Introduction:The aim of the study was to determine the clinical and hematological profile in patients with Dengue fever. Materials and Methods: This was a prospective study done at Malla Reddy Medical College for Women, Telangana, for a period of six months. A total of 110 cases of dengue infection were studied. The patient demographics, clinical symptoms, hematological characteristics such as hemoglobin, total leucocyte count, platelet count, serological studies and abdominal ultrasound findings were noted. Results: In the present study, 85/110 (77.2%) cases were of dengue fever, 20/110 (18.1%) were dengue hemorrhagic fever (DHF) and 05/110 (4.5%) were of dengue shock syndrome (DSS). Patient age ranged from 0-12 years. Majority, 55/110 (50%) were among 6-8 years. Males were affected more than females (59% boys and 41% were girls). Moderate thrombocytopenia was seen in 54.5% of cases and raised hematocrit (>47%) was observed in 22.7% cases. Most of the cases 75 (68.1%) were noted in September and October. Conclusion: Dengue is a common viral infection which may have serious consequences especially in children. Simple haematological parameters along with serological tests and ultrasound of abdomen are helpful in the diagnosis and appropriate management of these patients. managed, may lead to rapid death, particularly in children [5,6]. Dengue is an acute febrile disease caused by a flavivirus with four known serotypes (DENV-1, DENV-2, DENV-3, and DENV-4). The four serotypes can lead to variable clinical presentations, ranging from asymptomatic to severe forms [7].Children represent more peculiar characteristics since dengue diagnosis, and recognition of severe forms are both more difficult to find than in adults. The common signs and symptoms are fever, headache, myalgia, arthralgia, and bleeding manifestations. The exact clinical profile is necessary for the patient's management and hence, crucial for saving life [8]. Aim of the study:To study clinical and hematological profile in children with dengue fever.

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Pregnancy is the time in which a foetus develops inside a woman"s womb or uterus which usually last about 40 weeks or just over 9 months from the last menstrual period to delivery. The incidence of pregnancies in India is 48.1 million pregnancies, a rate of 144-7 pregnancies per 1000 women aged 15-49 years, and a rate of 70.1 unintended pregnancies per 1000 women aged 15-49 years. Abortions account for one third of all pregnancies and nearly half of pregnancies were unintended. Hence the present study to assess the Women"s experience of midwifery support during pregnancy -A step in the Validation of scale. 100 samples who met the inclusion criteria were selected by using a purposive sampling technique. Based on the objectives of the study and review of literature, interview schedule to assess the midwifery support was prepared. It had four areas of midwifery support. The data were analyzed by using descriptive and inferential statistics. The findings of the study revealed that according to the area of midwifery support, the mean percentage score of informational support was 89.29%, followed by financial support of 87.5%, social support of 62.5% and emotional support of 58.33%. Hence in the area of emotional support the women received average level of support.

Despite these advancements, respiratory distress is responsible for high mortality in perinatal period. Kommawar et al in their study observed neonatal mortality of 21.5% attributable to respiratory distress in new borns. 5 ABSTRACT Background: The aim is to study the various risk factors associated with development of severe respiratory distress in the new born. Methods: This was a prospective study of 200 new-borns with respiratory distress. Clinical details, etiology for the respiratory distress, system-wise factors responsible for the distress, severity and duration of respiratory distress, oxygen therapy, type of treatment, mortality, maternal and antenatal risk factors, radiological findings were noted in all the cases and were analysed. Results: Of the 200 cases with respiratory distress, 118 (59%) had severe respiratory distress. 154 cases with distress were of respiratory system in origin out of which 45% (70 out of 154) were due to Meconium aspiration syndrome, 42% (64 out of 154) were due to Respiratory distress syndrome, 12% (18 out of 154) were due to transient tachypnea of new-born and 2% were due to congenital pneumonia. More number of female patients had severe respiratory distress. Mortality was 2.5%. Conclusions: Meconium aspiration syndrome is the most common cause of respiratory distress in new born. Almost 60% of new borns with respiratory distress developed severe respiratory distress who required intensive monitoring. Risk factors like meconium stained liquor, vaginal delivered new borns, preterm gestation age, and female gender of new born were associated with severe respiratory distress in new borns.

Aims and Objectives: Assess the association of the congenital malformations with maternal age & analyse the congenital malformations, involving various systems of the body system wise. Materials and Methods: Foetuses of pregnant women attending government hospitals in Hyderabad were screened during a period of one year from October 2011 to September 2012 through ultrasonographic evaluation in the second trimester (12wks to 28wks) for congenital anomalies. Results: The central nervous system involving neural tube defects and musculoskeletal system involvement were the commonest among congenital anomalies affecting elderly maternal age group. Conclusion: Congenital anomalies are increasing in frequency with increasing maternal age & to prevent them more focus should be laid on maternal education, premarital counselling, antenatal care, supplementation with folic acid, prenatal ultrasonography & genetic studies in at-risk individuals.