The simplified WHO partograph was more user-friendly, was more to be completed than the composite partograph, and was associated with better labor outcomes.

IntrOductIOnUrinary tract infections are relatively common problems during pregnancy. The physiologic changes related to pregnancy make healthy women susceptible to complications such as asymptomatic and symptomatic urinary tract infections. The combination of mechanical, hormonal and physiologic changes during pregnancy contributes to significant changes in the urinary tract, which has a profound impact on the acquisition and natural history of bacteriuria during pregnancy [1]. The purpose of this study was to determine the prevalence of AB among pregnant women in a tertiary care set up and analyse the contributory risk factors in these cases like maternal anaemia, preterm labour, history of previous urinary tract infection, low socioeconomic status, grand multiparity, its effects on pregnancy and evaluate the use of a chromogenic agar medium in rapid presumptive identification of commonly associated uropathogens in this clinical condition.

Tuberculosis (TB) of the genital tract commonly occurs secondary to a primary lesion. The mode of spread is via the lymphatics, the haematogenous route or less commonly by a peritoneal spread. The fallopian tubes are the first targets, followed by the pelvic organs. Isolated cases of TB which occur in a unilateral fallopian tube are rare, particularly with it as a primary site. The aim of this study was to report a rare case of TB of the left fallopian tube in a post menopausal lady with no positive history, clinical or laboratory finding to suggest it to be a secondary focus. As the pre-operative diagnosis was that of a right ovarian neoplasm, the patient underwent staging laparotomy. TB of the left fallopian tube was diagnosed, as there were numerous typical granulomata throughout the fallopian tube.

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Enhanced recovery is to optimize multiple aspects of patient care to improve recovery thereby facilitating earlier discharge, without a reduction in patient satisfaction or the quality of care. Currently, there are limited randomized studies exist in the literature specifically addressing the potential impact of an enhanced recovery pathway among women undergoing caesarean delivery on postoperative outcomes and postoperative length of stay. The study was done to determine efficacy of ERAS in comparison with Standard care among caesarean deliveries in perioperative care outcome i.e. length of hospital stay, complications. This is a Prospective Randomized Control study was conducted on the subjects who were undergoing scheduled caesarean Delivery at a tertiary care centre from August 2020 to September 2020. A total of 80 study subjects, 40 in each group by randomization were allocated into Group A (ERAS group) and Group B (Standard of Care group). All the study subjects in both the groups received pre-operative prophylaxis like antibiotic administration 30 min prior to surgery, Administration of anaesthesia, and post & intraoperative nausea vomiting (PONV/IONV) prophylaxis, DVT prophylaxis. Whereas active warming during section was given to subjects who were in ERAS Group only. In the study there was significant difference in Median duration of IV infusion, Oral intake for liquids & for solids, catheter removal, first ambulation after CS and duration of hospital stay between two groups. All the above parameters were delayed in Non-ERAS group compared to ERAS group. To conclude that ERAS is the way to promote maternal and neonatal healthcare through proper utilization of protocols and guidelines. Implementation of ERAS programmes along with continuous performance reports will help in improved delivery care of the both the mother and child.