Faridpur Medical College

Department of Gynae & Obstetrics

Dr. Dilruba Zeba

Associate Professor, Department of Gynae & Obstetrics

About Dr. Dilruba Zeba:

Dr. Dilruba Zeba is an Associate Professor in the Department of Gynae & Obstetrics at  Faridpur Medical College.

Short Message to Students:

We should prepare ourselves with knowledge, skill and humanity to serve the people.

Personal Data

Name:

Dr. Dilruba Zeba

Education

Degree Year Institution
MBBS
1993
DGO
1999
BSMMU
MCPS
1999
BCPS
FCPS
2003
BCPS

Publications & Others

Publications:

Role: Principal author

Journal: Faridpur Medical College Journal

Publication date: 2013-11-06

Abstract: Removal of uterine myoma during caesarean section (CS) is not commonly done due to fear of severe haemorrhage which may lead to hysterectomy. Contradicting the previous belief many studies have been showing that myomectomy during caesarean section is a safe procedure without significant increase of risk. The objective of this study is to analyze the safety and clinical outcome of caesarean myomectomy. This is a prospective study carried out in different hospitals of Faridpur district, Bangladesh from 01.01.10 up to 31.12.12. Total 16 (study group) patients had undergone caesarean myomectomy. Operation time, peroperative blood loss, post operative complications and length of hospital staying was compared with that of 32 women (control group) with caesarean section alone. The result shows that peroperative blood loss was average 350±100 ml in study group which is 50 ml more than control group. Operation time was 20 minutes more and length of hospital staying was 1 day more than control group. There was no post partum haemorrhage, no hysterectomy was done at the time of CS and there was no maternal or perinatal mortality. So, caesarean myomectomy is safe and convenient to patient and cost effective without increasing any extra risk.

DOI: http://dx.doi.org/10.3329/fmcj.v8i1.16889

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Role: Principal author

Journal: Faridpur Medical College Journal

Publication date: 2016-11-07

Abstract: Placenta previa is a life threatening pregnancy complication where placenta partially or completely covers the internal cervical os causing serious adverse consequence for both mother and baby. History of cesarean delivery is an important risk factor for placenta previa. Which have a increased chance of cesarean hysterectomy and bladder injury because of an associated accrete syndrome. The objective of this study is to analyze the outcome of placenta previa with history of cesarean section. This is a prospective study done in Faridpur Medical College Hospital, Bangladesh from 01.01.2013 up to 31.12.14. Total 18 (study group) patients had undergone cesarean delivery with placenta previa and history of previous cesarean section. Among 18 patients maternal age range was 25- 40, parity 1-4, emergency hysterectomy was done in 11, average blood transfusion 2-8 and other morbidity like urinary bladder injury was 4. So we decided to conduct the study to evaluate the frequency of the placenta previa and morbidity related to number of previous cesarean deliveries.

DOI: https://doi.org/10.3329/fmcj.v10i2.30270

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Role: Principal author

Journal: Faridpur Medical College Journal

Publication date: 2017-10-09

Abstract: Iron deficiency is the most common nutritional deficiency state of women in childbearing age. Peri-partum iron deficiency anaemia (IDA) is associated with significant maternal, fetal and infant morbidity. An effective management is needed to prevent adverse outcomes. Current options for treatment are limited; these include oral iron supplements, which are usually ineffective and poorly tolerated, and whole blood transfusion, which carries an inherent risk, should be avoided during pregnancy. Intravenous ferric carboxymaltose is a new treatment option and it is better tolerated with a good result. The study was designed to assess the safety and efficacy of intravenous ferric carboxymaltose for correction of IDA in pregnant women in third trimester. It was a prospective study; 260 anaemic pregnant women received Injection ferric carboxymaltose, as a total dose of 500-1000 mg between 28 to 36 weeks of pregnancy. Safety was assessed by analyzing adverse drug reactions. Ferric carboxy maltose significantly increased Hb level (p<0.001) in all women in this study group. Increased Hb value was observed 3-4 weeks after infusion. None of the women felt worse. No serious adverse effects were found and minor side effects occurred in 34(13%) patients.Our study revealed that the Hb level increased significantly, was well tolerated and without significant side effects.

