We report a rare case of endometrial adenocarcinoma involving both horns of a bicornuate uterus in a postmenopausal woman. Patient underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy and bilateral pelvic lymph node dissection following an initial positive diagnosis of well differentiated endometrioid adenocarcinoma on endometrial biopsy. Incidentally, the left ovary revealed a well differentiated sertoli leydig cell tumor. Endometrial carcinoma arising in malformed uterus is rare. Its simultaneous occurrence with an ovarian sertoli leydig cell tumor has not been reported in English literature so far. This case is reported for its rarity.

Background: Poor maternal health among Indian women is of global significance because India is home to 1/5th of the world’s births. 27% of these newborn babies in India are low birth weight (LBW), an important cause of high infant mortality. This study was conducted among puerperal women who delivered LBW babies in our hospital to know the various factors pertaining to socio-demographic, obstetric and anthropometric characteristics.Methods: this observational study was conducted in the department of obstetrics and gynecology at Bhaskar medical college and hospital, Moinabad, Hyderabad from January 2016 to June 2017. The study sample were those who delivered LBW babies in our hospital and a set questionnaire was used to collect the relevant details.Results: 75% of these mothers were in the age group of 20-25 years, 73.5% had more than 10 years of schooling. About 64% of these women had their 1st antenatal visit in 1st trimester of pregnancy and 54% had their 1st ultrasound in 1st trimester. 36 babies had NICU admission, either at our hospital or at a level III NICU facility, and all had good neonatal outcome.Conclusions: The state must endeavor to make quality health free and easily accessible to pregnant women so that all can avail these services to better the maternal and neonatal outcomes. This will be helpful in improving the overall health of our population over the next few decades.