Background: Intrauterine insemination (IUI) is a cost-effective, non-invasive and its success depends on the various factors. The factors associated with the success of IUI and its literature is least available in the Indian context. Objectives were to analyze the outcome of patients undergoing homologous IUI in terms of pregnancy rates (clinical pregnancy) and its predictors for the outcomes.Methods: This is a prospective observational study among 200 couples with infertility undergoing therapeutic homologous IUI in a tertiary care centre. Among the study participants, undergoing IUI, after obtaining the informed written consent, the data related to the outcomes and associated factors were collected through a pre structured Questionnaire.Results: Among the study participants who undergone the procedure, 40 (20%) become positive for pregnancy. Of the 40 positive, 30 (15%) delivered normal babies and 7 (14%) went for spontaneous abortions and 1 (0.5%) went for D and C. Type of infertility, drug for induction of ovulation, age in years, years of marriage, day of ovulation, no. of ovulation induction and were not statistically significant with the outcomes. Endometrial thickness, greatest dimension of follicular size, increased total sperm count, percentage of motility, post wash count and post wash motility were significantly associated with the positive outcomes.Conclusions: Since the success rate of the IUI is comparable to the other studies reported, and the procedure is relatively cheaper, the same can be recommended as the simple and cost effective first line management of certain specific indications of the infertility.

Background: Pregnancies that occur below the age of 19 years are called as teenage pregnancies. Teenage pregnancy is a common public health problem worldwide which is harmful to the health of mother and child and has long been considered a high-risk state. It is associated with high maternal, fetal and neonatal mortality and morbidity. The complications are anaemia, preterm delivery, hydramnios, malposition, preeclampsia, eclampsia.Methods: A prospective study of teenage pregnancy was carried out at Government Dharmapuri Medical College, Dharmapuri for the period of 1 year. Pregnant women admitted in labour ward were taken for study. 500 cases of teenage women upto 19 years were included in above period.  A structured proforma was used to collect information. Information regarding age, educational status, occupation, socioeconomic status, number of siblings in the family, marital status, age at marriage, health awareness, knowledge about pregnancy and delivery, antenatal visits were obtained from history. Complications during antenatal period, delivery and postpartum were observed. Details regarding mode of delivery and birth weight of the baby were noted. Baby details noted and babies admitted in neonatal ward were followed up till they were discharged.Results: The incidence of teenage pregnancy was 6.74%. In our study 93% of pregnant teenagers were 17-19 years old. Around half had caesarean section. All complications such as anaemia, PIH, preterm, low birth weight and post op complications such as local sepsis, mastitis and UTI were increased in teenage group. Most of babies in the study group required NICU admission. Leading causes of admission in NICU were respiratory distress and preterm babies.Conclusions: Teenage pregnancy is associated with significantly higher risk of anaemia, PIH, preterm deliveries, neonatal mortality and morbidity. A combined multidisciplinary approach involving educationists, health and social workers, obstetrician and gynaecologists is required to improve the adolescent’s reproductive health.