DOI: https://doi.org/10.3329/fmcj.v12i2.34228

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Role: Principal author

Journal: Faridpur Medical College Journal

Publication date: 2018-08-24

Abstract: Emergency peripartum hysterectomy refers to the uterine removal after a caesarean section or normal vaginal delivery for any life saving purpose, immediately after delivery or within the puerperium. In general, abnormal placentation, uterine rupture, and postpartum haemorrhage are the common indications. The prime objective of this study was to determine the frequent indications, peroperative and postoperative complications, maternal and perinatal outcome. This retrospective descriptive study was conducted by analysing recorded data of one year between July 2016 and June 2017 in Faridpur district of Bangladesh. Total 40 cases were analysed. Placenta praevia was the most common indication, whereas uterine rupture was the second one. Urinary bladder injury was the frequent peroperative complication. This bladder injury was common in cases of previous repeated caesarean section associated with placenta praevia. All the patients required three to six unit blood transfusions on average. Four patients expired due to various causes. Most of the patients were elderly aged, multiparous and had previous caesarean sections. The relevant literature analysis was done for comparison, where similarities were found. Total abdominal hysterectomy was the preferred method in this study. Overall, the study will direct the future ways of management.

DOI: https://doi.org/10.3329/fmcj.v13i1.38011

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Role: Principal author

Journal: International Journal of Medical Research Professionals (IJMRP)

Publication date: 29-01-2019

Abstract: 

Background: Cervical cancer is the second most common cancer among women in Bangladesh where CIN is the forerunner. Visual inspection of cervix with acetic acid (VIA) is adopted as national cervical cancer screening programme in Bangladesh. All positive VIA cases are evaluated by colposcopy.

Objective: This population-based study was conducted in Faridpur Medical College Hospital for 6 years (2013 – 2018) to evaluate the prevalence of CIN among the VIA positive cases and performance of the clinic for colposcopic management of CIN.

Materials and Methods: A total of 2102 VIA positive cases were evaluated by colposcopy during the study period. International Federation of Cervical Pathology and Colposcopy (IFCPC) 2011 nomenclature was used for colposcopic diagnosis. Diagnosed CIN were treated accordingly.

Results: During the study period, 548 (26.1%) cases were colposcopically diagnosed as CIN. Among them, 370 (65.5%) were low grade squamous intraepithelial lesion (CIN-I) and 178 (32.5%) were high grade squamous intraepithelial lesion (CINII and III). Colposcopicaly diagnosed 237 (64.1%) of low grade squamous intraepithelial lesion (LSIL) and 132 (74.2 %) of high grade squamous intraepithelial lesion (HSIL) cases received treatment and histopathological confirmation. Treatment produces were used like thermocoagulation, Loop Electrosurgical Excision Procedure (LEEP), biopsy, hysterectomy and post treatment follow up.

Conclusion: From this study, we got information about the demography and prevalence of CIN among VIA positive cases at the same time management of CIN to prevent invasive cervical cancer. We adopted ‘See and treat’ protocol for management, which is well accepted, feasible and useful in Bangladesh.

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Role: Principal author

Journal: Faridpur Medical College Journal

Publication date: 2019-10-20

Abstract: Polycystic Ovarian Syndrome (PCOS) is the most common endocrine disorder responsible for subfertility in young women. The aim of the study was to compare the efficacy of Letrozole over Clomiphene citrate (CC) for ovulation induction in patients with PCOS. It was a prospective randomized trial in a private practice setting. The study period was 3 years, which includes 240 sub fertile patients with PCOS. Patients were divided into two groups. Group-A: 120 patients got Letrozole (2.5 mg) tab, 2 tabs once daily from D2-D6 for 3 cycles. Group-B: 120 patients took tab. Clomiphene citrate (50mg), 2 tabs once daily from D2-D6 for 3 cycles. Trans-vaginal ultrasound was done on D12-D13 to document number of follicles, measurement of dominant follicle and endometrial thickness. Ovulation and pregnancy rate was measured. Results showed that Letrozole have significantly better effect on endometrial thickness (Let 9.2 mm vs CC 8.1mm) and pregnancy rate (Let 44% vs CC 24%). In CC, multiple follicles were found (CC 44% vs Let 30%). Ovulation occurred in 65% with Letrozole group and 64% in CC group without a significant statistical difference. The study concluded that Letrozole have better effect for induction of ovulation in PCOS patient in comparison to CC.

