Obesity is a growing problem and a major health problem. In 1919, Dr. Kelly described obesity by saying that "to be a storehouse for useless adipose tissue and to carry this handicap around, openly displayed wherever one goes, is one of most distressing of life's minor ailments." It has complex negative effects on the functions and procedures of various organs, and includes problems relating to wound healing .

In present era, with the availability of better health care facilities and understanding of health issues, women are experiencing longer life expectancy and using more gynecological services, so obviously there is increase in gynecological surgeries. Any surgical procedure carries risks of complications. The risk of postoperative complications depends on individual characteristics, including age, medical comorbidities, and functional status. The aim of study was to reduce rates of mortality/morbidity among women who undergo surgical gynecological intervention at Zagazig University Hospital. This study included 212 cases were retrived prospectively in a cross sectional study. They underwent gynecological interventions. Our study group was 212 cases 24 cases ended with morbidity with percentage of 11.3% and 2 cases ended by death with percentage of 0.9% . This study shows that the most frequent complications among the studied group were septic wound infection (2.4%), bladder injury (2.4%), respiratory tract infection (1.9%),Venous thromboembolism(VTE) (1.9%) and GIT injury (1.4%). This study explains that there were two mortality cases the first case died on table due to primary hemorrhage during hysterectomy operation as a result of great vessel injury and the other case died during hysterectomy operation due to venous thromboembolic catastrophe (Pulmonary embolism). During post-operative period, she developed hypoxia; therefore, she was referred to ICU. Unfortunately, the patient was diagnosed as pulmonary embolism; thus, she was admitted at ICU for 3 days, but she finally died. Conclusion With the availability of highly skilled personnel with improved surgical expertise, safe anesthesia and collaboration of other specialized medical personnel, the major complications and mortality rate will decrease, but the postoperative complications like, fever, respiratory tract infection, septic wound and DVT still frequent in a significant number of patients in our community, which brings about much distress to the patients.

Background: Caesarean section delivery is associated with severe maternal morbidity, including obstetric haemorrhage, hysterectomy, anaemia, blood transfusion, and infection. Among these operative morbidities associated with CS, obstetric haemorrhage is the leading cause of maternal mortality worldwide. Objective: The aim of this work was to achieve the minimal blood loss during elective cesarean section (CS) in order to decrease patients' morbidity by using tranexamic acid (TXA) injection before operation time. Patients and Methods:The current study was randomized-controlled clinical trial that was conducted at Department of Obstetrics and Gynecology, Zagazig University Hospitals through the period from April 2021 to September 2022. Results: The mean of blood loss during CS in tranexamic acid intervention group was 484.87 cc and mean of blood loss during CS in control group was 705 cc. The difference was highly statistically significant p=0.0001. Per cent of blood loss was 37% more among control group. Conclusions. Tranexamic acid is a good option to reduce the amount of blood loss during CS on high risk pregnancy.

Background: Numerous studies have investigated the association between polycystic ovary syndrome (PCOS) and recurrent miscarriage (RM). Increased rates of PCOS have been reported for women with RM. However, the actual prevalence is controversially discussed by the scientific community and remains unclear, since a wide range of rates from 8-82% can be found in the literature. Objective: To assess the relation between polycystic ovary syndrome and recurrent miscarriage and to evaluate the prevalence of polycystic ovarian syndrome within the recurrent miscarriage population. Patients and method: It is a cross sectional conducted at the infertility clinic in the outpatient department of University Hospital from March 2019 to March 2020. Patient sample was 47 participant. Hormonal profile FSH, LH, TSH, TSH, assessment of glycemic status and insulin resistance and ultrasonography for diagnosis of polycystic ovaries were done to every patients. Result: There was high statistically significant relation between the PCO and total number of follicles, number of follicles ≥ 18 mm and endometrial thickness. There was high statistically significant relation between the PCO and testosterone hormones and statistically significant relation between the PCO and FSH and LH. There was no statistically significant relation between the PCO and insulin resistance. Conclusion: In this study we concluded that the prevalence of PCOS seems slightly increased in women with recurrent miscarriage, PCOS on the other hand showed a rather high prevalence compared to the general population.