Ectopic pregnancy is defined as implantation and subsequent development of an embryo outside the uterine lining. It has wide range of presentation from acute hemoperitoneum to chronic ectopic pregnancy. This is an unusual case of chronic ectopic pregnancy with large hematosalpinx without classical symptoms. A 22-year-old South Indian woman reported to the outpatient clinic with irregular spotting for a duration of 2 months which was not associated with pain. There was no preceding amenorrhea and previous menstrual cycles were regular. Clinically, the patient was hemodynamically stable but severely anemic. The abdomen was soft on palpation, cervical movements were not tender, and human chorionic gonadotropin was absent in the urine. Ultrasound revealed a complex adnexal mass. Magnetic resonance imaging (MRI) revealed a large hematosalpinx. Laparoscopic left salpingectomy was conducted and histopathology confirmed ectopic pregnancy. Ectopic pregnancy presents diagnostic dilemmas in the absence of classical symptoms. MRI and laparoscopy are important tools in such a diagnostic dilemma.

Maternal mortality is an important indicator of health care system. As the mortality rates are consistently decreasing the focus is shifted on maternal near miss which describes severe maternal morbidity which shares the common pathway as mortality. Maternal near miss indicators are relevant in developing world and low resource setting as it indicates the gaps in the health system. In 2009 WHO working group has standardized the criteria for selecting these cases. MATERIAL AND METHODS: This study is performed in rural medical college between October 2012 to september2014 and maternal near miss cases are identified according to WHO criteria. Variables related to age, parity, gestational age, intensive care unit admission, ventilator support, requirement of massive blood transfusion were analyzed. Further the events leading to maternal near miss were studied. Finally the indices like maternal near miss incidence ratio, maternal near miss: maternal mortality ratio and mortality index were calculated. RESULTS: during the study period 2409 deliveries were conducted of which 2385 were live births. Potentially life threatening conditions were identified to be 265 and maternal near miss cases were 22. Maternal near miss incidence ratio was 9.2per 1000 live births, maternal near miss to maternal mortality ratio was 11:1 and mortality index was 8.3%. The leading causes of maternal near miss were abruption and rupture uterus requiring emergency hysterectomy. The morbidity was high in unbooked cases. CONCLUSION: maternal near miss is good alternative indicator of health care system. Lacunae between grass root level and tertiary centers should be filled.

Around the globe precision agriculture has experienced unprecedented growth. The usage of drones in the agricultural flied and horticulture are revolutionizing agriculture. Through the use of various sensors and digital imaging capabilities, it can lead to a precision agriculture. The purpose of the project is to study about agricultural land using a drone. The use of drones in survey helps to reduce the time and hence gathering accurate and more information. In one flight, huge amount of data can be collected from the sky, in the form of digital aerial images. It is expected that the use of agricultural drones will grow significantly in the coming years, since they offer a wide range of applications that improve precision farming.

BACKGROUND:Caesarean section is the most commonly done Obstetric surgery and the outcome of surgery differs depending on various factors. Maternal and Fetal morbidity effects the quality of life, effect on maternal and foetal morbidity depends on proper follow up during antenatal period. PURPOSE: This study was under taken to find out the difference in maternal and fetal outcome between booked cases with proper antenatal follow up and un-booked cases. METHODOLOGY: This is a comparative study conducted at Rural Medical College in Telangana over a period of one year. Various parameters of Maternal Morbidity, Neonatal Morbidity, and Mortality were compared in both the groups. Comparison was done by using chi square test. And p value <0.05 was considered to be statistically significant. RESULTS: 389 patients were studied who underwent emergency LSCS during year 2014 in our rural medical college 190 were un-booked cases and 199 were booked cases, Indications for LSCS were similar in both the groups most common being one previous LSCS next being fetal distress. Abruption was the indication in 11 cases of un-booked group were as only one case in booked group. Post-partum haemorrhage and other post-operative complications were significantly higher in un-booked group. Perinatal mortality was more in un-booked cases. Low birth weight and need for NICU admission, perinatal morbidity was high in un-booked group. CONCLUSION: During our study period it was observed that booked cases had less maternal morbidity, perinatal morbidity and mortality when compared to the un-booked cases.

OBJECTIVE:To analyze retrospectively cases of ectopic pregnancy occurring after tubal ligation. MATERIAL AND METHODS: Number of ectopic pregnancies occurred during the year June 2012 to June 2013 were analyzed. A total number of 20 cases of ectopic pregnancy were managed in the hospital. Of these, seven patients had history of tubal ligation surgery in the past. Factors associated with these seven cases were analysed. RESULTS: Tubal ligation carries risk of failure in small proportion of cases. The risk of ectopic pregnancy in such cases varies from 5-90%. Seven out of 20 ectopic (35%) pregnancies occurred after tubal ligation. CONCLUSION: Tubal ligation is a risk factor for ectopic pregnancy. High index of suspicion is required for diagnosis of such cases.