Background: Uterine rupture in pregnancy is a deadly obstetrical emergency endangering the life of both mother and fetus. Methods: The present prospective study was conducted to analyse the various types of rupture uterus, changing trends of uterine rupture and surgical management along with maternal morbidity, mortality and perinatal outcome in these cases. Results: In this study, total cases were 42,205 of deliveries and 179 cases of rupture uterus giving incidence as 0.42 % that is 1 per deliveries. Complete uterine rupture are mush common i.e. (77.71 %) than incomplete rupture. Postnatal rupture was found in 11 cases. Uterine / scar repair was done in 53.11 % while obstetric hysterectomy was done in 46.89 % of cases. Most common additional surgical procedure was repair of rupture bladder i.e. 13 cases. Cervical / vaginal / perennial tear repair was performed in cases of rupture uterus from obstructed labour. A total 13 mortality occurred in cases of rupture uterus. Most common cause of maternal mortality is haemorrhagic shock, accounting for 61.23% of total maternal mortality. Majority of babies i.e. 71.9 % were still born and only 21.2 % were born alive and healthy. Neonatal death occurred in 6.7 % of cases. Fetal mortality in cases of uterine rupture is very high. Conclusion: It is concluded that due to changing obstetric practices and with liberalization of practices of caesarean section, the incidence of scar rupture is on a rise and will further increase in near future therefore pregnant woman with previous scar should be given trial after proper risk assessment and only in set up where 24 hrs emergency services for caesarean section.

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Background Urinary tract infection (UTI) is an infection caused by presence and growth of microorganism anywhere in the urinary tract. Urinary tract infection in pregnancy may also lead to unfavorable pregnancy outcomes and complication such as pyelonephritis, hypertensive disease of pregnancy, anaemia, chronic renal failure, premature delivery, low birth weight and foetal mortality. Aims and objectives: To determine the overall prevalence of UTI among pregnant women and to identify bacterial uropathogen associated with UTI in pregnant women and determine their antibiotic susceptibility to select antimicrobial agents. Materials and methods: It is a cross sectional study conducted in the department of obstetrics and Gynaecology, Kamla Raja Hospital, Gwalior (MP), for one year (February 2016-January 2017) on 300 pregnant patients with symptoms of UTI. Result and observations: Our study showed that pregnant women in their second trimester were more infected (80%) than those in comparisons to first trimester (7.5%) and 3rd trimester (12.5%) respectively which was statistically significant (p˂0.05). Prevalence of UTI is higher in pregnant women with hemoglobin level (<10gm %) as compare to pregnant women with hemoglobin (>10gm %) which was statistically significant (p<0.05). The most common pathogen isolated is E.coli. Conclusion: Antenatal women and their families should be made aware about the need for early diagnosis and efficient treatment of UTI during pregnancy. Good personal hygiene and nutrition of all antenatal women should be ensured. Need of strict aseptic and antiseptic precaution for urethral catheterization and effective management of recurrent UTI should be reinforced among health personnel.

In this paper author discusses intricate details of judgment passed by the Constitution Bench (5-Judge) of the Hon’ble Supreme Court of India in case of Shayara Bano v. Union of India[i], with objective to understand the concept of Talaq-ul-Biddat and its religious and legal sanctity and permissibility. This paper aims to provide the insight of less discussed (2-Judge) dissenting judgment passed by Hon’ble Supreme Court in Shayara Bano (supra) with particular emphasis on providing details about the issues framed and considered by Hon’ble Supreme Court and reasoning provided therefor, while considering the rival submissions of the parties and relevant provisions of law and judicial precedents.