I !" asymmetry of the eyeball as viewed from the outside, sud the shorter measurements on the nasal side interiorly are 'Satures of the work deserving especial mention. The division 01 the eye into ziuies as well as into cuats for purposes of study 's new and basa distinct advantage in clarifying a difficult subt ) *» The clinician will find helps in the author's presentation 01 Ihe structures of the scierai furrow, the significance nf Ihe "I'litlialnitisenpic picture in relation tn the anatomy of Ihe pos¬ terior segment, the topography nf the anterior segment, and ''"' appearances nf age in the eyeball. The statements in regard to Hie Suspensory ligament of the lens and its relation In the c'llary body and vitreous are the outcome of Sal/inann's indi¬ vidual researches, and are perhaps the mnst authoritative words which we possess tut the subject. loo much cannot be said ni the illustrations; practically all •**' ' original, and ¡ill are beautiful. They bear the murks of

Background: The present study was done to assess the blood loss during delivery even after active management of third stage of labor with oxytocin and the maternal outcomes of PPH.Methods: We studied 100 pregnant women were either in spontaneous labor or admitted for induction of labor, underwent vaginal delivery or caesarean section in our institute. Active management of third stage of labor in all 100 cases included 10 IU intramuscular oxytocin or 10 to 20 IU intravenous in 500 ml of Ringer’s Lactate. Blood loss in all cases was noted.Results: Of the included cases, 27 had to be given extra-uterotonics for atonic uterus, of which 12 parturient still had PPH. Atonic uterus was the cause of PPH in 11 of the 12 cases, while one case was of atonic uterus plus trauma. Half of all PPH cases responded to medical management alone, five cases had to undergo tamponade/stepwise devascularization and one case had to undergo obstetric hysterectomy. Blood loss was significantly higher in women aged more than 35 years, primigravida, not in labor, oligohydramnios or post-datism, elective LSCS, scarred uterus in and had more than 1 high risk factor. Among various high-risk conditions, significantly higher blood loss was observed in patients with chronic hypertension, gestational hypertension, pre-gestational diabetes mellitus, multipara with prior PPH, placenta previa, preeclampsia and sickle cell trait.Conclusions: Fifteen women avoided PPH by using a reliable method of blood loss measurement and initiating interventions early. Organized PPH management protocol morbidity and mortality of the mother and neonate can be prevented.