Background: Analysis of maternal near miss provides a good opportunity for assessing the factors responsible for maternal mortality in this area. Objective: Incidence of maternal near miss and mortality cases in central India tertiary care centre and evaluation of various causes using WHO criteria. Material and Methods: It is an ongoing prospective observational study conducted in the department of Obstetrics and Gynaecology, Index medical college, Indore, MP from September 2015 to October 2016. The patients who fulfilled the WHO criteria of maternal near miss were enrolled; their clinical and investigation parameters were recorded. Results: During the study period a total 4786 deliveries were observed, out of that 4533 were live births, 74 were near miss cases and 15 maternal deaths. Twenty nine (39.1%) of near miss cases were found in 15-20 year of age group while 53.33 % cases of maternal death were found of same age group. Primipara cases were more in both near miss (60.8 %) and maternal death group (60.0 %). Majority of patients were in third trimester and underwent vaginal delivery. Among the causes of near miss events, hemorrhage was the leading cause followed by preeclampsia/eclampsia and sepsis. Conclusion: Near miss cases generally occur more frequently than maternal death and therefore a more reliable quantitative analysis can be carried out, which can provide more comprehensive profile of health system functioning. Identification of the obstacles and gaps in the health system and a coordinated approach to resolve these can ultimately lead to an improved health system.

The multiple pterygium syndrome is consist of wide range of fetal malformations which have a genetic linkage. A defect in embryonic acetylcholine receptor which can be inherited as autosomal recessive, autosomal dominant, or X-linked fashion is the cause of this syndrome. We present a sporadic case of lethal multiple pterygium syndrome.

(BJOG. 2015;122(12):1601–1609) Research conducted in Australia in 2000 determined that although there had been improvements in the health of the population over previous years, increased inequalities for socioeconomically related mortality had occurred for some conditions. Studies in other developed countries, such as the United Kingdom, have suggested that socioeconomic position may be a risk factor for poorer pregnancy outcomes. Identifying high-risk parturients is critical for the prevention of adverse pregnancy outcomes because it allows targeted interventions and intensive clinical management of specific groups of women. The Australasian Maternal Outcomes Surveillance System is based on the methodology of the UK Obstetric Surveillance System and enables research and surveillance for a range of pregnancy complications across Australia and New Zealand. This study aimed to explore the independent impact of socioeconomic position on selected severe maternal morbidities among women in Australia.

Background: A healthy placenta is the most important factor in producing a healthy baby. Placenta which is the most important organ for maintaining and continuing healthy pregnancy and fetal growth. Study aimed to evaluate Pregnancy induced hypertension in relation to placental and fetal birth weight.Methods: Total 200 mothers participated in the study, various parameters related with placental and fetal weight were calculated and analysed.Results: This study observed the reduction of placental weight in the hypertensive disorders. Placental weight shows marked variation in all the groups and coefficient of variation was higher in severe PIH group, but mean weight was less with increased severity of PIH. Baby weight shows marked variation in all the groups and coefficient of variation was increased with severity of PIH and mean weight was less with increased severity of PIH. Placental weight was significantly reduced in pre-eclamptic pregnancies and it was directly correlated with fetal birth weight.Conclusions: Hypertensive disorders of pregnancy adversely influence the placental weight, which ultimately, adversely influence the maternal and perinatal outcomes.

Objectives: To describe the frequency of and reasons for changes in healthcare utilization in those requiring ongoing treatment, and to assess characteristics associated with change, during the second wave of the pandemic.Methods: Corona Immunitas e-cohort study (age ≥20 years) participants completed monthly questionnaires. We compared participants reporting a change in healthcare utilization with those who did not using descriptive and bivariate statistics. We explored characteristics associated with the number of changes using negative binomial regression.Results: The study included 3,190 participants from nine research sites. One-fifth reported requiring regular treatment. Among these, 14% reported a change in healthcare utilization, defined as events in which participants reported that they changed their ongoing treatment, irrespective of the reason. Reasons for change were medication changes and side-effects, specifically for hypertension, or pulmonary embolism treatment. Females were more likely to report changes [Incidence Rate Ratio (IRR) = 2.15, p = 0.002]. Those with hypertension were least likely to report changes [IRR = 0.35, p = 0.019].Conclusion: Few of those requiring regular treatment reported changes in healthcare utilization. Continuity of care for females and chronic diseases besides hypertension must be emphasized.