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Introduction: Rate of Caesarean Sections (CS) has increased over the last few decades. There is an increased referral of women with postcaesarean complications. Aim: To evaluate the outcome of women with postcaesarean complications. Materials and Methods: This retrospective study was conducted at the Department of Obstetrics and Gynaecology, King George’s Medical University Lucknow, India over six months from August 2018 to January 2019. All the women referred with postcaesarean complications were included in the study. Women who had complications following CS performed at the centre were excluded. Demographic variables like age, socio-economic status, literacy, number of antenatal visits, indication for CS was obtained. The type of complication, number of places visited before admission, the interval between complication and admission, availability of referral documents, interventions required and outcome was noted. Chi-squared tests were used to test for statistical significance. The p-value was considered to be significant if

Introduction: Caesarean Section (CS) despite being one of the most commonly performed surgeries in the world has a wide variation in its techniques. To improve the outcomes of CS through rectification of the surgical techniques, it is imperative to assess the current practices amongst the obstetricians and analyse the rationale behind their surgical preferences. Aim: To assess the surgical techniques used for primary CS by obstetricians and review them with respect to the current evidence. Materials and Methods: The present descriptive, questionnairebased, cross-sectional study was carried out in the Department of Obstetrics and Gynaecology, Mayo Institute of Medical Sciences, Barabanki, Lucknow, Uttar Pradesh, India, in the month of May 2020. A total of 400 Obstetricians possessing diploma or degree in the speciality performing CS and willing to participate in the study were included. A pretested questionnaire majorly focused on the various surgical techniques of primary CS, performed by the obstetricians, was distributed online. A total 203 respondents completed the questionnaire and their response was recorded. Analysis of Variance (ANOVA), Independent samples t-test and Pearson's correlation coefficients were used to analyse the data. Results: Majority (n=140, 68.96%) of the respondents were between 25-40 years of age. In the study population, 8 (3.94%) were male respondents and 195 (96.06%) were female respondents. experience of <5 years. The most consistently used technique was the creation of bladder flap (187, 92.11%), while the least common was use of vertical incision (6, 2.9%) for opening the abdomen. There was a huge variation in the method of opening of the abdomen with 117 (57.6%) of obstetricians using blunt versus 86 (42.36%) using sharp dissection. The blunt extension of uterine incision was significantly associated with the increasing years of practice, whereas the preference to use Pfannensteil incision was significantly associated with the younger obstetricians. Conclusion: There was heterogeneity and variation in the CS techniques being practiced by the obstetricians. These varied practices were the result of surgeon preferences, their training and difficulty in unlearning the long used surgical techniques. These are bound to continue until strong evidence-based guidelines for the techniques of CS are formulated. [ABSTRACT FROM AUTHOR]

Introduction: Umbilical Cord blood banking (UCBB) is rampantly increasing. Literature on the awareness of obstetricians regarding UCBB is limited. It is necessary to know the current scenario so that necessary steps can be taken to improve the same. Aims and objectives: To assess the knowledge, attitude and practices regarding UCBB amongst Obstetricians in North India. Methodology: This study carried out amongst practicing obstetricians in North India over a period of one month, is a descriptive, cross-sectional study which involved the use of a pre-tested questionnaire distributed online. Results: The knowledge levels of the Obstetricians in North India were found to be deficient, however their attitudes regarding the same were mostly favorable. The procedure and counseling of UCBB had only been practiced by half of the respondents and majority of the Obstetricians felt a definite lack of knowledge as well as training with respect to umbilical cord blood banking. Statistical Analysis: The data was analyzed using Statistical Package for Social Sciences (SPSS) version 21.0. Conclusion: The need for spreading awareness among obstetricians is of utmost importance, especially since UCBB is a novel concept and there are huge lacunae in the existing knowledge of the obstetricians. Obstetricians seem to possess a positive and enthusiastic attitude towards the subject, therefore strategies aimed at improveing their knowledge can eventually lead to a dramatic improvement in the practices of UCBB. The emerging concept of UCBB deserves attention from the practicing obstetricians, academicians as well as policy makers, to ensure its justified, appropriate and adequate use in the future. [ABSTRACT FROM AUTHOR]