Aim To evaluate the association between changes in platelet indices (platelet count, mean platelet volume, platelet distribution width) and development of preeclampsia. Materials and methods Two hundred pregnant women at 20 to 24 weeks of gestation with singleton pregnancy and normal blood pressure were enrolled after taking well-informed consent. At monthly intervals CBC (complete blood count) was done from 20 to 24 weeks till 40 weeks and 7 days after delivery. Data regarding changes in platelet indices with increasing gestation was collected and analyzed. Results Platelet count decreased significantly in patients with preeclampsia compared to normal pregnant patients (19.4% vs 7.4%). Mean platelet volume increased significantly in preeclampsia patients (44.5% vs 9.22%). Increase in PDW was observed significantly in patients with preeclampsia (47.19% vs 29.4%). Conclusion Patients with preeclampsia are more likely to have significant decrease in platelet count, increase in PDW and MPV. These changes can be observed at an earlier gestational age than significant rise in BP can be observed and are directly proportional to progressive rise in hypertension. Thus, estimation of platelet indices can be considered as an early, simple and cost-effective procedure in the assessment of severity of preeclampsia. How to cite this article Dadhich S, Agrawal S, Soni M, Choudhary R, Jain R, Sharma S, Saini SL. Predictive Value of Platelet Indices in Development of Preeclampsia. J South Asian Feder Obst Gynae 2012;4(1):17-21.

Uterus didelphys is rare and sometimes not even diagnosed. We report a case of didelphys uterus in a 26-year-old pregnant lady who previously had three successful pregnancies with previous one C-section and remained undiagnosed till she presented to us as ruptured uterus. This case report aimed to summarize the clinical characteristics and perinatal outcome of VBAC in pregnancy with didelphys uterus and history of previous cesarean section.

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Aims: To study about the adaptation and mitigation measures initiated by the farmers against climate change in local conditions. Study Design: Ex-post-facto research design was followed. Place and Duration of Study: The study was conducted at Department of Agricultural Extension and Communication, Bhagwant University, Ajmer during 2019-2022. Methodology: The study was conducted in Aravalli Hill Zone of Rajasthan to understand adaptation & mitigation measures employed by farmers to the adverse effects of climate change. In the investigation region, 240 farmers were randomly selected. Results: In the region 95.83 per cent of the farmers pursued that soil and water conservation was the most widely practiced strategy. Whereas, almost three fourths of the respondents were practicing adoption of drought tolerant and early maturing crop varieties were (75%), use of small-scale irrigation (73.75%), enhancing participatory forest management (73.33%) and afforestation/ reforestation (72.91%), while (70. 83%) practiced diversification of small ruminant animals and changing cropping calendar of agricultural activities. In the constants of  the maize crop adaptation measures against excess rainfall was 70.83 per cent of delayed sowing dates; this change in sowing date was adopted by the farmers and adaptation measures in maize crop against deficit rainfall observed by the investigator that 69.58 per cent of the farmers found that delayed sowing dates had affected them. Conclusion: The local people employed different strategies to adapt the adverse effects of climate change, there were constraints that limit the farmer’s adaptation strategies i. e. lack of financial support, lack of climate information and lack of technical skills. Therefore, the local decision makers such as agricultural sector, microfinance sector, and meteorological agency should provide farmers credit access and climate information to reduce shortage of finance and lack of climate information. There is also need of providing training to the farmers on improved agricultural technology and market access to enhance their climate resilience conditions.

Congenital anomalies of the female genital tract result from müllerian duct anomalies and/or abnormalities of the urogenital sinus or cloaca. Due to the close developmental relationship between the genital and the urinary tracts, association of anomalies in both systems are common. This article reviews the appearance of developmental anomalies of the female urinary (hypospadias) and genital tracts and points out complication associated with bicornuate uterus. A 40-year-old primigravid woman conceived a pregnancy after 10 years of primary infertility. The prenatal course was uncomplicated. At 38 weeks' gestation, she was successfully delivered by elective low transverse cesarean section.