,< 37 wks (including previous
caesarean section)
Total
 Ventouse Delivery
6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total
Total 0
Eclampsia

Pre eclampsia
with severe
features
Heart Disease
Prolonged 2nd
stage
FD in 2nd
stage
 Forceps Delivery

6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total

Total
nd
Fetal distress in 2
stage of labour
nd
Prolonged 2 stage
Wound infection following C/S

6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total

Total
LSCS inside
LSCS outside
Secondary closure
 Total Gynae Cases
6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total
TOTAL 15 16 15 22 19 87
Abortion 9 9 10 14 16 58
Ectopic pregnancy 2 1 2 1 6
Acute 2 1 2 1 6
Chronic

Unruptured

Trophoblastic Tumor 1 1 1 3
H. Mole 1 1 1 3
PTT Disease
Choriocarcinoma
Invasive mole
Genital Prolapse 1 1 2
47
 Total Gynae Cases

6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total

Ovarian Tumor 1 2 3 6
Benign 1 2 2 5
Malignant 1 1
Fibroid uterus 1 1
Carcinoma of cervix 1 1 2
DUB
Post menopausal bleeding
Puberty menorrhagia 1 1

48
 Total Gynae Cases Cont....
6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total

Infertility
Primary
Secondary
Post coital Injury 6

AUB ‐P
AUB‐A 1 1

AUB‐L 1 1 2

AUB ‐M 1 1 2+1

AUB AUB ‐C
AUB‐O
AUB‐I
AUB‐E
AUB‐N 49
 Total Gynae Cases Cont...
Case 6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total
PID
Acute
Chronic
Myomatous polyp
Bartholin cyst 1 1

Bartholin abscess
Cervical polyp
Missing cupper T 1 1
Complete perineal tear

50
 Total Gynae Cases Cont...

Case 6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total

Endometriosis
Adenomyosis
Vaginal stenosis
Cervical polyp
Genital fistula
VVF
RVF
Twisted ovarian
tumour with fibroid
uterus
 Total Gynae Cases Cont....

6.3.2 13.3. 20.3.2 27.3.2 29.3.2

Case Total
4 24 4 4 4
Primary
Mullerian abnormality
amenorrhoea
Cryptomenorrhoea
Secondary
Asherman syndrome
amenorrhea
Cervical stenosis
Vaginal stenosis
Acute abdomen
Vault prolapse
Pyometra
Wound infection following TAH

52
 Total Gynae Cases Cont...
Case 6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total
Injury to external genitalia
UTI 1 1
Elongated Cx
Labial abscess
Labial cyst
Labial lipoma
Vulval leukoplakia
Internal hemorrhage following
VH

Internal hemorrhage following

TAH
Perforation of uterus following
E&C

53
 Abortion
Type 6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total

TOTAL 9 9 10 14 16 57
Incomplete abortion. 5 7 9 7 9 37

Missed abortion 2 3 1 6
Septic abortion

Threatened abortion 1 2 4 7

Inevitable abortion 1 2 1 4

Blighted ovum 1 1 2

Induced abortion 1 1

54
Gynaecological Oncology(Cancer registry)

• Oarian tumour‐2
• Ca cervix‐2
• Ca vagina‐1
 Total Gynae Operations
Type 6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total

MAJOR OPERATIONS 5 1 2 4 12

Abd. Hysterectomy 2 1 2 6
Fibroid 1 1 2
Adenomyosis
AUB‐L
Pyometra
Endometriosis
Trophoblastic disease
Uterine perforation
Ovarian tumor 1 1 1 3
Interval debulking surgery
Primary debulking surgery
Myomatous polyp 1 1

56
 Total Gynae Operations Cont....
13.3.2 20.3.2 27.3.2 29.3.2
Type 6.3.24
4 4 4 4
Total
Laparotomy 2 1 2 5
Ovarian cystectomy 1 1
Ectopic pregnancy 2 1 3
Salpingo oophorectomy (twisted 1 1
ovarian tumour)
Myomectomy with
salpingoophorectomy
Sepsis
Removal of ovarian fibroma
Internal hemorrhage following
TAH
Internal hemorrhage following VH
57
 Total Gynae Operations Cont...
13.3.2 20.3.2 27.3.2 29.3.2
6.3.24
4 4 4 4
Total

Vaginal Hysterectomy 1 1

VH With Sacrospinious fixation

NDVH

Myomectomy

Amputation of cervix

Repair of external genitalia injury

Repair of VVF

Fothergill operation
58
 Laparoscopic Operation
13.3.2 20.3.2 27.3.2 29.3.2
6.3.24
4 4 4 4
Total
Total
Diagnostic
Infertility
Dye test
Biopsy
Therapeutic
Ovarian Cystectomy
Salphingooprorectomy
LAVH
TLH
 Minor Operations
6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total
Total 7 7 11 11 10 46
Evacuation & Curettage 5 7 5 8 8 33
Dilatation & curettage
MVA 4 3 7
Suction & Evacuation 1 1 1 3
EUA 1 1 1 3
For Ca Cx staging &
biopsy
1 1

VVF

Vaginal stenosis

Vulval leukoplakia

60
 Minor Operations
6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total
Repair of post coital
injury
Repair of ex.genital
injury
Labial cystectomy
Marsupialization
Encirclage operation
Polypectomy
Excision and biopsy of
labial lipoma
Incision drainage of labial
abcess
Incision drainage for
cryptomenorrhea
 Patient transferred to ICU
(Inside)
6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total
Total 2
Antepartum eclampsia
1

Pre eclampsia with severe

feaures
Primary PPH
Secondary PPH 1
Ruptured ectopic
pregnancy
APH
 Patient transferred to ICU
(Outside)
6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total
Total 0

Antepartum eclampsia
Primary PPH
Ruptured uterus
APH
Uterine perforation
Internal haemorrhage
following VH
Contraception

6.3.24 13.3.24 20.3.24 27.3.24 29.3.24 Total

BLTL

Implant

IUCD
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