: The purpose of this study is to provide the most safest, effective and cost-effective method with least or no complications in both first and second trimester.Induction abortion can be done either by medical or surgical methods. Medical method of abortion has advantages over surgical methods. The morbidity of the second trimester abortion continues to be more than the morbidity of first trimester termination. Causes for termination in Telangana region include oral contraceptive failure, Fetal anomalies, Lack of knowledge on termination procedure.: A Prospective observational study was conducted for 6 months, a total of 120 women in the first and second trimester of pregnancy who are eligible for termination following inclusion and exclusion criteria were included, the women attending at, Govt. maternity Hospital, Hanamkonda, Warangal. The main outcome in studied were, induction abortion interval, incidence of side-effects, success rates, pain pattern and bleeding pattern. For first trimester abortion mifepristone followed by misoprostol is found to be more effective, has shorter induction abortion interval and lesser side effects compared to misoprostol alone, D&C regimen. For second trimester abortion misoprostol is found to be more effective, has shorter induction abortion interval and lesser side effects compared to D&C, Foley’s catheter, Hysterotomy regimens. All methods used in the department showed efficacy and it does not effect on conceiving rate of women.

Acute fatty liver in pregnancy is a catstrophic condition with high mortality and morbidity. Delay in managing complications would result in fatality. We present a case of 22-year-old primi, who presented to us in labor with jaundice and later developed, disseminated intravascular coagulation, Vulval haematoma, reexploration, sepsis, ARDS and cardiac arrest and death.

No abstract

Gingival recession is an apical shift of the gingival margin with exposure of the root surface to the oral cavity which creates an aesthetic problem. The present study was attempted to compare Vestibular incision subperiosteal tunnel access (VISTA) with and without Advanced platelet rich fibrin(A-PRF) in the treatment of Miller’s class I gingival recessions. 24 patients were assigned randomly either to test (VISTA with A-PRF) or control (VISTA alone) group. Clinical parameters like recession depth (RD), recession width (RW), clinical attachment loss (CAL), width of keratinized gingiva (WKG), gingival thickness (GT) and probing depth (PD) were recorded at baseline,3 and 6 months post operatively. Inter group comparison of mean RC in mm, %RC, ΔWKG and CAG revealed no statistically significant difference (p>0.05). Change in GT showed statistically significant improvement in test group. Within the limitations of this study, both treatment options (VISTA with A-PRF and VISTA alone) have resulted in predictable and comparable root coverage with increased gingival thickness in the test group.