Chronic kidney disease is a heterogenous group of disorders resulting from anatomical and physiological alterations in the kidney. Pregnancy might accelerate the renal disease-causing progression of renal failure, development of preeclampsia, anemia. This increases the risk of adverse fetomaternal outcomes including prematurity, fetal growth restriction, fetal deaths and development of hypertension, nephrotic syndrome, renal failure in the mother. Chronic kidney disease affects approximately 3% of pregnant women. This study was carried out to assess the course of chronic kidney disease in pregnancy and the effect it has on the fetal outcome. A case of chronic kidney disease presenting to the OBGY emergency unit was studied. a detail history was taken and examination was done. Baseline antenatal investigations were carried out. Special tests including renal Doppler, ophthalmoscopic examination, ECG, were done to assess the renal function. Treatment was started for control of hypertension and further progression of the disease. Pregnancy has adverse outcome when associated with acute kidney injury. Maternal hypertension and proteinuria are the major predisposing factors. Prematurity is one of the commonest fetal complications apart from growth restriction. Chronic kidney disease in pregnancy requires a multidisciplinary approach involving experienced obstetricians, nephrologists, radiologists, intensivists and neonatologists. The etiology, degree of renal dysfunction, development of additional obstetric complications determines the prognosis. Supportive therapy in the early course of the disease and timely definitive management as per the etiology is found to improve the feto-maternal outcome.

Background: Stress urinary incontinence (SUI) is the complaint of involuntary leakage of urine during increased abdominal pressure in the absence of detrusor contraction. Although not a life-threatening condition, stress urinary incontinence causes various physical, psychological, and sexual problems for millions of women and their families. Although these conditions are highly prevalent, they are not often reported by patients. This was the reason for the study; to find out the prevalence and the associated risk factors.Methods: A total of 400 patients presenting in the gynaecology outpatient department with various complaints were studied. A detailed history was taken, and examination was done. Urine microscopy and culture studies were done and whenever found positive; the infection was treated. Bonney’s test was done on full bladder.Results: Stress urinary incontinence was diagnosed in 41 (10.30%) of the women. The most common co morbidity was found to be tuberculosis and other lung diseases. Among the study population, 4% of women had culture positive urinary tract infection.Conclusions: Stress urinary incontinence was seen in 10.30% of the study population. It was seen more commonly among the elderly. Urine routine and microscopy was done for all patients complaining of leakage of urine or any other urinary complaints.