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To analyse maternal and perinatal outcomes of pregnancy which has crossed the expected date of delivery. Background: Pregnancy which last beyond 40 weeks is a known complication of normal delivery. Postdated pregnancy causes specific hazards to both mother and fetus. Mother faces problem like increased incidence of induced labour, instrumental delivery, prolonged labour, shoulder dystocia, LSCS, instrumental delivery which itself associated with many other morbidities, fetal complications ranging from IUGR to macrosomia. The aim of the study was to find out the maternal and perinatal complications associated with postdated pregnancy. Materials and Methods: A retrospective analysis of nine month (February 2021 to October 2021) was done in tertiary care hospital to know the outcome of pregnancies which has crossed the expected date of delivery.Results: In our study, Maximum number of patients belonged to the age group of 25-30 years both in study (60%) and control group (58.4%). The maximum number of patients in the study group (81.6%) belonged to the gestational age of 40-41 weeks while all the controls belonged to 37-40 weeks gestational age. 68% of the patients in study group were primigravida and in the control group 62.4% were primigravida. The percentage of LSCS in study group was 36% which was higher than in the control group where it was 16%. Incidence of instrumental delivery was also higher in the study group as compared to control group (11.2% as compared to 3.2%). Among the indications for LSCS, the most common indication in the study group was acute fetal distress which includes meconium stained liquor (28.9%) followed by cephalopelvic disproportion (22.2%) while in the control group, most common indication was nonprogress of labour (35%) followed by acute fetal distress (25%). All maternal and perinatal complications were higher in the study group as compared to the control group. Conclusion:In women with postdated pregnancy an individualized approach to be done. Early intervention should be done in postdated pregnancy to decrease maternal and perinatal complications.

Introduction: Umbilical vein catheters have been used in neonates especially critically sick in intensive care units. They are life saving when used as central venous access. Case report: We report a case of shearing of umbilical vein catheter, which later on embolized into inferior vena cava and then right atrium. Conclusion: We need to be more careful in such small procedures of umbilical vein catheter removal, that may lead to such horrific complications.

Background: TURP is the most common surgical intervention for patients with benign prostatic hyperplasia. Aims and Objectives: This prospective randomized study was planned to evaluate spinal anaesthesia (SA) versus saddle block with regard to haemodynamic parameters, ephedrine consumption, patient and surgeon satisfaction, perioperative complications in patients undergoing TURP. Materials and Methods: Eighty patients between the ages of 50-80 years with BPH, belonging to ASA grade I- III, prostatic volume between 50 - 80 cc were included in our study. Patients were randomly divided into two groups of 40 patients each. Patients in group SA (n=40) received spinal anaesthesia and the patients in group SBBI (n=40) were given saddle block with bladder instillation of local anaesthetic jelly for undergoing TURP. Results: There was more statistically significant fall in MAP in Group SA as compared to Group SBBI (p<0.05). Complications like hypotension, bradycardia and vasopressor requirement was less but requirement (p=0.021) of supplemental analgesia was more in patients who were administered saddle block. There was significantly lower patient satisfaction in saddle block (p=0.044) but comparable surgical satisfaction in both groups. Conclusion: Both Spinal anaesthesia and saddle block are safe and effective techniques of anaesthesia for patients undergoing TURP. SA has advantages like less requirement of supplemental analgesia, longer duration of post-operative analgesia and more patient satisfaction. However, saddle block is superior to spinal anaesthesia with regard to haemodynamic stability; with less chances of hypotension, bradycardia and less vasopressor requirement. It is similar to SA in terms of providing adequate surgical conditions.

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