The study evaluates the effectiveness of maternal anthropometric measurements of our population with estimated fetal weight as an additional parameter to predict Cephalopelvic disproportion (CPD). Materials and Method:The prospective study conducted in a tertiary care center involved 353 primigravida over 37 weeks of gestation with singleton pregnancy admitted at Nazareth hospital, Shillong, Meghalaya, India. Anthropometric measurements included maternal height, bis-acromial diameter, foot length, estimated fetal weight and vertical and transverse rhomboid diameters. Based on mode of delivery, patients were divided into two groups -CPD group and No CPD group. Results: Out of 353 patients, 141 (40%) had CPD and 212 (60%) had no CPD. High positive predictive values for CPD was demonstrated for maternal height, foot length, bis-acromial diameter and rhomboid dimensions. The risk factors predicted for CPD in this study were height ≤142 cm, foot length ≤20cm, Bisacromial diameter ≤ 32.5 cm, Michaelis rhomboidtransverse and vertical diameters ≤9 cm and 9.5 cm, respectively, and estimated fetal weight ≥3255 gm. Conclusion: Generally, the women in this region are of short stature with an average height of 142 cm. The anthropometric measurements of this population vary from the other populations accordingly. Hence, knowledge of these parameters and their usage will help in early CPD anticipation and timely referral of these patients to tertiary centers. Measuring maternal and fetal parameters is easy and a reproducible skill that can be transferred to midwives in the rural area for better antenatal care.

Cornual ectopic pregnancy accounts for 2-4% of all the ectopic pregnancies with a mortality rate 6-7 times higher than that of the ectopics in general. It is a diagnostic and therapeutic challenge to the clinician with a significant risk of rupturing and bleeding. As of yet, the incidence of recurrent cornual ectopic pregnancies is unknown. This report described the case of a patient who developed two cornual ectopic pregnancies within a span of 3 years with an intervening full term normal vaginal delivery. The 1st cornual ectopic was successfully managed by laparoscopic resection, which was followed by an uneventful postoperative course. The following contralateral cornual ectopic was managed by laparotomy since the patient presented with large hemoperitoneum.