Background: Pregnancy and childbirth is normal physiological process with great pathological potential. The obstetricians are more concerned with the early recognition of fetal distress during labour and such an adverse outcome should be detected at the earliest point of time by an effective surveillance method. Cardiotocography as a part of biophysical profile has become an established diagnostic tool for fetal surveillance. To compare early perinatal outcome of normal and abnormal cardiotocography in terms of APGAR scores, need for neonatal resuscitation, NICU admission, perinatal death and mode of delivery.Methods: It was a cross-sectional study. 200 nulliparous/multiparous women with singleton pregnancy in cephalic presentation at gestational age 37-42 weeks in latent stage of labor were enrolled in the study and subjected to admission test in left lateral position using fetal monitor. Baseline FHR and contraction pattern were determined for 20 minutes and classification of patients was done into normal, and suspicious or abnormal according to the FIGO guidelines 2015.Results: Low APGAR scores, rate of LSCS, need for neonatal resuscitation, neonatal admission were more in the abnormal cardiotocography group. Cardiotocography in the current study has high sensitivity and high negative predictive value for detecting fetal distress.Conclusions: From the analysis of this study, it would be safe to conclude that an ominous cardiotocography should be managed appropriately without delay and obstetrician should be vigilant in suspicious as well as in normal admission test group for timely intervention for bettering the neonatal outcome.

Introduction: The examination of the placenta gives a clear idea of what happened with fetus when it was in the mother’s womb. The changes in placenta of women with pregnancy induced hypertension and normal pregnancies can be compared. Objective: This study was done to find out differences in gross structure and histology between normal and hypertensive placentas. Methods: Placenta from case and control group was collected from the Gynecology and Obstetrics Department of B.P.Koirala Institute of Health Sciences, Dharan. The histology slides were prepared, examined and parameters was collected. Results: The mean weight of placenta in control group was 469.5±148.9gm and in case group was 375.50 ± 109.08gm which was statistically significant. The histological observation of syncytial knot, hyalinized villi, stromal fibrosis, necrosis, hemorrhage and calcification in placenta was significantly higher in case group than that of in normotensive group. Conclusions: It is concluded that, in hypertension complicating pregnancy, with increase of severity, there is decrease in morphology and increase in abnormal histological changes of placenta. So, the reduction in placental morphological parameters and histological changes might be the reason for retarded growth of baby with increased complication of hypertension.