The incidence of placenta accreta is increasing as a consequence of rising number of cesarean sections and advancing maternal age. A series of seven cases of placenta accreta observed in a short span of four months is being presented. Complication rates in the present series are post partum hemorrhage and major transfusion support (100%), peripartum hysterectomy (100%), ICU admission in four (57%), fever (14%) and bladder injury in one case (14%). Nepal Journal of Obstetrics and Gynaecology / Vol 7 / No. 1 / Issue 13 / Jan- June, 2012 / 56-58 DOI: http://dx.doi.org/10.3126/njog.v7i1.8839

The proportion of the women using tubal sterilisation is increasing, while the age at sterilisation is dropping. This prospective cross-sectional study explores factors that influence the women in rural India to undergo tubal sterilisation at a young age. In this study, 109 married women seeking tubal sterilisation from a community health centre were interviewed. Information included baseline reproductive data, knowledge about different contraceptive methods, prior contraceptive use, and reasons for choosing tubal sterilisation and knowledge regarding its failure rate and complications. The majority (65.1%) of women were below 30 years of age, and 69.7% had > or = 3 children. Approximately one-third (37.6%) had > or = 1 induced abortions. Although 65% of all women were aware of one or more temporary contraceptive methods, 53.2% had never used these because of worries regarding complications. Three-quarters of the women lacked knowledge about failure rate and complications of tubal sterilisation, and only 2.8% thought about future regrets. In rural India, there is lack of information, and/or misinformation about temporary contraception, affecting contraceptive use by women. An unhurried counselling along with unbiased information about alternative contraceptives would help these women for appropriate resolution of their reproductive need.

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Hydrops fetalis (HF) is a serious fetal condition characterized by abnormal accumulation of fluid in fetal soft tissues and serous cavities. HF can be immune hydrops fetalis (IHF) or nonimmune hydrops fetalis (NIHF) depending upon the presence of antibodies in the mother. We report a case of euploid NIHF who delivered at 34 weeks and had spontaneous recovery. The baby had gross fetal ascites and mild pleural and pericardial effusion. After a thorough workup, no definite cause could be found. However, the ascites spontaneously resolved. The baby had many peaks and valleys during the initial 3 months of life, doing well at 6 months of age and is under follow-up. This case report highlights the practical workup and diagnostic algorithm of NIHF and provides an updated review.