Introduction: In present times, Total Laparoscopic Hysterectomy (TLH) is one of the commonly performed gynaecological procedure. Vaginal vault or cuff closure is crucial and critical in performance of TLH. During TLH, vaginal vault or cuff closure is done using a variety of available sutures. The techniques of suturing and approaches, either endoscopic or transvaginal, can vary. The skill, experience and preference of the surgeon counts in the final outcome of the surgery. Aim: To compare and study the frequency of minor and major complication rates of intracorporeal (endosuturing) cuff closure technique and routinely used transvaginal route of suturing vaginal vault in TLH. Materials and Methods: This prospective cohort research was conducted in the tertiary care hospital from May 2018 to December 2019. A total of 102 TLH were studied. In 51 cases (50%), vault was sutured endoscopically and in other 51 cases (50%), vault was sutured transvaginal, using single continuous interlocking suturing of vaginal vault with Vicryl 1-0 in all cases. Statistical analysis was done using Statistical Package for the Social Sciences (SPSS) software version 24.0. Results: In the follow-up of three months period, there were no cases of Vaginal Cuff Dehiscence (VCD). In present study, 21 cases (20.6%) out of 102 presented with vaginal cuff complications. A 15.7% cases with minor vaginal cuff complications were noted in laparoscopic endosuturing group and 25.5% cases of vaginal suturing group presented with minor vaginal cuff complications. Conclusion: Both the techniques of suturing the vaginal vault following laparoscopic hysterectomy delivered the desired results. The laparoscopic route of suturing vaginal cuff following TLH had lesser complication rate though not statistically significant over vaginal route and none of the two groups had any major complication (VCD).

INTRODUCTIONIn order to reduce the risk of maternal or neonatal morbidity and mortality, labour is often induced. 1According to WHO global survey reports, 9.6% of cases out of 3 lakhs population were delivered by labor induction. 2Prostaglandins are widely used in clinical practice since 1960s for induction of labour but side-effects such as ABSTRACT Background: Induction of labour by use of prostaglandins improves the obstetric outcome in complicated cases such as prolonged deliveries. The aim of the present study was to compare the effect of prostaglandin E1 (PGE1) and prostaglandin E2 (PGE2) for prelabour ripening of unfavourable uterine cervix in nulliparous women, to study the effect of PGE1 and PGE2 on duration of labor and to evaluate the obstetrical and neonatal outcome of induction of labour using prostaglandins E1 and E2. Methods: This was a prospective study conducted on 50 nulliparous women with singleton pregnancy with gestational age ≥37 weeks during the period from

Background: India is projected to be the most populous country according to United Nations’ report; therefore, the knowledge and awareness of contraceptive methods is of utmost important for small family norms and to increase inter-pregnancy interval, so that we can achieve optimum maternal and child outcomes. This study was conducted to assess knowledge, awareness, and acceptance of contraceptive methods among reproductive-age women during Corona pandemic.Methods: A prospective observational questionnaire-based study involving 513 women belonging to the 15-49 years of age group were interviewed with consent. This was a knowledge, attitude and practice (KAP) study regarding socio-demographic profile, knowledge, awareness, and acceptance of the contraceptive method.Results: Statistical analysis of data was done by using chi-square and percentage. Out of 513 participants, 63 participants were not using any method of contraception. Barrier method is the most commonly preferred method of contraception. There was significant association of education of women and husband, occupation with usage of contraception (p<0.001, p=0.016 and p<0.001). During corona pandemic acceptance of tubal ligation had taken a hit.Conclusions: During corona pandemic barrier method and oral contraceptive pills were preferred methods. In comparison with pre-COVID era data, tubal ligation was least preferred method. Acceptance of IUCD and Injectable contraception remained same. Higher education level and better financial status had correlation with increased awareness and acceptance of contraceptive methods.

Background: The incidence of caesarean section has increased in the past few years in both developed and developing countries. The aim of the study is to analyse the factors responsible for caesarean section in a multigravida women with previous normal delivery. Methodology: This is an observational study involving 70 multiparous women with history of previous normal vaginal delivery during the period from September 2015 to September 2018 in the department of Obstetrics and Gynaecology of GCS Medical College and Research Centre, Ahmedabad. The various parameters analysed were presentation of foetus, weeks of gestation, elective v/s emergency caesarean section, indication of caesarean section. Results: In the study, majority of patients belong to age group of 28-32 years (47.14%) and were gravida 2 (75.71%). 48 out of 70 women were between 37 to 40 weeks. The most common indication of caesarean section is foetal distress followed by breech presentation in our study and most caesarean were performed in emergency. Conclusion:Caesarean sections are effective in reducing maternal and neonatal mortality only when done for obstetric or medical indications. Knowledge of the factors responsible for caesarean in multigravida with previous normal delivery may assist obstetrician in overall patient management which ultimately will reflect in better maternal and neonatal outcome necessary for psychological and social wellbeing.