Background: In present study colposcopic evaluation of unhealthy cervix was donr and it’s correlation with Papanicolau smear in screening of Cancer cervix. Objective of present study was to critically evaluate the sensitivity and specificity of PAP smear with that of Colposcopy in screening of Cancer Cervix in women with unhealthy cervix.Methods: 100 women with clinically unhealthy cervix on naked eye examination and / or abnormal symptoms attending Gynaecology Out patient department in 2 years period were subjected to PAP smear, Colposcopy, biopsies under Colposcopic guidance and findings correlated with Histopatholgy at Govt. Medical college, Aurangabad, Maharashtra. India. The sensitivity and specificity of PAP smear with that of Colposcopy in screening of Cancer Cervix was evaluated.Results: Both PAP smear and Colposcopy can be reliably used to screen women with premalignant lesions of Cancer cervix.Conclusions: Colposcopy is a better tool for diagnosis of precursors of Cancer Cervix than PAP Smear and Histopathology of suspected lesion remains the gold standard for final diagnosis.

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Maternal and fetal morbidity and mortality from placenta accreta are considerable and are associated with high demands on health resources. There is abnormally firm attachment of placenta to the uterine wall with the absence of deciduas basalis and incomplete development of Nitabuch's layer. The reported incidence of placenta accreta has increased from approximately 0.8% in 1980s to 3 per 1000 in the last decade, occurring more frequently in future deliveries after caesarean section. Management of patients with a morbidly adherent placenta (placenta accreta, increta, or percreta) varies widely. Although the impact of a morbidly adherent placenta on pregnancy outcomes is well-described, no randomized trials have examined the management of pregnancies complicated by this disorder. As a result, recommendations for its management are based on case series and reports, personal experience, expert opinion, and good clinical judgement. We report a case of placenta percreta that was successfully managed by planned caesarean hysterectomy with prophylactic ligation of bilateral anterior division of internal iliac artery.

Background: This study was conducted to observe maternal and fetal outcome of sero-positive women delivering at our centre by using the newly introduced National AIDS Control Programme (NACP) phase IV of HARRT (highly active antiretroviral therapy) recommended by National AIDS Control Organisation (GOI) started from 1st January 2014.Methods: Study included all seropositive pregnant women diagnosed during pregnancy and in emergency at labour room of Government Medical College, Aurangabad, Maharashtra, India in 2 years period. The women and their newborns were managed as per recommendations of phase IV of National AIDS Control Programme of Government of India.Results: There was reduction in associated maternal infections, high CD4 counts, increase in vaginal deliveries, promotion of exclusive breast feeding and limitation of vertical transmission of HIV. The adverse impact of HIV on mother and newborn still continues.Conclusions: Phase IV of NACP appears to be promising in the initial phases of its implementation.