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.

Introduction: Intrauterine fetal death (IUFD) is a dreaded Obstetrical Complication. It is a great psychological trauma to the pregnant woman and entire family. To nd the prevalence, the risk factors, t Aim: he management of IUFD and to nd out measures which can be taken to reduce it. It was a prospective study c Materials And Method: Results: onducted from Feb 2017 to Oct 2019. A total of 144 mothers with IUFD were studied among 23,740 delivered patients over the period of two and half years. Among them 79.2% were unregistered cases, had highest prevalence in age group 21-25. Majority had vaginal delivery 83.4%. Complications of IUFD were DIC (3.4%), sepsis (4.86%) & PPH (3.47%). Intrauterine fetal death can be reduced with regular a Conclusion: ntenatal care and early detection of risk factors and their management.

Background: Reproduction is the basic expectation of human life. There is worldwide increase in incidence of infertility due to many factors such as delaying child-bearing, increase in lifestyle disorders, and stress to achieve personal and professional goals. The incidence varies between 5 and 15%. Aims and Objectives: The aims of this study were to evaluate the factors responsible for infertility using diagnostic hysterolaparoscopy among the patients attending tertiary care hospital. Materials and Methods: It was a prospective study conducted from December 2018 to May 2022 in Obstetrics and Gynecology Department of GCS Medical College, Ahmedabad. Around 150 patients were included in study. All patients of primary and secondary infertility whose hormonal profile was normal were included in the study. Results: In the present study, primary infertility was present in 73% of cases where as 27% were having secondary. Majority (43%) of patients of the primary infertility belonged to age 26–30 years and 29% of secondary infertility cases were in the age group 31–35 years. Tubal factors were highest (32%), followed by ovarian factors (29%), peritoneal factors (11%), and uterine factors (9%). Among tubal factors, bilateral block was present in 19% and unilateral tubal block in 11%; among ovarian factors, polycystic ovary syndrome was highest (18%) and in peritoneal factor, endometriosis was seen in 6%. In uterine factors, fibroid was present in about 8% of cases. Conclusion: Diagnostic hysterolaparoscopy provides reliable information in evaluation of infertility and determining various causes such as tubal, ovarian, peritoneal, and uterine.