A rare and successfully managed case of idiopathic thrombocytopenic purpura (ITP) with previous caesarean with splenectomy with hepatitis C positive

Rajshree Dayanand Katke

Abstract:

ITP occurs in approximately 2 of 1000 pregnant women. ITP may develop at any time during pregnancy, but is often initially recognized in the first trimester and is the most common cause of isolated thrombocytopenia in this time period. A 33 year old, married since 6 years, G2p1l1 with 33 weeks gestation referred to our tertiary centre. She was a known case of ITP with splenectomy done. She had a 5 year old male child, delivered by LSCS. She was diagnosed as having ITP at the age of 12 years. HCV antibody was weakly positive. ANA was positive. Emergency LSCS was done in view of scar tenderness. Post op she developed epistaxis, bleeding gums and per vaginum. Patient received multiple FFP, platelet transfusions and responded to treatment with methylprednisolone. The diagnosis and management of ITP in pregnancy is similar to that in the non-pregnant adult patient, but the risks to the developing fetus must be taken into account when choosing treatment and the maintenance of a safe platelet count, rather than prolonged remission, is the goal. Mode of delivery must be guided by obstetrical indications.

Key words: Idiopathic thrombocytopenic purpura, ITP with pregnancy.

For Full Article Link:

http://www.scopemed.org/?mno=167924

LSCS audit in a tertiary care center in Mumbai: to study indications and risk factors in LSCS and it’s effect on early peri-natal morbidity and mortality rate

Rajshree Dayanand Katke, Ashish N. Zarariya, Pranay V. Desai

Abstract:

Background: Caesarean section has become a relatively safer and so common procedure in the practice of modern obstetrics. Audit plays an important role in the analysis of changing trends in caesarean delivery. The present retrospective analytical study attempts to critically analyze 474 cases of caesarean deliveries performed in tertiary hospital over a span of six months with an aim to identify the indications and risk factors involved in early peri-natal morbidity and mortality.
Methods: The Cama and Albless hospital is a tertiary care center located in South Mumbai, which cares for over 3000 deliveries per year. In the present retrospective analytical study, all cases of caesarean delivery from August 2013 to January 2014 were analyzed regarding the indication, associated risks factors, and all NICU admissions were studied. The decision to perform a caesarean section in each of these patients was made by a consultant on duty in consultation with the unit head telephonically. The primary objective of the study was to do LSCS audit with the secondary objective to analyse relationship of early peri-natal morbidity with indication of LSCS and risk factors associated.
Results: In the present study we found that the overall incidence of LSCS is 25.7%, incidence of primary LSCS is 23.1 %, incidence of LSCS in Referred cases is 61.7 %. So overall high incidence of LSCS is justified as our’s is a tertiary care referral unit. 3.5% of total LSCS cases were elderly gravidas and teenage pregnancies each. In our study, 11.8% and 3.5% patients were less than 37 weeks and 34 weeks respectively. However 30.6 % of NICU admissions were due to low birth weight. So IUGR in near term patients is an important morbid factor. Previous LSCS was the leading indication in 35.2% of cases followed by foetal distress in 14.9% of cases and Previous 2 LSCS 10.5%. Two important relative indications we found were Previous 1 LSCS and PIH contributing for nearly half of the total cases. Average duration of surgery was 86 minutes in our study and average stay in hospital was 9 days. In our study early perinatal mortality was 1.6% and morbidity in the form of NICU admissions was 20.8%. Most common cause for NICU admission was LBW followed by Respiratory distress. After comparing high risks factors and indications with NICU admissions we found highest morbidity in neonates who underwent LSCS for fetal distress, multiple pregnancy and premature rupture of membranes.
Conclusions: Individualization of the indication and careful evaluation can help us limiting early peri-natal morbidity and mortality. Obstetric audits in the institution, following standardized guidelines and practice of evidenced-based medicine will help us a lot in reducing the peri-natal morbidity and mortality.

Key words: LSCS, Indications, Risk factors, Perinatal morbidity and mortality.

For Full Article Link:

http://www.scopemed.org/?mno=168620

Rising incidence of unwed mothers in India; associated social parameters & institutional guidelines for managing them

Rajshree Dayanand Katke, Mohit R. Saraogi, Priyanka Pagare

Abstract:

Background: Globally the incidence of unwed mothers is rising. While the incidence is higher in western countries, developing countries like India are soon catching up. 
Methods: Ours is a retrospective study from January 2009 to December 2013 analyzing 51 cases of unwed mothers for - changing incidence of unwed mothers in India, to look for predisposing social & family pressures which may have led to the pregnancy, to study neonatal outcomes in such mothers & to analyze the role of social worker intervention in the management of such pregnancies. 
Results: Our study showed a 50% rise in the incidence of unwed mothers in our institute over the years with a majority (49%) of them being teenaged girls. 68% unwed mothers were uneducated or had only primary education & 58.9% unwed mothers had some predisposing factor which might have contributed to the pregnancy. 52% unwed mothers (who delivered) opted for institutional admission till term and 35.4% of these underwent a caesarean section at term (higher than institute LSCS rates). 21.5% unwed mother united with father with social worker intervention. 
Conclusions: Social and demographic parameters play a significant role in the incidence of unwed mothers. Several of these parameters are subject to external regulation & can reduce incidence of unwed mothers. Also the role of a social worker is priceless in management of these patients.

For Full Article Link:

http://www.scopemed.org/?mno=168620

Thrombocytopenia during pregnancy: An Institutional based study

Rajshree Dayanand Katke, Dhruv Pravin Gohil.

Abstract:

Background: Thrombocytopenia affects 6% to 10% of all pregnant women and other than anemia is the most common hematologic disorder in pregnancy. All pregnant women with platelet counts less than 100000/mm3 require careful hematological and obstetric consultation to exclude more serious disorders. Objectives of the study were to study the number and percentage of cases, the various etiological factors associated, the effect and outcome of the mother and neonates borne.

Methods: The study was conducted in this tertiary institute over a period of two years and three months. 103 pregnant patients with a platelet count of or less than 100000/mL were included. The course of pregnancy was studied and the investigation profile was monitored.

