To assess the safety, acceptability, efficacy, feasibility and complication of immediate PPIUCD insertion. METHODS: Cu T 380A was used for PPIUCD insertion immediately following delivery of placenta during caesarean section or within 48 hours following childbirth. RESULT: The study was conducted in obstetrics and gynecology department in MLB Medical College Jhansi. The total number of deliveries during the study period was 4695, among these 1941 women were eligible for PPIUCD insertion.423 women accepted PPIUCD insertion(21.77%), while 1518 women (78.23%) declined insertion. In those 100(8.92%) of normal delivery women had a post placental insertion and 27(2.4%) women had post-partum insertion. 296 women had transcaesarean insertion. The PPIUCD inserted women were followed-up at six weeks.274 women's were followed. CONCLUSION: The acceptance of PPIUCD was high in the parturient, who had aged less than 19 years, was primiparous, had last childbirth between 0-2 years. The total 1518 parturient declined the use of PPIUCD. The reason for acceptance of PPIUCD were due to its long term effects; safety and reversibility. Few complications in the form of irregular bleeding, increase duration of bleeding, missed the thread, infection, removal and expulsion were noted.

BACKGROUNDDoppler sonography has become a part of routine antenatal surveillance in Obstetrics during past decade. Colour Doppler can be used to distinguish between low and high risk pregnancies.

Background: In pre-eclampsia, there is increased uteroplacental resistance and reduced fetal perfusion due to inadequate invasion of spiral arterioles by trophoblast cells. This causes impaired fetal growth and fetal hypoxia. To assess the usefulness of fetal Doppler in predicting adverse perinatal outcome in preeclampsia. Methods: All the women with preeclampsia from 30 weeks onwards were enrolled in the study. The umblical artery (UA) Systolic-diastolic (S/D) ratio>2 standard deviation (SD) or UA-Pulsatility Index (PI) and UA-Resistive Index (RI) >2SD were taken as abnormal. The middle cerebral artery (MCA) was visualised and cerebroumblical PI ratio calculated. MCA-RI<2SD was taken as abnormal. Results: There were 107 women in the study. Major adverse outcomes 11. Umbilical artery-S/D ratio>2SD (RR 4.46, 95%, CI 1.40-14.17) and RI>2SD (RR 3.36, 95%, CI 1.03-10.61) and MCA RI<2SD (RR 4.46, 95% CI 1.4-14.17) had a high relative risk to predict adverse major perinatal outcome. 39 babies were admitted in neonatal nursery and no parameters could predict them. Though UA-PI>2SD predicted acute fetal distress in labour (RR 2.33, 95% CI 1.21-4.47), there was no association on multivariate regression analysis. Conclusions: This study showed UA-S/D ratio and UA-RI>2SD are significant predictors of perinatal deaths and immediate neonatal resuscitation in preeclampsia. Acute fetal distress in labour or neonatal nursery admission could not be predicted.

Background: The aim of our study is to compare the maternal mortality between those who are infected with COVID-19 infection and those who are not. Our study was done at Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh, which included 2 groups: group 1- pregnant women with COVID-19 infection, and group 2- pregnant women without COVID-19 infection. Methods: Our study is prospective and comparative study, done over 250 antenatal patients admitted at our centre, with COVID-19 infection status confirmed either by rapid antigen testing, or by reverse transcription polymerase chain reaction (RT-PCR)/TruNaat testing who had signs and symptoms of COVID-19 infection along with those who needed obstetric intervention or had a high-risk pregnancy status. Results: Preterm labor accounted for the maternal complication with a majority in COVID-19 infected maternal group. Maternal mortality did not increase amongst patients affected with COVID-19 infection within our study duration. Conclusions: Maternal mortality thus did not seem to be affected much by the COVID-19 pandemic probably due to the low infectivity and fatality of third wave was low.

Background: Our study aimed to evaluate the severity of COVID-19 infection and pregnancy complications in pregnant women with and without COVID-19, and its impact on maternal and neonatal morbidity and mortality at a tertiary care hospital in India. Methods: The research is a prospective, comparative, and observational study on antenatal patients with confirmed COVID-19 infection status. Results: Results showed preterm labour was the most common maternal complication among COVID-19 infected pregnant women, leading to various complications and long-term developmental delays. Maternal mortality was significantly higher among COVID-19 positive patients compared to non-infected patients. Although neonatal mortality rates were not significantly impacted, morbidity in terms of preterm birth increased among neonates born to COVID-19 positive mothers, resulting in complications like respiratory distress syndrome, intraventricular haemorrhage, and sepsis. Conclusions: our study found increased overall mortality in antenatal patients infected with COVID-19 compared to non-infected patients, consistent with previous studies. The increased mortality rates may be attributed to severe respiratory complications and co-morbidities associated with COVID-19 infection in pregnant women.