Background: Urinary incontinence (UI) is one of the most common diseases in the world, occurring majorly in females. The most common reason of its occurrence in women is: stress urinary incontinence. The frequent and repeated small leaks lead to soreness and excoriation of the vulva, and necessitate frequent changes of underclothing or the constant wearing of the protective clothing. In severe cases the woman’s life becomes a misery; she feels a social outcast and avoids leaving the house.Methods: This study was conducted at Netaji Subhash Chandra Bose medical college and hospital from October 2016 to October 2017. A total of 418 women above 18 years of age who have none of the exclusion criteria (active UTI, pregnancy and 6 weeks postpartum, malignancy, any neurological illness, all patients with true illness) were included. Data was collected using a predesigned proforma meeting the objectives of the study with their consent.Results: We have studied 418 cases out of which 77 (18.4%) cases were found to have stress urinary incontinence.Conclusions: Stress urinary incontinence amongst women is an undiagnosed problem leading to significant suffering. This study signifies how neglected women’s health, post menopause particularly genitourinary health is. It also highlights the simple clinical diagnostic parameters needed to establish the presence of incontinence.

Endometriosis is a relatively common entity among females presenting with abdominal pain and infertility. The endometriosis of broad ligament is a very rare yet interesting condition. In majority of the reported cases, endometriosis of broad ligament had recurrence after surgical excision. We are reporting one such case in a young nulliparous woman from Jabalpur Madhya Pradesh.

Background: Gestational diabetes mellitus (GDM) has associations beyond the index pregnancy, identifying two generations at risk of future diabetes. Thus, detection of gestational diabetes mellitus becomes an important public health issue. This study aimed to estimate the prevalence of gestational diabetes mellitus by using simple and single step DIPSI criteria (Diabetes in pregnancy study group India) and risk factors associated with GDM.Methods: This cross-sectional study was carried out in 800 antenatal patients attending the antenatal clinic. These patients have given 82.5 gm mono-hydrous (75 gm anhydrous) oral glucose irrespective of the meals and their plasma glucose was estimated at 2 hr. Patients with plasma glucose value ≥140 mg/dl were diagnosed as GDM.Results: The present study estimated that the prevalence of GDM was 14.75% at their 1st visit. We found a positive association of GDM by age, BMI, hypertension and family history of diabetes. Older women had 4.5 times greater risk of GDM than younger women, obese women had 52 times higher risk of GDM than underweight women and hypertensive pregnant women had 4 times greater risk of GDM.Conclusions: It was realized that the test (DIPSI) could be easily performed in high volume hospitals comfortably and the patient were at ease as they were not fasting. Simple, cost effective tests, if made universal and available in developing country like ours will surely aid health care providers to screen, diagnose GDM and offer preventive and treatment measures at the earliest.

Background: Clinically women who have survived complications during pregnancy and childbirth termed as Maternal Near Miss. The major reasons and causes are the same for both Maternal Near Miss and Maternal Death, so review of MNM cases is likely to yield valuable information regarding severe morbidity, which could lead to death of the mother, if not intervened properly and in time. Investigating the instances of severe morbidity may be less threatening to providers because the woman survived.Methods: It was a retrospective study conducted at the Department of Obstetrics & Gynaecology NSCB Medical College Jabalpur, Madhya Pradesh, India. Data of maternal death and maternal near miss was collected from the previous records from 1st January 2017 to December 2017 according to WHO 2009 criteria.Results: Total number of near miss cases was 164 and total number of Maternal Death was 111. Maternal Near Miss incidence ratio was 28.70 per 1000 live births. Maternal Near Miss to Maternal Mortality Ratio was 1.46 and Mortality index was 40.36%. Common cause of Near Miss events was hypertensive disorders of pregnancy - 85 cases (51.82%), followed by hemorrhage - 39 cases (23.78%). heart disease- 9 cases (5.48%) was also common during pregnancy.Conclusions: In summary, this study shows that besides 111 cases who died, there were another 164 cases who survived due to the prompt diagnosis and treatment received in our set- up However, the overall high incidence of near-miss to maternal mortality (1.46) indicates that a significant proportion of critically ill patient still die of these complications. Maternal near miss reviews will be the best tool for the betterment of community and health care systems.