Osseous metaplasia is a rare disorder of the endometrium that usually leads to secondary infertility and is frequently associated with recurrent abortions. Here we present two cases: one presenting with primary infertility and another presenting with oligomenorrhea. In both cases, vaginal ultrasonography showed an intrauterine structure that appeared hyperechogenic, suggesting calcification. Hysteroscopy revealed multiple white spicules of bony material in the uterine cavity. In both cases, the lesion was treated by hysteroscopic removal without complications. Histology established a diagnosis of endometrial osseous metaplasia. Thus, hysteroscopy was effective in the diagnosis and treatment of endometrial osseous metaplasia. The patient with primary infertility had spontaneous conception of twins 6 months after the procedure.

Background: : The quest to improve diagnostic and therapeutic capabilities has led to the widespread acceptance of modern gynaecological endoscopy. Hysterolaparoscopy is a basic skill in the advanced scientific era and an effective and safe tool in comprehensive evaluation of infertility with an added advantage of treatment of some pathologies in same sitting. Methods: This clinical study is a prospective study of 100 selected cases of infertility. Patients who fulfills the inclusion and exclusion criteria were subjected to diagnostic laparoscopy and hysteroscopy in NIMS Infertility and Research centre, Jaipur over a period of one and half years from Jan 2014 -June 2015. Observation of pelvic and intrauterine cavity and chromopertubation test was done under general anaesthesia during hysterolaparoscopy. Surgical interventions were carried out whenever required and further treatment plan was decided. Results: A total of 100 women underwent hysterolaparoscopy. Age ranged from 21 to 40 years and mean age was 30.03 years. Prevalence of primary infertility was 64% and of secondary infertility was 36%. Among cases with primary infertility commonest pathology responsible were ovarian 20 (31.25%) followed by unexplained 19 (29.69%), uterine 11 (17.18%), tubal 8 (12.50%) and peritoneal 8 (12.50%) whereas in secondary infertility commonest pathology responsible were uterine 14 (38.88%), followed by tubal 13 (36.11%), peritoneal 9 (25%), ovarian 8 (22.22%) and unexplained being the least 2(5.55%). Therapeutic procedures were performed in the same sitting amongst 84.61% cases with primary infertility and 92% cases with secondary infertility.Conclusion: When done by experienced hands, with proper selection of patients, hysterolaparoscopy is an indispensable tool which can be considered as a definitive day care procedure for evaluation and treatment of female infertility.

Although preterm birth is the delivery before 37 + 0 weeks of gestation, the majority of prematurity-related complications occur before 33 + 0 weeks of gestation. The need of today is to select the best agent out of the broad spectrum of available tocolytic agents, for providing maximum benefit to unfortunate sufferers of prematurity. A prospective randomized study of 50 women of preterm labor was enrolled after informed consent. Patients were given dermal nitroglycerin patch as tocolytic agent according to study protocol. Result: 1) Results of NTG PATCH are comparable with other tocolytic drugs in terms of successful tocolysis; 2) Maternal and fetal outcome is favourable in cases of NTG PATCH USE in preterm labour; 3) Side effect profile was also better with NTG Patch. Conclusion: This randomized prospective study lends support to the proportion that Transdermal Nitroglycerine (NTG Patch) may be promising safe, effective, well tolerated, cost effective and non invasive method of tocolysis.

Background: The management of labour and its complication is an issue of great importance worldwide. Still it is unclear from available information that when to admit a Women in labour in order to achieve maximum maternal and fetal benefit. The present study was an attempt to assess how the outcome of woman changed with timing of admission either in active or latent phase of spontaneous labour in a tertiary care hospital. Aim: 1) To determine and compare the rate of intervention among low risk women admitted in latent and active phase of labour. 2) To determine and compare the rate of complications among them. 3) To determine and compare the foetal APGAR Scores and admission to NICU. Methods: It's a cross-sectional observational study, conducted at NIMS Hospital, Jaipur from a period between October 2015 to July 2016 with Sample Size of 180 low risk term women presenting during latent or active phase of labour. Result: Out of 180 patients, 96 patients (53.3%)were admitted during latent phase (group I) and 84 patients (46.7%) during active phase of labour (group II). Duration of labour was significantly greater in-group I compared to group II (mean± SD 17.0 ± 2.1 vs 12.7 ± 3.2). Caesarean was more in group I compared to group II (62.5% vs 28.5%) which was significant. Most common indication of caesarean was dystocia followed by fetal distress. Augmentation with oxytocin was required in 66 cases (68.75%) in group I and 42 cases (50.0%) in group II and the difference was not significant. Although PPH, cervical and perineal tear,fetal distress was more in group I but the difference was insignificant.