Utero‑cutaneous fistula is one of the most unusual entity and up till now only a few case reports have been published. Most Utero‑cutaneous fistulas are secondary to postoperative complications following caesarean or other pelvic surgery. A 30‑year‑old woman, Para 4+0, all LSCS noticed bleeding through Pfannenstiel incision scar, following forth cesarean section. A fistulous tract was demonstrated at examination with a probe, between abdominal wound and uterus. The women underwent laparotomy with excision of the fistulous tract and repair of uterine and abdominal walls by taking all preventive measures for recurrence. She remained well postoperatively, specimen taken from fistulous tract sent for histopathology.

Background: Caesarean section is a procedure in which delivery of the fetus is carried out through a surgical incision on the abdomen and uterus of the mother. It is said to be a life-saving both for mother and fetus during pregnancy and labor. Objectives: To determine the Fetal Outcome in Emergency Caesarean Section.  Methodology: A retrospective descriptive study was conducted in Obstetrics and Gynecology department, of Al-Aleem Medical College attached with Gulab Devi Educational Complex Lahore from 1st March 2020 to Feb 2021. All emergency caesarean sections during above mentioned period were enrolled in the study. Information’s regarding Mother Age, Gravida Parity, Booking status, Socio-economic status, Mode of onset of labor and Fetal outcome as Apgar score, fetal maturity, Birth weight and Nursery admission were gathered by entering all information in the predesigned Performa. Results: There were 635 deliveries during the said time, SVD were 380 (60%) and caesarean section were 255 (40%). The rate of ECS was 54.90% (140 women), whereas elective CS was 45.09% (115 women). The prevalence of ECS was 22% (140 of 635 deliveries). Nursery admission rate was 27.85% percent due to different indication, majority of them 89.74% discharged and unfortunately 10.25% expired due to prematurity, sepsis and birth asphyxia. Conclusion: Fetal distress was the commonest cause of Emergency Caesarean Sections and resulted high perinatal morbidity and mortality.

Objectives: To determine the fetal and maternal outcome in Women with Mitral Stenosis. Methodology: A retrospective descriptive study was conducted in  Obstetrics and Gynecology department of Al-Aleem Medical College attached with Gulab Devi Educational Complex Lahore from 1st April 2018 to 31st March 2019. All admitted pregnant ladies with Mitral stenosis (mild, moderate and severe) were enrolled in the study. Results: A total of forty cases were enrolled in this study. The Mean age of  woman was 28.3 ± 2.5 years. Twenty one women (52.5%) were 20 – 29 years. Out of 40 women, 33 (82.5%) were multiparous, and 7 (17.5%) were Primi-gravida as shown in Table 1. Majority of the women 22(55.0%) were having moderate and 13 women (32.5%) were suffering from severe mitral stenosis as shown in Table 2. Lower segment caesarean was the common mode of delivery in 25 (62.5%) and spontaneous vaginal delivery was conducted in 15 (37.5%) as shown in Table 3. Neonatal and Maternal outcome was shown in Tables 4 and 5.   Conclusions: Pregnancy with mitral stenosis has a strong link with poor feto-maternal outcome.