Background: Estimated cervical cancer screening practice is very low and load of cases very high in India. The studies document that nurses play a crucial role of enlightening community about need and availability of Pap smear. It is important therefore to understand the perceptions and practices of nurses about cervical cancer and screening. Aims & Objective: To evaluate the Knowledge Attitude & Practices (KAP) of the Nurses on cervical cancer and screening. Material and Methods: A self-administered, structured, open ended and pretested questionnaire covering the general characteristics, KAP about cervical cancer and screening (Pap smear) was used to collect responses of nurses in a Teaching Hospital at Surat. The information thus collected was entered and analysed in Epi Info and Microsoft Excel software. Results: Responses from 200 female nurses were recorded and analysed. Majority (88%) were married; most common age of marriage being 21 to 25 years. Nurses linked multiple sexual partners (61%), sex at an early age (44%), Human Papilloma Virus infection (38.6%) and heredity (31%) to cervical cancer. Approximately 70% believed that Ca cervix is preventable, detectable and curable if detected early. Pap smear was recognized as major screening technique by 74% nurses. Major (84%) source of information was health professional. Eighty percent nurses never took cervical screening while 87.5% did not recommend it to others. Conclusion: For successful implementation of cervical screening program, the nurses should be targeted first by education and sensitization so that they can play pivotal role in developing the awareness, confidence and compliance of women.

Objectives:To evaluate prospectively the relative usefulness of color Doppler and gray scale sonography in differentiating benign from malignant ovarian masses and evaluation of scoring systems Sassone and Alcazar for differentiating benign from malignant ovarian masses.Methods:Study was conducted during the period of Jan 2006 to Oct 2007 in department of obstetrics and gynaecology, New civil Hospital, Surat. The study was conducted mainly with the help of department of radio-diagnosis. The study include 100 patient clinically suspected to have ovarian neoplasm and referred to department of radio-diagnosis where evaluation with Ultrasonography and Doppler was done. The efficacy of scoring systems were evaluated by histopathological examination of mass or fine needle aspiration cytology or presence of malignant cells in ascetic fluid.Results:Sassone's scoring system was able to identify 72 out of 78 benign masses and 18 out of 22 malignant masses.where as Alcazar system with use of colour Doppler was able to identify 75 out of 78 benign and 21 out of 22 malignant ovarian masses. Sensitivity and specificity of sassone is 81.8%,92.3% respectively, where as that of Alcazar is 95.5%, 96.2% respectively.Conclusion:Using both gray scale and colour Doppler in differentiating benign from malignant ovariam masses is giving results with more accuracy and Alcazar system is better performing than sassone's scoring systems.

Background: Iron deficiency anaemia (IDA) is one of the common medical disorders in pregnancy in the developing world, which affect both the mother and the newborn and subsequent child and later adult. Aims & Objective: This study is undertaken to evaluate the safety and efficacy of parenteral iron sucrose complex therapy in iron deficiency anaemia in antenatal and postnatal women. Material and Methods: 110 consecutive pregnant women between 16-36 weeks of gestation and postnatal women, diagnosed as cases of Iron deficiency anaemia with Hb level 5-8 gm%, who were seen from May 2009 to April 2011 in our Hospital, were included in the study. All the patients received Iron Sucrose Complex in infusion form with the aim to correct the iron deficiency as well as to replenish the iron stores. The aim was to bring her Hb level to 10gm%. Result were analyzed in terms of the safety& efficacy, Results: Intravenous iron sucrose is effective in achieving target Hb of 10g/dl in 80% of patients. It shows that of IV iron sucrose significantly (P<0.001) increase Hb levels within 4 weeks. There were no major adverse reactions. All women stated that they found the treatment acceptable to them. Iron Sucrose Injection is relatively safe and well tolerated. Conclusion: Iron sucrose (intravenous) therapy is safe, more effective and well tolerated in the treatment of iron deficiency anaemia during pregnancy. Overall, iron sucrose appears to be a treatment of choice with no serious side effect indicated in the rapid correction of anaemia in pregnancy or restoring maternal iron stores, especially because the total dose can be administered over a shorter period of time. If used in time, this treatment will certainly help to reduce the risk of maternal and foetal complications as well as it also reduce the risk of blood transfusion during peripartum period.

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Background: Sickle cell trait, the heterozygous state for sickle cell disorders (SCD), which is associated with various obstetrical and non- obstetrical complication. Our objective was to study the pregnancy outcome in women with sickle cell trait.Methods: A prospective observational study was conducted collecting data from medical records of around 40 consecutive consenting subjects admitted in a tertiary health care center of south Gujarat over a period of May 2020 to April 2021 after Human Research Ethics Committee (HREC) approval.Results: In our study majority of the subjects (52.5%) belonged to age group of 18-25 years, majority (62.5%) of subjects were belonged to tribal population. Majority (92.5%) of subjects in our study diagnosed as sickle cell trait post -conceptional. 67% of subjects had various antenatal maternal morbidity among them anemia (45%); preterm labour (12.5%); hypertensive disorder (7.5%) and respiratory failure (2.5%). 65% of our subjects were delivered vaginaly. 5% of subjects had post- partum complication.Conclusions: Though sickle cell trait is considered as a low risk factor during pregnancy, expansion of SCT screening and educational efforts, the availability of reproductive technologies, and the increasing research on clinical complications of SCT have important implications for reproductive and genetic counselling guidelines.

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