Objective of Study: To study Awareness and hygienic practice among adolescent girls during menstruation. Aims and Objectives: To study demographic profile of study group and to assess hygiene practices during menstruation.

Background: Medical method of abortion is a safe, effective and affordable method for first trimester termination. However, nausea, vomiting, diarhoea, excess bleeding and incomplete abortion are known side effects. The aim of study was to compare the success rate of abortions in both groups, to compare the induction-abortion interval in both groups and to study the side effects of the drugs.Methods: This study was conducted in department of obstetrics and gynecology, NIMS Medical College, Jaipur, India during June 2017-August 2017. Total hundred cases were taken and divided into two groups. Group A was gestational age upto 49 days, Group B was gestational age 50-63 days. Both groups were given tab. mifepristone 200mg. followed by 48 hrs. by 4 tablets of tab misoprostol.Results: The results of the given regimen were highly successful and complete abortion was achieved in 96% and 94% in group A and group B respectively. The difference between two groups was statistically not significant (p value =0.64). Failure rates were seen in only 4% of group A and 6% of group B. Pain abdomen was seen in 16% of group A and 38% of group B patients. The difference between both groups was statistically significant (p value=0.02). Nausea was seen in 10% of group A and 30% of group B patients. The difference between both groups is statistically significant(p value=0.018).Conclusions: First trimester pregnancy can be successfully terminated with combination of mifepristone and misoprostol upto 63 days (9 weeks) of pregnancy.

Background: Ectopic pregnancyis a major health issue in reproductive age group female. Incidence of primary ovarian ectopic pregnancy as mentioned in literature of India is variable from 0.001% to 0.014% of normal pregnancies.Only 0.15% to 3.0% of all ectopic pregnancy occurs in ovary and it is 2 nd m/c site of ectopic pregnancy after fallopian tube. Annual incidence ofextra uterine cavity pregnancyis rising over past 3 yrs. Aim and Objective: Aim of this review article is basically to describe a case of ovarian pregnancy and to study by a review of literature, the clinical sign &symptoms, diagnostic criteria and management of particular pathlogy accordingly, promote conservative surgical management. CASE-Here we report a case of 28 years old women, G5P3L3A1, presented to our hospital withlower abdomen pain with one and half month pregnancy with clinical feature of shock. Diagnosis was confirmed by transvaginal ultrasound, patient was prepared & taken for laparotomy in view of ruptured ovarianectopic pregnancy. Her intraoperative findings were 200 cc hemoperitoneum present, salpingo-oophorectomydone on Rt side. Tubal ligation done on left side by modified pomeroy method. Postoperative period was uneventful. Her histopathological report shows ovarian tissue in wall of gestation sac. Conclusion: According to spigelbergcriteria,it is a diagnostic challenge to obstetrician. Diagnosis can be missed radiologically and intraopertively. It Should be suspectedinpatients presented with rupturedec topic pregnancy, ultrasound features suggestive of normal b/lfallopian tubewith hemoperitoneum with breached ovarian surface. Conservative surgical approach is preferred, Now days Medical management is preferred for unruptured ectopic pregnancy. Confirmation of ovarian pregnancy done only after histopathologicalreport

Ectopic pregnancy is a major health issue in reproductive age group female. Incidence of primary ovarian ectopic pregnancy as mentioned in literature of India is variable from 0.001% to 0.014% of normal pregnancies. Only 0.15% to 3.0% of all ectopic pregnancy occurs in ovary and it is 2 nd most common site of ectopic pregnancy after fallopian tube. Annual incidence of extra uterine cavity pregnancy is rising over past 3 yrs. The aim of our present study isto find outthe incidence of ovarian ectopic pregnancy, role of USG in pre-operative diagnosis and risk factors, feasibility of conservative management with medical method or conservative management e.g. minimal invasive surgery in developing countries like India. We analysed the incidence, management of ovarian pregnancy & reviewed the literature, risk factors andclinical presentation of ovarian ectopic pregnancies managed at NIMS Medical College and Hospital jaipur. According to Spielbergcriteria, it is a diagnostic challenge to obstetrician. Diagnosis of ectopic pregnancy can be missed radio logically and intraoperatively. It Should be suspected in patients presented with rupturedectopic pregnancy, ultrasound features suggestive of normal bilateralfallopian tube with hemo peritoneum with breached ovarian surface. Conservative surgical approach is preferred, now days Medical management is preferred for unruptured ectopic pregnancy. Confirmation of ovarian pregnancy done only after histopathological report. Now days Medical management with single dose of Methotrexate is very successful for unruptured ovarian pregnancy

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