Background: The doctors of The Obstetric and Gynecological Society of Bhopal and the department of Obstetrics and Gynecology, Gandhi Medical College, Bhopal have been imparting Family Life Education to school girls and aganwadis as part of their school health program. This project was designed to evaluate the effect of school health programs and to gain an insight into the perceptions of the school girls regarding menstruation, hygiene, nutrition, marriage and the program.Methods: The study was conducted in five schools in which 537 girls participated. A questionnaire was provided to the school girls to know their knowledge and perception regarding menstruation, reproduction, nutrition and their views on the quality and usefulness of the Family life skills sessions.Results: The study showed that most of the girls gained information about menstruation from their mothers. Menstruation is still considered as something shameful and young girls face many restrictions. Knowledge regarding menstruation, reproduction, contraception and diet is still lacking among the school girls. Family life skill sessions address these issues very effectively. Most of the girls enjoyed the sessions and were ready for more.Conclusions: The Family Life sessions provide age appropriate, uniform skilled advice on nutrition, prevention of anemia, hygiene (menstrual), problems of growing years, career counseling, safe sex, contraception, teenage pregnancy and exclusive breastfeeding. Imparting family life skills to school girls provides a welcome platform for them to interact with doctors and counsellors, increasing their knowledge on health issues like menstruation, hygiene and nutrition.

:This work is a cross sectional study at a tertiary care centre done over a duration of one year with the aim to determine major indications and incidence of obstetric ICU admissions, to find out duration of ICU stay and determine maternal outcome. The three most common indications of Obstetric ICU admission were haemmorrhage followed by hypertensive disorders and iron deficiency anemia.The mean duration of ICU stay was 6.1 days. Maternal mortality was 6.54 % of the total obstetric patients admitted to our ICU. To conclude , establishment of dedicated obstetric ICU at tertiary care centre with knowledge , familarity, experience and expertise of an obstetrician and special team would be the best place to monitor and treat a critically ill obstetric patient which will reduce the maternal morbidity and mortality. KEY WORDS: Obstetric ICU, morbidity, mortality,Obstetrics INTRODUCTION:Over the centuries anemia, eclampsia and haemorrhagic shock have killed millions of our pregnant women and still continue to do so. Inspite of great advances in the medical field and improved quality of healthcare available in our country, the maternal mortality in India is very high.(420 deaths /1,00,000 live birth).Due to lack of awareness and absence of regular antenatal care, the critically ill patients are referred late and sometimes in moribund conditions with multiple organ damage. In order to provide them specialised care and reduce maternal mortality specialised obstetric intensive care units have been established. The concept is yet to gain stronghold in our country.Management of the critically ill obstetric patients is very complex and requires cooperation of both obstetrician and intensivist/anesthetist .The primary objective of the present study was to review the characteristics and outcome of the obstetric patients admitted to our ICU over a one year period . Aims and objectives 1. To determine the incidence of Obstetric ICU admission. 2. To find out common indications of Obstetric ICU admission. 3. To study the interventions required. 4. To find out the duration of ICU stay. 5. To study the maternal outcome.

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Background: According to World Health Organization, about 16 million girls aged 15 to 19 and some 1 million girls under the age of 15 give birth every year. Teenage pregnancies have shown association with higher risks of prematurity, low birth weight, preeclampsia and anaemia as compared to adult pregnancies. The present study was analytical study of pregnant adolescent girls and feto-maternal outcome at a tertiary care centre.Methods: Girls between 10 to19 years, who attended the antenatal clinic and/or who were admitted in the hospital while pregnant or during labour were included in the study. A questionnaire along with detailed history and examination were done. Adolescents who were admitted for confinement, details of labour and mode of delivery were noted. The newborn was assessed in context of prematurity, IUGR or any other complications and referral to NICU.Results: Of the 1870 adolescent girls attending the OPD, 1234 (65.98%) were pregnant. There were 429 (4.02%) teenage deliveries in the institute during the study period. The girls were mostly married, older teenagers and primigravidas. The use of contraception was poor and awareness regarding antenatal care was lacking. The most common risk factor was anemia. The other risk factors included HDP, preterm labor, PROM, IUGR, hemorrhage and previous LSCS.Conclusions: Early childbearing increases the risks for both mothers and their newborns.  A delay in marriage givesadolescents opportunities for higher education, thus empowers them. Sex education should be a part of the school curriculum. Good antenatal care may reduce complications of teenage pregnancy.

Background: India is the most populous country in the world, sustaining 17.5% of the world’s population on 2.4% of the world’s surface area. Despite of India being the first country to formulate a National Family Planning Programme in 1952, the population of India continues to rise. Therefore a basic question arises, as to why do couple have a third child? For stabilization of population every couple must on an average have 2.2 children, but how far our family planning programmes having an impact on the beneficiaries, in terms of their ideologies and utilisation of the programme. To get answers to the above question the present study was undertaken with the following aims and objectives to determine the views about ideal family size and ideal spacing, to determine the degree of knowledge about various contraceptive methods, to know the family size amongst population not adopting small family norm and to know the reason for non-acceptance of family planning methods.Methods: This was a hospital based case control study. Cases were women with two live children and not practicing family planning. Controls included women who opted for family planning methods and adopted the two child norm. Both cases and controls were asked to fill up a questionnaire.Results: Most people practicing small family norm view ideal number of issues ≤ 2 i.e. 88% of males and 91% of females. 59.8% couples not practicing family planning, think ideal spacing ≤ 2 years. 100% controls had the concept of contraception.Conclusions: Desire for a male child in 30.6% cases is the most common reason for couples not following the 2 child norm.