Introduction: Torsion of the adnexa is a rare condition which can be potentially lethal for the women. The clinical presentation can be varied and can be seen in any age group. Understanding the clinical and pathological profile of patients suffering from adenexal torsion can guide the clinicians in diagnosing and managing the condition.

Objective:To identify the associated factors of cervical pre-malignant lesions among the married fisher women residing in the coastal areas of Sadras, Tamil Nadu.Methods:The study was conducted in five fishermen communities under Sadras, a coastal area in Tamil Nadu, India. Two hundred and fifty married fisher women residing in the area. Quantitative descriptive approach with a cross-sectional study design was used. Data were collected using a structured interview schedule for identifying the associated factors and Pap smear test was performed for identifying the pre-malignant cervical lesions among the married fisher women. Data were analyzed using descriptive and inferential statistics.Results:Among 250 women, about six (2.4%) of them presented with pre-cancerous lesions such as atypical squamous cell of undifferentiated significance (ASCUS) — five (2%) and mild dysplasia one (0.4%). Majority of the women, about 178 (71.2%) women, had abnormal cervical findings. Statistical analysis showed a significant association of risk factors such as advanced age, lack of education, low socioeconomic status, using tobacco, multiparity, premarital sex, extramarital relationship, using cloth as sanitary napkin, etc.Conclusion:The study findings clearly show the increased vulnerable state of the fisher women for acquiring cervical cancer as they had many risk factors contributing to the same.

To analyze the various convulsions in pregnancy with particular reference to noneclamptic convulsions and its incidence. MATERIAL & METHODS: A retrospective analysis of all antenatal, intranatal and postnatal patients who presented with convulsions was selected and details collected. We analyzed the period from 2007-2013. During this period we had 4315 deliveries. Out of this we had 18 patients who had convulsions. These were then analyzed. RESULTS AND CONCLUSIONS: Out of the 18 convulsions we had 12 cases of eclampsia which gave us an incidence of 0.27%. 6 were of non-eclamptic convulsions giving us an incidence of 0.139% including 2 cases of posterior reversible encephalopathy syndrome, 2 cases of cortical venous thrombosis, 1 case of neurocysticercosis and 1 of subarachnoid hemorrhage. The presence of 1/3rd of cases being noneclamptic should put us on our guard against labeling all convulsions in pregnancy as eclampsia and a detailed workup including radiological is imperative to diagnose correctly. Our small sample size does risk bias and further studies are needed to get a correct incidence.

Premature birth is the largest unsolved problem in obstetrics today and the single most significant cause of neonatal morbidity and mortality. Routine use of corticosteroids can cause metabolic alterations in the mother, short term and long term effect in the fetus. The present study was undertaken to evaluate the blood sugar changes for a period of six days following antenatal corticosteroid administration and to study the immediate changes in the mother and the fetus. We found out that there was a statistically significant change (P<0.001) in blood sugar values when compared with the prebetamethasone values.

OBJECTIVE:To analyse the cases of eclampsia admitted in Sri Avittom Thirunal Hospital, Thiruvananthapuram, Kerala, India a tertiary health care hospital over a period of two years. MATERIALS AND METHODS: This is a retrospective descriptive study in which 88 cases of eclampsia who satisfied the inclusion criteria were enrolled in the study and the distribution of age, gravidity, booking status, type of eclampsia, socioeconomic status, period of gestation, blood pressure at admission were studied. RESULTS AND CONCLUSION: There were 88 cases of eclampsia analyzed over a period of two years. 79.6% of cases were in the age group of 20-29 years and 81.8% of them belonging to low socioeconomic status. Out of 88 patients who came for admission, majority (89.8%) were booked outside, mostly being referred from primary health centers and district hospitals. Primigravida were almost 52.3%. Antepartum eclampsia occurred in 79.5% of cases who visited to our hospital. Postpartum eclampsia was seen in 18.2%. 75.7% were between 29 to 37 weeks of gestation. 45.5% had systolic blood pressure between 160 and 180 mm Hg. 51.2% had diastolic blood pressure more than 110mm Hg. We concluded in the study that most of the cases were from rural areas. Hence antenatal care in the primary health centres and district hospitals should be ensured. Early detection of pre-eclampsia and start of anti-hypertensives along with administration of Pritchard regimen can prevent dreaded complications.