Mahrukh Fatima

Publications of Mahrukh Fatima

• Incidence, management, and outcome of molar pregnancies at a tertiary care hospital in quetta, pakistan.

  Authors: Mahrukh Fatima, Pashtoon Murtaza Kasi, Shahnaz Naseer Baloch, Masoom Kassi, Shah Muhammad Marri, Mahwash Kassi

  ISRN obstetrics and gynecology. 01/2011; 2011:925316.

  Molar pregnancies represent a significant burden of disease on the spectrum of gestational trophoblastic diseases. The incidence appears to be higher in women from South Asia. The purpose of ourMolar pregnancies represent a significant burden of disease on the spectrum of gestational trophoblastic diseases. The incidence appears to be higher in women from South Asia. The purpose of our prospective study was to determine the incidence, presentation, and outcomes of all molar pregnancies at our institution. During the study period, there were a total of 16,625 patients admitted to our department; out of whom 85 patients were diagnosed with a molar pregnancy. Vaginal bleeding was the commonest symptom (94.2%); theca lutein cysts were noted in 39% of the cases. Suction, dilatation, and curettage were noted to be the preferred method in almost all cases; hysterectomy was done in 12 (14.1%) patients. Single-agent chemotherapy was employed in high-risk patients and was well tolerated. Mean followup for these patients was 5.7 months (range 1-24 months). None of these patients developed persistent trophoblastic disease, invasive mole, or choriocarcinoma during the follow-up period.

• Experience of emergency peripartum hysterectomies at a tertiary care hospital in quetta, pakistan.

  Authors: Mahrukh Fatima, Pashtoon Murtaza Kasi, Shahnaz Naseer Baloch, Abaseen Khan Afghan

  ISRN obstetrics and gynecology. 01/2011; 2011:854202.

  Emergency peripartum hysterectomy (EPH) is associated with significant morbidity and mortality worldwide. The purpose of our paper was to determine the incidence, morbidity, and mortality of EPH doneEmergency peripartum hysterectomy (EPH) is associated with significant morbidity and mortality worldwide. The purpose of our paper was to determine the incidence, morbidity, and mortality of EPH done at our institution; the largest tertiary care government hospital in the city of Quetta, Pakistan. During the study period there were 12,642 deliveries, out of which 46 women had undergone an EPH, translating into an incidence of ∼4 per 1,000 births. Disturbingly, 82.6% of these patients had received no antenatal care prior to their presentation. There were 4 (8.7%) maternal deaths and 31 (67.4%) perinatal deaths. The commonest indication noted was uterine rupture in 21 (45.7%) cases. Lack of antenatal care is indeed a modifiable factor that needs to be addressed to help reduce maternal and fetal morbidity/mortality not only from emergency hysterectomies but also from all other preventable causes.

• 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.

• 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.