Background: The objectives of this study were to determine the etiologic causes of amenorrhea, the prevalence of mullerian anomalies as a cause of primary amenorrhea and the different varieties of mullerian anomalies causing primary amenorrhea. Methods: This study included all the women presenting with primary amenorrhea who presented to the department of obstetrics and gynecology, Sir T Hospital and Government Medical College, Bhavnagar from 1st January 2010 to 30th June 2012. Results: The causes of primary amenorrhea of our study due to obstructive anomalies were 37.72(n=5) and mullerian agenesis were 57.14% (n=8) and androgen insensitivity 7.14 (n=1). Conclusions: Mullerian agenesis is the most prevalent cause of primary amenorrhea in our study. [Int J Reprod Contracept Obstet Gynecol 2013; 2(3.000): 393-397

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Background: Knowledge of fetal weight in utero is vital for the obstetrician in deciding whether to deliver the fetus as well as in fixing the mode of delivery. Both low birth weight and excessive fetal weight at delivery are associated with increased risk of newborn complications during labor and the puerperium.  During the last decade, estimated fetal weight has been incorporated into the standard routine antepartum evaluation of high-risk pregnancies and deliveries. Objective of present study was to assess the fetal weight in term pregnancies by Clinical and Sonographic and to compare the methods after knowing the actual weight of the baby after birth.Methods: It is a prospective and comparative study of 200 women at term pregnancy at Sir T. Hospital, Bhavnagar, India from 2015 to 2016. Patients within 7 days from their Expected Date of Delivery were included in the study. The formulas used in this study are: Johnson's formula, Dare’s formula and Hadlock's formula using ultrasound.Results: Results vary in terms of accuracy with various methods employed for estimating the fetal weight. This study showed that Dare’s Formula was the best indicator among all other methods assessed followed by Hadlock's formula by ultrasonographic method.Conclusions: SFH measurement continues to be used in many countries on large scale because of its low cost, ease of use and need for little training as the setup for ultrasonographic evaluation is not readily available in rural setups.

Background: The present study was done to determine the relative contribution of each of ten groups of robson´s classification to overall cesarean section rate and identify modifiable group for intervention to reduce the cesarean rate.Methods: Retrospective review of record of cesarean section from the statistical Dept of Obstetrics and Gynecology sir T. hospital, Bhavnagar from January 2017 to October 2017 and classify them in to Robson´s ten group classification system to find out total number of cesarean among total number of delivery in above 10 months duration.Results: Total number of delivery in my study institute in 10 months was 3804 out of them 1182 was cesarean section, so the overall cesarean section rate in Sir T. hospital, Bhavnagar was 31%. Group 1 (Nulliparous, single cephalic, >37 weeks in spontaneous labor), 2 (Nulliparous, single cephalic, >37 weeks, induced or CS before labor) and 5 (Previous CS, single cephalic, >37 weeks) contributes for around 66% of total cesarean. Group 5 (Previous CS, single cephalic, >37 weeks) was the major contributor among all. Least common cause of cesarean was group 8 (All multiple pregnancies (including previous CS)) and group 9 (All abnormal lies including previous CS).Conclusions: Incidence of cesarean was more common with patient having previous cesarean section. So, to decrease cesarean rate trial of labour should be given to the patient who was suitable for vaginal birth after cesarean section. Adequate assessment of pelvis and giving trial to patient having borderline pelvis also decrease the rate of cesarean in primi gravid (group 1).

Background: Modified WHO partograph is graphical record of maternal and foetal data during progress of labour entered against time on single paper sheet. Entire labour can be interpreted in a glance on the photograph. It helps to detect abnormal progress of labour. It guides obstetrician to decide about the need for augmentation of labour or termination of pregnancy either by instrumental delivery or LSCS and avoids prolong labour before obstruction. The objectives were to study the course of normal and abnormal labour and to evaluate the maternal and perinatal outcome in normal and abnormal labour.Methods: The prospective observational hospital based study of 200 randomly selected cases coming to sir t hospital, bhavnagar for delivery during September 2016 to August 2017 was done. Progress of labour assessed by use of modified WHO partograph. Various parameters like duration of labour, mode of delivery, maternal and neonatal morbidity were studied.Results: The average duration of active first stage of labour was 4 hrs 38 mins in normal labour and 7hrs 48 mins in abnormal labour. Arrest of descent was responsible for 40% of abnormal labour. Problems like obstructed labour were avoided by timely intervention in the form of cesarean section and instrumental delivery. Maternal and perinatal outcome were satisfactory.Conclusions: Routine use of modified WHO partograph helps in early detection of abnormal course in labour. Every women in labour must be benefitted by use of modified WHO partograph for labour monitoring. It assures best maternal and perinatal outcome.