Bombay blood type is the rarest blood group known all over the world. The worldwide incidence of Bombay Blood group is one in every 250000 worldwide [1]. On red blood cells of these people there was absence of A, B and H antigens and also the anti-H antibodies were present in plasma. There is a probability that he anti-H antibodies in the maternal blood may lead to hemolytic disease in newborn and may trigger severe transfusion reaction specially hemolysis when exposed to any blood type other than Bombay blood group. Bombay blood group in pregnant is a rare entity. We report a case of Bombay blood group with anemia with preeclampsia with previous caesarean section managed intensively to give a healthy mother and baby. The biggest task is arranging blood for transfusion because the Bombay blood group is not available easily.

Massive ovarian oedema is defined by WHO as formation of tumour like enlargement of one or both ovaries by oedema fluid in the stroma It is a benign lesion with age distribution varying from a neonate at six months of age to postmenopausal women up to 60-years-old. The differential diagnosis are ovarian fibromatosis, ovarian fibroma, sclerosing stromal tumour and ovarian myxoma. The common management of massive oedema of ovary is unilateral salpingo-oophorectomy, as the lesion is mistaken for primary ovarian neoplasm at laparotomy. Diagnosing MOE is of great importance to prevent unnecessary aggressive treatment in young patients to prevent infertility .We report this case of Massive Oedema of Ovary for its uncommonness.

Background: The prevalence of endometriosis is seen to be from 10% to 20% in the reproductive age group whereas that of endometriosis is 30% to 70% among women presenting with infertility. In our study the incidence of endometriosis appears to be 6.31%. The objective is study the common presentation in cases of endometriosis and their diagnostic accuracy with the help of radiological modalities . laparoscopy and histopathology remains the gold standard modality to diagnose endometriosis. Methods: A total of 200 patients with adnexal masses in the women of reproductive age group were studied. Endometriosis was identified by laparoscopy in 12 cases and confirmed by histopathological examination. Results: Out of the above 200 patients, 6.31% (12 cases) were diagnosed as cases of endometriosis. Out of which, 25% patients had moderate to severe endometriosis. The ultrasound turned out to be an important method in diagnosing the cases of endometriosis Conclusions: The symptoms and clinical signs should raise the suspicion of pelvic endometriosis.ultrasound plays an important role in diagnosing the cases of endometriosis

Background: morbidly adherent placenta has an increasing incidence over decades. The purpose of this study is to identify risk factors and etiology of placenta previa- accreta and percreta.Methods: A cross sectional observational study of patients with morbidly adherent placenta previa including placenta accreta and placenta percreta were studied over a period of three years from June 2017 to June 2019 in a tertiary care centre, Mumbai.Results: Cases showed a higher incidence in patients with previous cesarean delivery (CS), grandmultiparity, abortions without the history of check curettage and anterior/central placentae.Conclusions: History of uterine surgeries and previous cesarean are some important risk factors for accreta in placenta previa patients.