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TUBAL ECTOPIC PREGNACY  AT  SIXTEEN                  CHAKRAVARTY, G.K.  (Dept. of Gynae &
             WEEK -A  CASE REPORT. Bang. Med. J.,  2007,          Obstetrics, Sadar Hospital,  Barisal); Das, S.
             36 (1), 26-27.                                       Neurosurgery  (Dept., Sher-e-Bangla Medical
                                                                  College Hospital, Barisal).  SONOGRAPHIC
             Second trimester tubal pregnancy  is  infrequent     EVALUATION OF AMNIOTIC BAND
             diagnosis  as  these pregnancies often present with   LEADING TO AGENESIS OF CRANIAL
             symptoms during first trimester.
                                                                  BONES (AMNIOTIC BAND SYNDROME):
             A 30 years old female (gravida 4. para-3) a house    A CASE REPORT.  Bang.Med. J.,  2007,  36
             wife of lower socio-economic status  admitted  in    (1), 24-25.
             BSMMU on 04.01.06 with amenorrhoea for  4
             months,  features of shock, abdominal distension,    Amniotic bands are the fibrous strands of amnion
             and slight per-vaginal bleeding. On  bimunaal        that  develop in utero which may entangle foetal
             examination all vaginal fomices  were  full  and     parts to cause amputations or malformations of the
             tender. Emergency laparotomy was done. Pre-          Hoetus.Various     congenital    malformation
             operative findings were abdominal cavity was         syndromes  are supposed to be caused by
             filled with blood clot and fresh blood. Right-sided   compression of the foetus by  'amniotic  bands"
             ampullary  region of fallopian tube was ruptured     which results in developmental abnormalities  or
             abouty  a  sixteen weeks gestational size foetus,    foetal death. Although the extremities are most
             placenta with cord found in  abdominal  cavity       commonly involved, about a third  of  affected
             floating in blood left fallopian  tube  ovaries  and   children have craniofacial  anomalies  including
             uterus were normal.                                  facial  clefting,  asymmetric  encephaloceles,
             Right-sided  solpingeetomy and left sided tubal      anencephaly,      holoprocencephaly,      and
             legation was done and abdomen was closed after       hydrocephalus. A pregnant woman  was  referred
             proper hemostats.                                    for the evaluation of pregnancy and  on
                                                                  ultrasonogram a post mature live foetus was found
             310 ANAM,        R.L.   (School  of   Business,      with cephalic presentation &  almost  adequate
             University of Liberal Arts, House-56,  Road-4/A,     liquor. The foetal head was relatively smaller and
             Dhanmondi,   Dhaka).   INADEQUACIES      AND         almost  globular in shape with disorganized brain
             VARIATIONS       OF    MATERNITY       LEAVE         matter. Cranial bones were absent and only a thin
             POLICIES     THROUGHOUT       THE    WORLD:          membrane was detected covering the brain matter.
             SPECIAL  FOCUS ON BANGLADESH.  BRAC                  There were multiple amniotic bands  around  the
             Univ. J.,  2008, V (1),  91-96.                      feotal head and neck. No other  congenital
                                                                  anomalies could be detected in the ultrasonogram.
             There has been a dramatic increase  in  the          Plain X-Ray abdomen showed  absence  of  cranial
             representation of women in  the  workforce  in       bones  and  her  alpha fetoprotein level was within
             Bangladesh and throughout the world.  However,       normal range. Ultimately the foetus was delivered
             women face major hurdles in most parts of the world   pervaginally and only meninges were  found
             in their advancement in organizations as  maternity   covering the brain matter, no other craniofacial or
             leave  and  other  benefits  such as on site creche or   limb abnormality was revealed. The foetus diad 24
             flextime are still not provided  as  per  requirements.   hrs after delivery.
             Thus  women  are falling behind in their careers
             throughout the world. There arc also wide disparities   312 HABIB, S.A.J.  ( Dept. of Obs & Gyn.,
             in the benefits women get legally in different parts of   Dhaka  Medical College & Hospital,  Dhaka).
             the world. This review paper seeks to  collect  the   A FIVE YEARS CLINICAL  EXPERIENCE  -
             answers  to many questions  about maternity leave    IN THE MANAGEMENT  OF  GESTATIONAL
             heretofore largely un-addressed.                     TROPHOBLASTIC TUMOUR.  Bang. Med. J.,
                                                                  2007,  36 (1),  16-19.
             311 BISWAS,  S.K.  (Center for Nuclear               An analysis of a 5-Years clinical experience in the
             Medicine      &       Ultrasound,     Barisal);      management of gestational  trophoblastic  tumours
                                                                  in a tertiary care hospital.



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