Aims and Objectives:1. To study maternal and fetal outcome in cases of abruption placenta. 2. To analyse its risk factors. 3. To study its complications. 4. To study mode of delivery in cases of abruption placentae. Methodology: It is an observational study carried out in Government Medical College And Hospital, Akola from November 2017 to April 2019.Total 140 diagnosed cases of abruption placenta were included in this study. A detailed obstetrics history along with maternal high risk factors were noted. Examination, investigations and complications were studied. Results: The incidence of abruptio placentae was 1.05% or 1: 94. Majority of cases i.e. 81.4% are from rural areas and belongs to low socioeconomic status. Maximum number of cases seen in primigravida in the age group of 22-25 years. Hypertensive disorders of pregnancy was a risk factor in 65% of cases followed by premature rupture of membranes (6.4%), H/O prior abruption (2.8%), Polyhydraminos (5%).In 20% of cases vaginal delivery occurred and in 80% caesarean section needed. Severe Anaemia was the commonest complication of abruption placentae followed by postpartum haemorrhage (30%), DIC (15%), AKI (12%).Obstetric hysterectomy was performed in 4% of cases. ICU monitoring required in 3% of cases. 1 maternal mortality occurred and perinatal mortality rate was 68.5%, it can be due to late presentation of the patient to the hospital, during which time it progress to an advanced stage. Conclusion: Abruption placenta is a cause of significant maternal and perinatal mortality. The overall incidence of abruption can be decreased by providing proper antenatal care, early diagnosis, availability of blood transfusion, strict survelliance, prompt action at the time of occurrence.

Background: The objective of this study was to analyse the current obstetric practice regarding breech presentation, document the incidence, perinatal outcome and the factors influencing perinatal outcome in breech deliveries.Methods: It was a retrospective observational study including 252 cases of breech presentation during January 2018 to December 2019 in a tertiary teaching institute in Vidarbha region of Maharashtra.Results: Total number of breech deliveries 252 (incidence is 2.5%). Caesarean section for breech presentation 95 (37.6%). With vaginal deliveries the Apgar score at 5 min below 7 were among 48 out of 157 breech deliveries whereas with LSCS it was only amongst 7 out of 95 deliveries. The maximum percentage of perinatal mortality is seen with birth weight below 2000 gm. Maximum mortality is seen prior to 32 weeks and in babies who delivered by vaginal route. Respiratory distress with prematurity and severe birth asphyxia are the common causes of perinatal deaths. Total 32 (12.69%) babies were transferred to NICU. 20.38% of the total vaginal breech deliveries and 5.26% of the total LSCS were transferred to NICU. Out of total 32 NICU admissions 22 are for the preterm babies and babies with birth weight below 2000 gm.Conclusions: The perinatal outcome does not depend only on the mode of delivery, it is also affected by the weight of the baby, its maturity, associated congenital anomalies, equipped neonatal intensive care unit and also substantially on the expertise of the obstetrician and the neonatologist.