Risk stratifications for pregnant women are made based on patients personal history during booking visit at primary health care setup. Pregnant women that are classed as ‘low risk pregnancy’ were treated as normal pregnancy and follow a standard antenatal care. The aim of our study is to observe the demographics of low risk pregnant women in Klinik Kesihatan Ampang, Malaysia and their pregnancy outcomes. The study is part of a prospective cohort study conducted among 47 low risk pregnancies, known as ‘The effect of BPV in the maternal and neonatal outcome’. All participants were followed up until delivery and postpartum data gained from patients and clinic. The sample comprised of 28 primigravidas (59.5%) and 19 multigravidas (40.5%). At the end of the study, 3 subjects (6.4%) developed hypertension and one of them developed severe preeclampsia, 1 subject (2%) developed placenta previa and gestational diabetes mellitus and 3 subjects (6.38%) PPROM. Majority of them delivered via SVD and 36.2% delivered via EMLSCS. 10.6% delivered LBW baby, 8% are premature baby and 14.9% born with low Apgar score. Pregnant women that were classed as low risk pregnancy still at risk of getting obstetric complications as well as the neonates from normal pregnancies. This study contributed to an overview of pregnancy outcome among the low risk pregnant women in Ampang, Malaysia. The findings revealed that a low risk pregnancy does not ensure or predict a normal pregnancy outcome. Considering the various potential negative maternal and neonatal outcomes, this group of mothers should be given thorough medical and social attention as an effort to improve their pregnancy outcome.

This paper presents a comprehensive review and proposes prospective research directions for the establishment of a patient-centered hospital in Malaysia that aligns with the principles of maqasid syariah. The integration of maqasid syariah, which encompasses the higher objectives and goals of Islamic law, with patient-centered care aims to create a healthcare environment that prioritizes the well-being and needs of patients while adhering to Islamic ethical principles. The review encompasses an analysis of the key principles of maqasid syariah, including the preservation of life, human dignity, justice, and holistic well-being. These research directions encompass various aspects, including healthcare facility design, communication strategies, equitable access to care, ethical considerations, and the integration of spirituality in healthcare. The outcomes of this research are expected to contribute to the advancement of healthcare practices in Malaysia by integrating Islamic values and patient-centered care principles in developing a framework that can be done in future. The proposed patient-centered hospital will not only provide high-quality care but also ensure the preservation of life, uphold human dignity, promote justice, and address the holistic wellbeing of patients.

To address the accessibility of funds from social support groups in order to enable the poor to undergo cataract operation and restore their eyesight. Awareness on the availability of fund among the poor is still low, thus highlighting the need for promotion of the facility. All data of patient who underwent cataract surgery with intraocular lens implanted from January 2012 to June 2014 in Ampang Hospital, Malaysia were retrieved. The records showed that 102 patients were funded for cataract surgery and had intraocular lens implanted. Almost all of these patients had low vision to near blindness prior to surgery but achieved excellent visual acuity post-operation. Restoring sight from cataract is a necessity for these patients since it will lead to a more productive life and increase the quality of life. Up to this date, various social support groups have contributed significantly to enable the poor to access advanced health care services. With the cooperation of Ampang Hospital and the Social Welfare Department of Malaysia, a simple method is needed to determine the eligibility of funding among poor patients who are required to undergo cataract surgery and intraocular lens implantation. The financial contributions from the various social support groups and non-governmental organizations are noble and sustainable. Restoring eyesight contributes to better quality of life amongst the underprivileged population.

Purpose: To describe a case of a surgical instrument’s tip fracture during cataract surgery. Method: Case report. Results: We report a case of a 60-year-old gentleman who underwent phacoemulsification of the left eye. It was noted that the tip of the second instrument (lens chopper) was fractured during the last quadrant removal of the opacified lens, which disappeared posteriorly. The surgery was successfully completed, and the intraocular lens appeared stable without posterior capsular rent. An urgent computed tomography scan (CT scan) of orbit was arranged. It showed a round radio opaque foreign body near the lens at the lateral aspect of the left intraocular lens (IOL), measuring approximately 0.3cm. The patient underwent foreign body removal using an intraocular magnet by a vitreoretinal surgeon two days after the phacoemulsification surgery. The patient had an uneventful recovery with a vision of 6/60 pinhole 6/6 at six weeks post operatively. Conclusion: Surgical instrument’s tip fracture is a known complication during phacoemulsification; however, it was under-reported among surgeons. Careful inspection of all instruments before introducing them to the eye is mandatory, and early identification of this condition during surgery may avoid major complications.