In India, caste-based differentiation is directly related to the socio-economic and socio-cultural status of an individual. In the past studies have shown that people's health outcomes are related to their social group and position in the social gradient. India has witnessed the suicide of promising doctors who were alleged to bullying because of their caste. The social evil called casteism is spreading its branches in every level and sector. But the disappointing fact is that no policy or norms or planning or agenda can uproot it. As it is embedded in the subconscious mind of civilians and is carried over generation after generation. The present review tries to point out in detail the presence of casteism among the Indian healthcare system. Moreover, this study also discussed if this caste-based system also discriminates patients from getting the healthcare facility. In this review all the past and present literature were searched extensively and then the finding of all the studies were discussed in a comprehensive manner. The result of the study showed that at present Indian health service system is not at all equipped with the addressing the casteism among doctors and other healthcare sevice providers. An important option could be increasing the number of dalits in the different level of healthcare sector. Weather implication of this option in practical scenario is possible that needs further evaluation. Making policies that ensures the adequate representation of members of excluded communities in healthcare can certainly reduce the cultural discrimination and prejudice.

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Detection of fetal hypoxia with Doppler flow studies of Umbilical Artery (UA) & Middle Cerebral Artery (MCA), to reduce perinatal morbidity and mortality by timely intervention. Evaluation of foetal health in cases of severe PIH & IUGR by Doppler flow studies of UA and MCA flow velocimetry. Gestational age and mode of delivery, Evaluation of the perinatal outcome & Cut-off values of RI, PI and S/D ratio of UA and MCA to identify IUGR. IUGR was higher in patients with PIH (76.6%) in comparison to the control group (50.0%). Only 76.7% patients with PIH had an apgar of > 7, while all control group patients had apgar of > 7. 28 (46.6%) neonates needed NICU support and 1 neonate expired, while 100% of control group neonates were shifted to mother. In both control and study groups weight of IUGR babies was significantly lower in comparison to their non-IUGR counterparts (by USG and actual) Keywords: Fetal, USG Color Doppler, PIH & Outcome.