Results: Out of 103 cases of thrombocytopenia, 73 (70.9%) patients had moderate, 30 (29.1%) patients had severe thrombocytopenia. In this study 35% cases were primigravidas, 32% cases were gravida 2, 33% cases were gravida 3 to 5. Gestational thrombocytopenia was the most common etiological factor with 30.1% cases, 27.2% cases due to hypertensive disorders, 18.4% cases due to malaria followed by 12.6% cases due to dengue. In the study group the mean gestational age was 33 ± 5.139, maximum cases belonged to gestational age 30 to ≥40. 14 patients (14.1%) had still births. 9 patients (8.7%) had Neonatal deaths (NNDs).

Conclusions: The challenge to the clinician is to weigh the risks of maternal and fetal bleeding complications against the benefits of diagnostic tests and interventions.

Key words: Thrombocytopenia, Pregnancy

For Full Article Link:

http://www.scopemed.org/fulltextpdf.php?mno=167914

Successful Outcome of Triplet Pregnancy with Peripartum Cardiomyopathy

Rajshree Dayanand Katke, Ashish Zarariya From the Department of Obstetrics & Gynaecology, Grant Government Medical College & Sir J. J. Group of Hospitals, Mumbai, Maharashtra, India.

Corresponding Author: Dr. Rajshree D. Katke Email: drrajshrikatke@gmail.com

Received: 29-MAY-2014 Accepted: 11-SEP-2014 Published Online: 30-OCT-2014

Abstract Peripartum cardiomyopathy (PPCM) is a subset of dilated cardiomyopathy and its diagnosis is often delayed as it’s clinical features are considered physiological during pregnancy and postpartum period leading to lethal consequences. Triplet pregnancy itself is high risk for the mother due to greater hemodynamic perturbations, greater hormonal changes and greater demand on nutritional reserves, all of which could be involved in the pathophysiology of PPCM. We hereby report an interesting case of peripartum cardiomyopathy in triplet pregnancy with successful outcome.  Keywords : Peripartum cardiomyopathy, Triplet pregnancy, Pregnancy, Dilated cardiomyopathy, Postpartum period.

Introduction: Peripartum cardiomyopathy is defined as onset of heart failure in the last month of pregnancy and first 5 months post-partum with no other etiology of heart failure identified and no history of cardiac disease. The dysfunction is characterised by a reduced ejection fraction. High risk factors include black race, advanced maternal age, multiparity, multiple gestation, pre-eclampsia and stress [1,2]. Symptoms include fatigue, edema, dyspnea which may lead to false diagnosis of other pregnancy co-morbidities such as pulmonary embolism and eclampsia [3]. The following case report illustrates a typical presentation of peripartum cardiomyopathy in a patient with triplet pregnancy with complete recovery after treatment. Case Report A 30 year old primigravida, married since 10 years, infertility conception, booked case at private hospital, 32 weeks by dates and by scan, with triplet gestation was admitted for safe confinement at our institute. Patient was mildly anaemic with no other risk factors. She was treated with oral hematinics and steroids. Routine ultrasound doppler study at 34 weeks was suggestive of first fetus in breech presentation with feto-placental insufficiency. Planned caesarean section was performed at 34 weeks under spinal anaesthesia. There were no intra or immediate post-partum complication to mother and fetus. Baby weights were 1.6 kg, 1.7 kg and 1.7 kg. One unit blood transfusion was given post-operatively in view of pre-operative haemoglobin 8.2 gm/dL. Sixteen hours after operation, patient complained of breathlessness and cough. Examination revealed bilateral crepitations on auscultation. Oxygen saturation was 84%.  On further investigation chest X ray revealed cardiomegaly [Fig.1]. Electrocardiogram was within normal limits and echocardiogram revealed cardiomegaly with LVEF of 35% with grade 1 mitral regurgitation. Patient was treated with oxygen by nasal prongs, injection furosemide, tablet enalapril 2.5 mg, tablet carvedelol 3.125 mg and tablet aldactone 50 mg. On post operative day 5 patient was stable and maintaining saturation of 98% without oxygen. Patient was discharged on 24th postoperative day in healthy condition with healthy babies with a advice for barrier contraception and follow up 2-D Echo after 3-6 months. Discussion: Peripartum cardiomyopathy is often missed because dyspnea in a common finding during pregnancy and post-partum period and is the earliest symptom of peripartum cardiomyopathy. If pregnant women gain excessive amounts of weight, have significant lower-extremity edema, or have jugular venous distension in the presence of gallop rhythms or cardiomegaly then they should be referred for an echocardiogram. Normal pregnancy is associated with an increased heart rate and left ventricular diastolic function; there should not, however, be elevations in diastolic dimensions beyond normal levels or reductions in ventricular function during gestation or the postpartum period. Women with suspected peripartum cardiomyopathy must undergo a careful medical and family history assessment and investigations to exclude pre-existing heart disease or intercurrent causes of left ventricular compromise. Chest radiography can reveal cardiomegaly, pulmonary congestion and sometimes pleural effusion [4]. Electrocardiogram findings are often normal hence an echocardiogram should be done to document ventricular size. In our case, the chest X-ray revealed cardiomegaly, electrocardiogram findings were normal but echocardiogram revealed cardiomegaly with LVEF of 35%. Treatment includes fluid restriction, use of diuretics, beta blockers and digoxin. Such patients are at high risk for thrombus formation [5]. Thus anticoagulation should be considered in patients with severe LV dysfunction. Irrespective of recovery further pregnancy should be avoided since it recurs in 30% of pregnancies [6]. Thus it is important to consider peripartum cardiomyopathy, when diagnosing dyspneic patients for faster initiation of treatment for a potentially lethal condition.  Following discharge patients are seen at 2-week intervals. The echocardiogram should be repeated at these visits until ventricular function improves [7]. Once stable, the outpatient visit and echocardiogram interval is determined by the patient’s clinical state. With proper medication, diet and exercise, ventricular remodelling is usually complete within 6 months of initial presentation. Conclusion: Diagnosing peripartum cardiomyopathy is a challenge to the physicians. Our case is a unique example where two high risk conditions of triplet pregnancy and peripartum cardiomyopathy were managed with successful outcomes by multidisciplinary approach in obstetric setup.  Prompt diagnosis and treatment of peripartum cardiomyopathy had helped the mother to fight this lethal condition.   References: Libby P, Bonow RO, Mann DL, Zipes DP. Braunwald’s heart disease: a textbook of cardiovascular medicine, 8th ed. Philadelphia: Saunders; 2007. Marx JA, Hockberger RS, Walls RM. Rosen’s emergency medicine: concepts and clinical practice, 6th ed. Philadelphia: Elsevier Health Sciences; 2006. Abboud J, Murad Y, Chen-Scarabelli C, Saravolatz L, Scarabelli TM. Peripartum cardiomyopathy: a comprehensive review. Int J Cardiol. 2007;118(3):295-303. Bhakta P, Biswas B, Banerjee B. Peripartum cardiomyopathy: review of the literature. Yonsei Med J. 2007;48(5):731-747. Walsh JJ, Burch GE, Black WC, Ferrans VJ, Hibbs RG. Idiopathic myocardiopathy of the puerperium (postpartal heart disease). Circulation. 1965;32:19-31. Libby P, Bonow RO, Mann DL, Zipes DP. Braunwald’s heart disease: a textbook of cardiovascular medicine, 8th ed. Philadelphia: Saunders; 2007. Chakrabarti S, Pan K. Acromegaly Presenting as Congestive Cardiac Failure. Journal of Case Reports. 2014;4(1):221-224.

