Background: Fibroid is the commonest benign tumor of the uterus and also commonest benign solid tumor in females. Fibroids are found to be 2-3 times more prevalent in obese women, specially the one’s with central obesity and in those with BMI > or = 35. Epidemiologic data also shows pregnancy is associated with reduced risk of fibroids. So, the present study will be a cross-sectional study which will be undertaken to know the association of uterine leiomyoma with BMI and parity in the women of coastal Karnataka.Methods: An analytical cross-sectional study was performed among the 100 patients attending OPD at the department of obstetrics and gynecology, Karwar institute of medical sciences from June 2018 to August 2018. Women suspected to have fibroid based on their symptoms were made to undergo ultrasonography. Comparison was made between the parity, body mass index of the patient and the size of the uterine fibroid visualized.Results: Out of 100 women studied 63 were nulliparous and 37 women were multiparous. Incidence of fibroid is inversely proportional to parity. When BMI < 18 only 6 women had fibroid, when BMI > 25, 57 women had fibroids and between 18-25 group 37 women were diagnosed with fibroid.Conclusions: The fibroid showed directly proportional association with BMI. Greater the BMI, more was the risk of fibroids. The fibroid showed inversely proportional association with parity. Greater the parity of the women lesser was her chances of being at risk of having fibroid.

Background: Caesarean section (C-section) delivery has well established risks and adverse consequences. Every health care sector should look into the standards of maternal services it is providing. This audit look into the standards we have been providing at KRIMS Karwar with a comparison to national standards.Methods: This is a retrospective audit conducted by obstetrics and anaesthesia departments at KRIMS Karwar, Karnataka. Objectives were to look into incidence of C-sections, kind of anaesthesia used and maternal mortality. In addition, to look into any change in the obstetric care/outcome after Karwar district general hospital upgraded to a medical college teaching hospital. WHO guidelines for obstetrics care were set as standards. Retrospective data for the period between January 2007 and December 2018 has been collected and analysed.Results: Total number of pregnant women admitted for labour was 13431 with an average of 1221 per year. Proportion of caesarean delivery per hundred labouring women was 16.8 % in 2007 with significant increase to reach 51% in 2012. This has decreased in subsequent years to reach 23.5 in 2018. 99.9% of the C-sections have been done under spinal anaesthesia. There was one death of the mother subjected for C-sections in 2009.Conclusions: Incidence of C-sections was alarmingly high. Implementation of the uniform protocol has significantly reduced the C-sections rate. This reduction could be attributed to the upgrading the Karwar district hospital to a medical college teaching hospital. Protocol based practice will be continued and measures to improve overall maternity services will be implemented as per the WHO guidelines.