Premature rupture of membrane before 37 wks. gestation is known as preterm premature rupture of membrane (PPROM). Aim of this study is to apply recommended management in PPROM so as to have best maternal and fetal outcome and to study various maternal and neonatal complications and various neonatal morbidities in relation to gestation age (GA) and birth weight. METHOD: 200 patients with PPROM were included in the study. Maternal and fetal status closely monitored, cases were followed during delivery and postnatally, mode of delivery, total weight, APGAR score, maternal and fetal outcome recorded. Statistical analysis was done by using chi square test. RESULTS: 26.5% cases were PPROM remote from term and 73.5% cases were PPROM near term. PPROM nearer the term less was the latency. Out of 200 PPROM cases 171 delivered vaginally and 29 delivered by LSCS. Maternal morbidity was observed in 33 cases. In this study 95% live birth and 5% were still birth. RDS was the commonest neonatal morbidities 32% followed by neonatal sepsis 20.0%. CONCLUSION: Premature infant puts immense burden on the economy and health care resources of the country. Therefore, management of PPROM requires accurate diagnosis and evaluation of the risks and benefits of continued pregnancy or expeditious delivery.

Background: Analysis of maternal near miss provides a good opportunity for assessing the factors responsible for maternal mortality in this area. Objective: Incidence of maternal near miss and mortality cases in central India tertiary care centre and evaluation of various causes using WHO criteria. Material and Methods: It is an ongoing prospective observational study conducted in the department of Obstetrics and Gynaecology, Index medical college, Indore, MP from September 2015 to October 2016. The patients who fulfilled the WHO criteria of maternal near miss were enrolled; their clinical and investigation parameters were recorded. Results: During the study period a total 4786 deliveries were observed, out of that 4533 were live births, 74 were near miss cases and 15 maternal deaths. Twenty nine (39.1%) of near miss cases were found in 15-20 year of age group while 53.33 % cases of maternal death were found of same age group. Primipara cases were more in both near miss (60.8 %) and maternal death group (60.0 %). Majority of patients were in third trimester and underwent vaginal delivery. Among the causes of near miss events, hemorrhage was the leading cause followed by preeclampsia/eclampsia and sepsis. Conclusion: Near miss cases generally occur more frequently than maternal death and therefore a more reliable quantitative analysis can be carried out, which can provide more comprehensive profile of health system functioning. Identification of the obstacles and gaps in the health system and a coordinated approach to resolve these can ultimately lead to an improved health system.

ABSTRACT:In developing countries, 55 million unintended pregnancies occur every year to women not using contraceptive method; another 25 million occur as a result of incorrect or inconsistent use of contraceptives. Family planning programme have met with only marginal success, because people of India have different demographic profile. OBJECTIVE: To study KAP regarding various contraceptive methods and factors affecting its use. DESIGN: Observational, Cross sectional study. SETTING: S.S. Medical College & Associated G.M. Hospital, Rewa. PARTICIPANTS: 500 women of age 15 to 45 years. METHODS: Women were interviewed using pre-structured questionnaire, counseled regarding correct usage and explained the truth and myths to correct their attitude. STATISTICAL ANALYSIS: Univariate and bivariate analysis was done using chi-square test and percentage by SPSS20. RESULTS: Knowledge of contraception was maximum for sterilization 99%, abstinence 98%, barrier 97.4%; and less for OCPs, safe period and LAM. Para1 and 2 had better knowledge of OCPs, IUCDs and DMPA than multipara who know more about permanent methods(100%). 54.4% obtained information from mass media. 68% obtained family planning services from government facility. Majority (60.8%) had positive attitude. 22.4% women discussed contraception with their husband. 55.6% women used some method of contraception, barrier (66.1%) being most common. 71.8% women had myths or other barriers to use contraceptives. CONCLUSION: Knowledge and preference for contraception varies widely with different phases of reproductive life. In rural areas, sociocultural constrains are strong, hindering people to practice contraception. Efforts should be made to educate people to bring out major changes in attitude and practice.

To evaluate the potential of VIA & VILI in the screening of preinvasive and invasive lesions in unhealthy cervix and comparing them with colposcopy guided biopsy thereby determining its usefulness in screening. Also to evaluate the correlation of demographic data like age, socioeconomic status, education, residential area, parity, age at marriage, use of various contraceptive methods in premalignant lesions of cervix. METHODS STUDY was conducted on 200 symptomatic and asymptomatic women with abnormal cervices who attended outdoor department of SSMC associated hospital SGMH. All cases were subjected to Pap smear, VIA, VILI and colposcopy, women with premalignant lesion were subjected to directed biopsy from suspicious areas and sent for histopathological examination (HPE). Results of Pap smear, VIA, VILI and colposcopy are compared to HPE report. OBSERVATIONS: On cytology 27.5% of cases had LSIL & HSIL. All were positive by VIA & VILI, of which 80% had dysplasia on biopsy. On colposcopy, incidence of CIN was 38.5%. all were positive on VIA & VILI, out of which, 76.6% were proved dysplastic on colposcopy guided biopsy. VIA when compared with HPR had sensitivity & specificity of 80% & 67% respectively, while that of VILI was found to be 80% & 87% respectively. CONCLUSION: VIA & VILI are simple, inexpensive, low technology test. Both when combined has high sensitivity as well as specificity. This can be practiced by clinicians and paramedics on wide scale. Another advantage is immediate availability of results, so that treatment can be started during same visit.

Background: A healthy placenta is the most important factor in producing a healthy baby. Placenta which is the most important organ for maintaining and continuing healthy pregnancy and fetal growth. Study aimed to evaluate Pregnancy induced hypertension in relation to placental and fetal birth weight.Methods: Total 200 mothers participated in the study, various parameters related with placental and fetal weight were calculated and analysed.Results: This study observed the reduction of placental weight in the hypertensive disorders. Placental weight shows marked variation in all the groups and coefficient of variation was higher in severe PIH group, but mean weight was less with increased severity of PIH. Baby weight shows marked variation in all the groups and coefficient of variation was increased with severity of PIH and mean weight was less with increased severity of PIH. Placental weight was significantly reduced in pre-eclamptic pregnancies and it was directly correlated with fetal birth weight.Conclusions: Hypertensive disorders of pregnancy adversely influence the placental weight, which ultimately, adversely influence the maternal and perinatal outcomes.