Patients with recurrent IVF embryo transfer failures after normal hysterosalpingography findings should also be reevaluated using hysteroscopy prior to further commencing IVF-embryo transfer cycles in order to enhance the clinical pregnancy rates.

Oligoamnios has a significant correlation with adverse perinatal outcome.

Background: Ultrasound assessment of amniotic fluid has significant implication in obstetric care and it has become an integral and important component of pregnancy assessment.Methods: A prospective study done in all pregnant women (n=30) who had been diagnosed with oligohydromnios (with AFI<8 by Phelan’s method) by ultrasonography will be attending in obstetric gynecology department SMS Medical College, Jaipur will be selected according to inclusion or exclusion criteria (as per sample size) after written informed consent.Results: Higher incidence of preterm delivery in the i.v. infusion group as compared to the amino acid group and difference was significant (p value <0.05). In amnioinfusion group 3 cases (20.0%) had LSCS and in i.v. infusion group 6 cases (40.0%) had delivered by LSCS. The distribution of delivery mode did not differ significantly across two intervention groups (p value >0.05). Significantly higher proportion of cases from amino acid group had larger birth weight and significantly higher proportion of cases from i.v. infusion group had smaller birth weight (p value <0.001).Conclusions: This study points towards the use of intravenous hydration and amnioinfusion in increasing the liquor in oligohydramnios associated with IUGR and proves useful in reducing perinatal morbidity and mortality.

Background: Childbirth is the period from the onset of regular uterine contraction until expulsion of placenta. The process by which this normally occurs is called labour. Induction of labour is the artificial initiation of uterine contraction prior to their spontaneous onset, leading to progressive dilatation and effacement of the cervix and delivery of the baby. Labour induction is indicated where the benefits to either the mother or the fetus outweighs the benefit of continuing pregnancy. The aim and objectives of the study was to study the progress of labour in nulliparous women who are having spontaneous labour and in those with induced labour in terms of augmentation of labour, mode of delivery, neonatal outcome and maternal complication. Methods: Women recruited into the study in labour room of Cosmopolitan hospital. Case recruited when they came for elective induction and controls when they came in spontaneous labour after considering inclusion and exclusion criteria. The study included information after signature of a consent form from the women who came in the labour room for induction of labour during my study period (June 2013-December 2014). Low risk primigravida of age <35 years at 37 weeks to 42 weeks of gestation with elective labour inductions included. Mother and baby followed up after delivery in the wards or in NICU for outcome upto the time of discharge. We studied for the following maternal outcomes: method of induction, mode of delivery, duration and complications of stages of labour, postpartum hysterectomy; admission to the ICU; duration of postpartum stay in hospital; and maternal status at discharge. We assessed the following perinatal outcomes: at 5th minute Apgar score; birth weight; birth injuries; respiratory distress syndrome; admission to the NICU; number of days in NICU; neonatal deaths taking place in hospital within the first week of life; stillbirth or intrauterine death; neonatal jaundice and need for phototherapy. Results: Mean duration of 1 st stage in induced group was 15.33 hours (SD=7.41) and in spontaneous group was 10.73 hours (SD=3.79). Median time was 13 hour for induced group and 10 hour for spontaneous group. This difference was statistically significant (p <0.0001).Mean duration of 2 nd stage in induced group was 1.53 hours (SD=0.94) and in spontaneous group was 1.22 hours (SD=0.51). Median time was 1.5 hours for induced group and 1 hour for spontaneous group. This difference was statistically significant (0.007). Mean duration of 3 rd stage in induced group is 6.21 minutes (SD 5.147) and in spontaneous group is 5.38 minutes (SD 2.675). Median time was 5 minutes for induced group and spontaneous group. This difference was not statistically significant (p = 0.51). 14.8% of induced group had Protracted latent phase compared to 4.9% in spontaneous group. This difference was statistically significant (p=0.017). 9.9% of induced group had meconium stained liquor compared 9.9% of induced group had fetal distress compared 3.7% in spontaneous group. This difference was not...