Background: Postpartum depression also known as postnatal depression is a non-psychotic depressive disorder of variable severity and it can begin as early as after delivery and can persist indefinitely if untreated. The objective of this study was to determine the prevalence of postpartum depression by Edinburgh postnatal depression scale and to evaluate the factors predisposing to postpartum depression.Methods: The present prospective observation study was conducted in the Department of Obstetrics and Gynaecology, Netaji Subhash Chandra Bose Medical College, Jabalpur from 1st March 2015 to 31st August 2016. Participants were screened for postnatal depression using EPDS. A risk factor questionnaire that covered key socio-demographic and obstetrics factors were also completed by all the subjects. Main outcome measure: prevalence of a score of 13 or higher, on the EPDS. The data of the present study was recorded into computer and after proper validation, error checking, coding and decoding, the data was compiled and analysed using the SPSS Window, Appropriate univariate and bivariate analysis were carried out using the fisher exact test or Chi-square test for categorical variables.Results: The present study concludes that the prevalence of postpartum depression is 12.8% (64/500) amongst postnatal women admitted of Obstetrics unit of NSCB Medical College, Jabalpur (Madhya Pradesh) since the prevalence of an EPDS score ≥13 (which is suggestive of PPD) was found in a significant proportion of women, screening for PPD is indicated in all postpartum subjects to identify and promptly treat these women. Identification of a clear association between certain risk factors and PPD will lead to a prompter diagnosis of PPD.

Background: Rape and abuse of women are common occurrences, which many times go unreported due to social stigma or fear of retribution. Rape is a crime not against a single human being but against the entire humanity. For granting justice to the rape survivor, it becomes necessary that such matters are properly presented before the Courts of Law. Healthcare workers play an important role in this regard because they are the first people who examine the survivors. They document record of the history and medical condition of the survivor and do relevant sample collection. The objective of this study is to analyze demographic and event characteristics of rape survivors who presented to the gynecology department of Government NSCB MCH, Jabalpur with history of sexual assault.Methods: Data was retrospectively collected from the medico legal records of the department of Gynecology between April 2013 to March 2018.Results: An increase in number of cases of sexual assault reporting to the hospital every year is observed. Age wise distribution showed that 27.66% cases were in age group 6-10 years and 16-20years being the major affected group. Majority of the cases belonged to low socio-economic strata. 91.5% survivors were unmarried. 61.7% of the survivors were from rural areas. 44.7% of survivors reported within a day of the incident and most of the assailants were known to the survivors; only 36.2 % were strangers. Most of the incidences (23.4%) took place in the assailant’s house and survivors house each. In 31.9% cases there was evidence of fresh hymen tear.Conclusions: An understanding of the demography of sexual assault survivors will help us to better train our doctors in proper attitude and handling of such cases, an area often neglected.

PPIUCD is preferably inserted within 10 minutes of placenta delivery, intracaesarean, or 48 hours of delivery. In India, 65 percent of women have unmet family planning needs. The goal of this prospective study was to assess the acceptability, safety, and expulsion rate of Cu T 380 after 6 weeks of insertion. The research was conducted at St. Stephen's Hospital in Delhi, a tertiary care facility, in the Department of Obstetrics and Gynecology. For a year, 150 patients of various ages were implanted with PPIUCD. Patients were monitored for 6 weeks to assess- 1) Expulsion rate 2) Safety within Within 6 weeks of insertion, there was no evidence of abdominal pain, foul-smelling vaginal discharge, bleeding, or perforation. 3). Removal reasons In our study, we found that the overall complication rate was 9.29 percent, with infection rate 0.7 percent, prolonged lochia rate 2.1 percent, persistent bleeding rate 3.6 percent, and pain abdomen 1.4 percent. The study's removal rate was 5.0 percent. The rate of expulsion was 2.86 percent. The satisfaction rate was 80%. Based on the findings of this study, we believe that postpartum IUCD should be widely used as a contraceptive.

Following the Covid-19 Pandemic, certain components of the public health system, such as women's and children's health services, are more likely to experience decreased efficiency. A single-stranded RNA virus is the coronavirus. It can cause respiratory conditions ranging from minor nasal congestion to life-threatening respiratory infections. From June 2020 to September 2021, 70 mothers participated in a retrospective study at the Department of Obstetrics and Gynecology to assess the impact of COVID-19 on maternal and perinatal outcomes. In our study Only 20% of the patients were older than 30 years old, and 80% of the patients were under 30 years old. Out of 70 patients, 10 had no symptoms, 57.1% had a fever, 52.8% had a cough, 24.3% had trouble breathing, 7.14 percent had a headache, and 14.2 percent had anosmia. 36 patients (51.42%) had pneumonia with pleural effusion, 6 patients (8.57%) had ground glass opacity with consolidation, and 28 patients (40%) had minimal ground glass opacity. The maternal mortality rate was 12.8%, and 29 patients (41.42%) of the mothers required ventilator support or high flow oxygen (>12 l). 18 infants weighed more than 3 kg, 24 were between 2.6 and 3 kg, and 18 were under 2.5 kg.

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.