Triglycerides have been shown to be a biochemical predictor of newborn weight and risk of large for gestational age (LGA) in a few previous small studies. The objective of this study is to ascertain whether mid-pregnancy fasting serum triglycerides can predict the risk of developing LGA and newborn weight in non-diabetic pregnant mothers.Universal sampling of pregnant mothers attending the antenatal clinic at the Hospital Universiti Sains Malaysia (HUSM) and nearby clinics between 24 to 32 weeks gestation was carried out. Expectant mothers were screened for exclusion criteria including diabetes, hypertension, pre-eclampsia, fetal anomaly and multiple gestations. Those who were sure of dates and consented for the study were enrolled. Modified oral glucose tolerance test (MOGTT) was performed and fasting serum triglycerides and total cholesterol were analysed. The subjects were followed up at delivery when the period of gestation, the birth weight and the sex of newborn were noted. In NGT subjects, mid-pregnancy high FPG and high triglycerides value could be used to predict risk of getting LGA newborn.

Infertility is defined as inability to conceive after one year of unprotected sexual intercourse. It is associated with substantial level of stress. Studies have reported infertility women at an increased risk of developing sexual dysfunction compared to controls. The aim of the study were to determine the prevalence of anxiety, depression and sexual dysfunction in women seeking infertility treatment. The level of anxiety, depression and female sexual dysfunction were low in women seeking infertility treatment. It appeared that the level of anxiety and depression have not led to clinical impairment. However there were significant correlations between anxiety and depression with female sexual dysfunction. There were also significant difference in depression between different races, education level, income and also duration of marriage.

Anal incontinence, is defined as voluntary loss of the control of intestinal contents, covers from slight traces of stool in the underwear during the loss of wind to marked episodes of uncontrollable evacuation of soft or hard faeces. The causes for this humiliating symptoms can be multiple and complex. Medical practitioners do often not realize that anal incontinence can be prevented and treated. Quality of life of these women can be significantly improved after the appropriate diagnostic tests and subsequent individual therapy. This study aimed to observe the prevalence of anal incontinence in gynaecology patients with uterovaginal prolapse and how it affects quality of life of these women. Anal incontinence also has a significant lifestyle impact on these patients, disabling them from carrying out daily activities, prayers and traveling.

Labisia pumila (Kacip Fatimah) is a traditional herb commonly used by Malay women during peripartum period to make the process of childbirth easier and also during postpartum period to improve general condition of mother. Earlier research on Labisia pumila showed that it has estrogenic-like effect. This randomized, placebo controlled study was designed to look at the safety profile of Labisia pumila water extract on postmenopausal women. Pre-study screening and assessment was done and if subject is eligible, informed consent taken and baseline investigation was taken including hematological, liver and renal function, chest x-ray, ECG, mammography and pap smear. The study duration was six month and all participants were required to come for visit every two month. During each visit participants were asked regarding any side effects of medication or occurrence of per vaginal bleeding. Vital signs, body mass index and waist hip ratio were measured on every visit. On visit 4 or last visit, all blood investigations, chest x- ray, ECG and pap smear were repeated. As a conclusion we found that Labisia pumila water extract was safe for consumption.

Wound healing is a complex and dynamic process of restoring cellular structures and tissue layers. The study was conducted to compare the effectiveness of cyanoacrylate tissue adhesive with conventional suture in closing laparoscopic abdominal incision. They were randomly assigned to receive either tissue adhesive or suture. Main outcome measures were time taken for skin closure and post operative outcome. Both groups were comparable with respect to age, parity, education level, type of occupation and number of holes. In the study, there was a significant difference in time taken for skin closure where tissue adhesive was much more faster compared to suture. The use of tissue adhesive is easy and safe with complications comparable to suture and results in equally good cosmesis. Therefore tissue adhesive is a suitable alternative to suture in small wounds and low tension areas.

There has been a move towards using alternative medicine as a treatment for menopausal problems. The objectives of the study are to investigate the effects of Tualang Honey on the safety profiles, cardiovascular risk factors, change in hormones and also bone density among menopausal women. A randomized, controlled trial comparing the effects of Tualang Honey 20 gm/day for a 4-month intervention period was conducted. Tualang honey compared with low dose HRT had no demonstrable effects on the blood pressure measurement, body mass index and waist circumference.There was no significant change in biochemical parameters, lipid profile and blood sugar profile between the two groups. A significantly lower level of the FSH and LH levels were seen in the HRT group. Majority reported vaginal spotting and 35.7% reported actual per vaginal bleeding from the HRT group. There was no significant changes seen in the bone density. Daily intake of Tualang Honey at 20 mg/day for four month was found to be safe to use and have the same effect on bone densitometry.

The menopause, the last menses, marks the end of female's reproductive capacity. It is a normal developmental process, resulting decline in the estrogen level and lead to a various clinical sequential including physiology, psychology and social aspects of the women. The purpose of the study was to determine the knowledge, attitudes and the symptoms experienced among menopausal women attending menopausal clinic in HUSM. The relationship of the selected sociodemographic factors with knowledge and attitudes toward menopause were also tested. A cross-sectional study was conducted on women who came for treatment in HUSM. Knowledge of menopause was assessed using a self-administered questionnaire (SAQ) base on the Dichotomous Responses. From the study we found that the levels of knowledge of menopause were still lacking and the attitudes were in the neutral level. The study revealed the important of awareness on menopause process to change the levels of knowledge and attitudes among menopausal women toward menopause. Knowing more about menopause might empower women to cope better with menopausal changes.