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A cross-sectional study was conducted among 164 students in a medical school in Pondicherry, India, by administering a questionnaire consisting of anthropometric data, menstrual history and psychosocial stress. Psychosocial stress was assessed using Perceived Stress Scale (PSS10). We observed that out of the 164 students who answered the questionnaire, students who reported premenstrual symptoms, irregular cycles and dysmenorrhoea severe enough to take medication had significantly higher mean PSS scores (p = 0.000, 0.025, 0.035, respectively). High stress (fourth quartile PSS score) was significantly associated with occurrence of premenstrual symptoms and dysmenorrhoea severe enough to take medication. Stress in medical students is associated with severe dysmenorrhoea, irregular cycles and premenstrual syndrome. This implies that interventions to reduce the stress can improve the menstrual health of medical students, thereby reducing future health risks and improving the quality of life.

INTRODUCTIONHysterectomy is one of the most common surgical procedures performed by the gynaecologist. It can be performed by abdominal and vaginal route. Vaginal hysterectomy (VH) has several advantages over abdominal hysterectomy (TAH), and may be appropriate for up to 80% of benign uterine conditions. 1,2 Evidence supports TAH only when documented pathologic conditions preclude the vaginal route. 3,4 Even recent study in United States shows 82% were TAH, only 13% were VH and 5% were laparoscopic assisted in teaching hospitals.5 Aim of our study is to compare between vaginal route versus abdominal route of hysterectomy in terms of intra operative and post operative complications. METHODSA retrospective study was done in department of Obstetrics and Gynaecology of Sri Manakula Vinayagar Medical College and Hospital in Puducherry, India from January 2010 to July 2012. Study was done in women who had undergone vaginal or abdominal hysterectomy in that period. Women in any age group who underwent vaginal or abdominal hysterectomy for benign conditions were included in the study. Women who underwent hysterectomy for uterine prolapse, indications that would generally require an abdominal approach such as endometriosis, pelvic inflammatory disease were excluded from the study. Vaginal hysterectomy was done in those with uterine size ≤ 14 weeks, unrestricted uterine mobility, and absence of adnexal pathology.Information such as clinical history, physical examination findings, haemoglobin level preoperatively, indication for ABSTRACT Background: Hysterectomy is one of the most common surgical procedures performed by the gynaecologist. It can be performed by vaginal and abdominal route. Gynaecologic surgeons worldwide continue to use the abdominal approach for a large majority of hysterectomies that could be performed vaginally despite well-documented evidence that vaginal hysterectomy has better outcome. Aim of our study is to compare vaginal route versus abdominal route of hysterectomy in terms of intra operative and post operative complications. Methods: A retrospective study was done in 229 women who had undergone hysterectomy (176 abdominal hysterectomies and 53 vaginal hysterectomies) from January 2010 to July 2012. Information on the indications, operative procedures, and complications were extracted and analysed. Results: The mean duration of surgery in VH group was 79.6 min and that of TAH group was 99.2 min. The mean blood loss was also more in case of TAH group than that of VH group (215ml vs. 167ml). Bladder injury occurred in 1 case in VH (1.9%) and in 4 cases in TAH (2.3%). Ureter injury occurred in 1(0.6%) case in TAH group. Wound infection developed in 10 cases of TAH group whereas only one case in VH group developed vault infection. Conclusions:Vaginal hysterectomy is associated with quicker recovery, early mobilization, shorter hospitalization, less operative and post operative morbidity when compared to abdominal hysterectomy.

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Meconium staining of the amniotic fluid is a common complication during labour. When facilities like electronic monitoring, foetal blood sampling are not available, it is difficult to decide whether labour should be allowed to continue or caesarean section should be done. Even when caesarean section is done, meconium aspiration syndrome (MAS) can still occur and considerable morbidity and mortality may result in the newborn. Amino infusion is being considered as useful in decreasing MAS and its sequelae. Before resorting to amino infusion, we decided to analyse the perinatal outcome in meconium stained liquor to compare whether early caesarean section offered any advantage. This is a retrospective study of 150 labours complicated by thick meconium stained liquor, during a 12 month period (1992-93).

The herniation of a gravid uterus through an incisional hernia site is a rare occurrence, but the evisceration of the gravid uterus through the incisional hernia is even rarer. The following is a case report of an evisceration of gravid uterus through an incisional hernia of a midline incision.

Primary leiomyosarcoma of the uterine cervix is an exceedingly rare tumor. Probably, this is first case to be reported in a young woman. A 25-year-old south Indian woman presented with excessive white discharge per vaginum. On examination, a growth in the cervix infiltrating to the anterior vaginal wall was present. Biopsy showed leiomyosarcoma. Two cycles of chemotherapy with cisplatin, doxorubicin and cyclophosphamide were given and then a total hysterectomy with bilateral salpingo-oophorectomy was carried out, followed by local radiation to the anterior vaginal wall. The patient developed extensive metastasis within 6 months of surgery. Because the number of reported cases is very small, the optimal mode of treatment is yet to be established. Additional cases are needed to establish the optimal mode of management and to predict the prognosis.

Laparoscopic (Falope ring) sterilization should be preferred in women who are willing for interval sterilization and it should be done at isthmic segment of the tube, whereas the Pomeroy's method is to be reserved for occasional postpartum procedure. Reversal of sterilization should be done with strict adherence to principles of microsurgery.