Objective: The study was conducted to see the maternal and neonatal outcomes of the women with placenta praevia. Methods: All women with the diagnosis of placenta praevia admitted in the hospital were included in the study. The maternal and fetal outcomes were recorded from January 2012 to August 2017, over a period of 5 years. Results: A total of 63 patients were included in the study, after radiological confirmation. The period of gestation for the first presentation was predominantly in 28 weeks of gestation, for central placenta praevia. The mean blood loss intraoperative was 3000 ml, ranging to as much as 5500 ml in central placenta praevia and more so in posterior than anterior placenta. The need of additional procedure like uterine artery ligation was needed in 26 (41.2%), internal iliac artery ligation 8 (12.6%), B lynch in 12 (19.04%) and peripartum hysterectomy was performed in 3 (4.7%). The mean requirement of blood transfusion was 500ml of packed cell. The need of ICU care was in 5 (7.9%) and serious morbidity was seen in 3 (4.7%). Maternal mortality was not seen in any case. Fetal outcomes were studied by recording the fetal weight, Apgar and need of NICU care which was for 23 (36.5%). Conclusion: The need for early diagnosis and multispecialty approach to a patient is greatly associated with reducing the blood loss, lesser need of additional procedure and lower maternal and fetal mortality and morbidity.Keywords: Placenta praevia, accreta, antepartum hemorrhage, maternal complication.Placenta praevia means the placenta located in the lower uterine segment which is less than 2.5 cms from the cervical os 1 . This condition is complicating about 0.3 to 0.8% of all pregnancy 2-5 . The risk factors for developing placenta praevia are previously scarred uterus, grand multiparty, maternal age of more than 35 years, recurrent abortion and intrauterine curettage 6-9 .Maternal morbidity in the form of abnormal placentation, increased risk of section and additional procedure, need for blood transfusion and ICU care and fetal morbidity in the form of preterm, low birth weight, low Apgar and need for NICU care makes it a must for care in a higher center and with available advanced resources [10][11][12][13] . The most frequent management in the form of section which is on the rise in today's era more so increases the risk of placenta praevia in the next RESEARCH ARTICLE

To study the prevalence of postmenopausal women in the urban population, its clinical presentation, histopathology incidence of malignancy. Method and material: A prospective study performed in ESIC medical college, Bangalore, over 50 women. When women presented to the outpatient with complain of postmenopausal bleed there was enrolled in the study. Patient's demographic data were collected, the pap and endometrial HPE were studied. Results:The average age of menopause was 50 years. The histopathological analysis showed proliferative endometrium (16%), secretory endometrium (10%), atrophic endometrium (14%), simple hyperplasia (10%), complex hyperplasia with atypia (8%), endometrial polyp (4%) and cervical polyp in (4%). Squamous cell cervical carcinoma (10%) endocervicitis (14%) of the population and endometrial malignancy in (4%) no opinion were given in (6%). Conclusion: Postmenopausal bleeding is a sinister complaint among the elderly women. It needs a complete history, clinical examination and investigations to detect the cases of malignancy at a earlier date. High-risk women like nulligravida, obesity, diabetes, has to be considered as special case and extensively investigated to rule out malignancy.

To study the clinical presentation, course and maternal outcome in pregnancy in Peripartum Cardiomyopathy. Methods: A retrospective study was conducted over a period of 5 years and a total of 21 number of peripartum cardiomyopathy cases were collected, in ESIC medical college, Bangalore. Data collected included the age of the patient, past obstetric history, gestational age, clinical symptoms, risk factors, diagnosis, medical management and maternal outcome and were analyzed in SPSS 10 software. Results: In the study we found that the prevalence of peripartum cardiomyopathy was 0.07% (21/16,866). The maximum age group fell between 20 to 30 years 16(76.1%), 11(52.3%) were primigravidae, 5(23.8%) had pre-eclampsia and none of the patients had gestational diabetes. The echocardiography parameters were studied, diagnosis made and management planned accordingly. Conclusion: PPCM is diagnosed by excluding the other conditions. Predominantly young women are affected. The associated risk factors are pre eclampsia and hypertension. Complications like cardiac arrhythmias, thromboembolism and refractory heart failure are very common and future pregnancies should be avoided.

Objectives:To determine the antepartum and intrapartum risk factors leading to caesarean section in Primigravidae. Methods: A prospective study of 100 patients conducted in the department of Obstetrics and Gynaecology from January 2018 to June 2018. Data collected included the age of the patient, obstetric history, gestational age, clinical symptoms, antepartum and intrapartum risk factors for LSCS. Results: The most common antepartum risk factor for caesarean section in primigravidae was found to be fetal distress (41%) and the most common intrapartum finding was meconium stained liquor (27%). Conclusion: Presence of risks complicating pregnancies has increased the rates of primary caesarean section. It is prudent to carefully weigh the risks and benefits associated with caesarean section in order to improve the pregnancy outcome.

Chorioangioma is the most common non trophoblastic tumor of the placenta which can result in pregnancy complications with attendant maternal and fetal mortality and morbidity.Although majority of them are asymptomatic, clinical course depends mainly on the size of the neoplasm.We present a case of  large symptomatic placental chorioangioma managed successfully at Shri B M Patil Medical College,Vijayapura.The patient presented with acute features of abruptio placenta secondary to sudden decompression of uterus with polyhydramnios associated with large placental capillary chorioangioma of 10 cm size.Immediate intervention with Emergency LSCS helped rescue the baby of Intauterine demise and possible hemorrhagic morbidity in the mother.Further gross and histological examination confirmed the diagnosis.