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Introduction: Childbirth is one of the most wonderful yet painful experiences in a woman’s life. Non pharmacological interventions like Therapeutic Touch (TT) can improve labour experiences in women. Aim: To assess the effect of TT on labour pain intensity, neonatal Appearance, Pulse, Grimace, Activity, Respiration (APGAR) score and admission to neonatal intensive care unit in primiparous women. Materials and Methods: In this review, PubMed-MEDLINE, Google Scholar, Cochrane CENTRAL databases were searched till February 2022, for prospective studies fulfilling inclusion and exclusion criteria. Randomised controlled trials comparing TT and massage therapy with usual intranatal care in primiparous women with singleton foetus and without any risk factors for pregnancy were included in this review. Two independent reviewers extracted data and assessed the quality of the trials. The results were presented in form of forest plots. Results: A total of 13 studies, including 1302 primiparous women, were included in the review for qualitative analysis. Amongst them ten studies involving 621 women included meta-analysis of labour pain intensity. Nine studies were included in the metaanalysis of the active phase of labour and four studies included in the transitional phase and one study in the fourth stage of labour. Eight studies used the Visual Analogue Scale (VAS) to assess pain intensity. Overall, there was a small reduction in pain intensity of primiparous women receiving massage/TT compared to routine care {SMD: -0.96 (95% CI: -1.33, -0.60)}. Significant reduction of pain intensity was found in active {SMD: -0.79 (95% CI: -1.26, -0.32)} and transitional phase of labour {SMD: -1.18 (95% CI: -1.67, -0.69)}. No significant reduction of neonatal admission to the intensive care unit and APGAR score <7 at 5 minutes {RR: 0.71 (95% CI: 0.31, 1.62)} was found. Conclusion: TT has beneficial effect on reduction of Labour pain intensity in primiparous women. But no detectable effect was found for neonatal outcomes.

Introduction: The term abortion has been derived from the Latin word "ABORIRI" which means to detach from its proper place. "ab" means abnormal and it indicates premature expulsion. "ORIRI" means to be born or to arise. Aim of the present study was to evaluate the role of combination of Mifepristone and Misoprostol in pregnancy termination up to 63 days. Safety, efficacy, cost effectiveness and complications have been evaluated. Material and Methods: This study was carried out at Rajendra Institute of Medical Sciences, Ranchi in the department of Obstetrics & Gynaecology from June 2016 to Oct 2017. 200 cases were selected from outpatient department and labour room of Obstetrics & Gynaecology. Result: In my study 93% of women had successful abortion and 7% had to undergo surgical evacuation. It was observed that majority 98% of the cases were between 21-30 years of age and most of them 56.5% came from urban areas. 65.5% of the cases belonged to literate groups. In majority of the cases 76.5% the indication for pregnancy termination was unwanted pregnancy followed by contraceptive failure. 18.5% of the cases were primigravida and 56% of the cases were gravida two. Conclusion: Unrestricted use and over the counter purchase of drugs for medical abortion is detrimental for maternal health. Proper dosing, timing, route and counseling by the medical professionals can prevent serious complications.

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