Urinary incontinence has great bearing on quality of life, social life and is of high public health importance [1]. 12 % women of all age and 27% of the women above 50 year of age suffer from urinary incontinence [2]. the risk factors have been history of gynae operations, prolonged labor difficult labor, forceps or vacuum delivery, repeated deliveries, chronic cough ,chronic constipation and failure to get early treatment [3]. Aim of present study has been to determine role of risk factors and to suggest preventive methods, early diagnosis and treatment

The study included more of booked cases compared to unbooked. In booked cases most of them belonged to group to whom magnesium sulphate was not given (70% not given vs 59% given) and while in unbooked cases most of them were in group who received magnesium indicating poor control of blood pressure in unbooked cases. This confirms the high incidence of pre eclampsia in primigravida (69%given and 66% not given), more common in young women. The inclusion of more of preterm pregnancies represents the fact that termination of pregnancy is definitive treatment of pre eclampsia. Among the vaginal deliveries the instrumental delivery was significantly more in magnesium sulphate given group representing the tocolytic effect of magnesium sulphate. The complications of severe preeclampsia like eclampsia, pulmonary oedema and renal failure occurred more in group not given magnesium sulphate (2%,1%,1% given vs 11%, 3%, 4% not given) respectively and incidence of abruption and DIC in is almost similar in both groups (4% and 1% Vs 3%and 1%). Eclampsia is a grave complication of severe preeclampsia occurred more in the group not given magnesium sulphate compared to group given magnesium sulphate (11% vs 2%) indicating that intervention with magnesium sulphate has better maternal out come when given to women with severe pre eclampsia. The symptoms of toxicity like loss of deep tendon reflexes, oliguria and other side effects like nausea, head ache, flushing and vomiting had higher incidence in magnesium sulphate administered group. Nearly 40%-50% of new borns from both groups had good Apgar of 7-10 (40% given and 46% not given) respectively. Women with 3-6 Apgar were more in magnesium sulphate administered group (32% vs 10%) respectively in given and not given groups. Both groups had equal NICU admissions. When new born of more than 32 weeks, the salvageable neonates admitted to NICU were considered, the outcome was better in group given magnesium sulphate with no deaths pointing towards role of magnesium sulphate in improving fetal survival.

Introduction: Breast cancer is the furthermost typically identified life-threatening most cancers in female and the foremost motive of most cancers loss of life among women. Aims and Objectives: Due to the absence of information involving breast cancer in Jouf region, KSA. Our study was directed to discover out the level of their knowledge about breast cancer and practice of breast self-examination amid the study population. Material and Methods: Descriptive study including 755 Saudi volunteers living in Al- Qurrayat, Northern Saudi Arabia. Only for women agreeing to take part in the breast self-examination workshop had been blanketed and completed items of a scale assessing the knowledge level, attitudes regarding breast self-examination. Results: A total of 618/755 (81.9%) participant (622 females and 133 males), successfully completed the data. the majority of the participant about 34.7% were between 26-35 year. the level of knowledge in the participants about breast cancer perception according to their education is 16.6% of the respondents had no knowledge, about 5.7% of them complete the university. Also, 65.4% of the respondents had little and moderate knowledge and only about 17.4% had a good knowledge of breast cancer. In addition, 14.4% of female and 0.3 % of the male population had no knowledge about breast self-examination. Furthermore, 345 out of 755(45.7%) study population interested to get information about breast cancer were university educated. Conclusion: breast self-examination necessities to be taught to all women, irrespective of their education level

A total of 5786 cesarean sections (C.S.) were done at Al_Diwaniyah maternity and children teaching hospital at 1 year interval from January 2018 to January 2019. The C.S. were analyzed and compared with reports from other parts of the world. Out of a total admissions of 15054 pregnant woman, 5786 ended with cesarean sections, and 9268 ended with normal vaginal delivery. The incidence of cesarean section was 38.4% and the incidence of normal vaginal delivery was 61.5%. The age of patients were between 15-40 years old

Aim and Objective: To compare perinatal outcome of maternal adiposity to normal BMI Women. Material And Method: This is hospital based prospective study .results-a fatty women deliver more Macrosomic baby, need more NICU admission, more birth trauma, more hospital stay, more congenital anomaly baby, low apgar at 5 minite

