Xanthogranulomatous oophoritis is a rare non neoplastic chronic inflammatory process of ovary which causes functional failure of the organ due to gross structural destruction. We report a case of 32 year old female gravid 2 para 0 with 1 history of ectopic pregnancy who was diagnosed with a cystic mass lesion of right ovary by USG and MRI at 20 weeks of gestation. After an uneventful antenatal period, she delivered a live healthy male baby at 39 completed weeks of gestation by caesarean section. Right sided oophorectomy was done and microscopic examination of the specimen showed serous cystadenoma with ovarian stroma infiltration with foamy histiocytes, inflammatory cells and multinucleated giant cells. This case is reported because no case as such is mentioned in literature.

Background: One of the commonest surgery performed worldwide is caesarean Section (CS). The World Health Organization (WHO) has identified an ideal caesarean section (CS) rate for a nation of around 10-15%. In recent times the proportion of delivery conducted by caesarean section has increased.Methods: This is a retrospective study of all the caesarean deliveries performed between 1st January 2010 to 31st December 2018 in the Department of Obstetrics and Gynaecology in Silchar Medical College. The caesarean rate was calculated as: (total number of caesarean deliveries/ total number of deliveries) × 100. The indications for CS included foetal distress, malpresentation, previous caesarean section, multiple gestation, failed induction, failed progression, cephalopelvic disproportion, maternal indications, obstetric indication and foetal indications.Results: During the study period a total of 75685 patients delivered. 25805 patients had undergone CS with the CS rate being around 34.1%. Majority of the CS (75.6%) were performed as emergency procedure. Maximum number of patients were between 21-30 years (73.24%) and 54.47% were primipara. Majority of the patients (68.37%) belonged to the rural areas. Foetal distress (32.8%) was the commonest indication followed by post caesarean pregnancy (26.76%).Conclusions: The rate of caesarean section is increasing with time. As primary caesarean section usually determines the lady’s future obstetric course, it is of prime importance to give effort for safe reduction of caesarean. Individualization of the indication and careful evaluation, following standardized guidelines and practice of evidenced-based obstetrics followed by audits in the institution, can help us limit the caesarean rates.

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