Every year, 2.6 million newborns are stillborn throughout the world. Objective: To determine the obstetric and neonatal outcomes among women presenting with reduced fetal movements in the third trimester of pregnancy. Methods:  The pregnant women were in the low as well as a high-risk category. The pregnant women were advised to count 3 times a day post-meal or use the Count to 10 techniques to track their fetal movements in the third-trimester phase. The antenatal presentation was documented, blood pressure was taken, and a comprehensive BPP was performed All perinatal outcomes were documented, involving both pregnancies that continued as well as deliveries that occurred at a later gestational age. Results: A total of 110 pregnant women with reduced fetal movement (RFM) were taken as a part of this research.  The average age was 35 years. A total of 56 were from the high-risk category while 54 were from the low-risk category. Out of 49% (n= 54) women, 15 women were more sensitive to the subjective experience of RFM due to factors such as an anterior placenta, overweight, as well as increased maternal stress. Out of 56 high-risk category women, 15 women revealed an abnormality in the volume of liquor. While on the other hand, out of 54 low-risk category women, 8 showed less prevalence of abnormal liquor volume. Conclusions: High-risk pregnancies accounted for a considerable percentage of individuals having RFM. Comparing the high-risk category with the low-risk category reveals that the rising incidence of stillbirth as well as low BPP were present at the time pregnant women were admitted.

Objectives: To study the factors associated with postpartum iron deficiency anemia. Study Design: Case-control study. Place and Duration of Study: Department of Obstetrics & Gynecology Unit-II, Ghulam Muhammad Mahar Medical College Sukkur, Pakistan from 1st January 2020 to 31st December 2020 Methodology: Five hundred and seventy six women were included in which 144 women with postpartum iron deficiency anemia (Hb <11 g/dl at 24 to 48 hours post-delivery) were as case group and 432 women without postpartum iron deficiency anemia (Hb >11gdl at 24-48 hours post delivery) were as control group. Results: There was not significant (p=0.87) difference between case and control groups. Multiparity was associated with post-partum iron deficiency anemia (p=0.012). Postpartum iron deficiency anemia was about two times more likely in multiparous (OR=1.65; 95%CI: 1.12 to 2.44) than primiparious, failure to exclusively breast-feeding was also associated (p=0.003), postpartum iron deficiency anemia was two times more likely in those women those were not exclusive breast-feeding (OR=1.95; 95%CI: 1.24 to 3.07) than those were. Similarly post-partum iron deficiency anemia was ten times more likely in those women whose education was below or metric (OR=10.54; 95%CI: 2.85 to 39.03) than those who are highly educated. On the other hand, obesity was not associated (p=0.075) unadjusted odd ratio of obese was 0.68 (95%CI: 0.44 to 1.04) Conclusion: Multiparity failure to exclusively breast feed is significantly associated with postpartum iron deficiency anemia. Keywords: Postpartum iron deficiency anemia, obesity, multiparty

Objective: The goal was to determine if antiplatelet medication was effective at preventing preeclampsia in high risk patients as well as its negative effects. Study Design: Descriptive case series Place and Duration: Gynaecology and obstetrics department LUMHS Jamshoro. Jan 2022-Dec 2022 Methods: Total 135 pregnant females of age 20-40 years were included in this study. The included patients were all high risk pregnancies with parity 5, gestational age 12 weeks, and hospital prenatal checkups. Aspirin (an antiplatelet medication) 120 mg/day was administered to all the females. They were monitored in the OPD up until the 36th week of pregnancy. Preeclampsia was diagnosed in females who had BP > 140/90 mmHg and proteinuria > 300 mg using the urine dipstick technique. All data were examined using SPSS 24.0. Results: There were 95 (70.4%) cases had age <30 years and 40 (29.6%) females had age >30years. Mean parity of the females was 2.3±5.11. Mean BMI was 25.02±6.35 kg/m2. There were 60 (44.4%) females were educated and 55 (40.75) females were from urban areas. History or preeclampsia found in 7 (5.2%) cases. There were 28 (20.7%) females were obese, chronic hypertension found in 9 (6.75) cases, gestational hypertension in 92 (68.1%) cases and gestational diabetes in 22 (16.3%) cases. Frequency of preeclampsia was found in 19 (14.1%) cases. Other complications were low platelet, acid peptic disease and Antepartum haemorrhage. Conclusion: We observed that the occurrence of preeclampsia was extremely low among high-risk females who had 120mg of Aspirin (antiplatelet medication) in the first trimester, but that the negative effects of antiplatelet therapy increased with increasing doses. Keywords: Pregnant females, Gestational Hypertension, Antiplatelet Therapy, Preecplampsia

Aim: The present study aims to explore different factors linked with this stillbirth rate in Pakistan, which are; sociodemographic factors, living experiences, and health-related factors related to this highest stillbirth rate, and reflect their relationship with the pregnancy, birth elements, and stillbirth in the context of tertiary healthcare setting in Pakistan. Study design: A cross-sectional study Place and Duration: This was a multicentric study which was conducted at Unit II Ghulam Muhammad Mahar Medical College Teaching Hospital Sukkur, Civil Hospital Quetta and Muhammad Medical and Dental College Mirpurkhas from March 2021 to March 2022. Methodology: This study gathered data related to respondent demographics and their clinical history. For the stillbirth data, this study uses fitted bi-variable and multivariable models with two options, yes/no, and three categories, i.e., mothers' livebirth/macerated/non-macerated stillbirth. This method explores and identifies their linkage with the respondents' demographic and clinical aspects. Results: Results show that there were, in total, 1999 neonates and 1927 mothers as the sample size. Findings show that the increased odds of stillbirth were linked with maternal inadequate education, distancing issue, people living in huts or cottages, hypertensive mothers, history of stillbirth, complexities with birth, increased time for labor, antepartum hemorrhage, long hours of labor or obstructed labor, vaginal breech at the time of delivery, cesarean in an emergency condition and signs of the trauma after birth to the neonate. Conclusion. The results show that some factors responsible for stillbirth can be used to develop interventions needed to improve Pakistan's public health conditions. Eventually, it will reduce preventable deaths and improve the condition of maternal health in that particular region. Keywords: Stillbirth, Maternal health, Avoidable death, universal health.

Eclampsia is responsible for 34% of maternal mortality in Pakistani tertiary care hospitals among women admitted for delivery. Objective: To evaluate risk factors associated with eclampsia patients as well as the perinatal maternal effects in patients. Methods: Overall, 250 patients were involved in this research who were diagnosed with eclampsia. The data were collected from the medical records of the patients. The medical records contained information related to the patient's pregnancy history, characteristics, medical history, obstetric history, information related to admission to the hospital, maternal outcomes, and treatment provided at the hospital. For statistical analysis, SPSS version 21.0 was used. Results: There were 21689 women who gave birth in the hospital during the research process and 250 patients (1.15%) were diagnosed with eclampsia out of which 4 women died and had a case fatality rate of 1.6 %. The major risk factors associated were young age, already existing medical conditions, education level being low, low antenatal attendance, and nulliparity. HELLP syndrome was the most common consequence with a percentage of 15.6. All patients were provided with medication of magnesium sulfate. However, there was an absence of parenteral antihypertensive therapy. A total of 46 women (18.4 %) gave birth through vaginal delivery. Conclusions: According to our findings, eclampsia is still a key risk to maternal survival. Poor socioeconomic status, lack of education, and inadequate antenatal care were found as major risk factors