Problem statement:To assess efficacy of IUI in treatment of infertility. Tikrit teaching hospital. Approach: 42 infertile couple underwent standard evaluation for infertility, woman given medication to stimulate development of mature follicles, washed semen specimen placed in uterine cavity using sterile flexible catheter, coincide with ovulation time. Results: Of 42 infertile couples pregnancy occur in 26(61.9%), (19.1%) in primary and (42.9%) in secondary infertility, (21.3%) of them was male infertility and (40.6%) of unexplained infertility. Pregnancy was less with prolong duration of infertility (35.7%) with 3-5 years, (21.3%) with 5-7 years and (4.8%) with 8 and more years of infertility. Conclusion: IUI is less expensive, less invasive and effective in treatment of couples with unexplained or male infertility.

Problem statement: A cesarean birth happens through an incision in the abdominal wall and uterus In November of 2005, the Centers for Disease Control and prevention (CDC) reported the national cesarean birth rate was the highest ever at 29.1%, which is over a quarter of all deliveries. This means that over 1 in 4 women will experience a cesarean delivery. With any major surgical procedure, there are risks involved. It is important to know and understand your risks before a cesarean procedure, Approach: Descriptive study was carried from 1st March to end of October 2009, 200 cases attending Tikrit teaching hospital and 2 private hospitals in Tikrit city that were developing complications after cesarean section during time of the study were enrolled in this study. Results: The study reviled that half of study population from age group 20-34 years, 36.5% were developed complications after C/S. it was founded that 36.5% developed wound infections, 31.5% complained from post partum hemorrhage 17.5% of them of secondary type and 14% of primary type. And 6, 7.5 and 1% developed paralytic illus, DVT, death respectively and 34% occurred within first week after C/S and 8%within operation. Conclusion: Wound infection and hemorrhage are the most frequent complications that happened after cesarean section and about third of patients with complication had previous complication.