Objective: To evaluate the frequency of adverse maternal and perinatal outcomes in teenage pregnancies at secondary hospital Hyderabad. Methods: Retrospective record review was conducted between January 2012 to January 2016. Total No. of deliveries was 15,395 out of which No. of teenage was 452. Results: Rate of teenage pregnancy in our hospital during study period was 2.93%. Majority of women were uneducated. Teenage mother more likely to develop pregnancy induced hypertension 19.5%, frequency of mild, moderate, and severe anemia were reported to be 69.9%, 28.8% and 1.3% respectively. Conclusion: Fetal and neonatal outcome was not adversely affected. Teenage pregnancy outcome can be achieved favorable with good antenatal care.

Objective: To evaluate increasing rate of caesarean section due to non-reassuring cardiotocography. Methods: This study is carried out in obs/gyn department of Liaquat university hospital from 2012 to 2013. After permission from ERC, patients enrolled for study meeting inclusion criteria with nonreactive cardiotocography undergo caesarean section, and results are analysis through SSPS version 17. Results: There was wide variation of maternal age ranging from a minimum of 20 years to 30 years. The mean age was 26 ± 2.1 years. In our study mostly patients were primigravida 58 (58%) between 2 -4 were 22 (22%) more than para 5 were 20 (20%) patients. In our study mostly patients undergone caesarean section 81 (81%) 19 delivered vaginally (19%). In our study the gestational age was >37 weeks, ranging from a minimum of 37 weeks to 42 weeks. The mean age was 37 + 2.4 week. Mostly patients observed 37 -38 wks in (52.67%), 39 -40 wks in (32.14%) and 41 -42 wks in (15.17%). In our study mostly Apgar score were more than 7 was 63 (63%) cases and less than 7 Apgar score in 37 (37%). Conclusion: Cardiotocography is a useful and indispensable adjunct to monitor the condition of endangered fetus. However, there is a need to develop a standardized and unambiguous definition of FHR tracing to reduce the incidence of false positive findings that may result in increased incidence of unnecessary intervention particularly caesarean section.

The objective of this study was to determine the neonatal outcome in women undergoing cesarean section due to non-reassuring cardiotocography (CTG). Cross sectional study.

In obstetrics, the rate of caesarean section has consistently expanded globally. Generally, after caesarean section the solid food has been stopped to women for 1 st 24 hours so that it could avoid gastro intestinal complications. Mostly in all the cesarean section cases was operated by regional anesthesia where in little intestinal manipulation and short operative time. The aim of this study is to know that the gastrointestinal effect on early feeding versus delayed feeding after uncomplicated cesarean section and the better practice as well as advocated in future. Objective: Evaluation of the gastro intestinal effects with early feeding is better than delayed feeding after cesarean delivery. Study Design: Randomized controlled clinical trial.

Objective: The objective of this study was to determine the neonatal outcomein women undergoing cesarean section due to non-reassuring cardiotocography (CTG). Crosssectional study. Setting: Department of Gynecology & Obstetrics at Liaquat University ofMedical & Health Sciences Hyderabad. Period: October 2012 to August 2013. Methodology:Detailed Clinical examination of the patient was done. Systemic review was also done to seeany co-morbidity. All patients underwent for base line like CBC and specific investigationsespecially ultrasound pelvis. Inclusion criteria were all patients with gestational age > 37 weeksand maternal age 20 -30 years with non-reassuring CTG. Exclusion criteria were history ofprevious caesarean section operation, less than 37 weeks pregnancy, any other obstetricalindication for caesarean section (except non reactive CTG) like cephalo pelvic disproportion,previous caesarean section and severe intrapartum hemorrhage. Results were prepared withhelp of tables and graphs. Data was analyzed through SPSS software. Results: This studywas conducted on 112 patients. Wide variation of maternal age ranging from a minimum of 20years to 30 years with mean age was 26+2.1 years. Gestational age was > 37weeks, rangingfrom a minimum of 37 weeks to 42weeks. The mean age was 37+2.4 weeks. Mostly patientswere observed 37-38wks in 52.67%, 39-40wks in 32.14% and 41-42wks in 15.17%. Apgarscore was more than 7 in 61.60% cases and less than 7 apgar score in 38.39% cases whichis statistically not significant. Conclusion: It is concluded that apgar score was >7 in 61.60%cases and <7 apgar score in 38.39% cases which is statistically not significant. CTG is a usefuland indispensable adjunct to monitor the condition of endangered fetus. Reduce the incidenceof false positive findings that may result in increased incidence of unnecessary interventionparticularly caesarean section CTG should not be used as sole test CTG finding should becorrelated with colour of liquor ,if facility is present scalp PH should be done.