Cervix cancer is one of the most common cancers in women after breast cancer. Pap smear and colposcopy are cornerstone for the diagnosis for premalignant conditions, though the specificity and sensitivity of each is different. Present study was conducted to see the correlation of coloposcopy, histopathology and Pap smear in low resource setting.

Eclampsia is the leading cause of maternal and perinatal mortality as well as morbidity. This prospective study was carried out at a tertiary institute from Jan 2008 to Dec 2010. Aim and objectives (1) To evaluate the rate of eclampsia in antenatal women attending our hospital, (2) to evaluate the epidemiological factors and clinical presentation in women with eclampsia, (3) to analyze the maternal and perinatal outcome in women with eclampsia, and (4) to formulate strategies to improve the maternal and perinatal outcome. Materials and methods Fifty-five women with eclampsia were evaluated over a period of 3 years. Results During the above period, total number of deliveries were 6,100 out of which 55 were eclampsia giving incidence of —0.9%. The women with eclampsia were treated with magnesium sulfate. Around 70.91% of women had antenatal eclampsia, 18.18% of women had intrapartum eclampsia and 10.91% of women had postpartum eclampsia. Out of 55 women, maternal mortality was 5.45% and perinatal mortality was 25.45%. Conclusion Incidence of eclampsia is higher in developing countries, like India. Magnesium sulfate is an effective anticonvulsant drug leading to cessation of convulsions in 100% cases. Magnesium sulfate toxicity was not observed in any case, indicating effectivity of clinical monitoring during magnesium sulfate therapy. How to cite this article Bhalerao A, Kulkarni S, Ghike S, Kawthalkar A, Joshi S, Somalwar S. Eclampsia: Maternal and Fetal Outcome. J South Asian Feder Obst Gynae 2013;5(1): 19-21.

Pregnancy in the rudimentary horn is a very rare condition. In these cases, rupture of the rudimentary horn in the second trimester with fetal death and catastrophic intraperitoneal hemorrhage is the commonly reported outcome. Silent rupture of the rudimentary horn and continuation of pregnancy as a secondary abdominal pregnancy is the most unusual outcome of this rare condition. We report such a case with a good maternal and neonatal outcome. The case is being reported for its rarity.

Objective To study the relationship between maternal hemoglobin and maternal and perinatal outcomes in a cohort of 1200 women, and to highlight the importance of antenatal care to improve maternal health, maternal and fetal outcome. Method All singleton pregnancies delivering at NKPSIMS, from January 2009 to December 2009 that fulfilled the required criteria were included. Results Out of 1200 women, 787 were anemic (67.2%) < 11 gm of Hb and 413 were nonanemic. Perinatal outcome included preterm delivery, birth weight, intrauterine growth restriction, perinatal death, low Apgar scores and intrauterine fetal death. Risk of preterm and low birth weight among anemic women was 4.2 times and 1.8 times more than nonanemic women. The neonates of anemic women had 1.8 times more risk of low Apgar scores at 1 minute. Among anemic women there was 2.4 times greater risk of intrauterine fetal death than nonanemic women. The women with anemia had 2.5 times higher incidence of PPH than nonanemic women. Puerperal complications were 2.5 times more in anemic women than nonanemic women. Conclusions Regular patient education by imparting proper knowledge regarding iron-rich foods, food fortification, implementation of anemia prophylaxis program from adolescence, regular antenatal care from 1st trimester has a vital role in assessing and managing maternal anemia timely, and it directly affects the perinatal outcome. The patients with anemia have higher risk of having low birth weight, preterm birth and Intrauterine fetal death (Rawalmeds 2007,32:102:101:104).

Objectives 1. To study the prevalence of hypothyroidism in peri- and postmenopausal women 2. To study the correlation of menopausal symptoms with hypothyroidism. Methods Hospital based cross-sectional study carried out at Lata Mangeshkar Hospital, 200 women relatives of indoor patients in obstetrics and gynecology ward were included in study. Subjects included in study were in peri- and postmenopausal age group between 40 to 55 years, provided they fulfilled inclusion and exclusion criteria. History was noted, menopause rating scale (MRS) score was obtained and height and weight was measured and serum TSH estimation was done. Results were noted and analyzed. Results Out of 200 women 25 women had raised TSH levels. Three women had overt hypothyroidism (TSH high, free T4 low), and 22 women had subclinical hypothyroidism (TSH high, free T4 normal). It was observed that out of 94 women who had MRS score, more than 8, 16 (16.6%) women had hypothyroidism and out of 106 women with lower MRS score (1 to 8), nine (8.49%) women had hypothyroidism. Conclusions Prevalence of hypothyroidism is high in peri- and postmenopausal age group (12.5%). Though women with high score are more likely to suffer from hypothyroidism, low score does not preclude the possibility of hypothyroidism. Screening should be done in this age group to prevent complications of hypothyroidism.