Introduction: As per globocan 2020, 604100 new cases of cervical cancer were detected worldwide in 2020, and 341831 deaths were there due to this malignancy. About 90% of these cases are found in low and middle-income countries. Cervical cancer is the only female genital tract cancer which can be diagnosed and treated in precancerous state by simple screening techniques. VIA/VILI are cheap and noninvasive methods and can be done in a low-level health facility. More importantly, VIA and VILI provide instant results, and those eligible for treatment of the precancerous lesions can be treated immediately. This retrospective study Material And Methods: was carried out in a Gynecology clinic in district Shivpuri M.P. From 1 April 2019 to 31 march 2022. 450 patients were studied. A detailed history regarding name, age, residence, socio-economic status, parity, any previous study, and any allergy was enquired. All ndings of VIA and VILI-positive cases were carefully documented in the proforma. In this study visual inspection of the cervix was done in 450 cases and 59 biopsy specimens were sent. In this study most of the patients were between 21-40 ye Results: ars of age (40%), multipara (74.88%), of low socioeconomic background (50.66%), and most of them were from rural areas (64%). The most common presenting symptom was excessive vaginal discharge (58.88%) followed by abnormal bleeding (13.11%). (13.11%) cases were VIA positive and (10.44%) cases were both VIA/VILI positive. Biopsy was taken from 59 patients who were VIA positive, this test detected 5.55% (25 patients) of CIN I, 2% (9 patients) of CIN II, 1.77% (8 patients) of CIN III, and 0.22% (1 patient) cases of squamous cell carcinoma. W Conclusion: e found that VIA and VILI can be adopted as screening tools for the diagnosis of cervical lesions. Result and follow-up treatment can be provided in a single sitting hence fewer women are lost to follow-up.

Introduction: Estimation of fetal weight is important for antenatal and intrapartum clinical decisionmaking. Accurate estimates are essential, since abnormal fetal growth may be associated with perinatal and maternal risk. This study aimed to compare the accuracy of the three most commonly used techniques, abdominal palpation and ultrasound, carried out near to and at term by comparing to the weight at birth. Methods: Present study included 100 singleton pregnancies who were recruited from a tertiary care institute of North India (JAIPUR GOLDEN HOSPITAL DELHI) . Anthropometric measurements were taken such as symphysio- fundal height, abdominal circumference etc. Ultrasound estimation was also done. Comparison of the estimation methods were done to see the accuracy of above methods. Results: Primigravida were 50% with 77% participants with gestational age of 38 weeks or more. Mean actual weight was 2.92 kg followed by Johnson (2.89 kg) and Ultrasound methods (2.85 kg). Correlation coefcient was highest for ultrasound (r=0.943) with actual weight. Error was lowest with ultrasound (145 grams) followed by Johnson's (207 grams). Conclusion: Ultrasound is easy to use and newer advancements have made fetal weight estimation accurate. Ultrasound training is also essential to make the fetal weight estimation with minimum error.

Introduction Cervical malignancy is the fourth most common cancer in women. By 2030, cervical cancer is expected to kill over 474,000 women per year and 95 % of these deaths are expected to be in low- and middle-income countries. Colposcopy is a simple non-invasive procedure to study benign and premalignant lesions of the cervix. It also determines the location, size, and extent of abnormal cervical lesions and guides to detecting the site for biopsies. Material and method This retrospective study was carried out at a colposcopy clinic in district Shivpuri M.P. From 1 April 2019 to 31 July 2022. About a total of 59 patients were selected for this study. After counseling and written consent, the colposcopy was carried out in screened-positive patients. All results were noted and documented. In the patient with a positive nding suspicious of the premalignant lesion, a biopsy was taken from the suspicious area and sent for histopathological examination. Result The most common age group nding in this study was between 31-40 (44.06%), Most of the patients were of low socioeconomic group (50.84%), most common age at marriage was 18-20 years (54.23%) most of them were multipara (76.27%) and most of them were belong to rural area (61.01%). The most common presenting symptom was excessive vaginal discharge (61.01%) followed by post-coital bleeding (11.86%) and abnormal intermenstrual bleeding (11.86%). Out of 59 patients, with Swede score on Colposcopic examination LSILcases were 54.23% and HSILcases were 18.64%. On a colposcopy-directed biopsy, among a total of 59 patients, histopathology examination results showed Chronic cervicitis in (18.64%) patients, CIN I in (40.67%), CIN II (28.81%), and CIN III (11.86%). Conclusion Colposcopy is an important triaging investigation between a screen-positive woman and the histopathological diagnosis and thus represents an important component of cervical cancer screening.