Abnormal Uterine Bleeding (AUB) is a very common presenting symptom in the Gynecology department in all age groups. It is very significant in peri and postmenopausal age group because of the risk of malignancy is higher as the age advances. We in the present study tried to evaluate the clinical and pathological correlations in patients visiting our tertiary care hospital with symptoms of AUB. Methods: This Prospective cross-sectional study was conducted in the Department of Obstetrics and Gynecology, Prathima Institute of Medical Sciences [PIMS], Nagnoor, Karimnagar. N=60 patients that were included for the study. In the follow up n=7 patients were lost hence there was the n=53 number of patients who were included in this study. All the patients underwent the detailed history and complete clinical examination, required investigations like hysteroscopy, USG, computerized tomography (CT scan) and histopathological examinations were performed for the specimen from endometrial biopsy, D&C, cervical biopsy, or hysterectomy with or without salphingoophrectomy for the diagnosis in this study. Results: In the present study the most common pathological diagnosis was fibroids n=17 (32.07%), Dysfunctional uterine bleeding and Adenomyosis in n=8 (15.09%). Endometrial hyperplasia n=7 (13.20%), carcinoma cervix in n=5 (943%), and carcinoma endometrium in n=3 (5.66%), Endometrial metaplasia, endometrial polyps, and infections were found in n=1 cases each total n=3 included in the others. Similarly, the diagnosis of DUB was made in n=8 cases out of which n=5 were in the age group 40 - 45 years, n=2 in the age group 46 – 50 years and n=1 in the age group 51-55 years. Endometrial hyperplasia was found the total of n=7 cases out of which n=4 were in the age group 40 - 45 years, n=1 in the age group 46 – 50 years and n=2 in the age group 52 - 55 years the other distribution of cases according to age group. Conclusion: The patients presenting with AUB in peri and postmenopausal age group should be comprehensively analyzed including history, clinical examination, USG, and pathological examination. Benign lesions of endometrium and myometrium were the most common causes of AUB in our study. The incidences of cancers were greater with advancing age in this study

Fibroids are common benign tumours arising in the uterus. Myomectomy is the surgical treatment of choice for womenwith symptomatic fibroids that prefer or want uterine conservation. Myomectomy can be performed by laparoscopy or open myomectomy. Aim of study is to determine the benefits and harms of laparoscopic myomectomy compared with open myomectomy. It is a comparative study conducted over 1 year in Department of Obstetrics and Gynecology, GMC, Akola, Maharashtra. 50 patients were included in study that was having uterine fibroid. Subjects were explained about surgery as treatment. 30 subject undergone Laproscopic myomectomy and 20 subjects undergone open myomectomy. The clinical data of patients who underwent OM and LM was analyzed. The data recorded comprised patient demographic information and clinical characteristics including age, weight, type, and size of myoma and myomectomy indications; and perioperative data including estimation of blood loss, duration of surgery, complications, and length of hospital stay. Our morbidity analysis in this study favored LM in terms of blood loss, short duration of hospital stay, and less postoperative complications

Our study is based on a retrospective analysis of 18 cases of fibroma and pregnancy association in the maternity of CHU HASSAN II Fez MOROCCO over a period from 2014 to 2018 and whose purpose is to study maternal and fetal morbidity during fibroid association and pregnancy and to remind the therapeutic attitude vis-à-vis fibroids during pregnancy. The frequency of this association is 0.37%. It occurs mainly in women older than 30 years. Primiparous most often. In 61, 11% the diagnosis of fibroma was made for the first time during the pregnancy. Aseptic necrobiosis relatively frequent, accounting for 22.22% of all complications, it has evolved well under medical treatment. Although dystocic presentations, premature rupture of membranes, miscarriages and threats of premature delivery are frequently encountered, pregnancy is in most cases around the term. The delivery took place in 47.05% by Caesarean. The maternal and fetal prognosis is excellent. Treatment remains based on abstinence and regular clinical and ultrasound monitoring. Myomectomy during pregnancy is to be reserved for the torsion of pedicled fibroma and necrobiosis resistant to medical treatment. The association fibroid and pregnancy is not rare, the complications are frequent hence its membership in the lot of high-risk pregnancies. Early detection of complications and prevention of delivery hemorrhage would reduce maternal and fetal morbidity.

Cervical tuberculosis is a rare pathology, which can clinically mimick cervical cancer. Patients are paucisymptomatic and the disease is characterized by an insidious evolution, hence the delay in diagnosis. Common symptoms are non-specific contributing to therapeutic delay. The biopsy re-establishes the right diagnosis. The treatment is medical. The prognosis is primarily the infertility which is perhaps inevitable due to frequent associated general genital tuberculosis. We report a case of tuberculosis of the cervix whose diagnosis given first wasn't obvious. Indeed, a patient was referred to our training for suspicion of cervical cancer. Suspected diagnosis of cancer was then retained based on the presence of vaginal bleeding on contact. Biopsy was indicated in order to confirm the diagnosis histologically. Anatomo-pathological examination objectified epitheliogigantocellular granuloma with caseous necrosis, supporting cervical tuberculosis. The patient received TB treatment which led to healing. Diagnosis and treatment of tuberculosis of the cervix is often based on presumptive elements, hence the importance of anatomo-pathological examination