Background: Post placental intrauterine contraceptive device use in India showed that most women were satisfied with their choice of immediate insertion of an IUCD and the rates of complications were relatively low. The large proportion of women accepting the method to limit future childbearing indicates the important place post placental IUCD hold. This study was done to evaluate the acceptance of intrauterine contraceptive device as an immediate family planning method following delivery. The complications associated with it were identified and continuation rates were assessed. Methods: Women admitted for delivery in a tertiary care hospital were included in the study. Only women who fulfilled the medical eligibility criteria were included in the study. Results: A total of 4209 women were counseled of which 780 (18.5%) women accepted the method, 3429 declined. Out of the 780 cases, 764 came for follow up, and 16 were lost to follow up, spontaneous expulsion was seen in 2 (0.2%) cases, removal was done on request in 1 case and continuation was seen in 761 (97.56%) women. Conclusions: The Post placental intrauterine contraceptive device is safe to insert immediately after delivery. It has good acceptance with minimal expulsion and very high continuation rates.

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BACKGROUND Dysmenorrhea is a common menstrual problem which is encountered in young women and needs emphasis. It leads to social withdrawal, absenteeism from school and work.The aim of the study is to know the prevalence of primary dysmenorrhea in unmarried women less than 25 years of age without organic pathology and to understand the distribution of various risk factors. MATERIALS AND METHODSThis is a hospital-based, prospective, cross-sectional study conducted for a period of 1 year. Unmarried women <25 years without any organic pathology attending the Gynaecology Outpatient Department with complaints of dysmenorrhea were included in the study. A questionnaire was given to them and results tabulated. RESULTSPrevalence of dysmenorrhea was 58%, 17% presented with severe dysmenorrhea. Social withdrawal was seen in 12% of cases. Dysmenorrhea beyond 17 years was seen in 54% of cases, 48% were from rural areas, 58% cases were from low socioeconomic group and 32% were underweight. 59% of cases attained menarche after 12 years of age and 41% before 12 years. Irregular menstruation was seen in 38% of cases, positive family history was seen in 35% of cases. 92% of cases had dysmenorrhea during menstruation. 93% cases adopted more than one method as therapy, they being, application of heat, abdominal massage and intake of anti-inflammatory drugs (NSAIDS). CONCLUSIONDysmenorrhea in young women is a major problem and needs to be effectively managed. In the present study, 17% suffered from severe dysmenorrhea. Social withdrawal was seen in 12% of cases. The subjects who consumed egg, fruits and tea everyday suffered from mild dysmenorrhea. Majority of the subjects took Paracetamol as a treatment for dysmenorrhea. Severe dysmenorrhea was controlled by intake of oral contraceptives.

BACKGROUND Gestational Diabetes Mellitus is important in that it poses a risk to the pregnant woman and her baby. The prevalence of Gestational Diabetes Mellitus ranges from 0.2%-12% depending on the population studied. Aim of this study is to assess the hospital prevalence of Gestational Diabetes Mellitus, maternal and foetal outcomes in pregnancies complicated by Gestational Diabetes Mellitus at a tertiary care unit during the study period. MATERIALS AND METHODS The study was conducted at a tertiary care centre at Visakhapatnam over a period of 1 year from June 2015 to May 2016. A total of 8,906 were screened and 84 cases were diagnosed as Gestational Diabetes Mellitus according to American Diabetic Association (ADA) Guidelines. They were followed till delivery and maternal and foetal outcome noted. RESULTS The prevalence of Gestational Diabetes Mellitus in our study was 0.94%. The most common age group was between 25 to 30 years with 42 cases [50%]. The number of cases above BMI 30 kg/m2 were 58 [69.04%]. The most common complication associated with GDM was abortions [23.8%] followed by preeclampsia [21.42%] and infections mostly vulvovaginal candidiasis [20.23%]. Neonatal Intensive Care Unit admission rate was high, 29 cases [34.52%]. CONCLUSION Gestational Diabetes Mellitus is an important maternal complication in pregnancy especially in India where the incidence is rising rapidly. Early detection, appropriate multidisciplinary care at tertiary care center can reduce complications associated with Gestational Diabetes Mellitus.