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We present a case of massive abdominal lymphangioma in a fetus diagnosed at 28 weeks of gestation. The lesion was located in the abdomen involving lower part of thorax and entire abdominal wall, extending down to the right gluteal region. Detailed structural anomaly scan was performed, growth of the fetus assessed and patient was managed expectantly till delivery.

from simple dysfunctional uterine bleeding to endometrial cancer. A complete examination is required for cases with AUB in order to exclude organic causes, particularly, in women at postmenopausal and perimenopausal age, as chances of endometrial carcinoma prevail in them. [1] Hysteroscopy with directed biopsy is considered as a reference standard investigation for AUB, because of its precision. But, it is not used as primary diagnostic procedure, because of its high cost and invasive nature. [2] Transvaginal sonography (TVS) is also considered as a useful method for the evaluation of AUB, but it has some limitations for screening the lesions within the endometrial cavity. Thickened endometrium seen on TVS may be owing to many reasons such as polyp, fibroids, carcinoma, or endometrial hyperplasia;

Background: The main objective of our research was to study mother’s experience in alternate birth positions during second stage of labour. Evidently, providing freedom to choose birthing positions positively impacts the women’s comfort level and intrapartum birthing experience. Methods: In the present study we counselled our antenatal and intranatal patients about the benefits and risks of alternate birthing positions. We enrolled 50 consecutive consenting parturients with prior vaginal delivery, who opted to adopt alternate birth position during second stage of labour. Maternal experience of birthing in alternate positions was compared to her experience in previous childbirth in dorsal position by using a standard pre-validated questionnaire using Likert scale with close ended and open-ended questions. Results: In our study, 49/50 (98%) mothers found alternate positions helpful, 46/50 (92%) mothers reported bearing down was easier, 47/50 (94%) mothers felt they would recommend alternate birth positions to others, for 49/50 (98%) parturients progression of labour was satisfactory, 48/50 (96%) had a good birthing experience, 44/50 (88%) felt duration of labour was less than what they had expected and 46/50 (92%) parturients reported that birthing experience in alternate birth position was more comfortable as compared to their previous delivery. Conclusions: Overall experience of delivering in alternate birth position was positive. Thus, it is clear that when women are informed and educated about their options, they are in a better position to make decisions from the available options and gain a sense of control over their healthcare with improved satisfaction and experience.

Sirenomelia is a rare congenital anomaly which is an extreme example of caudal regression syndrome characterized by lower limb fusion, sacral and pelvic bony anomalies with abnormalities in other organ systems, commonly affecting the gastrointestinal and the urogenital systems (Kanagagiri et al. JMSCR 5(7), 2017). It is a sporadic occurence with no increased risk in subsequent pregnancies. The syndrome of caudal regression is thought to be the result of injury to the caudal mesoderm early in gestation (Mirzapur et al. Glob J Reprod Med 3(5):555624, 2018). Prenatal sonographic findings of sirenomelia (or mermaid fetus) were retrospectively reviewed in three proven cases.