The cardinal signs are the fang marks over the bitten area, localized pain and erythema, progressive edema. 2 Other symptoms AbstractSnake bite affects around 2.5million annually, with greater than 100,000deaths. India is known to have one of the highest rates of snake bites in the world. However, reports of venomous snake bites during pregnancy are uncommon, as women in our country are usually homebound during their pregnancy. Little is known about the maternal and fetal outcome following venomous snake bite of a pregnant woman. This case report presents a multigravida who was bitten by a snake at 28weeks of pregnancy. She developed DIC and abruption placenta and delivered a still born baby. The purpose of this case report is to emphasis on the fact that though the consequences of a snake bite is grave for the fetus and mother, timely and effective medical care can go a long way in saving their lives.

Objective: To identify peri-conceptional diet patterns among women in Bangalore, and examine their associations with risk of gestational diabetes mellitus. Design: BANGLES, started in June 2016, was a prospective observational study, in which women were recruited at 5-16 weeks’ gestation. Peri-conceptional diet was recalled at recruitment, using a validated 224-item food frequency questionnaire. GDM was assessed by a 75-gram oral glucose tolerance test at 24-28 weeks’ gestation, applying WHO 2013 criteria. Diet patterns were identified using principal component analysis and diet pattern-GDM associations were examined using multivariate logistic regression, adjusting for ‘a priori’ confounders. Setting: Antenatal clinics of two hospitals, Bangalore, South India Participants: 785 pregnant women of varied socio-economic status Results: GDM prevalence was 22%. Three diet patterns were identified: a) High-diversity, urban (HDU) characterised by diverse, home-cooked and processed foods was associated with older, more affluent, better-educated and urban women; b) Rice-fried snacks-chicken-sweets (RFCS), characterised by low diet-diversity, was associated with younger, less-educated, and lower income, rural and joint families; c) Healthy, traditional vegetarian (HTV), characterised by home-cooked-vegetarian and non-processed foods was associated with less-educated, more affluent, and rural and joint families. The HDU pattern was associated with a lower GDM risk (aOR: 0.80 per SD, 95% CI: 0.64, 0.99, p=0.04) after adjusting for confounders. BMI was strongly related to GDM risk and possibly mediated diet-GDM associations. Conclusions: The findings support global recommendations to encourage women to attain a healthy pre-pregnancy BMI and increase diet-diversity. Both healthy and unhealthy foods in the patterns indicate low-awareness about healthy foods and a need for public-education.

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