We are reporting a case of pregnancy with extrahepatic portal venous hypertension. Portal hypertension in pregnancy is an uncommon event. It presents a challenge to the obstetrician in management as physiological hemodynamic changes associated with pregnancy worsen with portal hypertension. Thus, increasing risk of life threatening complications like variceal haemorrhage and hepatic decompensation to many folds during pregnancy. Management requires knowledge of effects of portal hypertension on maternal and fetal outcome and vice-versa.

Background: The site of implantation and location of placenta can affect the blood supply of placenta which is likely important determinant of placental blood flow and pregnancy outcome.Methods: In our study 240 pregnant women of 19-35 years, singleton ≥28 weeks underwent ultrasound examination for placental localization.Results: Majority of pregnant women were from 21-25 years age, multigravida and placental location in majority was lateral. Adverse events were PROM, preeclampsia/ eclampsia, IUGR, preterm birth was noted with lateral location of placenta.Conclusions: A significant association was noted between lateral placentation of placenta and adverse fetomaternal outcome. Ultrasound examination can be used as non-invasive predictor of adverse pregnancy and neonatal outcomes.

Background: In health care literature NEAR MISS refers to a severe life-threatening condition that did not cause death-but had the potential to do so. But in 2009, WHO came up with a comprehensive criteria for identification of near miss. Present study was undertaken to analyse maternal near miss morbidity (MNMM) cases and associated morbidity in a local setting.Methods: Present study was single-center, prospective, observational study, conducted in maternal near miss cases which met the comprehensive criteria of WHO, admitted during study period and survived.Results: In present study, majority of cases were 20-29 years (78%), multigravida (52%), in third trimester and postpartum (52%), had phenotype as class I MNMM (maternal near miss with healthy infant) (36%), In near miss cases, near miss on arrival were 66% while 34% were near miss after admission, 8% had disorder on admission and became near miss and 26% had no disorder on admission but became near miss (26%).Conclusions: Hypertensive disorders and Hemorrhage and COVID-19 related complications were the leading causes of near miss situations. Previous LSCS and Anemia seem to be risk factors for developing MNMM.