Background: Postpartum hemorrhage (PPH) is globally one of the most common causes of maternal death, especially in developing country like India. Pregnancy and childbirth involve significant health risks, even to women with no preexisting health problem. The objective of this study was to analyze the role of various interventions in the management of PPH and its complications.Methods: This prospective observational study was conducted in the department of obstetrics and gynecology of Department of Obstetrics and Gynecology, Dr. D Y Patil Medical college, Pimpri, Pune, Maharashtra, India. A total number of 80 cases of postpartum hemorrhage that fulfilled the selection criteria were included. Data collected and analyzed in PPH patients with medical and surgical management.Results: In present study, most of cases were multigravida (60%) and more than 50 percent of patients required blood and blood products. In present study, most of the postpartum bleeding or postpartum hemorrhage (PPH) cases managed by medical methods. Uterotonic drugs (42.5%) This was possible due to early identification and timely intervention.Conclusions: Active management of third stage of labour is recommended in all cases. Seventy percent cases were  managed by medical methods while rest of the cases required surgical management. Among the medical management uterotonic drugs and bimanual uterine compression was used while among the surgical methods repair of cervical and vaginal laceration was mostly required.

Chronic non-puerperal uterine inversion is an extremely rare clinical situation. We report a 56 year-old woman with chronic nonpuerperal uterine inversion due to a fundal leiomyoma. She was treated with myomectomy followed by vaginal hysterectomy without reinverting the uterus. We emphasize use of pre-operative pelvic ultrasonography for excluding possible bowel loops in the inverted uterus and use of intravenous pyelography for confirming normal ureteric course. We also emphasize that performing myomectomy first helped to partially reposit the uterus which made vaginal hysterectomy easier.

Background: Antepartum hemorrhage (APH) is an obstetrical emergency and is one of the leading causes of maternal and perinatal mortality and morbidity. Incidence varies from 2-5% of all deliveries. It contributes to 15-20% of all maternal deaths in India. Such obstetric emergency if handled carefully with identification of risk factors and timely management of cases can reduce chances of maternal and perinatal complications. Methods: The present study is an observational ambidirectional study focusing on antepartum haemorrhage and its maternal and perinatal outcomes in a tertiary care centre over 2 years, conducted in

Background: Postpartum haemorrhage (PPH) is one of the most common causes of maternal morbidity and mortality throughout the world. PPH significantly leads to anaemia, infection, lactional failure, blood transfusion and psychological morbidity. Pregnancy and childbirth involves significant health risks, even to women with no preexisting health problem. The objective of this study was to analyse different causes and risk factors for postpartum haemorrhage.

Background:Acomprehensive study of maternal morbidity and mortality with perinatal outcome in patients with prior LSCS undergoing elective or emergency caesarean section was carried out. With the sky rocketing caesarean section rates worldwide an increasing number of women face the issue of mode of delivery in their current pregnancy. There are conicting reports regarding the safety of a trial for vaginal birth after caesarean delivery (VBAC) in terms of uterine rupture, maternal and perinatal morbidity. The purpose of this study was to evaluate the obstetric and fetal outcomes of patients presenting at term with a history of previous one or more LSCS. Methods:Asix months prospective, observational study was conducted where all patients who had a term pregnancy with a history of previous one or more LSCS were included after obtaining their consent for participation. The obstetric and fetal outcomes of these patients with elective or emergency LSCS in the present pregnancy were noted and tabulated. Adescriptive analysis of these outcomes was carried out. Results: 100 Patients at term, with a history of previous one or more LSCS were studied. 38 patients underwent an elective repeat caesarean delivery and 62 in emergency.Scar dehiscence was seen in 35.5 % of the patients who were presented in emergency with uterine contractions or lower abdominal pain and those were not candidate for a trial for VBAC.All of the complications were signicantly higher in emergency group in terms of both maternal (83.9 % Vs 31.6%) and perinatal outcome (6.5% Vs 0 %). Conclusion:With an increase in the proportion of patients with a history of previous LSCS, it is essential for health care institutions to have proper antenatal counseling regarding plan of delivery and vigilance while operating patients with prior history of LSCS , especially in emergency situation. There should be a well dened management protocol in an effort to decrease the number of complications and bring down the overall maternal morbidity & mortality .