Aim and Objectives: The present study was undertaken to find out the role and effectiveness of DIPSI guidelines as a replacement for other more time consuming and cost effective methods for detecting gestational diabetes mellitus (GDM) in the Indian population and to compare outcome between GDM and non GDM population.Methods: A total of 345 women were selected of low risk category between the gestational ages of 24 to 28 weeks and were subjected to screening for gestational diabetes by DIPSI guidelines. A 75mg oral glucose load was given irrespective of their last Meal timing followed by blood glucose estimation by glucose oxidase – peroxidase method. A report of ≥140mg/dl were labeled as GDM as per DIPSI guidelines.Results: Out of 345 subjects screened, 30 (8.7%) were positive for GDM. The false positives encountered with DIPSI were 0.57% (2/345) and another 2 cases (0.57%) were false negative by DIPSI criteria. The rate of LSCS and rate of macrosomia was significantly higher in GDM population (30% and 33.33% respectively) as   compared to general population (4.4% and 2.5% respectively). In GDM group 23.3% (7) had Shoulder Dystocia compared with 0.6% (2) in the normal population. 10% were breech compared with only 0.2% in the general population with 1 IUFD requiring hysterotomy. The rates of CPD were also higher (3.3%) than the general population (1.5%). A total of 19 neonates required NICU admission of which 11 were IDM. 36.66% of IDM required NICU admission as compared to only 2.5% of the non diabetic population.Conclusions: DIPSI guidelines can use as a replacement for other more resource and time consuming and costly methods like ADA criteria for the detection of GDM in the low resource settings in developing countries.

Background: The present study aimed to evaluate the efficacy of transobturator tape (TOT) in patients with urodynamic stress incontinence (USI) and advanced genital prolapsed with various modes of Hysterectomy.Methods: It is a retrospective study, carried out in the duration November 2013 to September 2016. All patients from Gynecological OPD of K B Bhabha General Hospital were recruited for the present study.Results: Data was analyzed using SPSS 21.0 (SPSS Inc., Chicago, IL, USA) using appropriate statistical tests.Conclusions: TOT is equally effective alone and in combination of any mode of hysterectomy, provided the surgeon is experienced enough with required expertise.

Anorectal malformations (ARM) are congenital anomalies that affect the development of the anus and rectum, and they can lead to significant medical and surgical challenges throughout a person's life. For women with ARM, pregnancy can present with additional complications. In this article, we present a case report of a pregnant patient with history of ARM who has undergone sigmoid colostomy and anal sphincter reconstruction. Through this case study, we aim to provide insight into the unique challenges faced by pregnant patients with colostomy and anal sphincteroplasty, their impact on pregnancy and labor, as well as the importance of close monitoring and collaboration between obstetric and surgical.

Torsion of the pregnant uterus, at term, is a very rare event in obstetric practice. It is associated with high perinatal mortality but in our case report the torsion remained asymptomatic till 3 rd trimester. We report a case of singleton term pregnancy of 38 weeks in breech position, with mild polyhydramnios and expected baby weight of 3.7 kg. Caesarean section through the posterior uterine wall necessitated by 180 ~ dextrorotation of uterus with facing anterior. Intraoperative findings show that left sided tubes and varies were pulled up towards right side; bladder and utero-vesical fold could not be identified. Baby was in transverse lie with back posterior and was delivered by breech extraction. Baby did not cry immediately but cried after resuscitation. Baby APGAR score was good and baby weight was 3.6 kg.