Background: Placenta is the vital link between fetus and the uterine wall. Based on location, it can be classified as anterior, posterior, lateral, fundal and low lying. Placental location can be easily determined in the antenatal period using ultrasound. Materials and Methods: Design: Prospective observational study. Study period: One year from January 2018 to February 2019 in a tertiary hospital in Salem district of Tamilnadu. Study population: After informed consent, 200 women with singleton pregnancy of ≥28 weeks attending antenatal OPD were included in the study. Women were followed up with ultrasound at 28 weeks and 34 weeks to identify any maternal and fetal adverse effects such as gestational hypertension, preeclampsia, preterm birth and NICU admission. Results: The mean age of the study participants was 24.3 ± 43 years. Of the 200 women, 42% (n=84) of placenta were situated in fundus, 30% (n=60) were anterior, 18% (n=36) were lateral, 8% (n=16) were posterior and 2% (n=4) were low lying. Gestational hypertension was present in 22%, 13%, 12% in lateral, anterior and posterior placental location respectively. Preeclampsia was seen in 22% in lateral placental location. Preterm labour, PROM, low birth weight and NICU admission were common in posterior and lateral placental location.Conclusion:There was statistically significant association between low lying, posterior and lateral placental location and adverse maternal fetal outcomes. Hence ultrasound can be used as the safe, cost effective, non-invasive tool in predicting the adverse maternal and neonatal outcome.

Background:Obesity is now a major public health problem. It has detrimental effect to mother and fetus. Maternal malnutrition also has a negative impact. Materials and Methods: 500 women with singleton pregnancy and spontaneous conception, who attended antenatal OPD in our tertiary hospital, were included in this study after informed consent. Those with known pre-pregnancy weight, pre pregnancy BMI was calculated using the formula BMI= weight in kilograms/ height in metre square. They were followed up until delivery and their maternal and perinatal outcomes such as anaemia, gestational hypertension, gestational diabetes, preterm labour, past dates, intrauterine growth restriction, low birth weight and neonatal intensive care admission were studied. Results: The mean age of the woman in this study was 24.3 ± 2.4 years. Of these, 14% (n= 70) of women were underweight. 43% (n= 215) of women were of normal BMI. 34% (n= 170) of women were overweight. 9% (n= 45) of women were obese. Maternal complications such as anaemia, preterm labour and intrauterine growth restriction were significantly common in underweight woman. Gestational diabetes and gestational hypertension were more in obese woman. Low birth weight babies were more in underweight woman. Conclusion: Pre pregnancy counselling should be given to woman of childbearing age to maintain normal BMI to prevent maternal and neonatal complications.