Background: Uterine fibroids, or leiomyomas are the most common benign tumors of the female reproductive tract, affecting up to 60% of Indian women with only 25% of women who are symptomatic. Symptoms do not always correlate with the size, number, or location of the fibroids. Recent studies suggest that hypovitaminosis D is associated with an increased risk of uterine fibroids.Methods: Total 110 women diagnosed with fibroid in USG were included in the study. Inclusion and exclusion criteria were applied and size of the fibroid noted. 60 women were included in the study group who took Vitamin D supplementation and 50 women in the control group who didn’t perform the study properly.Results: The growth pattern of fibroids with study group under supplementation with 25-OH-D3 seems to be stable, with no increases or decreases in size or number of identified lesions. Instead, women in control group, who did not perform appropriate vitamin D supplementation seem to have a slight but significant increase in size of the lesions.Conclusions: It was seen that hypovitaminosis D was associated with fibroid and thus supplementation with Vitamin D helped in the shrinkage of fibroid or slower the progression of the disease.

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Background: Cervical cancer ranks as the second most common cancer among women in India. Incidence is 6-29% approximately of all cancer in India. Objective: The objective of this study is to compare the Sensitivity, Specificity, Positive Predictive Value, Negative Predictive Value and Accuracy of VIA and Pap smear. Method: This was a comparative study done between May 2019 to April 2020. Patients screened from the Gynaecological OPD from the department of Obstetrics and Gynaecology, GMC Ambikapur, Chhattisgarh. Firstly Pap smear was taken followed by VIA was performed with 3-5% acetic acid. Pap smear positive patients are called back for biopsy. Results: In this study total 200 patients have participated, VIA positive in 35 patients(17.5%) and Pap smear positive in 17 patients(3.5%).Out of 17 patients, five were positive for carcinoma cervix(2.5%), seven cases of ASCUS(3.5%), two cases of LSIL(1%), three cases of HSIL(1.5%), patients with NILM were 98(49%). Conclusion:This study shown that VIA is more sensitive than Pap smear. VIA is easy, low cost and treatment can be administered in the same sitting. By this study we recommended that VIA can be used to screen for cervical cancer in rural areas where Pap smear is difficult and expensive.

Although obstructed labor in vanished from the western world where the destructive operations are obsolete and not needed, in developing countries like India obstructed labor with dead fetus and severe infection is a sad reality, and destructive operations are an essential part of obstetric practice and cannot be wished away. In many situations they should be a preferred option to cesarean delivery which needs much better facilities and greater morbidity. Here authors present a case series of three patients who reported with obstructed labour and IUFD. Fetal craniotomy was done and thus maternal morbidity reduced. Craniotomy offers less postpartum morbidity, lesser expertise and resources and therefore better in cases presenting with obstructed labour and dead baby in developing countries.

Background: Postpartum haemorrhage (PPH) is a life-threatening complication of delivery. The most common cause of PPH is uterine atony. Intrauterine balloon tamponade has been suggested as an effective, easily administered minimally invasive treatment option to control uterine bleeding while preserving the mother’s ability to bear additional children.Methods: Twenty women with normal vaginal delivery were studied over a period of six months, 10 were inserted conventional balloon tamponade and rest 10 were inserted CG balloon and outcome studied in terms of time to assemble, leakage, expulsion, lumen occlusion, volume of fluid used, time to arrest bleeding, cost, drainage port, inflation deflation interval.Results: Most of the women were para 4 or more, unbooked belonging to age group of 20-30. Mean time to assemble Condom balloon tamponade was 1.8min   and that in CG balloon was 1.2 minute. There was leakage and expulsion in two and lumen occlusion in three in the conventional balloon catheter. In the second group there was  no leakage ,lumen occlusion  or expulsion . There is uterine drainage port present in CG balloon which is characteristic of it which helps in determining the actual blood loss in real time. The inflation deflation interval and mean volume of fluid are almost same in both the groups.Conclusions: Both conventional balloon and CG balloon are effective and lifesaving in low resource setting with few advantages of CG balloon over conventional balloon tamponade.