Introduction: Emergency hysterectomy is the surgical removal of the uterus following an unexpected and sudden event, which must be dealt with urgently by carrying out the procedure. When it is carried out in a woman with a pregnant uterus less than 24 hours after delivery, it is termed emergency peripartum hysterectomy. Peripartum Hysterectomy is an essential part of the obstetricians armamentarium. On one hand, it is the last resort to save a woman's life and on the other hand, her reproductive capability is sacrificed. Many times it is a very difficult decision and requires good clinical judgment. Objectives: To evaluate the indications, outcome and complications associated with peripartum hysterectomy procedures. Methods: A retrospective study of all cases of caesarean and postpartum hysterectomy between July 2019 and December 2020. Maternal characteristics, indications for hysterectomy and complications were reviewed. Results:The rate of peripartum hysterectomy was 1.32:1000 deliveries. Most were operative deliveries. The main indications were placenta accrete (36%), massive atonic PPH (32%) and uterine rupture (18%). Maternal morbidity was high and there were four maternal deaths (8%). All deaths were in patients brought in a critical condition to the hospital after massive blood loss. Conclusion: Peripartum hysterectomy is potentially a life saving procedure but the mortality and morbidity is high, especially if performed late when the hemodynamic instability has already set in.

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Background: India was the first country in the world to adapt a national population control program in 1952. So, it is important for couples and society as a whole to understand and adopt the methods of family planning. Use of contraceptives can prevent at least 25% of all maternal deaths by preventing unintended pregnancies and unsafe abortions and also protect against sexually transmitted infections.Methods:  A cross-sectional study was conducted in the women of the reproductive age group (15-49 years) in gynae OPD of community health centre of block Bishnah in district Jammu.Results: The study was conducted in 408 women of the reproductive age group. Almost all the women had knowledge of various spacing methods, maximum being for being for oral contraceptive pills (OCPs) (96%), followed by intrauterine contraceptive devices (IUCD) (93.8%) and 90.9% for condoms. However, they had less knowledge about injectable contraceptives (13.9%).Conclusions: Family planning related knowledge was found to be very encouraging with two-third having a positive attitude as well. Main identified reasons for contraceptive defaults were unsustain availability, side-effects, need of a child and family opposition. It is hence, important to improve education of women to overcome barriers to modern contraceptive methods.