Background: The doctors of The Obstetric and Gynecological Society of Bhopal and the department of Obstetrics and Gynecology, Gandhi Medical College, Bhopal have been imparting Family Life Education to school girls and aganwadis as part of their school health program. This project was designed to evaluate the effect of school health programs and to gain an insight into the perceptions of the school girls regarding menstruation, hygiene, nutrition, marriage and the program.Methods: The study was conducted in five schools in which 537 girls participated. A questionnaire was provided to the school girls to know their knowledge and perception regarding menstruation, reproduction, nutrition and their views on the quality and usefulness of the Family life skills sessions.Results: The study showed that most of the girls gained information about menstruation from their mothers. Menstruation is still considered as something shameful and young girls face many restrictions. Knowledge regarding menstruation, reproduction, contraception and diet is still lacking among the school girls. Family life skill sessions address these issues very effectively. Most of the girls enjoyed the sessions and were ready for more.Conclusions: The Family Life sessions provide age appropriate, uniform skilled advice on nutrition, prevention of anemia, hygiene (menstrual), problems of growing years, career counseling, safe sex, contraception, teenage pregnancy and exclusive breastfeeding. Imparting family life skills to school girls provides a welcome platform for them to interact with doctors and counsellors, increasing their knowledge on health issues like menstruation, hygiene and nutrition.

Variations of course and number of renal vessels are not so uncommon and their knowledge is important for planning of minimally invasive renal surgeries. The earlier literature reports a prevalence of precaval right renal artery between 0.8% and 5%. Normally, the right renal artery passes posterior to the inferior vena cava, but it can also be precaval where it passes anterior to inferior vena cava. The multidetector row contrast enhanced computed tomography angiography allows precise evaluation of renal vasculature. The aim of this retrospective study is to determine the prevalence of precaval right renal artery. Amongst 73 MDCT scans studied, we identified 4 cases of precaval right renal artery with the prevalence being 5.48%, more than what is reported in the earlier literature. We also report a single and dominant precaval right renal artery in one of the cases, which is a rare finding. On the basis of these results, we conclude that precaval right renal artery appears to be more common and so the knowledge of this variant holds a major clinical implication in preventing misinterpretation of radiological images and proper planning of interventional procedures and minimally invasive surgeries.

Background: Urinary tract infection is very common among females in all age groups. During adolescence, hormonal changes favour vaginal colonization by nephritogenic strains of bacteria, which can migrate to the periurethral area and cause urinary tract infection.  It is associated with poor self esteem, impaired quality of life, social isolation, and depression. Many factors like low water intake, infrequent voiding and poor menstrual and sexual hygiene have been implicated in UTI during adolescence.Methods: Girls between 10 and 19 years of age who attended the gynaecology OPD with any urinary complaint such as burning, frequency, pain, blood in urine etc. were included in the study. A questionnaire to obtain demographic profile, symptoms and treatment history was used. Investigations included urine routine examination and culture. Ultrasound was reserved for cases of recurrent UTI.Results: A total of 25 adolescent girls participated in the study. The most common symptom was burning during micturition which was present in 60% girls. This was followed by frequency and pain during urination. Recurrent UTI was present in sexually active adolescents. Inadequate water intake, holding urine for long duration and poor menstrual and sexual hygiene were the important etiological factors.Conclusions: Urinary tract infection is a common problem of adolescence causing much discomfort and loss of school. Inadequate hydration, lack of clean toilets and poor menstrual and sexual hygiene predisposes a young girl to UTI. The need is to educate our girls regarding good hydration and hygiene. Schools and all public places should have basic and clean sanitation facilities.

Background: Preeclampsia is a multisystem, highly variable disorder unique to pregnancy. For preeclampsia arising remote from term, supportive and temporizing measures are used to improve perinatal outcome. However, the magnitude of the maternal risks associated with expectant management is unclear. The PIER (preeclampsia integrated estimate of risk) score is a recently designed tool which assesses maternal signs, symptoms, and laboratory findings to generate a valid and reliable algorithm for predicting maternal and perinatal outcome in patients with preeclampsia.Methods: The present study was a prospective hospital based observational study carried out in Department of Obstetrics and Gynecology, Sultania Zanana Hospital, Gandhi Medical College, Bhopal. A total of 125 women with preeclampsia who fulfilled the inclusion criteria were included in the study. Along with history and examination, all relevant and required investigations were done. The fullPIERS calculator was used to calculate the risk of adverse maternal outcome.Results: In the present study, 82(65.6%) women were in the low risk category and only 4 (4.87%) had adverse maternal outcome. High risk patients were 6 (4.8%) and amongst them 5 (83.33%) women had adverse maternal outcome (p-value <0.00001). The result was statistically significant in identifying high risk cases in our study.Conclusions: The fullPIERS calculator gave good results in prediction of adverse maternal outcome according to risk score in women with preeclampsia in our study. It will help the clinicians better manage the patients with preeclampsia specially remote from term and also help health workers in primary and secondary care centres to identify women who are or may become severely ill and who need specialist care and prevent delays in transporting these women to facilities where they can receive appropriate care.

Background: According to World Health Organization, about 16 million girls aged 15 to 19 and some 1 million girls under the age of 15 give birth every year. Teenage pregnancies have shown association with higher risks of prematurity, low birth weight, preeclampsia and anaemia as compared to adult pregnancies. The present study was analytical study of pregnant adolescent girls and feto-maternal outcome at a tertiary care centre.Methods: Girls between 10 to19 years, who attended the antenatal clinic and/or who were admitted in the hospital while pregnant or during labour were included in the study. A questionnaire along with detailed history and examination were done. Adolescents who were admitted for confinement, details of labour and mode of delivery were noted. The newborn was assessed in context of prematurity, IUGR or any other complications and referral to NICU.Results: Of the 1870 adolescent girls attending the OPD, 1234 (65.98%) were pregnant. There were 429 (4.02%) teenage deliveries in the institute during the study period. The girls were mostly married, older teenagers and primigravidas. The use of contraception was poor and awareness regarding antenatal care was lacking. The most common risk factor was anemia. The other risk factors included HDP, preterm labor, PROM, IUGR, hemorrhage and previous LSCS.Conclusions: Early childbearing increases the risks for both mothers and their newborns.  A delay in marriage givesadolescents opportunities for higher education, thus empowers them. Sex education should be a part of the school curriculum. Good antenatal care may reduce complications of teenage pregnancy.