Background: The aim of the current study was to assess the fetomaternal effects of oligohydramnios on term pregnancies in a rural tertiary care setup.Methods: A perspective case control hospital-based trial was conducted at Burdwan Medical College and Hospital for a period of one year. Pregnancies at term (37-42 weeks) were included in the study. 103 patients with sonographically diagnosed oligohydramnios were included in the case group. The control group comprised of 103 mothers at term with normal liquor volume. Demographic data and fetomaternal outcome parameters were assessed and compared.Results: There was increased incidence of fetal and perinatal complications including low birth weight, birth asphyxia and NICU admission. There were more perinatal deaths in the case group compared to the control group. Induction of labour, operative delivery, meconium stained liquor and incidence of preeclampsia were also increased in mothers with low AFI.Conclusions: Oligohydramnios is associated with an increased risk of labour and perinatal complications. Adequate antenatal surveillance and intranatal monitoring coupled with correction of underly-ing factors is the mainstay of management.

BACKGROUND Self-medication or medication by untrained person for termination of unwanted pregnancy is commonly practiced among women of child bearing age group. This study was undertaken to observe the consequences of self-medication of abortifacient agent on women's health reporting to a Government Medical College. MATERIALS AND METHODS This is an observational study conducted at Midnapore Medical College from January 2016 to June 2017. After applying inclusion and exclusion criteria, 102 women were selected with respect to age, parity, period of gestation, clinical features at presentation, ultrasonography findings, complications and management they received. Analysis was also done with respect to surgical interventions, need for blood transfusion and maternal mortality. RESULTS In this study, 77 cases (75.4%) were diagnosed as incomplete abortion (8 cases clinically and 69 cases ultrasonographically). 15 cases (14.7%) of complete abortion, 5 cases (4.9%) of missed abortion, 3 cases (2.9%) of live gestation and 2 cases (1.9%) of ruptured ectopic pregnancy were recorded. 15 cases (14.7%) received blood transfusion and 2 cases (2%) required intensive care unit (ICU) admission. Fortunately, no maternal death was reported in the study group. CONCLUSION Reproductive health protection and care is every woman's right. Awareness on contraception is must for all. This study shows urgent need for legislation and restriction of drugs used for medical termination of pregnancy. Availability of abortifacient drugs directly from hospital/ practitioners who are qualified under Medical Termination of Pregnancy (MTP) Acts may reduce complication of these drugs.