Relation between dysmenorrhea and BMI was found to be significant (p < 0.01) with increased prevalence in the low BMI group. Hence, improving the nutritional status of adolescent girls may reduce dysmenorrhea.

Background: Corona virus disease 2019 has taken a huge toll over health infrastructure and care all across the world. This article depicts our experience of COVID-19 in pregnant women and analyses maternal and neonatal outcome of same in first and second wave of this pandemic. Aim and objectives of the study were to compare the demographic characteristics, presenting features and fetomaternal outcome in COVID positive pregnant women in first v/s second wave in a tertiary care hospital.Methods: The RTPCR COVID-19 positive pregnant women admitted during the period April-2020 to March-2021 were considered in 1st wave of COVD-19 and that from April-2021 till June-2021 as 2nd wave of COVID-19. Data like baseline characteristics, past medical, obstetric history, clinical presentation, laboratory results, imaging findings, management modalities, maternal and neonatal outcome were analysed and compared.Results:  Peak of 1st wave of COVID-19 was found during the months of July-September 2020, while of 2nd in April-June 2021. Most women presented with COVID-19 RTPCR positive were asymptomatic both in 1st and 2nd wave. Though most patients were managed on room air in both waves, 6.52% and 9.38% were on oxygen, 1.09% and 10.94% were managed with mechanical ventilation and BIPAP in 1st and 2nd wave respectively. There was significant (p<0.05) increase in maternal deaths in the 2nd wave (7.03%) as compared to 1st wave (1.09%).Conclusions: A significantly large number of patients were affected in 2nd wave of COVID-19 pandemic with more morbidity and mortality. Neonatal population remained relatively unaffected in both waves.

INTRODUCTIONInstitutional deliveries have increased all over the country, thereby providing opportunities for quality postpartum family planning services. In this period, women are highly receptive and motivated to accept family planning methods. Ideally birth to birth interval is 36 months; but 61% of births in our country are shorter then recommended interval. 27% of births occur within 24 months, 34% births between 24 to 35 months after a previous birth. In the first postpartum year, 65% of women have an unmet need for family planning in our country. In this period only 26% of women are using any method of family planning. So healthy spacing of pregnancy must be achieved by postpartum family planning methods.1 Fear of complications and lack of information are the common problems for unmet need. Postpartum insertion of IUCD for spacing and limiting birth is very safe and effective approach, should be implemented in all deliveries ideally.According to Medical Eligibility Criteria of WHO, an IUCD can be inserted within 48 hours postpartum or after 6 weeks following birth. Generally, it is not used between 48 hours to six weeks postpartum as there is increased chances of expulsion and infection (WHO category 3) as ABSTRACT Background: Institutional deliveries have increased all over the country, thereby providing opportunities for quality postpartum family planning services. In this period, women are highly receptive to accept family planning methods. Objective of this study was to evaluate CuT Multiload 375, in terms of acceptance, safety, efficacy, continuation rate, removal rate and to find out PPIUCD complications e.g. bleeding irregularities, perforation, expulsion and discontinuation due to various reasons. Methods: Prospective analytical study was conducted from February 2016 to June 2016 in the department of Obstetrics and Gynecology, at RNT Medical College, Udaipur, Rajasthan, India.100 patients in each vaginal and cesarean group were selected randomly. Multiload 375 was inserted after obtaining written consent. Results: Missing threads were detected more in cesarean group (22.8%) than vaginal group (12.9%). Cumulative expulsion rate was 15.2% in vaginal group and 10.8% in cesarean group. Heavy Bleeding PV with or without the pain was the main reason for removal of CuT in both the groups. Removal rate for vaginal and cesarean group was 15.2% and 10.8% respectively. Conclusions: PPIUCD is very effective, safe and reversible contraceptive method which provides contraceptive effect soon after birth. Although there is relatively high incidence of expulsions and removal in the both group still the continuation rate was 69.4% in vaginal group and 78% in cesarean group.

To Assess knowledge, attitude and practice towards cervical cancer and its screening among health service providers. Material and Methods: A cross-sectional study. Questionnaire was adapted from earlier studies related to cervical cancer and screening knowledge, attitude, and practices among female health care providers of Chennai cooperation 2013. Result: Out of 200 heath care providers 68.5% think that cancer cervix is a public health problem in India. 59% are aware about risk factors for acquiring cervical cancer.57% are aware of cancer cervix symptoms.30% are aware of its screening procedure.49.5% and 48% are aware of recommended age of screening and its interval respectively. 46.5% didn't think themselves susceptible for cervical cancer. 99% were willing to undergo screening.100% perceive the importance of educational camps and seminars and willing to propagate knowledge regarding cancer cervix and screening to general population. only 2% have ever undergone screening for cervical cancer. 21.5% Have done cancer screening and only 7% have undergone vaccination. Conclusion:Study identified misconceptions between Knowledge, Attitude and Practices towards cervical cancer and its screening among Health Service Providers.

Hypertensive disorders complicating pregnancy are common and form one of the deadly triad, along with haemorrhage and infection; that contribute greatly to maternal morbidity and mortality. Maternal morbidity remains increased with pre-eclampsia, which continues to be one of the leading causes for the admission of pregnant women to intensive care units in the developed world. 1. To measure the levels of S. CRP and urine albumin levels in women with pre-eclampsia; 2. To evaluate the association of S. CRP levels and albuminuria in pre-eclampsia. Hospital based study conducted at PDZH, RNT Medical College, Udaipur. All 100 Pre-eclampsia women attending OPD and labour room of PDZH were evaluated within a period of one year. There was statistically significant increase in the levels of serum CRP and Albumin excretion in urine, and also there was a significant positive correlation between CRP and Albuminuria (p&#60;0.01). The immune activation related to endothelial dysfunction, the inflammatory mechanisms that lead to vasospasm, and the inflammatory response associated with the presence of necrotic placental cells in the uterine and placental bed. Serum CRP and Albuminuria are positive markers of inflammation and can be used as utility parameters for the assessment of pre-eclampsia.