DOI: https://doi.org/10.3329/fmcj.v13i2.43641

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Role: Principal author

Journal: Faridpur Medical College Journal

Publication date: 2019-10-20

Abstract: Peripartum cardiomyopathy (PPCM) is a rare, life-threatening heart disease of unclear origin and is characterized by heart failure of sudden onset between the final weeks of pregnancy and 5 months after delivery. Incidence varies over geography and ethnicity. Risk factors include advanced maternal age, multiparity, preeclampsia, multiple pregnancy, anaemia, and so many other causes. PPCM is often not diagnosed until late in its course, because of its clinical manifestations are highly variable and a heart disease may not be suspected at first. Frequent presenting symptoms of PPCM, such as lassitude, shortness of breath on mild exertion and coughing are often initially misinterpreted as evidence of pneumonia or as physiological accompaniments of pregnancy and delivery. The clinical picture of PPCM corresponds to a dilated cardiomyopathy (DCM) with signs of severe heart failure. Medical management is similar to other causes of systolic heart failure, except for the ACE inhibitors and angiotensin receptor blockers are avoided in pregnancy. As there are lots of physiological changes during pregnancy and immediately after delivery, it is usually difficult to measure PPCM effectively. Complications include cardiac arrhythmia, thromboembolism, and refractory heart failure. Maternal deaths are not uncommon. Recently the role of abnormal prolactin metabolism and resulting myocardial toxicity have been explored and bromocriptine has shown promise as a potential treatment option.

DOI: https://doi.org/10.3329/fmcj.v13i2.43647

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Role: Co-author

Journal: Faridpur Medical College Journal

Publication date: 2013-11-07

Abstract: Preeclampsia is a pregnancy specific, multi-system disorder of unknown etiology characterized by new onset of elevated blood pressure & proteinuria after 20 weeks of gestation. Globally preeclampsia and other hypertensive disorders of pregnancy are a leading cause of maternal and infant illness and death. But the exact pathophysiology is yet to be explored. It was a case control study and was conducted during the period of January 2010 – December 2010 in the department of Obs & Gynae DMCH and dept. of Biochemistry of BSMMU. The main objective of the study was to evaluate the association of serum ferritin and iron in preeclampsia & eclampsia. A total 100 pregnant women were included in this study. Of them 50 preeclamptic or eclamptic, nonanaemic patients not in labour (26-40weeks) were taken as case and 50 normotensive pregnant women were taken as control. Mean Serum ferritin level in case and control group was 100.03 ± 123.52 ?gm/L and 31.53 ± 20.86 ?gm/L respectively which is highly significant (P< 0.001). Out of 50 cases ferritin level was raised in 10 cases (20%). In 80% cases ferritin level was below the cut-off value that is normal or below normal but in 100% of controls had ferritin level below the cut off value.

DOI: https://doi.org/10.3329/fmcj.v8i1.16892

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Author of the course:

Author of the course titled, ‘Maternal and Child Health’ for Masters in Public Health, organized by Commonwealth of learning, Canada and Bangladesh Open University.

Professional membership:

Member of the editorial board of Faridpur Medical College Journal.

Trainer of:
  • Master Trainer And Course Coordinator: Life Saving Skills & Essential Obstetric And Newborn Care, Lstm.
  • Master Trainer: Cervical And Breast Cancer Screening Programme.
  • Master Trainer: Skill Birth Attendant.
  • Master Trainer: Post-natal Care.
  • Master Trainer: Post Abortion Care.
  • National Trainer: Adolescent Health.

Job History

Description Start date End date Current Post
Associate Professor (Faridpur Medical College)
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