Primary dysmenorrhea is painful menstrual period without any underlying pathological cause. It is a common problem among adolescents. Despite the high prevalence, primary dysmenorrhea is often poorly treated, disregarded by health professionals, pain researchers, and the adolescents themselves. They may accept it as a normal part of the menstrual cycle. Increased levels of prostaglandins E2 and F2α cause dysrhythmic myometrial contraction, hypercontractility, increased muscle tone leads to ischaemia and pain. It affects the quality of life and performance. Non-steroidal anti-inflammatory drugs (NSAIDs) are the first line of treatment. Progesterone significantly relieves the pain in subsequent cycles. Combined oral contraceptives (COC) are invaluable in the management of dysmenorrhoea.

With a population threatening towards 133.92 crores it is important for a country like India, to make mandatory efforts, providing health benefits to all especially those who are devoid till date. A terrific amount of strain is now being placed on the available medical facilities due to the low doctor-population ratio in India, which limits the time available for doctors to communicate with patients, especially those who belong to a lower socio economic class. Thousands of deaths are reported from unsafe abortion due to the lack of trained abortion providers, lack of knowledge, availability of safe services, compounded by the social stigma surrounding abortion. To save themselves from the surrounding stigma, they then turn towards local, less experienced doctors who charge low but, due to the lack of experience and proper knowledge the condition becomes more severe causing Septic abortion. Septic abortion, whether induced or spontaneously occurs because of improper, unsafe, and inadequate removal of products of conception. Subsequently products of conception become infected, bacteria infiltrate the placental tissue and infection spreads to the uterus. A condition unequivocally related to maternal complications such as hemorrhage, trauma and sepsis. Thus to avoid such outcomes the current article attempts to focus on the major challenges faced by the woman in India, further mentioning the prevention required and solutions associated with septic abortion.

The septate uterus is the most common uterine malformation, accounting for 30 to 50% of cases, followed by uterine malformations such as bicornuate uterus and unicornuate uterus. We report a case of a total septate uterus suspected during the obstetric examination of a patient in labor 37 weeks of amenorrhea and during an obstetric ultrasound of the term. The interest of this case is to show the obstetrical prognosis in fertile women with this uterine malformation.

Introduction: Any pregnancy that has occurred beyond the expected date of delivery (EDD) is referred to as post-dated or extended pregnancy. Objective: The main objective of this study is to assess the obstetric outcome of postdated pregnancy among patients at Dhaka Medical College Hospital. Method: This was a prospective observational type study. In this study, patients who have reached 40 weeks of gestational age were included patients who were aware of the date of the last menstrual period (LMP) along with the 1st-trimester obstetrics scan. In this study, patients who were not positive were removed from LMP. The research was carried out from January 2012 to December 2013 at Dhaka Medical College Hospital. This study was selected for 250 cases purposefully observational type study. Results: The study result indicates a fetus condition among the highest 95.5% of the 250 pregnant women were alive and 4.5 % died. Male baby and female babies were 49.5% and 50.5% respectively. After delivery, 75.33% of the baby admitted to the hospital, NICU 7.23%, and 17.44% did not admit to the hospital. The maximum of the management of pregnant women (87.5%) was a failure to cause oligo, and the rest was laparoscopy. Per patient operational analysis indicates the highest (75.59%) premature membrane rupture, 17.9% ectopic pregnancy, and 6.51% uterus rupture. Conclusion: Postdated pregnancy has a 50% recurrence risk for the next birth. The infection of the fetus in the form of fetal distress, meconium aspiration syndrome, birth trauma is at high risk of pregnancy. It also improves instrument delivery and operational delivery level.