Background: Assessment of surgical site infection is an important factor to determine the functioning of the health care system. Objectives of this study was to estimate the incidence of surgical site infection among caesarean section cases and to determine the risk factors associated with surgical site infection and comparison with patients having healthy wounds.Methods: One thousand pregnant women who underwent caesarean section were divided into two groups: Group 1 (cases): Those who had SSI within 30 days of caesarean section and Group 2 (controls): Those who didn’t have SSI.Results: Mean age of group I was 25.35±4.40 and 21.12±3.60 years in group II (p >0.05). Mean gestational age of group I cases was 38.07±1.88 weeks and in group II, it was 38.17±2.06 weeks (p >0.05). A total of 37 (82.5%) women in group I and 931 (96.98%) women in group II underwent emergency caesarean section (p <0.05). In group I, mean duration of surgery was 1.0±0.13 hours and 1.02±0.21 hours in group II (p <0.05). Maximum number of patients i.e. 22 (55%) had wound discharge between 4-7 days followed by 11 (27.5%) between 8-10 days. Mean wound discharge was 7.32±3.45 days in group I. Majority of women, i.e. 27 (67%) found to be sterile in the present study followed by 7 (17.5%) women were found to have staphylococcus aureus.      Mean duration of resuturing was 17.42±6.98 days.  Mean baby weight in group I was 2.72±0.53 kg and in group II it was 2.95±0.53 kg (p <0.001).Conclusions: Risk of developing SSI after caesarean section is multi-factorial and found to be influenced by emergency surgery, PROM, pre-operative anaemia, multiple vaginal examinations, interrupted skin suturing, raised BMI, nulliparity, emergency caesarean, duration of surgery.

Background: During the last many years, hysteroscopy has become the gold standard while evaluating the vagina, cervix, cervical canal, and uterine cavity. It is the process of viewing and operating in the endometrial cavity from a transcervical approach, offering the advantage of direct visualization of the uterine cavity while giving the option of collecting histological biopsy samples under visual control. Some of the common indications for hysteroscopy have been in the evaluation of abnormal uterine bleeding, infertility, recurrent pregnancy losses, uterine anomalies and suspected Asherman's Syndrome. Aims and Objectives: To assess the effectiveness and safety of screening, diagnostic and therapeutic hysteroscopy in sub-fertile, infertile, premenopausal and postmenopausal patients. Material and Methods: A total of 50 patients were included in the study. Results: Maximum number of women belonged to 25-35 years age group. A total of 5(10%) women found to be in elderly age group i.e. between 66-75 years. Mean age of the study population was 37.04±14.59 years. Majority of women were suffering from heavy menstrual bleeding and uterine septum i.e. 7(14%) each followed by endometrioma with fibroid, Asherman's syndrome i.e. 6(12%) women. Recurrent abortions, ovarian cyst, endometrial hyperplasia and submucous fibroid were observed in 2(4%) women, respectively. Conclusion: Hysteroscopy has replaced blind diagnostic procedures and is now considered the goldstandard technique for the diagnosis and management of intrauterine pathology. We recommend that Gynecologists in clinical practice should be familiar with the use of hysteroscopy in the diagnosis and treatment of the sub-fertile, infertile, premenopausal and postmenopausal patients.

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