Background: Pre eclampsia is responsible for significant maternal and perinatal morbidity and mortality worldwide .Serum LDH level is a useful biomarker for cellular injury which may reflect the severity of pre eclampsia and its level might be a guideline for management of patients. The aim of study was to find out the role of serum LDH in prediction of adverse outcome of pre eclampsia, severity of disease and occurrence of complications.Methods: This prospective observational study was conducted in the department of Obstetrics and Gynecolog, RIMS, Ranchi, Jharkhand, India. A total of 300 cases were studied.150 cases were non severe preeclamptic and 150 cases were severe pre eclamptic patients. Serum LDH was done in both non severe and severe eclamptic patients .Data entry was done in Microsoft excel 2007. Results were analysed by chi square test.Results: Higher LDH levels had significant correlation with high blood pressure as well as poor maternal and perinatal outcome.Conclusions: High serum LDH level correlate well with the severity of disease and poor outcome in patients of pre eclampsia. Detection of high risk patients with increased levels of LDH mandate close monitoring and management to prevent maternal and fetal morbidity and mortality.

BACKGROUND Teenage pregnancy is emerging as a global public and health problems especially in developing country like ours. Maternal age has an important impact on pregnancy outcome especially when it comes to extremes of age. It is an important risk factor for making a pregnancy high risk. The purpose of this study is to compare the foetal and maternal outcome in adolescent pregnancy with mothers of normal reproductive age group (20-34). The objectives of the study were-1) To calculate the incidence of adolescent pregnancy in a tertiary care centre, RIMS, Ranchi where this study has been done and 2) To note the influence of age on foetomaternal outcome. MATERIALS AND METHODS This is an observational comparative case study conducted in period of October 2016-September 2017 in the department of Obs. & Gynae, RIMS, Ranchi. This study includes apparently healthy mothers aged <19 yrs. (study group) and mothers aged 20-34 yrs. (control group), irrespective of parity attending in our department and excludes mothers of age >35 yrs. Detailed medical history of both groups was taken. Mothers and babies were assessed for various factors before, during and after delivery. Statistical analysis was done using chi square test. RESULTS In the one-year period of observation, it was noted that significantly high no. of control groups was found to be literates and working. Antenatal complications like anaemia, preeclampsia, APH etc., were predominant in teenagers. Significantly high no of LBWs is seen in study group. Other perinatal complications like neonatal jaundice, respiratory distress syndrome, FTT etc., and puerperal complications are more common in study group. CONCLUSION This case study picture clearly shows that age of the pregnant mother is an important risk factor. Adolescent mothers carry higher risk of antenatal and puerperal complications, moreover babies born to teenage mothers suffer from perinatal complications.

Vegetable edible oil is perishable ingredients in daily consumption of food. It deteriorates rapidly under Indian climatic conditions. Ever increasing and steady demand for consumption edible oil, it becomes necessary to investigate their shelf-life. Various causes are documented for the deterioration of oil. Hence, during processing and refining of oil, it is fortified with the various synthetically prepared antioxidants. The major antioxidants added in edible oil are t-Butyl Hydro Quinone (TBHQ), Butylated hydroxy anisole (BHA) and Propyl gallate (PG). A study was planned to investigate the effect of different degree of fortification of antioxidants on shelf-life of the oil. Each sample of oil was analyzed chemically and interpreted with respect to change in their shelf-life. It showed that out of these three antioxidants, BHA was most effective and PG was found to be least effective.

Splenic rupture is a very rare entity during pregnancy and puerperium. It has a very high maternal mortality if not diagnosed and managed in time. Here we are presenting a very rare case of splenic haemorrhage on day 5 lower segment caeserian section which was diagnosed and managed at RIMS, Ranchi, Jharkhand, India.