A collision tumor is the coexistence of two adjacent, but histologically distinct tumors without histological admixture in the same tissue or organ. Such tumors have often been reported in various organs, but location in the ovary is rare. The juxtaposition with dermoid cysts has been reported as comprising approximately 5% of benign mucinous ovarian tumors and rare examples of proliferating mucinous tumors. Authors are reporting a case of collision tumor which included benign mucinous cystadenoma and benign cystic teratoma. The gynecologists and pathologists should be aware of such combination of tumors. The case was diagnosed post-operatively. It is important to correctly diagnose the component of tumor for further management and favourable prognosis. Frozen section intra-operatively plays an important role in diagnosing such tumors.

The study included 248 women with previous one caesarean section at 38 completed weeks of gestation, without obstetric complications ,and were given trial of labor. Progress of labor, mode of delivery and maternal and fetal outcomes were noted and analysed. RESULTS: Out of 248 cases 66.1% delivered vaginally and repeat caesarean section was done in 33.9%.Out of 138 cases of Previous caesarean done for non reassuring fetal heart rate,74(53.6%) delivered vaginally. CONCLUSION: Good selection of cases and meticulous supervision during labor helps in successful VBAC. INTODUCTION: Pregnancy with previous caesarean section is quiet prevalent condition .This is due to liberalization of primary caesarean section for non-recurrent indication. Caesarean section rates has increased from 21.8% in 1993-1994 to 25.4% in 1998-1999 1 ,leading to increasing number of women with previous caesarean section in subsequent pregnancy and labor. Post caesarean pregnancy is a high risk case and had scrupulous supervision during antenatal period and labor. The dictum "once a caesarean, always caesarean" no longer applies. Women who have previous caesarean delivery can safely attempt a trial of labor to have vaginal delivery in subsequent pregnancies. Vaginal birth after caesarean (VBAC) is possible but is associated with risk and need supervision. Caesarean section is associated with maternal morbidity. Maternal complications include hemorrhage, infection, pulmonary embolism, DVT. Major benefit of VBAC is reduction in maternal morbidity, avoiding uterine incision, lower cost. VBAC is associated with various complications and risks such as scar dehiscence, rupture uterus, perinatal morbidity and mortality, hysterectomy, unsuccessful trial of labor requiring emergency caesarean section. Major factors influence the success of TOL such as indication of previous caesarean section, previous normal delivery, site & type of scar, no. of caesarean section. Our study was done to know the factors affecting & obstetric outcome in vaginal birth after previous caesarean section. Trial of

INTRODUCTIONPre-labour rupture of the membranes (PROM) at term is defined as spontaneous rupture of the membranes after 37 weeks of the gestation before the onset of labor. PROM occurs in approximately 5-10% of all pregnancies, of which approximately 80% occur at term. 1In term PROM usually 70-80% goes into spontaneous onset of labor within 12 to 24 hours, and 95% within 48 to 72 hours. If the latent period exceeds 24 hours, the chances of infection increase. 2PROM is a common and important event in obstetrics. It has a major impact on fetal and maternal outcome, ABSTRACTBackground: Premature rupture of the membranes at term is spontaneous rupture of the membranes after 37 weeks of gestation and before the onset of the regular painful uterine contractions, complicates 5-10% of pregnancies, 80% of cases of PROM occur at term. It complicates the pregnancy leading to maternal and fetal complications, immediate risks such as cord prolapse, cord compression and placental abruptions, and later risks such as maternal or neonatal infection and the interventions such as caesarean section and instrumental vaginal delivery. These cases are either managed conservatively or by immediate induction of labour. Objective of present study is to compare the efficacy and safety of induction of labor versus expectant management at term PROM, in terms of maternal and fetal outcome. Methods: A randomized control trial of 100 women coming to KIMSH from 01 /04 /2015 to 01 /05 /2016 with PROM at term with duration of leak ≤6 hours and a Bishop score ≤5 were assigned to group A immediate induction group and group B expectant management group with 50 cases in each group. Results: The mean interval from PROM to delivery was significantly shorter in the induction Group 15.62±4.97 as compared with expectant group 17.58±4.78. Incidence of maternal morbidity and neonatal morbidity was comparable in both the groups. Intrapartum complications and mode of delivery were similar in both groups. Conclusions: Immediate induction of labour in cases of PROM at term using oral misoprostol resulted in shorter induction delivery interval and hospital stay. Maternal morbidity and neonatal morbidity was comparable in both groups. It is concluded that immediate induction is better than expectant management. With active management many patients delivered vaginally within 24 hours without increase in the Caesarean section rate and decreased the need for oxytocin augmentation.

Background: The postpartum period is an important time in a woman’s life to promote the health of the newborn and the mother. In INDIA, the unmet need for contraception in the first year postpartum is as high as 65%. Hence, this study aims to evaluate the safety and efficacy of immediate postpartum intrauterine contraceptive device (PPIUCD) as a method of contraception.Methods: The study was undertaken in KIMS Hospital and Research Centre, Bangalore. A total of 60 patients were recruited following complete evaluation. 30 patients had immediate postpartum post placental insertion and 30 patients had intracesarean insertion of Cu T 380A.Results: The patients who accepted PPIUCD mostly belonged to the age group 19-24 years, multigravida with one living issue. Insertion of IUCD was easy in 96.7% of the patients. Only 8.3% of the patients were anxious post insertion. 20% of the patients had minor complications, most commonly, bleeding and pain. There was only one case (1.7%) of infection (vaginitis). There were 23.3% of cases with missing strings but in all these cases IUCD was found in-situ on ultrasonography. Removal rate and expulsion rate were 6.7% and 5% respectively. Continuation rate was 88.3%.Conclusions: We can conclude from this study, that immediate PPIUCD is an effective and inexpensive contraceptive for all delivered women, as it can be easily provided by trained midwives due to its ease of insertion, high continuation rate and no major complications. Thus, we can prevent unwanted pregnancies, abortions and its untoward effects.