BACKGROUND: Domestic violence against pregnant women in the Indian context, violence against women is frequently by family members other than the spouse/ intimate partner/husband. AIMS: To study the incidence of domestic violence in pregnant North Indian women and the demographic features which put women at high risk for domestic violence. STUDY DESIGN: A prospective study at the Government Medical College and Hospital, Chandigarh from January 2004 to December 2004. PARTICIPANTS: Nine hundred and ninety-one pregnant women admitted to the pregnant women admitted to the antenatal ward were interviewed. STATISTICAL ANALYSIS: Test of significance used was Chi-square test. Odds ratio (OR) and 95% confidence interval (CI) was calculated. RESULTS: The incidence of domestic violence in this study was 28.4%. The violence was more when the husband was educated up to Class 10 level or lower (OR 2.07 (95%) CI 1.54 to 2.79), was habituated to alcohol (OR 2.31 (95%) CI 1 -71 to 3.11) or to chewing tobacco (OR 2.77 (95%) CI 1.46 to 3.27) or to smoking cigarettes (OR 2.23 (95%) CI 1.59 to 3.11). The incidence of domestic violence was drastically high in women who were socially unsupported (OR 98.9 (95%) CI 43.65 to 235.68). The level of education and employment of the woman had no effect on the incidence of the abuse. The perpetrator of the abuse was the intimate partner (husband) in 48.2%, the husband's mother in 61.3%, and the husband's sister in 22.6%. Most often the abuse was by more than one person. CONCLUSIONS: The incidence of abuse was more when the male partner was less educated or in the habit of taking alcohol, opium or tobacco and in socially unsupported women. The level of education and employment of the woman had no effect on the incidence of abuse.

Background: The objective of the present study was to observe the profile of infection in women with vaginal discharge.Methods: The present study was conducted between October 2013 and September2014. The respondents were females in reproductive age group (15-45 years) attending Obstetrics and Gynaecology OPD with history of vaginal discharge. After detailed clinical examination of the patient, pH was determined, and the posterior fornix was swabbed with a cotton tip applicator. Further a Whiff (amine) test done; wet mount was immediately prepared and examined. Another swab was sent for Gram’s stain and culture.Results: A total of 200 women with vaginal discharge were studied, of which 146 were diagnosed with pathogens. The most common form of infection was mixed infection which was diagnosed in 69 patients (34.5%). As a single pathogen, the next most common infection was Bacterial vaginosis seen in 43 patients (15.5%) and Trichomonas vaginalis seen in 3 patients (1.5%).Conclusions: The clinical manifestations of vaginits are diverse. By knowing the microbiology of the vaginal flora, we could come to the conclusion of the etiology of vaginitis.

Incidence of subclinical hypothyroidism and overt hypothyroidism in pregnant patients have been reported as 0.25-2.5% and 0.2-0.3 % respectively. In North India prevalence of subclinical and overt hypothyroidism in pregnant population has been reported as 13.5% and 0.25 % respectively. Medical termination of pregnancy by mifepristone and misoprostol is increasingly being used. We do not know the efficacy of this method in hypothyroidism.

Background: Medical abortion has the potential to expand abortion services, where surgical services are limited, and to expand women’s choice of abortion method and experience. Objective of present study was to compare the outcome after medical abortion in euthyroid and hypothyroid pregnant patients.Methods: A longitudinal study was carried out in pregnant patients before 9 weeks of pregnancy who wanted termination of pregnancy. Women were divided into two groups. Group I (n = 100) comprised euthyroid patients who acted as control group, whereas group II (n = 58) included patients having subclinical or overt hypothyroidism. All the patients were given 200 mg of mifepristone orally followed by 800 µg of misoprost vaginally 36 to 48 hours later. these patients were followed for 2 weeks. In all the patients, hemoglobin estimation and ultrasound were done during follow-up.Results: Average hemoglobin in the study group was 9.5 gm%, whereas in control group it was 11.1 gm%, which was statistically significant. the fall in hemoglobin after 2 weeks of the drug intake was also significant in control as well as the study group. About 13.79% patients in the study group had to undergo emergency evacuation of uterus within 24 hours for complaints of severe bleeding. In control group, no emergency curettage was done within 24 hours, the difference being highly significant. Mean duration of bleeding was also more in the study group. About 28.57% patients in the study group revealed products of conception on ultrasound after 2 weeks in comparison with 11.57% in the control group, which was also statistically significant (p = 0.008). A total of 41% patients in the study group had to undergo uterine curettage, which was highly significant (p = 0.000).Conclusions: Present study showed that patients having clinical or subclinical hypothyroidism have more failure rates, more chances of excessive bleeding, increased duration of bleeding, resulting in decrease in hemoglobin levels in already anemic patients. Also, the rate of operative intervention was unusually high in hypothyroid group.