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Rupture and torsion of a huge ovarian cyst with ipsilateral para-ovarian cyst presented as haemoperitoneum and acute abdomen: A rare case report and review of literature

www.ijrhs.com
ISSN (o):2321–7251

By,
Dr. Rajshree Katke

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https://drive.google.com/file/d/0B7e9SrenxWTaQ0V0OGhpdzBHZTVwUTJMV3c1ckV0VjBIdUFF/view?usp=sharing

Successful Outcome of Pregnancy in Borderline Malignant Ovarian Tumor

Journal Of Case Reports Rajshree Dayanand Katke From the Department of Obstetrics & Gynaecology, Grant Government Medical College & Sir J. J. Group of Hospitals, Mumbai, Maharashtra, India.

Corresponding Author: Dr. Rajshree D. Katke Email: drrajshrikatke@gmail.com

Received: 15-AUG-2014 Accepted: 09-SEP-2014 Published Online: 15-OCT-2014

Abstract: We report a case of a 26 year-old young pregnant woman diagnosed as pregnancy with ovarian tumor having solid component within it. Laparotomy was done with removal of right ovarian tumor. Frozen sections revealed serous (cystic) tumor with borderline malignant potential. Her left ovary was preserved for fertility function. Patient withstood surgery well; induction of ovulation was done after 6 months and patient conceived. The whole course of pregnancy was uneventful except once when she had threatened preterm activity treated and pregnancy continued till term. Patient went in spontaneous labour and delivered normally with a healthy male baby. Her CA-125 on one year follow up was within normal limits. Keywords : Borderline ovarian tumor, Serous tumor, Malignancy, CA-125.

