There is an age specific association of endometrial lesions. In perimenopausal women AUB is most commonly dysfunctional in origin and in reproductive age group, one should first rule out complications of pregnancy. The incidence of disordered proliferative pattern was significantly high in this study, suggesting an early presentation of these patients.

The rate of cesarean delivery is increasing around the world. A traditional graduated dietary regimen, "nothing by mouth" for 24 hours, or until the presence of bowel sounds or passing flatus is still practised after cesarean delivery. In recent studies, an early oral intake has been recommended instead of the traditional dietary regimen for women after cesarean delivery. Our study aims at comparing the safety and efficacy of early versus conventional post-operative oral intake in patients undergoing caesarean section under regional anaesthesia. It is a prospective comparative study involving 308 patients (153 in study group and 155 in the control group) with strict inclusion and exclusion criteria. The outcomes assessed included incidence of paralytic ileus, time interval for bowel movements to appear, duration of intravenous fluid administration and length of hospital stay. In our study none of the patients in the study group developed ileus and 6.44% in the control group had ileus. Women in the early feeding group had a more rapid return of bowel function, with a substantially shorter mean postoperative time interval to the first active bowel movement. The duration of intravenous fluid administration in the study group was lesser and was statistically significant.. This study also confirmed that the early feeding regimen for patients after uncomplicated cesarean section was well tolerated. Also it offers other benefits to the patients such as less suffering from thirst and hunger, shorter hospital stay and reduced hospital expenses. Further studies with larger sample sizes may be needed to confirm the above observations with statistical significance.

Introduction: Primary fallopian tube carcinoma is the least common gynecological malignancy encountered in practice. It accounts for about 1% of all cancers of a woman's reproductive system, and it is more commonly seen in postmenopausal women. Transitional cell carcinoma (TCC) of the fallopian tube is a rare histological variant; only around 20 cases have been reported worldwide so far. The rate of preoperative diagnosis is in the range of 0 to 10%.

Aim:To estimate the optimal level of vaginal fluid creatinine to detect rupture of membranes (ROM). Materials and methods: A total of 300 pregnant women were recruited for the study. Group I consisted of 100 women with a diagnosis of ruptured amniotic membranes confirmed by sterile speculum examination. Group II consisted of 100 women in whom a diagnosis of ROM was suspected but not confirmed by speculum examination. Group III consisted of 100 pregnant women without any complaints taken as a control group. In all 300 women, vaginal fluid washing for creatinine sample was taken. The parameters (age, parity, gestational age at the time of sample collection, amniotic fluid index (AFI), and vaginal fluid creatinine) were compared with one-way analysis of variance (ANOVA) and ScheVe multiple comparison test. Receiver operating characteristic (ROC) curve analysis was used to establish an optimal cut-off concentration. Results: The optimal cut-off value of vaginal fluid creatinine to detect ROM arrived based on ROC curve analysis was ≥0.3 mg/dL. The mean vaginal fluid creatinine in group I was 1.097 mg/dL, in group II was 0.3 mg/dL, in group III was 0.068 mg/dL. This study demonstrates that vaginal fluid creatinine could accurately diagnose a ROM with a sensitivity, specificity, positive predictive value, and negative predictive value of 98.36, 100, 100, and 97.14%, respectively.

Amniotic fluid embolism (AFE) is a rare and often fatal obstetric condition, characterized by sudden cardiovascular collapse, altered mental status, and disseminated intravascular coagulation (DIC). The disease is rare, with an incidence ranging from one in 600 to one in 80,000, perhaps because there is no established laboratory marker diagnostic suitable for both survivors and fatalities alike. We present a case of AFE in a low-risk primigravida which was successfully managed by a multidisciplinary team.