INTRODUCTIONHypertensive disorders of pregnancy (HDP) such as gestational hypertension (GHT), pre-eclampsia (PE) are the frequently encountered complications during pregnancy, complicating up to 10% of gestations. 1,2 Globally HDP remains one of the most common cause of maternal, fetal morbidity and mortality. 3,4 Prevalence of GHT and PE in developing countries is 3-10% and 4-18% respectively. 5-7 Women with HDP is associated with increased risks of placental abruption, cerebrovascular events, disseminated intravascular coagulation and leading to 10-15% of maternal death. 4,8 Fetus of these mothers are having the increased risk of prematurity, intrauterine growth retardation and death. 9,10 The prevalence of maternal, fetal complications associated with HDP vary by region and healthcare facility type. 11,12 Rate of HDP is likely to increase along with obesity and metabolic syndrome in women of reproductive age group. As effective treatments are ABSTRACT Background: Hypertensive disorders of pregnancy (HDP) is a major cause of maternal, fetal morbidity and mortality complicating 10% of all gestations. As effective treatments are very limited, prediction of HDP occurrence is most importance. Though many biomarkers have shown relationship with HDP, serum magnesium (Mg) has shown better predictor as involved in maintaining vascular contractility, tone. This study is intended to analyse incidence of GHT and fetomaternal outcome in pregnant women with normal and low serum magnesium level measured at mid trimester (18-20 weeks). Methods: A total of 105 consecutive singleton pregnant women in between 18-20 weeks of gestation attending OBG outpatient department were enrolled. After obtaining the informed consent, structured proforma was used to collect demographic, clinical details. Serum magnesium was measured by the colorimetric method and study participants were divided into two groups based on Mg cut off 1.5 mg/dl and followed up throughout pregnancy for fetomaternal outcome.Results: This study results revealed that 35.2% (37/105) pregnant women had serum Mg level < 1.5 mg/dl and mean value of Mg of all participant is 1.7 mg/dl, just above the lower limit. During follow-up of these two groups, statistically significant correlation between serum Mg levels (< 1.5 mg/dl) with GHT (8/12) occurrence and pre term birth was found. Other fetomaternal outcome not had significant correlation. Conclusions: As per the findings, serum Mg concentration measurement in between 18-20 weeks can be considered as a one of the predictors for subsequent occurrence of maternal outcome of GHT and fetal outcome of pre-term birth.

Climate change issues are affecting the lives and livelihoods of the farming community in our state. With majority of our rural population dependent on farming, the need of the hour is to create awareness among farmers on climate-resilient farm technologies and make them adopt them. So, a study was conducted in the Erumapatty block of Namakkal district of Tamil Nadu to study the awareness and adoption of climate-resilient farm technologies. The findings of this study revealed that majority of the respondents (68.33 per cent) had high level of awareness on climate-resilient farm technologies. With regard to adoption, majority (60.00 per cent) had medium level of adoption on climate-resilient farm technologies. On crop production and protection climate resilient farm technologies, namely drought-resilient varieties, Intercropping, Identification and use of short-duration varieties, drought-resilient fodder crops, Community nursery as a contingency measure for delayed planting, IPDM and PPFM to combat drought condition in small onion majority of the farmers in the study area are aware of it and adopt it in this study area.

Background: Stressful puerperal period and its complications can be prevented by adequate care, proper diet and exercises. Though studies have indicated post-natal exercises (PNE) is helpful in reducing the effect of perineal muscle weakness, many women are unaware of its full benefits. This study is planned to know the knowledge, attitude and practice of PNE in post-natal mothers.Methods: Descriptive cross-sectional study was conducted in department of obstetrics and gynecology for 3 months (November 2019 to January 2020). 160 post-natal women were enrolled with convenient sampling. Structured questionnaire was used to collect socio-demographic and obstetric details, source of information, knowledge, attitude and practice of PNE.Results: A total 58.8% of this study participants revealed health care professions were the commonest source of information. More than half of them had adequate knowledge but still many were not aware of full benefits of PNE as only 3-5% aware of other benefits like prevention of urinary incontinence. 98.8% of the women’s felt PNE is essential and 62.5% felt household work hinder them doing. 92.5% said they will emphasize the importance of PNE to others. No significant correlation found between socio-demographic characters and knowledge, attitude and practice of PNE.Conclusions: Though most of the study population had adequate knowledge and positive attitude, household activities were the commonest barrier in doing PNE. Educating and creating awareness among family members is essential to improve the adherence. Continuing influence by health care workers during antenatal and postnatal period will be the key for improving adherence.