Background: Prolonged labour has become a rarity in developed countries, but it still poses a problem in developing countries causing increase in maternal and perinatal morbidity and mortality. This study is undertaken to assess the efficacy of modified WHO partograph in monitoring progress of labour in primigravidae with spontaneous onset of labour and in patients with active management and to assess whether active management of labour helps in reducing the duration of labour.Methods: In this study, 100 primigravidae partographs are analyzed, 50 patients are in active management group (early amniotomy and use of oxytocin) and 50 patients are in control group (spontaneously).Results: The mean duration of first stage of labour in the study group is 6.73±2 and in the control group is 11.30±4.51hrs( statistically significant p<0.001).Mean duration of second stage of labour in study group is 33.73±28.77mins and in control group is 38±24.98 mins (p<0.079), mean total duration of labour in active group is 7.17±2.64 hr and  in control group is 11.76hrs±-4.71hrs ( p<0.001).89% of study group patients had Spontaneous Vaginal Delivery as compared to the 80% in control group (p>0.05 ). Assisted vaginal delivery (vaccum) is found in 6% in the study group and 8% in control group patients (p>0.05). LSCS is found 10% in study group and 8% in control group patients (p>0.05).Conclusions: Active management of labour significantly reduces the mean duration of 1st active stage, 2nd stage and total duration of labour, but does not decrease the rate of the caesarean section.

Background: Medical abortion or Medical Methods of abortion (MMA) (or Chemical abortion) is defined as “the non-surgical way of termination of termination of pregnancy by a drug or combination of drugs”. With introduction of MMA there has been a steep rise in abortion related complications due to irrational use of these drugs. This study is undertaken using lowest effective dose of mifepristone and misoprostol in 100 women willing for termination of pregnancy with period of gestation <49 days to study the efficacy, side effects and failure rate. Present study emphasizes on using MMA by proper selection of patient, adhering to proper schedule under provision of MTP Act (counselling, consent, examination, confirmation of pregnancy, prescription by a registered medical practioner) in order to enhance efficacy and avoid complications.Methods: Prospective Clinical Study consist of use of single dose of 200mg of mifepristone orally followed by misoprostol (400µg) by vaginal route for terminating pregnancy in ≤49 days of gestation. Statistical analysis done by Chi square test.Results: In this study, success rate i.e. complete abortion without requiring surgical procedure was 96%and failure rate was 4%. Nausea (56%) is the most common side effect of Mifepristone. Chills (33%) is the most common side effect of Misoprostol. Mean Induction Abortion Interval is 2.17±1.2 hrs. Mean Duration of Bleeding is 7.79±4.42 days.Conclusions: Medical abortion is a promising method of early abortion in a developing country like India as it requires no technical skills and manpower with a good safety profile.