Introduction: Conservative and functional surgeries are increasingly being used in surgical oncology, with an aim to preserve the organ function. The evolution of new surgical procedures to reduce radical resection in oncological gynaecological surgery is a perfect example. Although radical surgery remains the `gold standard’ in the treatment of ovarian cancers, a conservative approach can be considered in patients with early-stage disease and in a young patients, in order to preserve their fertility function. Around 2-3% of masses removed during pregnancy are found to be malignant and this is a key issue to be considered when counselling the patient [1,2]. Despite this fact, the great majority of high suspicion adnexal masses excised during pregnancy are in fact borderline ovarian tumors. Ovarian tumors of low malignant potential comprise 10-20% of all ovarian malignancies [3,4]. They carry an excellent prognosis with 95-99% long-term survival [3] Case Report: 26-year-old young girl, married since two years was referred to us for abdominal pain and irregular menses (4-5 days /15-40 with moderate blood flow) since one year. Her past medical history was insignificant except she underwent medical termination of pregnancy at 10 weeks in view of CT scan radiation exposure. On general examination, she was afebrile, with a blood pressure of 120/78 mmHg and a pulse of 74 beats/min. Her per-abdominal examination revealed fullness in the right lower abdomen, 12x10x10 cm firm to cystic ill-defined mass, with restricted mobility. Per-speculum examination was normal. Per-vaginal examination revealed normal cervix and vagina with anteverted, anteflexed and normal size uterus. The above described mass could be felt through the right fornix. Left fornix was normal and rectal mucosa was free. The patient’s hematologic and biological workups were within normal limits except hypoproteinemia. Ultrasound investigation revealed a cystic mass measuring 7x6x6 cm in right ovary. This cystic formation had multiple thick nodular areas at periphery with a possibility of neoplastic etiology. Doppler study revealed anechoic cystic lesion measuring 8x7 cm with mural nodules and irregularity in right adnexa. No evidence of calcification/internal septations/echoes was seen.  Minimal vascularity was seen in mural thickening, right ovary not visualized separately with features suggestive of complex right ovarian cyst. CT scan whole abdomen confirmed the ultrasound findings.  Her CEA was within normal limits but CA-125 was raised above normal (1040.5 U/mL). Staging laparotomy revealed right ovarian tumor with normal left ovary on gross examination (FIGO stage Ia). Frozen section of right ovary revealed serous (cystic) tumor: borderline malignant potential. The decision regarding preservation of fertility was taken hence she underwent unilateral removal of tumor with ovary. Peritoneal washing cytology, sampling biopsies from the staging surgery were negative. Slides and paraffin blocks were reviewed at Tata hospital which was reported as serous (cystic) tumor: borderline malignant potential. Patient tolerated surgery well and post-operative period was uneventful. Patient was asymptomatic and was on regular follow up for 2 years. She was evaluated for infertility. Follicular study revealed lack of progressive development of follicles. Ovulation was induced with tablet clomiphene citrate 50 mg once daily for five days from second day of menses and follicular growth was monitored with the follicular study from 9th day of menses for 2 cycles and planned relationship was advised. She conceived after induction of ovulation. During her antenatal period she was admitted twice for threatened preterm labour which was managed conservatively with tocolysis and bed rest. Patient delivered full term healthy 2.7 kg male child.  Postpartum period was uneventful and patient discharged on 4th day with healthy baby after vaccination. Her CA-125 tumor marker value was within normal limits postoperatively and on follow up at one year. Discussion: Borderline ovarian tumors (BOT) are a distinct histological entity and account for nearly 10-20% of all ovarian epithelial tumours [3-5]. Majority of borderline ovarian tumors are diagnosed in women of childbearing age (<40 years); however little is known about the epidemiology and management of these tumors diagnosed during pregnancy. According to the literature, borderline ovarian tumors are frequently diagnosed during the first trimester incidentally in routine ultrasound exams. When symptomatic, patients may refer to unspecific abdominal pain [3,6].  Pelvic ultrasound remains the mainstay for evaluating the adnexa. Surgical staging is important issue in the management of borderline ovarian tumors [7-9].  Laparoscopic restaging surgery reduces the risk of postoperative adhesions and mechanically induced infertility. However, the harmless nature of this surgery in patients with ovarian cancer remains the subject of debate, and restaging surgery using midline laparotomy remains the current the `gold standard’. Conservative treatment provides good results for fertility, and does not affect the survival of patients with borderline ovarian tumour. This approach should be considered for young women desiring fertility, even if peritoneal implants are discovered at the time of the initial surgery. In case of infertility, the use of assisted reproduction techniques may be suggested to patients with stage I borderline ovarian tumor, with a limited number of stimulation cycles. In patients with epithelial ovarian cancer, conservative surgery of an ovary and the uterus can only be considered in adequately stratified patients with serous, mucinous or endometrioid tumor, excellent prognostic factors (stage IA, grade 1 or perhaps 2) and a careful follow-up. Removal of the ovary should be carried out when childbearing is complete.  In our case fertility sparing surgery was carried out in view of patient being young lady with borderline ovarian tumor and no living issue. The patient withstood surgery well and her tumor markers returned to normal during follow-up. Patient conceived after induction of ovulation. Her antenatal period was monitored closely and she successfully delivered a healthy 2.7 kg baby. Conclusion: Borderline ovarian tumors represent a rare clinical entity. Each case needs individualized management based on the risk benefit ratio. While in women with a complete family- total abdominal hysterectomy with bilateral salphingo-oophorectomy is recommended, young women should undergo fertility sparing surgeries with close follow-up.  References: Creasman WT, Fetter BF, Hammond CB, Parker RT. Germ cell malignancies of the ovary. Obstet Gynecol. 1979;53:226-230. Hart WR, Norris HJ. Borderline and malignant mucinous tumors of the ovary. Cancer. 1973;31:1031-1044. Bell DA, Weinstock MA, Scully RE. Peritoneal implants of ovarian serous borderline tumors. Histologic features and prognosis. Cancer. 1988;62:2212-2222. Gotlieb W, Flikker S, Davidson B, Korach, Y, Kopolovic J, Ben-Baruch G. Borderline tumors of the ovary: fertility treatment, conservative management and pregnancy outcome. Cancer. 1988;82:141-146. Morris RT, Gershenson DM, Silvia EG, Follen M, Morris M, Wharton JT.  Outcome and reproductive function after conservative surgery for borderline ovarian tumors. Obstet Gynecol. 2000;95:541-547. Morice P, Camatte S, El Hassan J, Lhomme ÂC, Duvillard P, Castaigne D. Clinical outcomes and fertility results after conservative treatment for ovarian borderline tumor. Fertil Steril. 2001;75:92-96. Nijman HW, Burger CW, Baak JP, Schats R, Vermorken JB, Kenemans P. Borderline malignancy of the ovary and controlled hyperstimulation, a report of 2 cases. Eur J Cancer. 1992;28A:1971-1972. Zanetta G, Chiari S, Rota S, Bratina G, Maneo A, Torri V, Mangioni C.  Conservative surgery for stage I ovarian carcinoma in women of childbearing age. Br J Obstet Gynaecol. 1997;104:1030-1035. Katke RD, Gadekar S, Pagare P. A rare case of carcinoma of ovary with carcinoma of cervix. Journal of Case Reports. 2014;4(1):217-220. PDF Link for Downloading: www.casereports.in/filedownload.aspx?id=376

Biodata

Dr Rajshree Katke (Sonkawde)    [M.D, FICOG] Medical Superintendent, Cama And Albless Hospital, Mumbai. Associate professor and Unit Head, Grant Medical College, Mumbai Dhanvantri Building , Bldg. No. 2, 2nd floor, flat No.5, J. J. Hospital Campus ,Byculla,  Mumbai  - 400 008 91-9869917830

