Preterm birth is a major health problem for neonates, family, country, and society in general. In our study 106 singleton pregnancies with no high risks were included to study the efficacy and safety of natural micronized progesterone in prevention of preterm labour. Aim: To assess efficacy of natural micronized progesterone by vaginal route in prevention of preterm labour. Material and Methods: It was a prospective study conducted at our tertiary care centre Dr.

BACKGROUND: Accurate determination of fetal birth weight prior to delivery can have significant bearing on management decision in labor, thereby markedly improving perinatal outcome. OBJECTIVE: To assess fetal weight in term pregnancy by different clinical and ultrasonographical methods. MATERIALS AND METHODS: The study was conducted in Obstetrics and Gynecology department of Dr. D.Y. Patil Medical College, Pimpri, Pune. Two hundred (200) women were selected and studied for a period of one year based on convenience sampling from October 2011 to September 2013.The fetal weight was estimated a week prior to the delivery by both ultrasound and clinical examination. Various formulae's for estimation of fetal weight were applied based on Ultrasound and clinical parameters. All results arising from different formulas were studied and suitable statistics was applied and compared to have clear idea regarding results. RESULTS: All results arising from different formulas were studied by Descriptive statistics and compared with Actual weight at the time of delivery (gold standard). A box plot was used to differentiate various methods used for estimation of fetal weight, It shows that Johnson, Dawn formula and weight in gms (Dare's) formula corresponds with the base line indicating that they can predict birth weight correctly and among these Johnson showed promising results, whereas formulas like Campbell, Comb's, Hadlock and Warsof didn't predict birth weight as accurately as the three clinical methods used, thus in our study it can be seen that clinical methods are better predictors of birth weight than ultrasonographic methods. CONCLUSIONS: In our study it was observed that Clinical methods used for estimation of fetal birth weight was found to be by far simple and reliable methods in estimation of fetal birth weight than Ultrasonographic estimation methods and thus holds importance in day to day practice especially in countries like us where still a large group of population resides in rural areas.

Background: Pre-eclampsia is one of the major causes of maternal and perinatal morbidity and mortality. There are various parameters to evaluate pre-eclampsia. S.uric acid levels is one of the important biochemical markers in pre-eclampsia. The objective of current study is to compare the levels of S.uric acid in pre-eclamptic patients and normotensive patients.Methods: A total of 256 antenatal patients, consisting of two groups, 128 patients in each group diagnosed with pre-eclampsia (either earlier or during examination) and 128 control antenatal patients in their third trimester were considered. Both the groups were compared in relation to age, parity, socio economic status and geographical variations. Blood sample (venous blood) of about 5ml was drawn from the ante cubital vein of the patient under all aseptic precautions to estimate S.uric acid levels.Results: The observation of present study shows that the level of serum uric acid is significantly higher in the cases of pre-eclampsia. The value of S.uric acid increases with the severity of pre-eclampsia.Conclusions: It is concluded from this study that high levels of uric acid are found in the serum of pre-eclamptic cases as compared to normotensive cases of the study population. The levels of uric acid are higher in severe cases as compared to the levels in mild and moderate cases.

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Aim Utero vaginal prolapse is a very common complaint of patients in the OPD. It's an entity that existed since a very long time and hence many classifications were proposed; however, only one system was found to be a validated system for determining the degree of prolapse-POP-Q system. Objective To determine the relationship of decubitus ulcer with POP-Q staging.