Introduction:Pain is an inevitable outcome of any surgery and control of postoperative pain is very important to improve patient comfort and reduce morbidity. The present study aims to compare the degree of postoperative pain relief using inj paracetamol and transdermal diclofenac patch after cesarean delivery. Materials and methods: A randomized controlled trial was done involving 200 women (100 women were involved in the transdermal diclofenac patch group and 100 women in the inj paracetamol group) to compare the efficacy of each drug as analgesia following cesarean delivery. Results: Both the statistical and clinical observations among the 200 patients showed that 100 mg diclofenac sodium administered transdermally as a patch has equal efficacy as compared with 1000 mg of paracetamol infusion given every 8 hours. Conclusion: Diclofenac patch and injection paracetamol as infusion have similar efficacy in providing postoperative pain relief for 24 hours after the cesarean delivery.

Ovarian hyper stimulation syndrome (OHSS) is extremely rare in spontaneous pregnancies. Spontaneous OHSS can result from glycoprotein hormones stimulating follicle-stimulating hormone receptors (FSHR). Our case reinforces the importance of a prompt diagnosis and management in all pregnant patients presenting with acute abdomen and ovarian masses. We report a case of spontaneous singleton pregnancy at 12-week POG presented with abdominal distension and enlarged ovaries. Patient was successfully managed with supportive treatment comprise of intravenous (IV) Albumin, thromboprophylaxis, dopamine agonist and insulin sensitizer. Spontaneous OHSS should be included in the differential diagnosis of acute abdomen in pregnant women. Since spontaneous OHSS can be associated with life-threatening complications, it requires early diagnosis for successful management. The etiology should be determined in order to focus the treatment and avoid future complications.