Summary: Dr. (Mrs.) Rajshree Dayanand Katke (Nee Sonkawde) ,Medical Superintendent of Cama & Albless Hospital, Mumbai is a Obstetrician and Gynecologist of par excellence, also working as Associate professor and Unit Incharge, who has done many obstetrical and gynecological surgical procedures with special interest in gynecological oncology. She has gold medal in Medicine. She is dedicated towards patients with HIV and is Incharge of PPTCT/ICTC program – MDAC and on the State level Committee Member of Advisory Committee of PCPNDT.  She is an academician with teaching experience of more than 16 years and also a post graduate teacher in obstetrics and gynecology. She has been chairman and examiner for M.B.B.S. & M.D. examinations. Appraiser for National Board of Examinations. She is devoted to teaching having delivered lectures at various training program for lecturers and paramedical staff.  She has publications in national and international journals to her credit. Numerous paper presentations at national and international conferences have won rave reviews and awards under her authorship. She has chaired sessions at international conferences of FOGSI FIGO. She has been invited as faculty at national conferences. She was chairman for enquiry committee for medico legal cases as an expert. She is committed to community health having done many diagnostic and operative camps at rural and tribal areas including camps for HIV positive patients. Personal Details: Nationality                     : Indian Language Known          : English, Marathi, Hindi Gender                           : Female Status                             : Married Location: ·         MAHAPALIKA MARG,MUMBAI GPO, MUMBAI – 400001   Education Qualification (MBBS, MD (OBGY),FICOG), FMAS: ·         MBBS From Government Medical College, Aurangabad(1987) ·         M.D. (OB-GY) from Government Medical College, Aurangabad (1993) ·         F.I.C.O.G  in 2011 ·         Fellowship in minimally Access Surgery in 2013     ·         Training  in  Ultrasound Obstetric & Gynecological and Foetal  Heart Monitoring  ·         Diploma in Acupuncture ·         Computer  Training MS CIT   Present Appointment: Medical Superintendent, Cama & Albless Hospital. Unit Incharge& Associate Professor, - Cama & Albless Hospital, Mumbai. (Obstetrician & Gynecology) ·         Incharge of PPTCT /ICTC/Programmer  -  MDAC & NACO ·         Incharge of STI / RTI  - MDAC ·         Ex-Member of Advisory committee of PCPNDT (State Level Committee) ·         On Scientific Advisory Committee of All India Medical Women In India (AMWI) ·         Member of Manodharya Yojna -Committee for Rehabilitation of Sexually Assaulted Cases and Acid Attack Victims.   Teaching Experience as an Undergraduate & Postgraduate(M.D./M.S.OBGY) TEACHER: ·         MBBS Undergraduate Teaching - 17 Yrs ·         Postgraduate Teacher  Since – 9 Yrs ·         Nursing  BSc, MSc, Midwifery Clinical Experience as a Obstetrician and Gyanecologist: ·         Working  as Assistant Professor of Obstetrician and Gynecologist  since 1997-2005 ·         Associate professor and Chief of Unit -  Since 2008 ·         Keen Interest  in Cancer Surgeries , has operated difficult cases ·         Huge number of patients benefitted by the service given by us ·         Social camps of Diagnosis and operation done in rural area and Tribal area of Maharashtra. Honours And Awards: •        Appreciation Letter from The General Secretary (United Nations) Hon.  Shri BAN Ki-Moon visited Cama hospital and admired about our hospital administration and patient’s treatment carried out in year May 2012. •        Appreciation Letter from Additional Chief Secretary Maharashtra (Chief Secretary of Government of Maharashtra) Mr. Jayant Kumar Bantiha also admired the Hospital and the arrangement made regarding the visit of the UN Secretary.  •        Padmashree Dr. T.P. Lahane, Dean Grant Government Medical College, Mumbai gave an Award for Best Associate Professor.   year Jan 2012 •        Rajiv Gandhi Excellence Award and Gold Medal for outstanding achievements yr. 2012 •        National Mahila Ratna Gold Medal Award for outstanding achievements yr. 2012 •        AMWI (Association of Medical Women India, Mumbai Branch) Achievement Award yr. 2012 •        Best Superintendent in charge award was given by Human Rights Association of India. •        Under my primary Authorship papers presented in various OBGY conferences got prizes. •        Felicitates by Giant Group of Ulhasnagar Saheli on Women’s Day Celebration. •        Appreciation Certificate by Member of Parliament Shri. Milind Devara for Conducting the Camp at Colaba. •        (NIC) National & International  Compendium, New Delhi, Eminent Educationalist Award  For         Outstanding Achievement yr.2012. •        Award given by MDAC on World AIDS Day 1st December 2012 for bet work in the RTI/STI-HIV Infections. •        Name conclude in who is who booklet by International Compendium, New Delhi. yr.2012 •        Photon Research Award 2014 for outstanding scientific contribution in September  2014 •        Breast Cancer CME presented by Department of Radiotherapy and Oncology from Grant Government Medical College & Cama and Albless Hospital, Mumbai in August 2014. •        Appreciation award from association of Fellow Gynecologists in May 2014 •        Bharat Vibhushan Samman Puraskar presented by the Economic and human resource development association(EHRDA),New Delhi in Dec 2013 •        International Education Excellence award for outstanding achievements in the field of education by Indian Solidarity Council in May 2013 •        Award from MDAC on worlds AIDS Day from National AIDS Control organization(NACO) in December 2012 •        National Mahila Rattan Gold Medal Award from International Institute of Education & Management (New Delhi) in Oct 2012 •        Achievement Award by Association of Medical Woman in India (Mumbai) for Duty and Devotion IN April 2012 •        Appreciation award for Best Superintendent IN charge of CAMA & Albless Hospital from human rights Association of India in April 2012. •        Appreciation letter from Secretary of Woman's State commission in May 2012. ·         Member Of Scientific committee of MEDICON 2011 By the fourth international medical students research conference in May 2011 •        Gold Medal in Medicine in 3rd M.B.B.S. •        Received School Prize for Best Handwriting.   