Gynae Unit# 1
Gynacology Department
Ward 16
Introduction
- Foundation stone of NISHTAR was laid on April 28, 1951 by Sardar Abdul Rab Nishtar.
- The construction of the Nishtar hospital block started in 1953.
- The establishment of Obs & Gynae department in Nishtar Hospital took place in 1954.
- The journey started with 80 beds.
- Currently, three units are operational i.e Ward No.16, 17, and 18; with 48 beds capacity in each unit.
- Working OPD (8am to 2 pm)
Department Mission Statement:
Dedicated, Ethical, patient centered care, excellence in medical education and innovation through technology. Train future specialists with integrity, advanced research and state of art solutions to improve Women’s health and reproductive care
Goals
- Provide high-quality, evidence-based obstetric and gynecologic care to the population served by Nishtar Hospital, especially underserved and rural communities.
- Reduce maternal morbidity and mortality.
- Reduce fetal/neonatal morbidity and mortality.
- Promote safe deliveries (reduce complications such as postpartum hemorrhage, obstructed labour etc.).
- Improve access to and quality of prenatal, antenatal, intrapartum, postnatal, and reproductive health services.
- Optimize rates of caesarean section — avoid unnecessary C-sections, manage high-order/repeat C-sections safely.
- Ensure patient-centred care with dignity, privacy, and cultural sensitivity.
- Integrate teaching, training, and research functions: train residents, postgraduate doctors, medical students; contribute to knowledge via research.
- Promote family planning and reproductive health counselling to support women’s health and appropriate birth spacing.
- Ensure availability of emergency obstetric services 24/7.
- Implement quality assurance and monitoring systems for maternal health indicators.
- Strengthen referral systems and coordination with peripheral health facilities.
Objectives
- Increase the proportion of pregnant women who have early and adequate antenatal care (first visit in first trimester, minimum recommended number of visits).
- Decrease the rates of postpartum hemorrhage and obstetric complications via early detection and management.
- Limit high-order caesarean sections by reviewing indications for first C-section and promoting vaginal birth after caesarean when safe. (Related: a study at Nishtar found morbidity increases with high order C-sections. Improve detection and management of risk factors for maternal mortality (e.g. uterine atony was found to be a major factor in postpartum hemorrhage at Nishtar.
- Improve neonatal outcomes (low birth weight, preterm births, Apgar scores etc.).
- Expand and strengthen family planning services, including counselling and access to contraceptives.
- Ensure equitable access for poor and remote patients, possibly by subsidized care or free services.
- Improve surgical outcomes in gynecologic surgeries, reduce complications and infections.
- Enhance staff capacity in terms of knowledge, skills, especially for high risk obstetric & neonatal care.
- Maintain and upgrade equipment, infrastructure (lab, operation theatres, neonatal care, imaging).
- Develop and maintain audit / mortality review / lessons learned process.
- Conduct regular research and publications to address local priorities.
Faculty Group Photo

List of Faculty Members
| Sr. No. | Name | Designation | Qualification | Email ID |
| 1 | Dr. Mehnaz Khakwani | Professor | MBBS,FCPS,CMT,DPHE | mehnaz_khakwani@yahoo.co.uk |
| 2 | Dr. Rashida Parveen | Associate Professor | MBBS,FCPS,MRCOG | |
| 3 | Dr. Shahida Parveen | Associate Professor | MBBS,FCPS,MRCOG | |
| 4 | Dr. Amna Aziz | Assistant Professor | MBBS, FCPS, | dramna14@gmail.com |
| 5 | Dr. Saima Yasmeen Qadir | Assistant Professor | MBBS,FCPS,MRCOG,MPHE | asharahmad71@hotmail.com |
| 6 | Dr. Nadia Taj | Senior Registrar | MBBS,FCPS,ICMT | dr.nadia.taj@gmail.com |
| 7 | Dr. Ayesha Uzaima | Senior Registrar | MBBS,FCPS | drayeshauzaima@gmail.com |
| 8 | Dr. Nadia Babar | Senior Registrar | MBBS,FCPS | |
| 9 | Dr. Ammara Batool | Senior Registrar | MBBS,FCPS | |
| 10 | Dr. Sadia Zafar | Senior Registrar | MBBS,FCPS | |
| 11 | Dr. Saima Batool | Senior Registrar | MBBS,FCPS | saimahassnain12@gmail.com |
EDUCATIONAL ACTIVITIES (with pics)




RESEARCH & PUBLICATION
Prof. Dr. Mehnaz Khakwani
- Adolescent Age Group: Normal Cycle and menstrual disorders. The Professional Medical Journal. Vol-13, No.4, 2006. (https://doi.org/10.29309/TPMJ/2006.13.04.4921)
- Epidural Analgesia in labour. The Professional Medical Journal. Vol-13, No: 03, 2006. (https://doi.org/10.29309/TPMJ/2006.13.03.4988)
- Maternal outcome in Eclampsia. Med. Forum, vol-16, No: 11, November 2005.
