Objectives The purpose of the study is to determine the level of serum uric acid (s. uric acid) above which all complications occur, to analyze the maternal and fetal clinical and laboratory changes associated with elevated s. uric acid, and to determine whether s. uric acid can be used to predict maternal and fetal complications. Design A retrospective study of hospital records was done on 80 women of pregnancy induced hypertension including both gestational hypertension and preeclampsia from January 2011 to March 2012 at Civil Hospital, Ahmedabad. The women were divided in two groups: with s. uric acid > 6 mg/dl/ s. uric acid < 6 mg/dl. Results S. uric acid > 6 mg/dl was associated with maternal complications while s. uric acid > 5.5 mg/dl was associated with low birth weight babies. The mean creatinine and platelet count in two groups were significantly different at 5% level. Statistically significant elevation of s. uric acid was found in women of eclampsia. Conclusion S. uric acid > 6 mg/dl is associated with increased maternal complications specially eclampsia and higher incidence of low birth weight. Thus, women with pregnancy induced hypertension with s. uric acid > 6 mg/dl should be offered termination of pregnancy. How to cite this article Sahijwani D, Desai A, Oza H, Kansara V, Ninama P, Maheshwari K, Soni C, Padhiyar B. Serum Uric Acid as a Prognostic Marker of Pregnancy induced Hypertension. J South Asian Feder Obst Gynae 2012;4(3):130-133.

Background: Cesarean scar pregnancy is one of the rarest forms of ectopic pregnancy in which implantation occurs in the scar of a previous cesarean section. Due to increased incidence of cesarean section and first-trimester scan worldwide, more and more cases are diagnosed and reported nowadays.Case report: A 25 years G3P2A0L2 patient with previous two LSCS was referred and admitted in an emergency with chief complaints of one and half months amenorrhea followed by bleeding per vaginum for 2 days preceded by intake of MTP pills 8 days back. Her general condition was fair. The patient was investigated with routine investigations, transvaginal ultrasound, Doppler and beta hCG. Ultrasonography (USG) and color Doppler findings were suggestive of cesarean scar pregnancy. Conservative management with methotrexate was done with strict follow-up. The GSAC completely resolved by 72nd and day of diagnosis. Second look scopy at the time of tubal ligation reaffirmed the diagnosis and resolution of the scar pregnancy.

Background: Polycystic ovarian syndrome (PCOS), a gynecological and endocrine disorder closely linked with one’s lifestyle, has been impacted by the lockdowns imposed during the COVID-19 pandemic in India. Hence, our objective was to study the effect of the COVID-19 pandemic on the lifestyle and the manifestations of women with PCOS, and the association between them.Methods: Nationwide cross-sectional study was carried out among women diagnosed with PCOS via Rotterdam's criteria using predesigned semi-structured questionnaires via social media. Data was analysed using proportions and Chi-square tests.Results: Majority females were between 20-29 years (78.3%) and obese (54.8%). Only 12 were physically active, with lack of motivation being the commonest reason for not exercising. 66.9% gained weight (average 6.62 kg). 72.6% noticed an increase in stress levels. 51.7% and 25.9% had severe and moderate anxiety respectively as per GAD (Generalized Anxiety Depression) score. Only 28.5% were satisfied with their sleep. 62.4% reported having irregular menstrual cycles, with an increase of 4.6% from before the pandemic. 39.2% women reported to have missed cycles often during the pandemic. 35.4% of women had an increase in hirsutism. A significant association was found between regularity of menses and one’s weight, physical activity and anxiety. Stress levels and sleep were found to be associated with change in the pattern of body hair.Conclusions: Overall compared to the pre-pandemic times, lifestyle deteriorated, with worsening of stress levels, physical activity, sleep and weight gain in spite of improvement in diet. Manifestations of PCOS showed exaggerated menstrual symptoms and increased hirsutism.

Background: The aim was to evaluate the efficacy and safety of postoperative gum chewing on the recovery of peristalsis after caesarean section. Study design was a randomized controlled study. Settings were at GMERS medical college and hospital, Sola, Ahmedabad. Population was total of 200 pregnant women who underwent caesarean section under spinal anaesthesia.Methods: Women were randomized into two groups. Group A who received 1 chewing gum for 15 minutes every 2 hours post-surgery. Group B had traditional management (oral intake of clear fluids after 12 hours).Results: The study group showed shorter mean interval time for return of bowel sounds, passage of flatus, passage of bowel motion and shorter hospital stay as compared to the control group. Conclusions: Chewing gum is safe post-CS, well tolerated and associated with rapid return of intestinal motility and shorter hospital stay.

Background: Oligohydramnios is defined as an amniotic fluid index (AFI) of ≤5 cm. AFI is calculated by adding the depth in centimetres of the largest vertical pocket in each of four equal uterine quadrants in ultrasonography. We aimed to evaluate the predictive value of amniotic fluid index (AFI) (≤5 cm) for mode of delivery, associated complications, perinatal outcome, birth weight, meconium staining and APGAR scores.Methods: This was a prospective study of 100 antenatal women who presented at our antenatal OPD at GMERS Medical College and Civil Hospital, Sola, Ahmedabad, Gujarat with gestational age between 34 and 41 weeks over a 1-year duration from 2020 to 2021. The women’s history was taken, clinical examination done, and AFI was measured, and results were tabulated.Results: Prevalence was most among the 20-30 age group. Most patients delivered vaginally. Anaemia and gestational hypertension were the most common associated complications. There was no neonatal death in this study. No significant correlation was found between oligohydramnios and low birth weight babies.Conclusions: Oligohydramnios has a significant correlation with caesarean section for foetal distress and low birth weight babies.