Objectives: Worldwide breast cancer is the most common cancer among women. By 2030 the global burden of breast cancer is expected to exceed 2 million, with increasing proportions from developing countries. The aim of this study was to assess awareness about breast cancer among women attending in a gynecological clinic in rural area India. Materials & Methods: It was a cross sectional study done for period of 3months among women attending & Gynae OPD of rural medical college. A total of 460 study participants were enrolled during the study period. Results: About 85% were aware about the disease. Among participants who were aware 41% said its due to obesity, 24.74% said because of genetic,16.32% said due to advancing age and 17.60% said due to inadequate breast feeding. It was observed that 52.80% were aware that biopsy is the first modality of diagnosing breast cancer. And 59.43% were aware about Breast Self-Examination. Conclusion: Awareness about breast cancer among the study participants was good in the present study. Intense health education campaign should be conducted at regular intervals regarding BSE importance. Women should be taught how to do BSE as BSE is the main screening modality which will detect early stage of cancer.

Uterine rupture in pregnancy is rare and often catastrophic obstetric event with a high maternal and perinatal complication rate.1Numerous risk factors are known to increase the risk of rupture, but even in high risk groups, overall incidence of uterine rupture is low around 0.07 %.2 Rupture of unscarred uterus may be caused by trauma or congenital or acquired weakness of the myometrium. Contributing factors include exposure to uterotonic drugs, high parity, uterine anomalies, advancing maternal age, dystocia, marosomia, multiple gestation, abnormal placentation, short pregnancy interval. Most ruptures occur in women who had a previous transmyometrial incision, typically for cesarean delivery.Spontaneous rupture in an unscarred uterus is extremely rare. We present a case of spontaneous third trimester uterine rupture in unscarred uterus with Mullerian anomaly. This is extremely rare case of its own we encountered for the first time in our department.

Background: Cardiac disorders complicate 1 to 4% of pregnancies. Women with cardiac disorders have a risk during pregnancy, labor, postpartum. It is essential to prevent cardiac disorders, if not prevent, diagnose and provide timely appropriate management to prevent deaths.Objective: To know the trends of frequency and disorders of feto-maternal outcome in women with cardiac disorders complicating pregnancy in limited resource settings.Material and Methods: Analysis of case records of women with cardiac disorders managed from 1987 and 2016 was done. During this study period, 79868 women delivered, 576 women with cardiac disorders were hospitalized in the Obstetrics department. The analysis was done after getting information related to objectives.Results: Of 576 women who were admitted with cardiac disorders, 56 had an abortion, 20 were lost to follow up. The feto-maternal outcome of 500 cases was analyzed. 376 (75.2%) women had normal delivery, 72 (14.4%) instrumental and 52 (10.4%) women underwent Caesarean Sections (CSs). Perinatal Mortality Rate (PMR) was 40.9 and 16 (2.87%) of 556 women died, contributing to 9.5% indirect maternal mortality during the period of analysis. However, the outcome has been improving over the years. Conclusion:Pregnancy in women with heart disease is associated with significant cardiac and neonatal morbidity. Over the years, it has been found that pregnancy complicated by heart disease can result in a favorable outcome for both mother and fetus, provided meticulous care is taken before and during pregnancy, labor and postpartum period with appropriate therapy.

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