This is a prospective study done during the period from 1^st October 2017 to 30^th September 2018 in obstetric department of Jashore Medical College Hospital, Jashore which is an urban tertiary referral hospital and has a large catchment area surrounding five to six districts. It was approved by an institutional review board that consisted of the Head of the department and other professors of the department of obstetrics and gynecology. This hospital deals mainly with referral patients. The number of annual obstetric admissions is 6,500 to 7000 and the number of eclampsia cases is 140 to 160 per year. The hospital has an eclampsia care unit, so patients from Jashore and nearby districts are referred here for better management. Of note is that most of the eclamptic patients are born in rural areas and belong to a lower social class. As a result, most have never received antenatal care. Patients admitted during this period, diagnosed as eclampsia are the study subjects. Detailed history, clinical examination and relevant lab investigations done for the management. maternal and neonatal outcome were recorded.

This cross sectional study was carried out in a private diagnostic center, Dhaka, Bangladesh during the period of August 2016 to October, 2018. 64 infertile women of reproductive age (21-40 years) were in the study for HSG to detect tubal factor. 58% of patients had secondary infertility. Majority of the subjects of both primary and secondary infertility (69%) were in 21-40 years age group. 59% of patients had prolong duration of infertility more than (4-7 years). 47% patients of secondary sub fertility had history of abortion or MR. On HSG unicornuate uterus with one sided patent tube was found in 3% cases and unilateral and bilateral tubal block were present in 32% and 22% cases respectively. Hysterosalpingography remains the front-line imaging modality in the investigation of infertility. It is an accurate means of assessing the uterine cavity and tubal patency. It is an easy test and patient compliance is very good when the Gynaecologist introduce dye through the cervical catheter. In addition the Gynaecologist is very much familiar with the vaginal operations and has immense knowledge of female anatomy so the pitfalls and misinterpretation can be avoided.

Background: Improvement of quality of semen is very important during intrauterine insemination for the treatment of infertile couple. Objectives: The purpose of this present study was to observe the improvement of semen quality with swim up method during intrauterine insemination. Methodology: This analytical cross-sectional study was carried out at a private infertility centre (Central Hospital Limited, Dhaka) in Dhaka city of Bangladesh from January 2012 to December 2017 for a period of 6 years. Infertile couples who already had undergone natural cycles of super-ovulation for six months or whose duration of infertility was more than one year were included. Semen samples were collected by the process of masturbation in semen production room after three days of abstinence in sterile, labelled container. After production all samples were placed in an incubator at 37⁰ C for 30 minutes for liquefaction. Routine semen analysis was performed using World Health Organizations’ (WHO) semen analysis criteria. Then the samples were randomly assigned to be processed either with swim-up or density-gradient procedure. Result: A total number of 789 male respondents were recruited for this study. The mean age±SD of the study population was 28.96±5.382 years (range 19 to 46 years). The mean difference of sperm concentration before and after swim up method was 52.70±42.88 (95% CI 49.58 to 55.82; p=0.000). The mean changes of sperm motility before and after swim up method was 29.03±14.849 (95% CI 30.11 to 27.95; p=0.000). The mean changes of sperm morphology before and after swim up method was 23.96±11.328 (p=0.000). Conclusion: There is a significant changes of quality of semen after swim up method during intrauterine insemination.

Methods: Using the California (United States) Office of Statewide Health Planning and Development database, we identified all women who underwent inpatient prolapse repair with a graft between 2005-2011 in California. Billing codes were used to identify subsequent surgeries.Results: A total of 14,192 women underwent prolapse repair with a biologic (14%) or synthetic graft (86%) with an overall any cause repeat surgery rate of 5.6%. With a median follow-up of 2 years, women with biologic grafts had an increased risk of surgery for recurrent prolapse compared with synthetic mesh (3.6% vs. 2.5%, p=0.01). Conversely, women with synthetic grafts had a higher risk of repeat surgery for a graft complication (3.0% vs. 2.0%, p=0.02). There were no significant differences between the overall risk of repeat surgery in patients who received biologic versus synthetic grafts (5.7% vs. 5.6%, p=0.79).