Background: The aim of the current study was to assess the fetomaternal effects of oligohydramnios on term pregnancies in a rural tertiary care setup.Methods: A perspective case control hospital-based trial was conducted at Burdwan Medical College and Hospital for a period of one year. Pregnancies at term (37-42 weeks) were included in the study. 103 patients with sonographically diagnosed oligohydramnios were included in the case group. The control group comprised of 103 mothers at term with normal liquor volume. Demographic data and fetomaternal outcome parameters were assessed and compared.Results: There was increased incidence of fetal and perinatal complications including low birth weight, birth asphyxia and NICU admission. There were more perinatal deaths in the case group compared to the control group. Induction of labour, operative delivery, meconium stained liquor and incidence of preeclampsia were also increased in mothers with low AFI.Conclusions: Oligohydramnios is associated with an increased risk of labour and perinatal complications. Adequate antenatal surveillance and intranatal monitoring coupled with correction of underly-ing factors is the mainstay of management.

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Cervical Cancer is the most common genital malignancy associated with pregnancy. It usually presents in the 1st trimester and at an early stage. Presentation can be variable ranging from pain abdomen to bleeding per vaginum. Management protocols are based on the gestational age at presentation and stage of the disease. A 28 year old, P 2+0,3rd Gravida at 30 weeks of gestation presented with bleeding per vaginum and pain lower abdomens for 4 weeks. She was diagnosed as a case of stage IIB cervical carcinoma. After counseling the patient regarding prognosis, she was planned for caesarean section and given two doses of Inj. Betamethasone (12mg).A classical section was performed and she delivered a live girl weighing 1.5kg who was sent to the sick newborn care unit (SNCU) after initial resuscitation. She developed bilateral inguinal lymphadenopathy and unilateral oedema of thigh and foot on the 10th post-operative day. Magnetic Resonance Imaging was done and suggested deep vein thrombosis. Attending physician advised anticoagulant therapy and heparin injection was started immediately. Her newborn was released from the SNCU 20 days after delivery and breastfed well. She was discharged the next day and advised to attend the radiotherapy outpatient department .She was advised radiotherapy after involution of uterus.