Idiopathic polyhydramnios is associated with higher perinatal morbidity and mortality than normal pregnancy.

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Background: Objective of current study was to study association between various interpregnancy intervals and adverse perinatal outcome (preterm birth, low birth weight, small for gestational age) and to come out with optimum interpregnancy interval. Methods: Retrospective cross sectional study in which 400 meo women (para 2 to para 5) fulfilling inclusion and exclusion criteria having diverse interpregnancy intervals were selected. Statistical analysis was done using SPSS. We used multivariate logistic regression analysis to assess the risk of adverse perinatal outcome. Results: As compared with infants conceived within a time period of 16 to 48 months after a live birth, infants conceived within 16 months after a live birth had odds ratios of 2.1 (95% CI 1.3 to 3.5) for low birth weight, 2.2 (95% CI 1.3 to 3.8) for preterm birth, and 2.3 (95% CI 1.4 to 3.8) for small size for gestational age; infants conceived more than 48 months after a live birth had odds ratios of 1.88 (95% CI 1.1 to 3.1), 1.96 (95% CI 1.1 to 3.4), and 2.08 (95% CI 1.2 to 3.6) for these three adverse outcomes, respectively; P value <0.05. Conclusions: We came to conclusion that interpregnancy interval of 16-48 months is the optimal interval carrying least risk of adverse perinatal outcomes and both short as well as long interpregnancy intervals are significantly associated with birth of preterm, low birth weight and small for gestational age babies. Counselling regarding optimal interpregnancy interval and methods of contraception can go a long way in reducing adverse perinatal outcome.

Background: Objective of the study was to find SSI rate following Caesarean section and Analysis of risk factors. Methods: This prospective randomized study carried out on 1504 patients, their demographic information, risk factors and surgical indications were recorded. Postoperatively patients were monitored for signs of SSI. Results: Out of 1504 patients, 13% developed SSI, Hospital stay, wound class, ASA class, antibiotic prophylaxis and Type of caesarean showed significant association with SSI. Conclusions: Reason for incidence of SSI higher than developed countries being only tertiary care hospital dealing with high risk pregnancies, late referrals from peripheries, Prolonged hospital stay, heavy rush of attendants, faulty supervision where dose of antibiotics is actually missed, no proper segregation of cases. Deep incisional SSIInfection occurs within 30 days after operation if no implant is left in place or within one year if implant is in place and the infection appears to be related to the operation and infection involves deep soft tissues of the incision and at least one of the following:

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