- Etiological factors and management of Adolescent Menorrhagia. Med. Forum, vol. 16, No: 8, August 2005.
- Maternal Genital Tract Injuries Related to Childbirth. Med. Forum. Vol. 16, No: 4, April 2005. (https://www.researchgate.net/publication/289138561_Maternal_genital_tract_injuries_related_to_child_birth)
- Age of Menarche in Pakistani Girls and Association of Menarche to Weight and Height. Med. Forum. Vol. 16, No:3, March 2005 (https://www.researchgate.net/publication/287281228_Age_of_menarche_in_Pakistani_girls_and_association_of_menarche_to_weight_and_height)
- Efficacy of umbilical artery Doppler ultrasound in diagnosis and management of . Med. Forum, vol-24, No: 09, September 2013.
- Pregnancy rate following Ovulation Induction with clomiphene citrate alone and with combination of Metformin. . The Professional Medical Journal. Vol-21, No: 02, 2014. (https://doi.org/10.29309/TPMJ/2014.21.02.2172)
- Audit of patients undergoing obstetrical hysterectomy for post partum hemorrhage. Pakistan journal of Medical & Health sciences. VOL.9 Jan- March 2015. (https://pjmhsonline.com/2015/jan_march)
- Effectiveness of misoprostol in the prevention of post partum hemorrhage Pakistan journal of Medical and Health sciences. Vol 9 Jan- March 2015. (https://www.pjmhsonline.com/2015/jan_march)
- Frequency of factors leading to tubal Blockage evaluated by laparoscopy Professional Med J 2017;24(4):507-510. DOI: 17957/TPMJ/17.3607. (https://doi.org/10.29309/TPMJ/2017.24.04.1453)
- Frequency of infection with postpartum intrauterine contraceptive devices (PPIUCD).J Nishtar Med Unit. Vol.1, Issue 1April- June 2018.
- Maternal and Perinatal outcome after Ramadan fasting. Pakistan Journal of Medical Sciences. July –August 2020. (https://doi.org/10.12669/pjms.36.5.2612)
- Pattern of gynaecological malignancies in south Punjab Region of Pakistan. An overview of 5 years. The professional Med J 2021; 28 (01):90-95 (https://doi.org/10.29309/TPMJ/2021.28.01.4665)
- Analysis of Cesarean Section using Robson’s Ten Groups Classification System. Pakistan Journal of Medical Sciences Vol.37 No.02 March-April 2021. (https://doi.org/10.12669/pjms.37.2.3823)
- Autologous rectus sheath sling for treatment of vault Prolapse after hysterectomy. The professional Med J 2021; 28(4):000-000. (https://doi.org/10.29309/TPMJ/2021.28.04.5939)
- Oral versus vaginal micronized progesterone for of the treatment threatened miscarriage Pakistan Journal of Medical Sciences 2021; 37(3): 628-632. (https://doi.org/10.12669/pjms.37.3.3700)
- Role of Mentzer index for differentiating iron deficiency anemia and beta thalassemia trait in pregnant woman. Pakistan Journal of Medical Sciences March-April 2022(Part-II) Vol.38 No.4:88-882. (https://doi.org/10.12669/pjms.38.4.4635)
- Efficacy of letrozole vs Clomiphene citrate on ovulation induction in patients with Polycystic Ovarian syndrome. Pakistan Journal of Medical Sciences Vol.38 No. 5 May- June- 2022. (https://doi.org/10.12669/pjms.38.5.5565)
- Treatment Success with two doses of methotrexate vs single dose of methotrexate in Ectopic tubal pregnancy. Pakistan Journal of Medical Sciences Vol.38 No. 6 July- Aug- 2022. (https://doi.org/10.12669/pjms.38.5.5565)
- Comparison of Pap smear and liquid Based Cytology as a screening method for Cervical Carcinoma. (Approved for Publication in Pakistan Journal of Medical Sciences) PJMS Vol. 38 No. 7 (2022): September – October 2022 / O (https://doi.org/10.12669/pjms.38.7.5742)
