An actual knot that forms during pregnancy is known as a true knot of the umbilical cord (TKUC) which is seen in 0.3% to 1.2% of pregnancies. TKUC is noteworthy because it can lead to a variety of adverse perinatal outcomes, including infants with low Apgar scores, small for gestational age (SGA) fetuses, fetal hypoxia, and also in some cases fetal death. Here, we present instances of TKUC of three patients and the various associated prenatal outcomes.

Antenatal care (ANC) services has the potential to affect maternal and foetal outcome positively. The ideal gestational age for booking is within the first ten weeks of pregnancy. METHODOLOGY: An Institution based cross-sectional study amongst puerperal women was conducted at B.J. Government Medical College and Sassoon General Hospitals, Pune, Maharashtra, India. Variables studied were socio-demographic factors, parity, complications in previous pregnancy etc. Analysis was done with the Fishers exact test. RESULTS: Out of the total 370 women, 38% reported late/no ANC registration. The husband and wife's education, husband's alcoholism, history of complication in previous pregnancy were significantly associated with the time of ANC registration. Early registered women revealed a positive impact on the number of ANC visits; number of ferrous sulphate (FS) & Folic acid (FA) consumed and birth weight. Strongest driving force to seek ANC was 'to know the fetal condition'. Women were referred for Ultrasonography without ANC registration and very few had been advised timely anomaly scan. CONCLUSION: There is scope to improve early ANC registration if special efforts are taken to enroll the women at risk of late/no registration, focus on the benefits of early registration and tap the missed opportunities.

Preterm labour (PTL) is defined as the onset of labour in pregnancy from 28 weeks to 36weeks and 6 days. One of the most challenging problem of obstetrician in the era of modern obstetrics is the management of preterm labour and preterm births (PTB); Being the most common cause of perinatal morbidity and mortality PTB accounts for 70-80% of perinatal deaths. More than a million preterm infants die per year, worldwide. Aim: To Compare the Tocolytic effect of Oral Nifedipine tablet and Transdermal Nitroglycerin (TDN) patch in preterm labour and its effect on maternal and fetal outcome. Materials and Methods: It was a Double Blinded placebo controlled study conducted at Dr.

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To diagnose various intrauterine pathologies that causing Abnormal uterine bleeding (AUB) by Saline infusion sonography (SIS). To compare diagnostic accuracy of saline infusion sonography to gold standard investigation hysteroscopy in premenopausal women with abnormal uterine bleeding. Methods: The study was conducted in the D.Y. Patil hospital Pune from September 2017 to August 2019. A total of 40 premenopausal women with abnormal uterine bleeding were included in the study. All patients were subjected to saline infusion sonography followed by hysteroscopy at a later date. Results: Sensitivity and specificity of saline infusion sonography when compared to hysteroscopy for submucous fibroids were100% and 100%, for endometrial polyps were 100% and 97.4%, for endometrial hyperplasia were 100% and 97.14%, for adenomyosis 77.78% and 100%, for endometritis 0% and 100% respectively. Conclusion:The diagnostic accuracy of SIS in detecting the lesions like endometrial polyps, submucous fibroids, endometrial hyperplasia is almost comparable to hysteroscopy. But early changes of adenomyosis and endometritis are better detected on hysteroscopy. Based on results obtained, saline infusion sonography can be used as preliminary investigation before performing hysteroscopy.