OBJECTIVETo evaluate the accuracy of risk malignancy index 2 in discriminating between benign and malignant ovarian masses preoperatively in gynaecologic practice and its correlation with histopathological report. METHODSThis was a prospective study conducted in a tertiary care hospital from consecutive 90 women with ovarian masses scheduled for surgery at Gynaecology Department between November 2013 and October 2015. After thorough history and clinical examination of patients, preoperative ultrasound findings, serum CA-125 levels and menopausal status were noted and RMI2 was calculated. RESULTSIncidence of benign neoplasm was 94.45%, while that of malignant neoplasm was 5.55%. When three parameters were separately compared with RMI2; RMI2 outperformed the others. After application of chi square test (x 2 ), 'p' value was found to be highly significant for RMI2, USG score and CA-125. CONCLUSIONRMI2 is more accurate in discrimination between malignant and benign ovarian masses than CA-125, USG and Menstrual score alone. It can be introduced easily into clinical practice to facilitate the selection of patients appropriate for primary surgery. KEYWORDSRMI2, Ovarian masses, USG score and CA-125. HOW TO CITE THIS ARTICLE:Thakare S, Dube A, Wankhede S. Risk of malignancy index 2 in preoperative evaluation of ovarian masses and its correlation with histopathology.

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Background: This study was carried out to determine the effect of meconium stained amniotic fluid on mode of delivery and correlation of thick and thin meconium with foetal outcome.Methods: This prospective observational study was carried out in the Department of obstetrics and gynecology, IGGMC Nagpur from September 2015 to August 2017. All pregnant women in labor with cephalic presentation with singleton pregnancy with meconium stained liquor irrespective of age, parity and stage of labor were enrolled in this study. 200 consecutive study subjects who fulfilled inclusion criteria were included in the study.Results: Out of 200 cases of MSAF, thick meconium was seen in 53.5% cases and thin meconium constituted 46.5% of the cases. The mean gestational age in present study was 39.31 ± 0.89 weeks. Overall incidence of LSCS in meconium stained amniotic fluid is 65.5%. The thick Meconium stained grades had significantly higher NICU admissions when compared to the thin meconium grades (p<0.05). In present study, the total perinatal mortality was 4%.Conclusions: MSAF were associated with higher rate of caesarean delivery. It causes birth asphyxia, MAS, increases NICU admissions and perinatal mortality.

BACKGROUNDThe aim of this study was to assess usefulness of sonosalpingography in determining role of tubal factor in cases of infertility as an initial measure as compared to hysterosalpingography and diagnostic laparoscopy.

Background: Obstetrics near miss is an important indicator that reflects the quality of obstetrics care in a health facility. It assesses and monitors the activities aimed for prevention of maternal mortality. The aim and objective of this study was to find out the incidence, the prevalence and the causes of maternal near miss cases due to severe obstetrics complications.Methods: This is a retrospective study done in department of obstetrics and gynecology in GMC Chandrapur. The study was done during a period from 1st January 2019 to 31st December 2019.Results: In this study the hospital maternal near miss incidence ratio was 13.11%. In this study authors found the most common morbidity was (36.06%) hypertensive disorders of pregnancy, (28.68%) cases of major obstetric haemorrhage, (7.37%) severe systemic infection or sepsis, (2.45%) labour related disorders. In medical disorders very severe anaemia, (13.11%) was most common cause of near miss. The most common cause of death was post-partum haemorrhage (41.66%) and most of the patients referred from periphery in very critical condition.Conclusions: Haemorrhage and hypertension disorders are the leading causes of MNM. Prompt diagnosis and adequate management of near miss cases can reduce mortality rates.