- Assessment of Adverse pregnancy outcomes in women presenting with uterine fibroids at a tertiary care hospital. (Approved for Publication in Professional Medical Journal Faisalabad) (https://doi.org/10.29309/TPMJ/2022.29.08.6844)
- Frequency of Perineal tears in Primigravida Delivered without Episiotomy at a tertiary Care Hospital. Journal of the Society of Obstetricians and Gynaecologists of Pakistan.Vol.12 No. 2 Apr- Jun- 2022. (https://jsogp.net/index.php/jsogp/article)
- RASHIDA ARIF
- Mehnaz Khakwani, Parveen, R., & Hajra Sultana. (2025). Comparison of IV Nalbuphine versus ibuprofen for Postoperative Pain control in cesarean section. Pakistan Journal of Medical Sciences, 41(9), 2612–2617. https://doi.org/10.12669/pjms.41.9.11016
- Parveen R, Sultana H, Nazir S. Maternal Sepsis and associated factors: A multi-central study from two tertiary care hospitals of South Punjab, Pakistan. Pak J Med Sci. 2025 Jan;41(1):281-285. doi: 10.12669/pjms.41.1.10423. PMID: 39867787; PMCID: PMC11755320. https://pubmed.ncbi.nlm.nih.gov/39867787/
- Ali S, Yasmeen S, Parveen R, Akhter S. Frequency of contraceptive use among Female Specialists and Consultants of Multan, Pakistan. Isra Med J. 2023; 15(2): 65-69. DOI: https://doi.org/10.55282/imj.oa1365.
- M Khakwani, R Parveen, M Azhar. Comparison of PAP smear and liquid based cytology as a screening method for cervical carcinoma, Pakistan Journal of Medical Sciences 38 (7), 1827. DOI: https://doi.org/10.12669/pjms.38.7.5742
- R Parveen, M Khakwani, A Naz, R Bhatti, Analysis of cesarean sections using Robson’s ten group classification system ,Pakistan journal of medical sciences 37 (2), 567, DOI:10.12669/pjms.37.2.3823
- R Parveen, M Khakwani, S Tabassum, S Masood, Oral versus vaginal micronized progesterone for the treatment of threatened miscarriage. Pakistan Journal of Medical Sciences 37 (3), 628, DOI: https://doi.org/10.12669/pjms.37.3.3700
- M Khakwani, R Parveen, S Yousaf, AU Tareen, Efficacy of letrozole versus clomiphene citrate on ovulation induction in patients with polycystic ovarian syndrome, Pakistan Journal of Medical Sciences 38 (5), 1155, DOI: https://doi.org/10.12669/pjms.38.5.5565
- R Parveen, M Khakwani, M Latif, AU Tareen, Maternal and perinatal outcome after ramadan fasting,Pakistan Journal of Medical Sciences 36 (5), 894, DOI: https://doi.org/10.12669/pjms.36.5.2612
- Treatment success with two doses of methotrexate vs single dose of methotrexate in Ectopic Tubal Pregnancy Khakwani, R Parveen, S Ali, Pakistan Journal of Medical Sciences 38 (6), 1436, DOI: https://doi.org/10.12669/pjms.38.6.5251
- N Tariq, M Khakwani, R Parveen .Effectiveness of misoprostol in the prevention of postpartum hemorrhage. Pakistan Journal of Medical and Health Sciences 9 (1),268 https://www.pjmhsonline.com/2015/jan_march/pdf/268%20Effectiveness%20of%20Misoprostol%20in%20the%20Prevention%20of%20Postpartum%20Hemorrhage.pdf
- M Khakwani, S Ali, J Anum, R Parveen, Frequency of Perineal Tear in Primigravida Delivered Without Episiotomy at a Tertiary Care Hospital, Journal of The Society of Obstetricians and Gynaecologists of Pakistan
- M Khakwani, R Parveen, N Tariq, The PREVALENCE OF ANEMIA DURING PREGNANCY, JNMU 2 (2), 49-53
- M Khakwani, R Parveen, H Rasheed. Assessment of adverse pregnancy outcomes in women presenting with uterine fibroids at a tertiary care hospital. The Professional Medical Journal 29 (08), 1245-124