Introduction: Rapidly increased global prevalence of overweight and obesity has also affected women of reproductive age group. Pregnant women who are obese at booking have an increased risk for complications, both for themselves and their babies during pregnancy and childbirth. Women who are obese are at risk for gestational diabetes, miscarriage, preeclampsia, increased incidence of cesarean section, anesthetic complication, postpartum hemorrhage, thromboembolism, perineal trauma, and wound infection. There is an increased risk of stillbirth, congenital anomalies, prematurity, macrosomia, poor APGAR scores, and neonatal death in babies of obese mothers. This study investigated the effect of Maternal BMI on the mode of delivery and perinatal outcome. Methods: This is a prospective cohort study of 100 primigravidas of the reproductive age group done at Shivpuri District Hospital over a period of a year. We categorized them on the basis of their BMI at booking and studied the mode of delivery and perinatal outcome. Results: Elective cesarean and emergency cesarean were more common with obese women whereas most of the normal weighted and underweight women underwent spontaneous labor and induced labor. Maternal and fetal complications were more pronounced in the overweight and obese groups. Babies also had an increased risk of poor APGAR scores with the increasing BMI of the mother. Conclusion: Input of skilled birth attendants is essential to improve intrapartum outcomes. Obstetricians need to be acutely aware that obese patients form a high-risk population with an increased incidence of cesarean section, postpartum hemorrhage, and perineal trauma.

INTRODUCTION- Polycystic ovarian syndrome (PCOS) is a common, heterogeneous disorder affecting 5-15% of women of reproducing age group and characterized by hyperandrogenic skin symptoms, (acne, Hirsutism and female pattern alopecia,) irregular menstrual bleeding, obesity, dysmenorrhea infertility, and increased risk of metabolic syndrome and endometrial cancer. MATERIAL AND METHOD-The present study was conducted in a private gynecological Clinic Shivpuri, (M.P.). After taking Consent women suffering from PCOS (Fullled the clinical and USG criteria of PCOS(Rotterdam criteria )) along with androgenic symptoms like acne, hirsutism and androgenetic alopecia with or without other symptoms like menstrual irregularities and dysmenorrhea were included in the study.. All patients then received a combination of ethenyl Estradiol (0.035mg) + Cyproterone acetate (2mg). The Patients were followed in the third month, Sixth month, and at about 1 year for improvement in various complaints RESULT- According to presenting symptoms the most common presenting symptom was acne 72.72%, followed by menstrual irregularities 68.18%, hirsutism 50%, alopecia 27.27%, and dysmenorrhea in 27.27%. In acne patients, 37.5% of patients showed improvement after 3 cycles of CPA/EE, 75% showed at 6 months and in 93.75%, improvement was seen at 12 months. In the case of alopecia (83.33%) patient showed improvement after >6 cycles. Patients with hirsutism showed no improvement after 3 months of therapy but 54.54% of the patients showed a change in texture after 6 months of therapy and 72.72% after 9-12 months of therapy. Patients with dysmenorrhea reported a decrease in pain after therapy. The acceptance of the treatment was very good. In 86.36% of patients, good tolerance of drug was seen and in only 3 patients adverse effects (headache and nausea) of the drug were there. All the patients were having good to moderate satisfaction with the therapy. CONCLUSION- Since androgen excess is the prime defect in polycystic ovarian disease, its reduction is the main therapeutic target for most women. Our study found that combined hormonal contraceptives containing ethenyl Estradiol (0.035mg) + Cyproterone acetate (2mg) in a 21/7 regimen had a positive effect in the treatment of acne, hirsutism, menstrual irregularity, and dysmenorrhea in PCOS patients.