Background: India is a developing country and it is growing rapidly in all aspects of life. Health status of population has improved and hence the life expectancy. Women are affected positively by this improvement and their life expectancy has become longer than men. Women all over the world now have to spend almost 1/3rd of their lives in menopausal years. Therefore, menopause now is a concerning matter to maintain and improve women's health. Methods: This analytical study was conducted for a period of 1 year in postmenopausal women attending outdoor in Department of Obstetrics and Gynaecology Sultania Zanana Hospital, Gandhi Medical College, Bhopal, Madhya Pradesh, India. The instrument used in this study was structured questionnaire consisting of 19 items in Hindi language, developed on the basis of the objective of the study. Results: In the present study, 32.72% of menopausal women had knowledge of menopausal symptoms. 39.09%, 52.72% and 22.72% knew that menopause increases risk of cardiovascular, osteoporosis and breast cancer respectively. 28.18% think menopausal women should consult a physician, only 4.54% of menopausal women are aware of HT. 64.55% of menopausal women perceive menopause as loss of youth. 67.28% think menopausal psychological symptoms affect quality of life. 57.28% think that menopause means end of sexual life. 30% think that menopause is associated with maturity and experience. 46.27% think that absence of menstruation in the postmenopausal period is a relief. 39.10% think physical changes of menopause are inevitable and hence acceptable. 29.09% had consulted a physician at the onset of menopause. Conclusions: Our study shows that majority of women have a negative outlook towards menopause considering as a loss of youth and higher susceptibility towards health problems. This shows that the awareness towards menopause should be increased by IEC (information, education, and counseling), so as to help these women to live their postmenopausal years more healthy and active.

Background: Hysterectomy, which is one of the most common surgeries performed on women, dates back to ancient time. This retrospective study was done to determine a baseline data on various indications for total abdominal hysterectomy for benign gynaecological conditions, most common presenting symptoms, and socio-economic status and their histopathology correlation.Methods: This retrospective study was performed in the department of Obstetrics and gynaecology, in collaboration with Department of Pathology, Gandhi Medical College, Bhopal. Baseline data were collected from inpatient files and histopathology reports to determine the indication for surgery, pattern of gynaecological diseases, and distribution with respect to age, parity, rural, urban, socio-economic status and final histopathology correlation. Histopathology reports were collected from Department of Pathology.Results: Majority of women undergone TAH for benign gynaecological diseases were in age group of 40-49 years [n=341 (48.99% cases)], multi para and from urban areas (57.26%). most common indication for TAH is fibroid uterus [n=347 (49.85%)]. The most common mode of presentation is excessive prolonged frequent bleeding per vagina (58.14%). Most common histopathology reports of TAH were leiomyoma with chronic cervicitis {n=347 (49.78%)}.Conclusions: Majority of women undergoing for TAH for benign gynaecological conditions have great satisfaction as they got relieved from their complaints and very minimum post-operative complications, but their long term outcome are still debatable.

No abstract

Background: Pressures resulting from unrestrained human population growth put demands on the natural world that can overwhelm any efforts to achieve a sustainable future. If we are to halt the destruction of our environment, we must accept limits to that growth. In this hospital based study, we aim to study the factors that influence the choice of contraception. Purpose of this study is to analyze the contraceptive behavior which is a product of many determinants such as age, religion, education, parity, fertility, child care support, economic and social circumstances, motivation, communication and the perception of reliability and safety of a chosen method thereby ensuring better health for the mother and better care and upbringing of children.Methods: The present study entitled effect of male child preference on the decision making of women in choosing contraception is a cross sectional study carried out on 700 subjects in Department of Obstetrics and Gynaecology, Sultania Zanana Hospital, Gandhi Medical College, Bhopal. Study population includes women of reproductive age group who came to seek contraceptive advice from family planning OPD of the hospital.Results: Subjects having 2 male children preferred permanent method of contraception (66%) as compared to subjects having 2 female children (7.93%), this result is statistically significant(p<0.05) showing a strong preference for male child in Indian society.Conclusions: The results indicated that a woman's desire to limit family size with preferred sex composition of children, coupled with her autonomy and the socio cultural context, are the major determinants of contraceptive method choices.

:This work is a cross sectional study at a tertiary care centre done over a duration of one year with the aim to determine major indications and incidence of obstetric ICU admissions, to find out duration of ICU stay and determine maternal outcome. The three most common indications of Obstetric ICU admission were haemmorrhage followed by hypertensive disorders and iron deficiency anemia.The mean duration of ICU stay was 6.1 days. Maternal mortality was 6.54 % of the total obstetric patients admitted to our ICU. To conclude , establishment of dedicated obstetric ICU at tertiary care centre with knowledge , familarity, experience and expertise of an obstetrician and special team would be the best place to monitor and treat a critically ill obstetric patient which will reduce the maternal morbidity and mortality. KEY WORDS: Obstetric ICU, morbidity, mortality,Obstetrics INTRODUCTION:Over the centuries anemia, eclampsia and haemorrhagic shock have killed millions of our pregnant women and still continue to do so. Inspite of great advances in the medical field and improved quality of healthcare available in our country, the maternal mortality in India is very high.(420 deaths /1,00,000 live birth).Due to lack of awareness and absence of regular antenatal care, the critically ill patients are referred late and sometimes in moribund conditions with multiple organ damage. In order to provide them specialised care and reduce maternal mortality specialised obstetric intensive care units have been established. The concept is yet to gain stronghold in our country.Management of the critically ill obstetric patients is very complex and requires cooperation of both obstetrician and intensivist/anesthetist .The primary objective of the present study was to review the characteristics and outcome of the obstetric patients admitted to our ICU over a one year period . Aims and objectives 1. To determine the incidence of Obstetric ICU admission. 2. To find out common indications of Obstetric ICU admission. 3. To study the interventions required. 4. To find out the duration of ICU stay. 5. To study the maternal outcome.