- Khakwani M, Ali S, Anum J, Parveen R (2022). Frequency of perineal tears in Primigravida delivered without episiotomy at a tertiary care hospital. JSOGP. Vol 12 No 2 (2022): April-June
- F HAIDER, R PARVEEN, H IMRAN, Frequency of Common Infertility Causes in Patients attending Infertility Clinic of Nishtar Hospital Multan, 626 P J M H S Vol. 14, NO. 1, JAN – MAR 2020
- F HAIDER, R PARVEEN, M SALEEM ,Dyslipidemia in Pregnant Women with Pre-Eclampsia, 644 P J M H S Vol. 13, NO. 2, APR – JUN 2019
- R Perveen, S Hamid, M Khakwani, POLYCYSCTIC OVARIAN SYNDROME (PCOS);: PREGNANCY RATE FOLLOWING OVULATION INDUCTION BY CLOMIPHENE ALONE AND WITH COMBINATION OF METFORMIN,The Professional Medical Journal 21 (02), 354-359
- Frequency and severity of Perineal Tears in Patients of Nishtar Hospital Multan. The Professional Medical Journal Vol25, No.10, Oct 2018.
- RPMKM Sajjad, Efficacy of Umbilical Artery Doppler in Detection and Management of Intrauterine Growth Retardation, Medical Forum Monthly 24 (9), 2013.
- SHAHIDA PARVEEN
- Maternal Genital Tract Injury Related to Child Medical Forum. Vol 16, No. 4, April, 2005.
- Epidural Analgesia in Labour
The Professional Medical Journal. Vol. 13, No. 3, Jul,Aug,Sep 2006.
- Abnormal Uterine Bleeding (Hysteroscopic Findings in Patients) The Professional Medical Vol. 14, No. 3, Jul,Aug,Sep 2007.
- Prevalence of HBS and HCV in Euthyroid Persons of Southren Punjab –
A Hospital Based Study.
Pakistan Journal of Medical & Health Sciences. Vol 9, Jan – Mar, 2015.
- Prevalence of Cervical Cancer in Developing Country Pakistan: Global Journal of Medical Research 2015, Aug 3
- Prevalence of Vitamin D Deficiency in Southern Punjab – A Hospital Based
International Journal of Current Research. Vol. 8, Issue, 05, May 2016.
- Frequency of Hypomagnesaemia in Preterm Labour The Vol, 25. No. 9, Sep 2018.
- Assessment and Association between Lipid and Hormonal Profile in Non Pregnant Females Having Polycystic Ovarian
Accepted in Feb 20, 2019.
- Parveen S, Mehmood R, Warraich Prognostic Significance of Biochemical and Hematological Features with Ca125 in Newly Diagnosed Patients of Ovarian Cancer. Med Forum. 2022;33(2):11–4.
- Ramzan S, Parveen S, Rubab Impact assessment of domestic
Violence against women: A case study of district Faisalabad. PalArch’s J
Archaeol Egypt/Egyptol [Internet]. 2022 [cited 2023 Apr 14];19(3):1422–
- Available from: https://archives.palarch.nl/index.php/jae/article/view/11393
- Shafi S, Parveen S, Qureshi AI, Munir A, Qureshi HZ, Gul Frequency of molar pregnancy in abortion cases diagnosed by histopathology specimens at Nishtar Medical University Hospital, Multan Pakistan. Pakistan Journal of Medical and Health Sciences [Internet]. 2022;16(2):305–7. Available from: http://dx.doi.org/10.53350/pjmhs22162305
- Warraich K, Parveen S, Mehmood Baseline Parameters in Untreated Ovarian and Breast (Symptomatic and Asymptomatic Covid-
19) Cancer Patients. Med Forum 2022;33(2):29-33.
- MUHAMMAD RAMZAN
- Frequency of pregnancy following laparoscopic ovarian drilling in patients with clomiphene resistant polycystic ovarian syndrome.
- Frequency of common factors leading to primary postpartum Haemorrhage in patients presenting at Nishtar Hospital Multan.
- Frequency of Placenta Previa in patients with previous one caesarean section.
