Partner selection and marriage choices have become interesting research topics in societies experiencing transition due to technological advancements and modernisation. This qualitative study was envisaged to identify the differences in partner selection criteria among three generations of Pakistani women. Three independent age groups were selected to analyse the difference among them due to social and technological transition. The participants were recruited purposefully for semi-structured interviews from six different families, three women of subsequent age groups (grandmothers, mothers, and their marriageable grand/daughters) were chosen (N=18). The interview transcripts were analysed using thematic analysis. Line-by-line coding was done to extract the relevant and repetitive codes that comprised sub and main themes. Findings show that the social background and compatibility between potential families remained the most important aspects in general. Internal attributes such as religiousness and morality, and external attributes, specifically good financial status, decent occupation and job, were considered significant partner selection criteria as well. The factors that affect the partner selection choices directly included collectivist beliefs and disempowerment of women. Inter-generational differences and transitions in the desirability of partner selection criteria were evident as an expected outcome of the questions posed by the current study. The implications include extending knowledge for marriage and relationship counsellors.

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Primary postpartum hemorrhagic, rightly called as obstetrician’s nightmare,refers to excessive blood loss of more than 500ml during the third stage of labour or in the first24 hours after delivery. It continues to be one of the leading causes of maternal mortality andmorbidity all over the world including Pakistan where it is responsible for 21-31% of maternalmortality and morbidity. Objectives: Objective of study was to determine the efficacy of balloontamponade in the management of primary PPH, so that a low cast, easy to use technology isavailable for conserving future fertility by treating postpartum hemorrhage. Settings: Departmentof Gynae & Obs, Allied Hospital, Faisalabad. Study Design: Descriptive cross sectional study.Study Period: 6 months from 1st Oct, 2015 to 31st March, 2016. Material & Methods: All patientsdelivered vaginally at term (after 37 completed weeks of gestation) who developed PPH due touterine atony after failure of conventional medical therapy were included in this study. Patientselection was based on inclusion and exclusion criteria. Their demographic profile and efficacyof balloon tamponade was checked in terms of time required to control hemorrahage andneed of laparotomy. Results: During study period total no. Of vaginal deliveries were 3000.Out of these 298 developed PPH, 220 had PPH due to uterine atony and did not respond toconventional medical therapy. The age of patients ranged between 22 and 40 years with meanage of 30 year (±4.88SD). The parity of the patients ranged between 1 and 14 with the meanparity of 4 (±2.26SD). The condom catheter was introduced in all the selected 80 patients andwas successful in 73 patients. Conclusions: In developing countries such as Pakistan wherethe maternal death rate from PPH is very high, this safe, in expensive and easy procedure (itdoes not require any expertise) can be applied in any situation to save a life and to save theuterus in young patients to conserve reproductive capacity and prevent them from surgery andits morbidity. This will protect the patients from irreversible shock and even death with a successrate of 85-95%.