BACKGROUND Central venous catheterisation is a vital intervention in critically ill patients. The proper route of insertion is essential for its success. Objective of this study is to compare procedural parameters and complications associated with anterior and posterior approaches of internal jugular venous cannulation. MATERIALS AND METHODS Our study was conducted as prospective randomised clinical trial in 100 patients posted for elective, emergency surgeries and critically ill patients in intensive care unit. Patients were randomly allocated into two groups of 50 patients each. Demographic data, number of attempts, procedural parameters and incidence of complications were compared in both groups. RESULTS Time for identifying the vein, number of attempts, duration for cannulation and incidence of complications like carotid puncture and haematoma were less in posterior approach when compared to anterior approach. CONCLUSION Posterior approach in internal jugular vein cannulation is safer and it has a better success rate as compared to anterior approach.

Cornual pregnancy is uncommon among ectopic pregnancies. Diagnosis of cornual pregnancy remains challenging and rupture of a cornual pregnancy causes catastrophic consequence due to massive bleeding. Here we report a case of ruptured cornual pregnancy occurring at 8 weeks of gestation.

No abstract

Primary ovarian pregnancy is one of the rarest varieties of ectopic pregnancies. Pelvic pain, amenorrhea & vaginal bleeding are the foremost classical symptoms found in these cases. Here we report a case of ruptured primary ovarian pregnancy suspected intra operatively & later confirmed by histopathological report.

To assess the role of lower genital tract infections in preterm labour by studying the vaginal cytology among the women who got admitted with complaints of preterm labour. INTRODUCTION: Preterm delivery remains a leading cause of perinatal morbidity and mortality. 1 Preterm labour is defined as one where the labour starts before 37 th completed week of gestation counting from the first day of the last menstrual period. Vaginal infection during pregnancy leads to premature rupture of membrane and preterm labour leading to low birth weight and thus in turn causes increase in perinatal mortality. 2 Among the various maternal and fetal factors, vaginal infections during pregnancy is important cause for preterm labour. 3 Studies have found a high prevalence of reproductive tract infections during pregnancy. 4 Tolosa et al. reported a 24.4% prevalence of reproductive tract infections among pregnant women. 5 90% of reproductive tract infections were caused by Candida albicans, bacterial vaginosis, and Trichomonasvaginalis. 6 This study is done to determine the association between preterm labour and lower genital tract infections among the women who came with history of threatened preterm labour to MIMS from August 2013 to February 2014. METHODOLOGY: TYPE OF STUDY: