Cervical fibroids are rare pelvic tumours with varying clinical presentations. Clinical and radiological evaluation of these fibroids help in deciding the treatment approach. There will be surgical difficulties due to their close proximity to pelvic organs like bladder, ureters and rectum. Hence proper intraoperative delineation is important. We present a series of four cases of cervical fibroid with different presentations and management. All these cases were evaluated and surgically managed without complications. The first and third case presented with huge mass per abdomen and pressure symptoms. Both underwent exploratory laparotomy where fibroid was enucleated followed by hysterectomy. The second and fourth case mimicked like a large polyp. In both the cases, cervical fibroid was excised vaginally and was followed by hysterectomy. Histopathological examination was suggestive of cervical leiomyoma. Therefore, cervical fibroid as a differential diagnosis should always be considered while evaluating any pelvic masses.

Ectopic pregnancy in the broad ligament is a serious form of extrauterine pregnancy which is very rare. The diagnosis is very difficult to establish especially in acute cases leading to many complications and maternal morbidity and mortality. We present the case of 22-weeks-old abdominal pregnancy who underwent emergency laparotomy for acute symptoms before her complete diagnostic evaluation. Ruptured broad ligament pregnancy was noted with hemoperitoneum. The patient recovered completely after surgery and was discharged in a stable condition. The diagnosis of broad ligament pregnancy is difficult to establish and challenging to manage because of its rarity, varied presentation and intra-operative complications. High chances of morbidity and mortality in both mother and foetus prompts increased awareness among both obstetricians and patients.

Tuberous sclerosis is a multisystemic, autosomal dominant neurocutaneous disorder of hamartoma formation affecting multiple organ systems and hence adversely affecting the maternal and fetal outcome. We report a case of maternal tuberous sclerosis with fetal cardiac rhabdomyoma detected in utero at 22 weeks but presented at 39 weeks of gestation. We conclude that Maternal or Fetal tuberous sclerosis deserves careful monitoring and evaluation so that the patients can be counselled regarding its life threatening complications to the baby and make informed decision regarding continuation of pregnancy

Background: Hypertension has not just remained the disease of adults, but the prevalence is also increasing in children and adolescents. Knowledge of the predisposing risk factors of hypertension is an important step in the modification of lifestyle behaviours to prevent further morbidity and mortality. Methods: This cross sectional study was conducted among 270 students of 10th standard, belonging to 3 urban schools of Belagavi in 2016 using a structured questionnaire with an intention to assess their knowledge regarding hypertension and its risk factors. Results: Majority students (69.26%) belonged to class II and III of B.G Prasad socio-economic status and 70.37% came from nuclear family. While headache (80%) was the most answered symptom, heart diseases (67%) was the commonly answered complication. Most students had good knowledge regarding prevention and risk factors like unhealthy diet, physical inactivity etc. Majority had fair knowledge about general factors (54.81%), symptoms (41.11%) and complications (34.11%). Knowledge about stress factors (46.67%) and preventive measures (62.22%) was very good. All these differences were statistically significant (p<0.001). Conclusions: The overall knowledge about hypertension and its risk factors among the school students was good (68.52%) and there was significant association between the overall knowledge levels with the mothers education and family history of chronic diseases.

Background: COVID-19 pandemic has caused havoc worldwide. The quarantine imposed in this country aimed at combating this deadly disease and also created awareness amongst the masses. Though there was a decrease in case load; unemployment and food scarcity crumbled the Indian economy. This caused a significant impact on the population especially among the pregnant women. Aim was to assess the effects of measures to control COVID-19 pandemic on the health of pregnant women.Methods: A cross sectional analytical study conducted in May 2020 among 343 pregnant women attending antenatal outpatient department (OPD) in Government Medical College, Nagpur. They were interviewed using a structured questionnaire.Results: The study showed that majority women were 25-29 years old and most of them had education of high school level with income under 10,000. Anger and fear were the most common untoward feelings perceived by these pregnant women during pandemic. Most of them had neutral opinion regarding the impact of lockdown on their routine lives. And almost all felt that India would fight the COVID-19 pandemic through lockdown. Majority women reduced their hospital visits during pandemic even-though there was no difficulty in transportation. Although maximum women found it easy to avail medicines in pharmacy there was tremendous food scarcity and decreased earning.Conclusions: The study stresses on the need to provide mental health awareness among pregnant women during pandemic and to tackle any social inequalities. It also encourages the government to undertake time bound policy evaluation.