Background: Placenta is a predictor of outcome of pregnancy. Placental examination holds an important role in improving outcome of pregnancy. It is strategically located at feto-maternal interface and it acts like a record of pregnancy in which the cumulative effects of pregnancy related events and changes reflecting the intrauterine environment can be scrutinized. Objective of present study was to diagnose presence, if at all, of lesions of placenta and their nature in cases of pregnancy induced hypertension specifically in 2 nd and 3 rd trimester of pregnancy and to classify the lesions based on clinical presentation and to compare the results. Methods: This study is based on histopathological examination of placenta in cases of PIH over a period of three years, from May 2011 to April 2014. The study was carried out at a tertiary care hospital. Results: There were 280 (19.4%) cases of PIH amongst a total of 1440 cases. In these 280, 170 (60.72%) cases had severe PIH, 110 (39.28%) cases had mild PIH. Also, 180 (16.28%) cases revealed increased morbidity and mortality. Conclusions: Evaluation of placenta is an extremely important predictor, that helps to improve the outcome of pregnancy.

Objectives (1) To study the status of sex ratio at birth with increasing birth order, (2) To ascertain the relationship of declining sex ratio with respect to socio demographic factors. (3) To study outlook of patient towards sex preference, willingness to determine sex of the fetus, wish to terminate the pregnancy in case of unwanted sex of the baby. Methods This is the retrospective study done in the

Background: Obesity has become health problem worldwide. Prevalence of obesity has increased globally with more incidence observed in female than male. Objective of present study was assessment of maternal outcome in term of associated medical disorder and mode of delivery and assessment of neonatal outcome.Methods: The retrospective study performed at Nowrosjee Wadia Maternity Hospital, a tertiary care centre between 1st January 2017 to 30th November 2017. Total 64 patients were enrolled. Maternal and neonatal outcomes were studied in all nulligravida women with high BMI using logistic regression adjusted for confounding variable.Results: Women with high BMI were at increased risk of hypertensive disorder of pregnancy (40.65%), diabetes (7.81%), induction of labour (62.5%), instrumental delivery (14.06%), operative intervention (42.18%), prolonged hospital stay and NICU admission (26.56%).Conclusions: This study observes increase risk of adverse outcome in pregnant women with high BMI.

Background: Carcinoma cervix is the second most common cancer of women all over the world and commonest cancer among Indian women. Awareness about cervical cancer and its prevention low amongst Indian women. The Pap test is a simple cost-effective technique for screening to help early diagnosis of cervical cancer. Nursing staff should be made aware of cervical cancer, so that they can spread the knowledge to the general public. Objectives of present study were to assess the knowledge level regarding symptoms, risk factors, prevention and screening of cervical carcinoma among nursing staff and to find out the behaviour of respondents regarding prevention and screening of cervical carcinomaMethods: A cross-sectional interview-based survey regarding knowledge of cervical carcinoma was conducted among the nursing staff of a tertiary care institutes of Mumbai.A structured questionnaire with multiple choices was used as a tool for data collection. Provision for open-ended responses was also made in the questionnaire. 100 nurses participated in the current study. Data was entered in Microsoft Excel. SPSS statistical software was used to generate statistical parameters like proportion, mean, standard deviation, etc. The test of significance used was the Z test and a P value of <0.05 was considered as the level of significance.Results: We lack an organized opportunistic screening program for cervical cancer in India. Data indicates a slow, but steady, decline in the incidence of cervical cancer. However, the rates are still too high, particularly in the rural areas. It is extremely essential to screen eligible women when they come to health units for other services. Studies have shown it is possible to train nurses to screen for cervical cancer. Attitudes that screening is to be done by doctors or gynaecologists only needs to change. The survey revealed that the hospital played a limited role as a source of information on Pap smear. This calls for a re-orientation of nurses, paramedicals and health workers and a need for introduction of simpler cervical cancer screening methods such as visual inspections that are more sustainableConclusions: Awareness about cervical cancer has to be improved. Education of the nursing personel will strongly contribute to strengthen cervical cancer screening programs. Nursing staff can and should educate the masses to help increase health awareness in women.

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