- Perinatal Outcome in Pregnant Females with Sepsis at a Tertiary Care Hospital. PJMHS Vol. 17, No. 12, December, 2023
- Fetomaternal Outcomes in Pregnant Women having Epilepsy at Nishtar Hospital, Multan. PJMHS Vol. 17, No. 12, December, 2023
- SAIMA YASMIN QADIR
Sr.No | Category | Title | Journal | Publication Date |
1 | Original Article | Association of obstetrical hysterectomy with rising Cesarean section among women with placenta previa | Pakistan medical journal of medical sciences | 2023 |
2 | Original Article | Frequency of urinary complaints in gynecological patients of Nishtar hospital multan | Independent journal of allied health sciences(IJAHS) | 2022 |
3 | Original Article | Frequency of contraception use among female specialists and consultant of multan | Isra medical journal | 2023 |
4 | Original Article | Autologous rectus sheath sling for the treatment of vault prolapse after hystrectomy | The professional medical journal | 2021 |
5 | Original Article | Frequency of fetal iron deficiency anemia at the time of birth in obese mother | The professional medical journal | 2021 |
6 | Original Article | Frequency of male factor Aand abnormalities in semen analysis in infertile couples | The professional medical journal | 2021 |
7 | Original Article | Maternal outcome of expectant management in comparison with induction of labour in twenty four hours of premature rupture of membranes | The professional medical journal | 2020 |
8 | Original Article | Episiotomy versus no-episiotomy approach and its impact on severe perineal trauma: an institutional experience( under review) | Isra medical journal | 2018 |
9 | Original Article | Prevalence of endometriosis on laparoscopy in infertile women | The professional medical journal | 2019 |
10 | Original Article | Causes of Maternal Mortality at Nishtar Hospital Multan (Tertiary care Hospital in Punjab) 2015-2017. | Medical forum | 2019 |
11 | Original Article | Critical analysis of adverse outcomes in delayed presentation of ectopic pregnancy | Medical forum | 2019 |
12 | Original Article | Frequency of uterine rupture after one successful vaginal birth after cesarean section” | The professional medical journal | 2019 |
13 | Original Article | Frequency of puerperal infection with meconium stained amniotic fluid | The professional medical journal | 2019 |
14 | Case report | Leiomyomatosis Peritonealis Disseminata : An Exceptional Case | Journal of Pakistan medical association | 2019 |
15 | Original Article | Cesarean scar pregnancy: an institutional experience | Isra medical journal | 2019 |
16 | Original Article | Efficacy of pholoroglucinol in shortening of first stage of labour in primigravida | Nishtar medical journal multan | 2018 |
17 | Original Article | Maternal and fetal outcome in gestational DM | Journal of Ayub Medical College, Abbottabad, Pak | 2012 |
PGR’s
Sr# | Name | Topic |
1. | Dr. Zarqa | Comparison of outcome in terms of mean birth weight of insulin v/s insulin & metformin for treatment of gestational DM at a tertiary care hospital. |
2. | Dr. Umm e Kalsoom | Robson classification of caesarean birth & its implication for reducing caesarean section rate in Nishtar Hospital Multan. |
3. | Dr. Saima Abdul Jabbar | Diagnostic Accuracy of 1st trimester serum uric acid in predicting the development of gestational diabetes mellitus |
4. | Dr. Ayeman Mustafa | Comparison of Efficacy of omega 3 fatty acids and ibuprofen vs ibuprofen alone in treatment of primary dysmenorrhea |
5. | Dr. Ayesha Naveed | Comparison of outcome of Injection Enoxaparin Versus Conventional Treatment on Amniotic Fluid Index in Borderline Oligohydramnios in Third Trimester of Pregnancy at a tertiary care hospital. |
6. | Dr. Fouzia Shafi | “A Comparative Study of Moringa oleifera Leaf Extract and Routine Lactation Support in Enhancing Breast Milk Production” |
7. | Dr. Fatima Arshad | Correlation between FIGO scoring on 2D ultrasound for placenta Accreta spectrum and intraoperative findings |
8. | Dr. Sania Saeed | Comparison of effect of prostaglandins E2 and cervical Foley in obese patient for induction of labor |
9. | Dr. Tehseen Aslam | Role of vitamin D in prevention of pre-eclampsia recurrence in women with previous history of pre-eclampsia: A randomized controlled trial |