Digital Media Glare On National TV Channel: •        Invited as a Guest in TV Program HELLO SAKHI (Family Planning) •        Invited as a Guest in TV Program on Door Darshan " Shayadri" as a SWASTA BHARAT 2014 •        Invited as a Guest in TV Program on Door Darshan " Shayadri" as a SWASTA BHARAT 2014 •        Invited as a Guest in TV Program on Door Darshan " Shayadri" as a SWASTA BHARAT 2014 •        Invited as a Gusted in TV Program on Jai Maharashtra "Pregnancy Care" , 5th September, 2014 •        Interviewed by  SAHARA SAMAY on  Adoption Program •        News on Sahara Samay after delivering of baby of 4.5 K.g normally. •        Program on Monuments of terrorist attack 26/11/2008 Martyr Build at Cama Hospital. As An Author: •        Has written a chapter on Postpartum collapse in a text book published by JP Prakashan •        A Chapter written  on 1st Trimester MTP in FOGSI FOCUS book, January 2012 •        Cytology Booklet article on CIN(Cervical Intraepithelial Neoplasia) -colposcopy ·         Contribution to the articles of Maternal Mortality booklet AMOGS Scientific Paper Presentation at National & International Conferences: ·     Scientific  Paper presentation on  Jan- 2010 Central Asia Regional Conference  AMWI, Mumbai       (Topic - Contraception in Per menopausal  women) ·      The International Conference (Topic Poster presentation on chronic Inversion). ·      Lecture given scientific paper in the AMWI Conference Lectures Given: •        UNICEF Programme FOR Nurses - Management of Emergency Obstetric at Cama & Albless Hospital •        Refreshers Course lectures given  for Selection  of grade  lecturers         Topic of speech - DO & Don’ts of Documents at Grant Medical College •        Lectures given Topic of Speech - menopause  at Grant Medical College •        Unicef Programme State Level  Nursing at Cama & Albless Hospital  •        Emergency Management  in Obstetric •        Lecturer  in  TOT Programme Cama & Albless Hospital, Mumbai •         Lecture given on Emergency Management  in Obstetric  at Arogyabhavan Trainers For Trainee: •        As a faculty for COLPOSCOPY training for the Doctors. •        Trainers for Trainee National Aids Control  Organization, Govt. of Maharashtra •        Trainers for Trainee supervisor for RT/STI Centers  •         Trainers for Trainee in the State Level  TOT, Cu Professional  Membership: •        Life member of All India Medical Women’s Association •        Life member of FOGSI •        Life member of MOGS •         Life member of AMASICON NATIONAL AND INTERNATIONAL JOURNAL PUBLICATIONS: 1.      Three Doctors used special techniques during a three-hour procedure A heavy baby is born – 4.5 kg in DNA Mumbai on 24th November 2011. 2.      Doctors are seeing an increase in the number of couples, who already have a child, having trouble conceiving the second time around in DNA Mumbai on 15th June 2013. 3.      Breastfeeding ‘stressful, tiring’ for working moms in Hindustan Times on 31st July 2012. 4.      Breastfeeding Important Issue in column in DNA India on 27th May 2013. 5.      Docs cure woman of fatal infection in The Asian Age on 15th May 2009. 6.      Cama patients cheat Cancer in The Asian Age on 2nd April 2009. 7.      Rare case of post-delivery complication operated on in Mumbai city in The Indian Express on 19th June 2007. 8.      Doctors who have made our city Proud in Doctor Times on September 2011. 9.      Lack of contraceptive awareness at the root of Melghat malnourishment in DNA on 05th July 2013. 10.  Meet a baby heavyweight: 5kg+ at birth, hale & hearty in DNA Mumbai on 2nd March 2013. 11.  Yemeni woman gets tumor removed at government hospital in city in DNA, Navbharat Times, Mumbai Sakal on 22nd August 2014. 12.  Dumped by hubby, turned away by hospitals, woman finally delivers at Cama in DNA Mumbai on 11th June 2013. 13.  City docs fix inside-out uterus, discuss case at global meet in DNA Mumbai on 18th April 2011. 14.  Pregnancy-induced hypertension on the rise; lifestyle, stress to blame in DNA Mumbai on 12th April 2013. 15.  Thane doctors new device bags global honor in DNA Mumbai on 2nd May 2013. 16.  Triplets Born at Cama Hospital, discharged in healthy condition in Doctor Times on December 2011. 17.  Woman conceives 8 yrs after tubectomy in Mumbai Mirror on 2nd July 2010. 18.  Cama to wipe off terror imprint in DNA City on 28th November 2011. 19.  Government Hospital change 1088 workers in Saamna in 16th August 2014. 20.  Mumbai girls hooked ‘Morning after’ Pills in The Age Mumbai on 29th July 2009. 21.  UN Secretary General in city visits Cama and JJ in Mumbai Mirror on 29th April 2012. 22.  11/11/11 babies keep doctors on their toes in DNA City on 12th November 2011. 23.  Cama Rugnalyane Kaat taakli article in Saamna on 17th June 2014. 24.  Those favorite pair of jeans can give you UTI in DNA Mumbai on 04th September 2014. 25.  Milk of Human Kindness in Telegraphicindia on 13th August 2014. 26.  More than 10000 babies benefited from milk center in city in The Asian Age Mumbai on 05th August 2014. 27.  Media vital to promote breastfeeding in The Afternoon DC on 01st August 2014. 28.  The Mother of all banks in The Afternoon DC on 12th May 2012. 29.  NCW wants abortions to be allowed till 24th week in News Bharti on 02nd Feb 2013. 30.  Woman loses 5 liters of blood, Survives in DNA Mumbai on 07th February 2013. 31.  Woman with Bleeding Disorder Delivers baby at Cama Hospital in Mumbai in DNA on 17th February 2011. 32.  Abortion: Self-medication can kill you in Daily Bhaskar on 16th April 2011. 33.  Rarest of rare: Mumbai doctors remove 20kg tumor from 50-yr-old in DNA Mumbai on 10th January 2014. 34.Induction of labour versus expectant monitoring in women with pregnancy induced hypertension or mild preeclampsia at term: the HYPITAT trial. (Study protocol) In highbeam.com on 27th June 2007. Chairpersons & National Faculty in Various Conference: ·         5th Marathwada Regional Conference of Obstetrics & Gynecology Invitation as faculty /Speaker for MOCOG -07 Chairperson on 9/12/2007. ·         International FOGSI, FIGO 2011 Conference. ·         Invited as a Chairperson at AMOGS Conference. ·         Chairperson at the programme of the Menopause at Cama & Albless Hospital, Mumbai. ·         Chair person for Medicon 9th April 2011.  