Rabeea Rehman

Publications of Rabeea Rehman

• Quintuplets born to a woman without fertility treatment in Pakistan.

  Authors: Mahrukh Fatima, Pashtoon Murtaza Kasi, Rabeea Rehman, Shahnaz Naseer Baloch

  Fertility and sterility. 10/2008;

  OBJECTIVE: To report a case of quintuplets born to a woman without fertility treatment along with a discussion on the incidence and management of related cases. DESIGN: Case report. SETTING: BolanOBJECTIVE: To report a case of quintuplets born to a woman without fertility treatment along with a discussion on the incidence and management of related cases. DESIGN: Case report. SETTING: Bolan Medical College, Quetta, Pakistan. PATIENT(S): The quintuplets and their mother. INTERVENTION(S): Perinatal care. MAIN OUTCOME MEASURE(S): Perinatal morbidity and mortality in multiple gestation. RESULTS AND CONCLUSIONS: Quintuplets are a rare occurrence. This is even rarer if they are born to a woman without fertility treatment. The survival of the infants is even rarer. We here report a case of a woman who presented in her third trimester of gestation and gave birth to five babies through normal delivery; all of them are alive and doing well along with the mother of the babies. The learning points and issues for discussion in this case are fourfold. We present, first, an account of surviving quintuplets and their occurrence; second, the medical issues involved in the management and care of such cases; third, the psychologic and social consequences involved in these scenarios; and, finally, the plight and difficulties faced by a woman from a poor socioeconomic background along with the dilemma faced by a practicing clinician in a developing country.

• Marring leishmaniasis: the stigmatization and the impact of cutaneous leishmaniasis in pakistan and afghanistan.

  Authors: Masoom Kassi, Mahwash Kassi, Abaseen Khan Afghan, Rabeea Rehman, Pashtoon Murtaza Kasi

  PLoS neglected tropical diseases. 02/2008; 2(10):e259.

• Awareness and use of Benzodiazepines in healthy volunteers and ambulatory patients visiting a tertiary care hospital: a cross sectional survey.

  Authors: Mustafa Raoof, Haq Nawaz, Rabeeya Nusrat, Aqueel Hussain Pabaney, Ali Raza Randhawa, Rabeea Rehman, Nida Butool Rizvi, Haider Naqvi

  PLoS ONE. 01/2008; 3(3):e1804.

  BACKGROUND: Indiscriminate prescription of Benzodiazepines in Pakistan and subsequent availability over-the-counter without prescription is a major public health problem, requiring systematic inquiryBACKGROUND: Indiscriminate prescription of Benzodiazepines in Pakistan and subsequent availability over-the-counter without prescription is a major public health problem, requiring systematic inquiry through research. Additionally, there is limited data on the awareness and use of Benzodiazepines from developing countries making it impossible to devise meaningful health policies. METHODOLOGY/PRINCIPAL FINDINGS: This was an Observational, Cross-Sectional study. conducted at Aga Khan University. A total of 475 (58.5% males, 41.5% females) people visiting a tertiary care hospital were interviewed by means of a structured questionnaire. The results showed that majority of population was aware of one or more Benzodiazepines (80.4%) and 30.4% had used them at some point in life. 42.4% of the users had been using it for more than a year. Commonest reason for use was sleep disturbance. Frequency of usage was higher for females, married individuals, educated (>Grade12), high socioeconomic status and housewives. More (59%) were prescribed than not and of them most by GP (58.5%). Only 36.5% of them were particularly told about the long-term addiction potential by the use of these drugs. CONCLUSION: Easy availability, access to re-fills without prescription and self prescription compounded with the lack of understanding of abuse potential of benzodiazepines constitutes a significant problem demanding serious consideration from health policy makers.

• Factors influencing medical student participation in an obstetrics and gynaecology clinic.

  Authors: Ferha Saeed, Mahwash Kassi, Samia Ayub, Rabeea Rehman, Pashtoon M Kasi, Javed H Rizvi

  JPMA. The Journal of the Pakistan Medical Association. 10/2007; 57(10):495-8.

  OBJECTIVE: To identify factors influencing medical student participation in an obstetrics and gynaecology (OBGYN) setting. METHODS: This was a cross sectional study carried out on patients admittedOBJECTIVE: To identify factors influencing medical student participation in an obstetrics and gynaecology (OBGYN) setting. METHODS: This was a cross sectional study carried out on patients admitted in OBGYN wards of Aga Khan University Hospital, Karachi, Pakistan. A total of 250 patients consented to participate in this study. RESULTS: Eighty three percent of the people responded 'yes' to the question of being initially seen by a medical student. People who consented were 3.5 times more likely to know that their primary consultant was a teacher at a medical school i.e. they were initially aware that they were in a teaching hospital (p-value < 0.01). Additionally, people who did consent were 3.5 times more likely to have been admitted because of labour/delivery (p-value < 0.001) and 2.7 times more likely to have a monthly income of more than Rs. 20,000 (p-value < 0.05). CONCLUSIONS: A number of factors have been identified in our study along with proposed solutions. Identification of these potentially modifiable factors in the medical student-patient interaction is important to improve the involvement of medical students in the care of the patients.

• Quintuplets born to a woman without fertility treatment in Pakistan

  Authors: Mahrukh Fatima, Pashtoon Murtaza Kasi, Rabeea Rehman, Shahnaz Naseer Baloch

  Fertility and Sterility.

  ObjectiveTo report a case of quintuplets born to a woman without fertility treatment along with a discussion on the incidence and management of related cases.DesignCase report.SettingBolan MedicalObjectiveTo report a case of quintuplets born to a woman without fertility treatment along with a discussion on the incidence and management of related cases.DesignCase report.SettingBolan Medical College, Quetta, Pakistan.Patient(s)The quintuplets and their mother.Intervention(s)Perinatal care.Main Outcome Measure(s)Perinatal morbidity and mortality in multiple gestation.Results and ConclusionsQuintuplets are a rare occurrence. This is even rarer if they are born to a woman without fertility treatment. The survival of the infants is even rarer. We here report a case of a woman who presented in her third trimester of gestation and gave birth to five babies through normal delivery; all of them are alive and doing well along with the mother of the babies. The learning points and issues for discussion in this case are fourfold. We present, first, an account of surviving quintuplets and their occurrence; second, the medical issues involved in the management and care of such cases; third, the psychologic and social consequences involved in these scenarios; and, finally, the plight and difficulties faced by a woman from a poor socioeconomic background along with the dilemma faced by a practicing clinician in a developing country.