Background: Emergency peripartum hysterectomy (EPH) is a rare but a lifesaving procedure done as a last resort to save life of mother. We conducted this study to know the incidence, leading causes, and complications of obstetric hysterectomy. Methods: Authors conducted a retrospective analysis of all the patients who underwent emergency peripartum hysterectomy from January 2015 to December 2017 at RIMS, Ranchi. Results: There were 126 emergency peripartum hysterectomies, with deliveries during the same period being 21732 and the rate of EPH was 5.7 per 1000 deliveries. Most common indication for EPH was uterine rupture (54.6%), followed by uterine atony (18.2%) and morbidly adherent placenta (23.01%). Most of the patients (66.67%) had previous cesarean deliveries. EPH was done following cesarean in 66.67%. Subtotal hysterectomy was done in 88.09%. Intra-operative urinary bladder injury was seen in 11.11% of the patients. Conclusions: Uterine rupture and Morbidly adherent placenta continues to be the most common causes for EPH in our population. Multiparity is an important risk factor among patients with rupture uterus. Cesarean delivery and repeat cesarean deliveries are the likely risk factors for EPH.

Background: Postpartum haemorrhage is one of the common causes of maternal death worldwide. Whenever the amount of blood loss from or into genital tract is 500 ml or more after delivery of baby or any amount of bleeding that makes patients haemodynamically unstable is post-partum haemorrhage. Methods: In this study amount of blood loss after spontaneous vaginal delivery was measured in 100 cases by calibrated blood drape. Patients having high risk criteria for PPH were excluded. Results: In this study 55% patients were from 20-30 years age group. 82% cases were nontribal. 94% belonged to lower middle class. 67% patients were primigravida. 89% patients had atonic PPH and 11% had traumatic PPH. 85% patients had mild PPH. 60% of atonic PPH was managed by oxytocin only. 10% required oxytocin + Methergin, 6% required oxytocin + Methergin + Misoprostol. 6% required Oxytocin + Methergin + Misoprostol + Carboprost. In this study surgical intervention was required in 18% cases. Blood transfusion was required in 74% cases. 75% cases were from non-tribal ethnicity. Conclusions: PPH is a life-threatening condition. If it can be diagnosed early and managed properly then many maternal lives can be saved. In this study there was no maternal death.

The incidence of missing IUCD is 0.5-2%. Usually the cause is either expulsion or perforation of uterus. Sometimes the perforated IUCD remains asymptomatic for years and found incidentally later. We are hereby presenting a case of 35 years female P3 L3 who had Cu T insertion 3 years back. She was asymptomatic for more than 2 and ½ years and then presented with severe pain abdomen for which she was evaluated and exploratory laparotomy was done and Cu T was found embedded in the serosa of rectosigmoid colon which was covered by dense omental adhesions

Secondary abdominal pregnancy is a very rare condition. Outcome of secondary abdominal pregnancy with pregnancy continuing up to term and delivering a live baby by laparotomy is more rare. Management of secondary abdominal pregnancy depends on the gestational age of the fetus when diagnosed. If not diagnosed at the correct time patient may have life-threatening complications, for example, massive intraperitoneal hemorrhage, peritonitis, intestinal obstruction, intestinal perforation, fecal fistula formation, and lithopedion formation. How to cite this article Moitra B. A Rare Case of Secondary Abdominal Pregnancy continuing up to Term with a Live Baby. J South Asian Feder Obst Gynae 2016;8(2):249-251.

A patient named Saira Bano age-45 years Wife of-Muhammad Abdullah of Jagdishpur, Champaran, Hazaribagh presented in OPD of RAJENDRA INSTITUTE OF MEDICAL SCIENCES, Ranchi on 07.05.2012 with complain of heavy & irregular bleeding per vaginum for 6 months. Her Last menstrual period was on 27 th April. Her cycles were 7-8 days / 10 ± 5-7 days. Bleeding is heavy with passage of clots. Her Obstetrical history-Para-6+2, All full term normal delivery at home. Last one was Medical termination of pregnancy of 4 months-6 yrs back by untrained person. General Examination-Patient was moderately pale. Her pulse was 100/min & Blood pressure-124/70 mm of Hg. Chest-Bilateral vesicular breath sound heard & C.V.S.-Tachycardia was present. Per Abdominal Examination-Abdomen soft. No tenderness. Per speculum examination-Cervix unhealthy congested infected discharge present. Per vaginal Examination-Uterus was retroverted. Slightly bulky Mobility restricted. Fornices free. Patient was admitted for further investigation. Her Haemoglobin was 8 gm% Total count & Differential count of W.B.C, Routine examination of urine, bleeding time & Clotting time, Blood glucose F & P/P Blood urea & Serum Creatinine all were within normal limits. She was HIV and Hepatitis B surface antigen-Negative, Her Chest X ray & E.C.G. was normal. Patient's Hb was built up by I.V. Iron sucrose + protein diet & vitamin + micronutrients. U.S.G.-Report showed Endometrium is thick & echogenic-looks like old organized missed products.