Background: To study the prevalence of thrombocytopenia during pregnancy, its etiology and maternal and perinatal outcome. Methods: It was a prospective one year study of pregnancy with thrombocytopenia. The prevalence and cause of thrombocytopenia during pregnancy and its effect on maternal and perinatal outcome was studied. Result: Among 990 deliveries, 104 women were having thrombocytopenia during pregnancy. The commonest etiology was gestational thrombocytopenia (61.53%). Fetal complications were still birth (5.88%), low birth weight (14.7%), and neonatal thrombocytopenia (1.92%). Thrombocytopenia in pregnancy did not affect the mode of delivery and pre-term delivery rate. Conclusion: Gestational thrombocytopenia, preeclampsia, HELLP syndrome, malaria, ITP and dengue were the common causes of thrombocytopenia in pregnancy. Patients with GT and ITP have better maternal and peri-natal outcomes as compared to preeclampsia and HELLP syndrome.

Pancreatic lipomas are rare benign lesions, with only 50 cases being documented in the current literature to the best of our knowledge. We describe four cases of intrapancreatic lipomas from a single institution, all incidentally found using multi detector computed tomography within a 6-month period. Computed tomography depicted lipomas as homogeneous, nonenhancing, well-marginated lesions with a density coefficient consistent with adipose tissue. DOI: http://dx.doi.org/10.3126/njr.v1i1.6318 Nepalese Journal of Radiology Vol.1(1): 23-26

An analysis of births by caesarean sections for ten years at a service hospital was carried out to identify the benefit in terms of reduction in perinatal mortality over the period without increase in maternal mortality and morbidity. An increase of 43.25 per cent in caesarean section rate was observed. Since 1986 there had been no significant change in the indications for caesarean sections or obstetrical care in terms of man and machine modernisation at this hospital. New born's care in this hospital is supervised by obstetrician and medical specialist. However, a definite reduction in perinatal mortality rate by 59.68 per cent was noted with no maternal mortality in caesareal1 cases. This retrospective study showed that the judicious increase of caesarean sections could improve perinatal outcome. MJAFII998; KEYWORDS: Perinatal mortality in caesarean section; Perinatal outcome with increased caesarean section rate.