BACKGROUND The main objective of study was to study the maternal and foetal outcome in forceps delivery, to study the maternal and foetal outcome in vacuum extraction and to study the complications of instrumental delivery.

Infertility is inability to ensure child bearing when it is wanted. Prevalence of infertility is going on increasing because of delayed marriage and pelvic infection and so on. Traditional way to assess uterine cavity, fallopian tubes, cervix by hysterosalphingography has now largely replaced by laprohysteroscopy.

BACKGROUNDThis study to determine the prevalence of and identify factors associated with Hepatitis b, HIV and Syphilis positivity among asymptomatic pregnant women. We also assessed maternal and fetal outcome in HBsAg, HIV and Syphilis pregnant women. MATERIALS AND METHODSThis is a prospective study of 1000 consecutive apparently healthy asymptomatic pregnant women, who are attending the antenatal clinic of AVBRH Hospital Sawangi (Meghe) during September 2014 To August 2016. The blood samples was collected after obtaining their informed written consent from those who were tested for HIV antibodies (NACO guidelines), HBsAg (ELISA test), and Syphilis (RPR SPANCARD latex kit). RESULTSThe prevalence of HBsAg (1.7%), HIV (1.0%), Syphilis (0.1%). All the infection was more common in illiterate, multigravida, monogamous women of low socio-economic status, History of blood transfusion, IV/IM drug users and common in multiple sexual partner. CONCLUSIONThis present study clearly documented a relatively declined prevalence of HBsAg, HIV and Syphilis in pregnant women. The data reinforces the need for establishing effective preventive programs, which could lead to reduction in the prevalence of these infections.

BACKGROUND To compare the efficacy and safety of oral and intravenous administration of iron supplement (single dose of ferric carboxymaltose) for treating postpartum anaemia. MATERIALS AND METHODS It is a longitudinal interventional study in anaemic mother in postpartum period, which fits into inclusion criteria. It is a hospital-based randomised prospective study. Out of two groups, one had received single dose of ferric carboxymaltose of 500 mg IV infusion and second group received 200 mg of oral iron daily for four weeks. RESULTS Mean age in both groups was 22.3 years. 94% patients belong to rural area. Significantly, higher number of participants had achieved the target haemoglobin level in IV iron group as compared to oral iron group (24 vs. 12), which suggests poor compliance of participants in oral iron group. Adverse drug reactions-GI side effects were mostly observed in oral iron group, but treatable hypersensitivity reaction in the form of itching all over body was seen in IV iron group in a small proportion of patients. CONCLUSION IV ferric carboxymaltose appears to be very effective and safe option for treatment of postpartum anaemia with very good compliance, less hospital stay and rapid rise of Hb.