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Background: Hypertensive disorders during pregnancy remain amongst the most significant and intriguing unsolved problems in obstetrics. The study aims at testing the hypothesis that women with high serum beta hCG levels and alterations in waveforms in the uterine artery doppler in early second trimester have high risk of developing pre-eclampsia.Methods: Serum Beta hCG estimation was done by Sandwich chemiluminescence immunoassay method. All uterine artery waveforms were obtained using a Toshiba nemio ultrasound machine attached to a 3.5 MHz curvilinear transducer, with colour and pulsed Doppler abilities.Results: For prediction of preeclampsia or eclampsia uterine artery Doppler velocimetry alone shows specificity of 96.30%, sensitivity of 90%, positive predictive value of 94% and negative predictive value of 80%. When it is combined with serum beta HCG sensitivity and specificity are almost same, but alone serum beta HCG levels are showing sensitivity of 96% and specificity of just 76%.Conclusions: Abnormal waveforms on uterine Doppler studies are the better predictors for preeclampsia and eclampsia when done in early second trimester.

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Emergency Obstetric Hysterectomy (EOH) is the process of surgical removal of the uterus after an unexpected & sudden event. EOH acts as a bridge between life-threatening postpartum hemorrhage & death. 1. To study the indications & risk factors responsible for emergency obstetrics hysterectomy. 2. To study the outcome of emergency obstetrics hysterectomy. The present study is a retrospective descriptive study conducted at the department of Obstetrics and Gynecology, ACPM Medical College, Dhule over a span of 5 years from 2016 to 2021. In the present study, out of the 6250 patients, 50 patients underwent EOH. The incidence rate was 8 per 1000 deliveries. 32 (64%) were within the age group of 26-30 years, with a mean age of 27.8 ± 2.4 years. Atonic PPH (48%) was the commonest indication. Previous LSCS (76%) & antepartum hemorrhage (48%) were found the main risk factors for EOH. Uterine atony & morbidly adherent placenta are the most common indications for EOH. Previous LSCS & antepartum hemorrhage were found the main risk factors. Needs much more research to decrease mortality and morbidity in cases requiring EOH cause of advances in interventional radiology.