Background: The modern intrauterine contraceptive device (IUCD) is highly effective, safe, private, long acting, coitus independent, rapidly reversible, cost effective and can be used by women who are breastfeeding. This study was conducted to evaluate factors associated with acceptability, safety and expulsion rates of PPIUCD among clients in the Department of Obstetrics and Gynecology, N. S. C. B Medical College, Jabalpur.Methods: A questionnaire based prospective study was conducted between March 2016 -17 on all the clients who were counseled for PPIUCD and who fulfilled the WHO Medical Eligibility criteria. Proforma included follow up at 6 weeks post-delivery.Results: In our study 961 women accepted PPIUCD (53.3%). Majority of the cases belonged to low socioeconomic group with low literacy rates. Most acceptors counseled in antenatal period (53.1%). Majority (67.3%) of insertions were post placental and instrumental (89%). At the time of insertion most clients experienced mild pain (49.7%) & anxiety (42.5%). Amongst clients who followed up (51.1%), the most common complaint was pain (16.7%) and most common reason for removal was heavy bleeding. Continuation rate was 77.7%, spontaneous expulsion in 9.75% while voluntarily removal was done in 12.6%. At follow up 91.3% clients were satisfied with PPIUCD.Conclusions: Antenatal counseling has a very important role. Demographic factors influencing acceptance are education, socioeconomic status and family structure. PPIUCD is demonstrably safe and effective method of contraception with low expulsion rate. Awareness about the safety and efficacy of PPIUCD should be emphasized during antenatal visits.

Background: There is an association between oligohydramnios and intrauterine growth restriction as well as increased perinatal mortality. Amniotic fluid provides a protected environment for the growing fetus, moderating the fetus against mechanical and biological injury. The objective of the present study was to study the fetal outcome in patients with oligohydramnios between 20 to 42 weeks of pregnancy.Methods: Prospective study of 87 pregnancies with oligohydramnios was carried in Department of Obstetrics and Gynaecology, NSCB Medical College, Jabalpur from 1st March 2016 to 31stMarch 2017. All women enrolled for the study were subjected to history taking, clinical examination and amniotic fluid index estimation.Results: Rate of caesarean section was higher in patients with oligohydramnios and higher number of neonates were admitted to the NICU amongst the patients of oligohydramnios.Conclusions: Oligohydramnios has a significant correlation with adverse perinatal outcome.

Endometriosis is a relatively common entity among females presenting with abdominal pain and infertility. The endometriosis of broad ligament is a very rare yet interesting condition. In majority of the reported cases, endometriosis of broad ligament had recurrence after surgical excision. We are reporting one such case in a young nulliparous woman from Jabalpur Madhya Pradesh.

The world of medicine seems to be revolutionized with the ongoing extensive stem cell research. Stem cells are different from the normal cells present in our body. Their availability, flexibility and abundance make them different from the other type of cells. These cells can undergo many cycles of differentiation and can lead to regeneration of tissues as well as organs. These advantages of stem cells make them a good research potential. These properties are now being exploited to create stem cells based drugs and stem cell based therapy, thus leading to advances in the treatment of various diseases.

Objectives The aim of our study was to observe the levels of serum beta-human chorionic gonadotropin (β-hCG) in cases of preeclampsia and eclampsia in the 3rd trimester of pregnancy and to compare it with the level of serum β-hCG in normotensive controls and also to find out if any correlation exists between the levels of β-hCG and the severity of the disease. Materials and methods A case—control study of 130 cases of pregnancy-induced hypertension (PIH), out of which 100 were cases of preeclampsia and 30 were those of eclampsia, was conducted with 100 normotensive antenatal cases as controls. Patients admitted as preeclampsia or eclampsia were subjected for the study of β-hCG from 28 weeks onwards depending on the gestational age at the time of admission. Normotensive patients coming as outpatients were taken as controls and their β-hCG estimation was done. Results The β-hCG levels in hypertensive patients were found to be significantly higher than that of the controls. There was a significant correlation with the severity of the disease. A significant positive correlation was found with the systolic BP, diastolic BP, alanine transaminase, aspartate transaminase, and serum bilirubin whereas a significant inverse correlation was found with high-density lipoprotein (HDL) and platelet counts. Conclusion Beta-human chorionic gonadotropin rises significantly in the cases of PIH and the rise correlates with the severity of hypertension and the derangement of laboratory parameters. As it has a low sensitivity and specificity, it is not a very useful tool as a diagnostic or prognostic indicator for preeclampsia. How to cite this article Tiwari P, Saraogi P, Sahni S, Sahu B, Badkur P. A Study of Human Chorionic Gonadotropin in the Pathogenesis of Hypertensive Disorders of Pregnancy. J South Asian Feder Obst Gynae 2016;8(4):282-285.