Rupture uterus is a potentially catastrophic event with high maternal and perinatal mortality. It is a preventable condition. Most common cause of rupture uterus is a scarred uterus, reflecting the danger of rise in caesarean section rate. AIM: 1) To identify risk factors of rupture uterus. 2) To study the fetal and maternal outcome. METHODOLOGY: An observational study at tertiary care hospital for a period of 25 months (May 2012-May 2014). RESULT: The incidence is 5.64 per 1000 deliveries with majority of ruptures in a scarred uterus. CONCLUSION: Rupture uterus is a potentially preventable condition. Early diagnosis and active surgical treatment is the key to reduce morbidity and mortality. Prevention is by giving good antenatal care and reducing the caesarean section rate.

Malpresentation of fetus influences the fetal and maternal outcome. AIM: To study the incidence, etiological factors and fetomaternal outcome. An observational study was conducted at King George hospital during a period of one year (Jan -Dec 2014.) RESULT: There were 5704 deliveries conducted during the period with 278 malpresentations, incidence being 4.87%. Breech is the most common presentation followed by transverse lie. CONCLUSION: Malpresentation requires high vigilance and prompt management to reduce perinatal mortality and maternal morbidity.