Background: Preterm labor is one of the biggest health issues in the globe and is associated with high perinatal mortality and morbidity. A healthy pregnancy can turn into one that is at high risk for both the mother and the fetus in one of these clinical scenarios. Objective: The aim of the present study is to determine the risk factor and maternal and perinatal outcome of patients presenting with preterm labor and to evaluate the preventable causes of preterm labour. Methods: A Case control study conducted in the Department of Gynaecology and Obstetrics Dhaka Medical College Hospital, during February 2010 to July 2010. Results: A total of 50 cases having preterm labour in between 28 - 36 weeks of gestation and 50 controls having 37-40 weeks pregnancy with lobour pain were screened and enrolled in the study. Several significant risk factors were associated with preterm labour and the following risk factors were identified. Low socio-economic class, rupture of membrane (OR = -2.45), previous history of abortion (OR = 2.25), Preterm delivery (OR -9.33), and Anaemia (OR = 8.31). Conclusions: As preterm labour is grave consequences for both the mother and the newborn of preterm labor should be aim and developing awareness of pregnant mother who are high risk for preterm labor.

Background: One of the world's major health problems, preterm labor is characterized by significant perinatal mortality and morbidity. In one of these clinical situations, a healthy pregnancy might become one that is at high risk for both the mother and the fetus. Objective: To detect the risk factors and perinatal outcome in with complication in preterm labor. Materials and Methods: A case control study was carried out from February 2010 to July 2010 in the department of gynecology and obstetrics at the Dhaka Medical College Hospital. Results: A total of 50 instances of preterm labor occurring between 28 and 36 weeks of pregnancy and 50 control cases of lobour pain occurring between 37 and 40 weeks of pregnancy were screened and recruited in the research. The following risk variables were identified as being significantly linked with premature labor. Preterm delivery (OR -9.33), and Anaemia (OR = 8.31). Perinatal outcome in preterm lobour were Still birth, low APGAR score, neonatal resuscitation and neonatal complications significantly (p<0.05) higher in case group. Conclusion: The purpose should be to raise awareness of pregnant women who are at high risk for preterm labor since preterm labor has serious repercussions for both the mother and the infant.

Objective: To determine the causes of high foetal head and their relative frequencies in primigravidae presenting at term and to determine the proportion of these patients undergoing lower segment caesarean section or vaginal delivery. Design: A descriptive study.Place and duration of study: The study was carried out at Mugda Medical College Hospital from March 2017 to June 2017.Materials and Methods: A total of 50 primigravidae patients presenting at term and having a single pregnancy were randomly selected. On the basis of history, Physical examination and abdominal ultrasonography, patients having a high foetal head were recognized and their causes documented.Results: Out of 50 primigravidae, with high foetal head there was foetal malpresentation 17(34%), Cephalopelvic disproportion 13(26%) , Foetal distress 12(24%). Lower segment caesarian section was the management of choice in more than half of the patients with high foetal head.Conclusions: Foetal malpresentation & Cephalopelvic disproportion were the major cause of high foetal head in this study and lower segment Caesarean section was the mode of delivery in more than half of the patients with high foetal head.J Dhaka Medical College, Vol. 26, No.2, October, 2017, Page 122-125