Aim To study the outcomes, benefits and complications of internal iliac artery ligation in both obstetric and gynecological cases.Objective To study the outcomes, effectiveness and complications of internal iliac artery ligation (IIAL). Method This is an analytical longitudinal study done among women who have undergone internal iliac artery ligation in Dr. BRAMH a tertiary referral center from July 2013 to June 2015. Follow-up was done through color Doppler analysis of pelvic arteries before discharge, after 6 weeks and after 6 months. Result The efficacy of IIAL was 96.87 %. The mean shock index was 0.94 ± 0.26. Sixty-four women underwent IIAL out of which placenta previa (21.8 %) was the major indication. There were four maternal deaths. There were no intraoperative or ischemic complications. The greater the time interval between onset of hemorrhage and IIAL, the graver the outcome. For all women in whom uterus could be salvaged, resumption of menstrual cycles was seen within 6 months of IIAL. There was a significant decrease in the RI and PI of uterine arteries. In the ovarian arteries, there was a significant increase in RI and no significant change in PI initially. Flow in distal part of ligated internal iliac arteries could be detected in 54 (90 %) women out of 60 after 6 months of ligation of internal iliac arteries. Conclusion IIAL is an effective life-saving method to control obstetric and gynecological hemorrhage, and a hysterectomy can often be avoided. Early resort to IIAL is vital for improving the patient outcome. Uterine perfusion is well maintained, while there may be a decrease in ovarian perfusion. Resumption of menstrual cycles and presence of distal flow in internal iliac artery within 6 months suggest the preservation of future fertility; in order to better understand the impact of IIAL on ovarian functions and future fertility, larger studies with longer follow-up periods need to be conducted.

We felt that Type I vWD with infrequent and mild bleeding episodes remain undiagnosed either because of unawareness of the disease in society or due to paucity of diagnostic facilities available in our country. Therefore, an awareness program along with enhancement of diagnostic facilities for vWD is required in our country to identify these patients for proper management thus avoiding hemorrhagic complications.

Transient osteoporosis of the hip (TOH) is a rare, self-limiting syndrome characterized by hip pain in the 2nd or 3rd trimester of pregnancy. Conventional radiography shows demineralization of the femoral head. Diagnosis is confirmed by MRI scan. Over the course of a few months, the radiological abnormalities and the pain disappear spontaneously with complete resolution. We report the case of a patient with isolated acetabular involvement during pregnancy, confirmed by MRI scan, who obtained spontaneous remission of her symptoms.

Thyroid disorders are most common endocrine disorders affecting women of reproductive age group Hypothyroidism is common in pregnancy with an estimated prevalence of 2-3% Maternal hypothyroidism leads to many maternal and perinatal complications like miscarriage, gestational diabetes mellitus, pre-eclampsia, pre-term labor, placental abruption and fetal death. AIMS AND OBJECTIVE: To find out the effect of hypothyroidism on the course of pregnancy, to study the neonatal outcome, to know the prevalence of subclinical and overt hypothyroidism in pregnant women. MATERIALS AND METHODS: This prospective study was conducted in department of Obstetrics and Gynecology, Pt. J.N.M. Medical College and associated Dr. B.R.A.M. Hospital Raipur from May 2011 to September 2012. All pregnant women attending the obstetric unit during this period were included in the study after informed consent 10 ml of blood sample of pregnant women was drawn at first visit in the first trimester; then it was centrifuged and stored in aliquots at -70 degree Celsius until assays, which were done after delivery, TFT were assessed by quantitative analysis of serum TSH and FT4 (ELISA). The pregnancy outcome variables like miscarriages, preterm deliveries, IUGR, preeclampsia, anemia, low birth weight, intra uterine fetal demise, antepartum hemorrhage, still birth, postpartum haemorrhage, birth asphyxia were studied. The neonatal outcome was also studied. The statistical analysis was done using odds ratio. P value <0.05 was considered significant. RESULTS: Out of the 263 pregnant women 25 had hypothyroidism (9.5%). Prevalence of subclinical hypothyroidism was more as compared to overt one (Table 2). Abortions were seen in 12.5% of subclinical and 11.1% of overt hypothyroid women. PIH and abruptions were significantly higher in subclinical cases (P<0.05) while in overt group both complications were higher as compared to the normal women but p value was not significant for abruption. More of the hypothyroid women had preterm delivery (37.5% in subclinical and 44.4% in overt group), Regarding neonatal complications IUD and Early neonatal deaths were significantly higher in overt hypothyroidism (P<0.01) Hypothyroid women had more of low birth weight babies (31.25% in subclinical and 35.5% in overt) and IUGR babies (18.70% in subclinical and 22.21% in overt), CONCLUSION: The present study shows that, though the occurrence of hypothyroidism in pregnancy is less yet it causes many maternal and neonatal complications therefore universal screening of thyroid disorder should be done in pregnancy.