The forum for medical Students & Research India (FORMER). ·         Chair person for Medicon 12/05/2011 top 13/05/2011 held at GMC & Sir J. J. Group Hospital. ·         As Faculty for Symposium on Population Stabilization & Reproductive Health held at Yashwantrao Chavan Pratisthan Auditorium, Mumbai on 22nd April 2012. ·         Association of Fellow Gynaecologists - Participated in the forthcoming CME on Topics - Carcinoma of Cervix, 15 June 2014. ·         At Wadia Hospital - Judge for the paper presented (2014). ·         As a Chairperson during CME on "Fetal Medicine Update" held at Sion Hospital, Mumbai 2014. ·         Female Urology Conference - faculty, chairperson. (2014) ·         As a faculty in the 42nd Annual Conference of the Mumbai Obstetric and Gynecological Society held at Andheri, Mumbai 2014.       Extraordinary Work & Special Duties: ·         Expert Committee member  on  Examination  of Inmates of Home  mentally deficient  Home   Mankhurd 157 female examined   22/03/2011 ·         National Board  of Examination    Appointment  as  Appraiser ·         Organized  Disaster Management  Sessions in Cama & Albless Hospital ·         Faculty Member for the Supervisory visits.  As per NACO  directive ·         Sub.  Liaison Officer for the MH-CET Exam. ·         Worked as expert   Gynecologist in   women’s Jail, Byculla Sept. ·         M.P.S.C. Question Bank. Administration Work under My Superindentship: ·         Machine started  Linear accelerator – A very Important project in Cancer Treatment ·         Memorable Erected for the martyr of 26/11 Terrorist attack ·         Up gradation of the Hospital Renovation ·         Up gradation done of the equipment in the operation theatre. ·         Implemented Fully Computerized HMIS Project  for improvement of medical services        and hospital management ·         Implementing of Rajiv Gandhi Jeevandayee Arogya Yojana. ·         Successfully  implementing  the Janani Suraksha Yojna and the Janani Shishu Suraksha Yojna News article: 1.      Three Doctors used special techniques during a three-hour procedure A heavy baby is born – 4.5 kg in DNA Mumbai on 24th November 2011. 2.      Doctors are seeing an increase in the number of couples, who already have a child, having trouble conceiving the second time around in DNA Mumbai on 15th June 2013. 3.      Breastfeeding ‘stressful, tiring’ for working moms in Hindustan Times on 31st July 2012. 4.      Breastfeeding Important Issue in column in DNA India on 27th May 2013. 5.      Docs cure woman of fatal infection in The Asian Age on 15th May 2009. 6.      Cama patients cheat Cancer in The Asian Age on 2nd April 2009. 7.      Rare case of post-delivery complication operated on in Mumbai city in The Indian Express on 19th June 2007. 8.      Doctors who have made our city Proud in Doctor Times on September 2011. 9.      Lack of contraceptive awareness at the root of Melghat malnourishment in DNA on 05th July 2013. 10.  Meet a baby heavyweight: 5kg+ at birth, hale & hearty in DNA Mumbai on 2nd March 2013. 11.  Yemeni woman gets tumor removed at government hospital in city in DNA, Navbharat Times, Mumbai Sakal on 22nd August 2014. 12.  Dumped by hubby, turned away by hospitals, woman finally delivers at Cama in DNA Mumbai on 11th June 2013. 13.  City docs fix inside-out uterus, discuss case at global meet in DNA Mumbai on 18th April 2011. 14.  Pregnancy-induced hypertension on the rise; lifestyle, stress to blame in DNA Mumbai on 12th April 2013. 15.  Thane doctors new device bags global honor in DNA Mumbai on 2nd May 2013. 16.  Triplets Born at Cama Hospital, discharged in healthy condition in Doctor Times on December 2011. 17.  Woman conceives 8 yrs after tubectomy in Mumbai Mirror on 2nd July 2010. 18.  Cama to wipe off terror imprint in DNA City on 28th November 2011. 19.  Government Hospital change 1088 workers in Saamna in 16th August 2014. 20.  Mumbai girls hooked ‘Morning after’ Pills in The Age Mumbai on 29th July 2009. 21.  UN Secretary General in city visits Cama and JJ in Mumbai Mirror on 29th April 2012. 22.  11/11/11 babies keep doctors on their toes in DNA City on 12th November 2011. 23.  Cama Rugnalyane Kaat taakli article in Saamna on 17th June 2014. 24.  Those favorite pair of jeans can give you UTI in DNA Mumbai on 04th September 2014. 25.  Milk of Human Kindness in Telegraphicindia on 13th August 2014. 26.  More than 10000 babies benefited from milk center in city in The Asian Age Mumbai on 05th August 2014. 27.  Media vital to promote breastfeeding in The Afternoon DC on 01st August 2014. 28.  The Mother of all banks in The Afternoon DC on 12th May 2012. 29.  NCW wants abortions to be allowed till 24th week in News Bharti on 02nd Feb 2013. 30.  Woman loses 5 liters of blood, Survives in DNA Mumbai on 07th February 2013. 31.  Woman with Bleeding Disorder Delivers baby at Cama Hospital in Mumbai in DNA on 17th February 2011. 32.  Abortion: Self-medication can kill you in Daily Bhaskar on 16th April 2011. 33.  Rarest of rare: Mumbai doctors remove 20kg tumor from 50-yr-old in DNA Mumbai on 10th January 2014. 34.  Induction of labour versus expectant monitoring in women with pregnancy induced hypertension or mild preeclampsia at term: the HYPITAT trial. (Study protocol) In highbeam.com on 27th June 2007. Conferences  Attended: ·         Central Asia Regional Conference - 2010 organized by Association of Medical Women in India on 30/-1/2010 to 31/01/2010 for participation. ·         38th Annual MOGS Conference held on 13 & 14 February 2010 at ITC Grand Central, Mumbai as Delegate. ·         The D. K. Tank , Memorial Conference  held on 17-19 September2010 at Renaissance         Hotel & Convention Center as Faculty / Delegate. ·         39th Annual Conference of Mumbai Obstetric & Gynecological Society, 4th-5th December 2010 at Mumbai Maharashtra Medical Council grants2 (Two) credit Points to this delegate. ·         International Seminar on Gynecological Endoscopy 0n 6th to 8th March 1998 as Delegate and participated in the Scientific Sessions. ·         FOGSI - FIGO International Congress on Recent Advances in Obst. & Gyna. Congress on Recent Medical Council grants 12 (Twelve) credit hours participated as delegate.  (ITC Maratha) Mumbai on 8th, 9th & 10th April 2011. ·         Attended the CME on “Hospital Infection Control “as delegate.  ·         55th All India Congress of Obstetrics and Gynecology Varanasi –AZMGARH on JAN. 26TH -30TH 2012 as Faculty. ·         MOGS-FOGS Symposium on Population Stabilization & Reproductive Health at Yeshwantrao Chavan Pratisthan Auditorium, Mumbai on 22nd April 2012 as Faculty. ·         PNDT Training Session on in 2011 at Pune. ·         Attended 2 days workshop organized by Dy. Commissioner ,Health & Family Welfare, New Delhi  on 21st April 2011  on Post Partum IUCD  Services , Experience Sharing and strengthening   PPIUCD ·         Attended HIV / AIDS Training  workshop held on 10th to 12th  2001 jointly organized  by  Grant  Medical College  & J. J. Group of hospital and Mumbai District AIDS Control Society  at Grant Medical College, Byculla, Mumbai 400 008 ·         Mumbai Districts Aids Control Society,  Brihanmumbai  Mahanagar  Palika  had attuned and actively participated in the training workshop on STI/RTI held o n 11th, 12th, 13th, Aug- 2010 ·         Perinatal workshop 1996 ·         Gynecological Laparoscopic  (Advanced) ETICON INSTITUTE of Surgical Education August 2004  ·         56th All India Congress of Obstetrics and Gynecology participated between 18-20 January, 2013 at Mumbai. ·         ISC "International Education Excellence Award, Certificate of Education Excellence at Bangkok on 11th May, 2013  (Indian Solidarity Council) ·         Certify "27th AMASI Skill Course & FMAS Examination" Conducted by Grant Government Medical College, Mumbai from 2nd - 4th May, 2013 ·         Participated as a Faculty in the 42th Annual Conference of "The Mumbai Obstetric & Gynecological Society" held at Mumbai on January 4th & 5th, 2014. ·         National Conference of AMWI 2014 on "Enhancing Health Care of Humanity" Participated as Faculty held in Mumbai from 18th - 19th January 2014. ·         Participated as Faculty/Delegate in Scientific Deliberation between 3rd - 5th Feb 2014 at 57th AICOg (All India Congress of Obstetrics & Gynecology) 2014, Patna. ·         Participated as Faculty /Chairperson during CME on "Fetal Medicine Update" held on Tuesday, 1st July 2014 at L.T.M. Medical College & General Hospital, Sion, and Mumbai. ·         Participated as a Faculty/Delegate in the CME on Breast Cancer on 23rd August, 2014 at Grant Govt. Medical College and Sir J.J. Group of Hospitals, Mumbai  Social work & Health Camps: ·         Camp in Tribal & Rural area ·         Rotary Lion Club  Camp at Gavdevi Police Station22/10/1992  ·         Special Camp of Cytology ·         Screening  HIV  Patients ·         Ganeshpuri Camp Cytology Screening for Pap smear HIV Patient (120 Pt.)15/03/2009 Prasad Chikitsa ·         Disaster Management  Camp at Mithi River ·         Health Camp at Dharavi. ·         Cytology Screening camp 385 patients  examined at the camp at Colaba 2010 ·         Diagnostic camp at Nandurbar 400 patients Examined. ·         Operative Camp  at Nandurbar 06 major surgeries done at in one day Huge 3 kg- fibroid  tumor  removal ·         Urban Health Center Cheeta Camp STIRTI Clinic Visit, 29/3/2011  ·         Nandurbar Shahda  & Interior camp ·         Health camp on 07/03/2012 at Maharashtra Rajya  Women’s Commission ·         Diagnostic And Operative camp at Muktainagar, Jalgaon  2014 Social Article Contribution To MBBS Student Magazine: Grant Medical College Students, Booklet GGMC Tablet (2011) :  Article  on Doctor  Patient Relationship. Grant Medical College (2013) : GGMC Tablet: Road to Medical Excellence. Special Training Completed: ·         Participated the State Level  Training Of Trainers  (TOT)  in " Alliterative Methodology of Training  in IUCD Services " for District Gynaecologists  & ANMTC faculty from 28/07/2009 to 02/08 /2009  organized by Cama & Albless Hospital, Mumbai ·         Obstetrics & Gynecological Ultrasound and Foetal Heart Rate Monitoring held at the Nowrorosjee Wadia Maternity Hospital, Mumbai from 01/02/1998 to 28/02/1998. ·         IPAS  training - New Delhi ·         NSV training  - Training  Centre Family  Welfare  Centre F- South] Parel, Mumbai Past Experience: ·         Ex. Registrar of Breach Candy Hospital ·         Ex. Clinical  Assistant in Hinduja Hospital Judge  Cultural  Activity: ·         Invited as a Judge for the Singing Competition , Marathi Sahitya Programme Antarang ·         Invited as a Judge for the Arts & Paintings ·         Invited as a guest in PRERANA PROGRAM at ISCON ·         Invited as Lamp Lightning program at Brama Kumaris       Paper Presentation Under Authorship Of Dr Rajshree Katke: Sr. NO Title of Paper 2002 Annual Scientific Conference of the Research Society , J. J- Hospital : 1 Role of Methotrexate in  Vesicular  Mole 2 Retrospective  studies of ovarian  Malignancies 3 Meconiu stained amniotic fluid mod of delivery and perinatal outcome 2007 49th  All India Congress of Obstetrics and  Gynecology: 4 Rae case of postpartum hematoma with ARDS post Caesarean 35th Mumbai Obstetrics and Gynecology  Annual Conference: 5 Rare case of postpartum hematoma with ARDS post Caesarean 2008 50th All India Congress of Obstetrics and  Gynecology: 6 Non decent vaginal hysterectomy V/S Total abdominal  hysterectomy 36th Mumbai Obstetric and Gynecology  Annual Conference: 7 Non descent vaginal hysterectomy V/S Total  abdominal hysterectomy 2009 51 All India Congress of Obstetrics and  Gynecology: 8 Role of methotrexate in chronic etopic  pregnancy 9 Obstetric  hysterectomy  still life saving in the era of modern obstetrics 10 Rare case of autommune  haemolytic anaemia in pregnancy 11 Rare Presentation  of Chronic ectopic Pregnancy 2009 23rd Annual Conference of the Association  of Maharashtra Obstetrics and Gynecological Societies : 12 Role of Methotrexate in  Chronic ectopic pregnancy 13 Obsttric hysterectomy - still  life  saving  in the  era  of modern obstetrics 37th Mumbai Obstetric and Gynecology  Annual Conference: 14 Mullerian Cyst  presenting  of w 15 Perinatal outcome  of twin pregnancy 2010 Central Asia  Regional Conference  (AMWI): 16 Socio - demographic  Profile  of unwed mothers 17 Cystic degeneration of  fibroid- POSTER 18 A rare case of Mullerian cyst  presenting as an enterocele 19 Successful outcome in a case of antiphospholipid antibody with Hypothyroidism 20 HELP Syndrome or Help  syndrome - POSTER 21 Medical abortion - Over the counter prescription - safe or unsafe? 22 A rare case of broad  ligament  fibroid operated vaginally missed on Doppler - POSTER 23 Pap smear and Colposcopy -  analysis and evaluation 24 A rare case of multiple fibroid uterus and torsion  of ovarin cyst 2010 38th Mumbai  Obstetric and Gynecology Annual Conference : 25 Socio - demographic  Profile  of unwed mothers 26 Cystic degeneration of  fibroid 27 HELP Syndrome or Help  syndrome 30 Medical abortion - Over  the counter  prescription  - safe or unsafe ? 31 A rare case of broad  ligament  fibroid operated vaginally missed on Doppler 32 Pap smear and Colposcopy -  analysis and evaluation 33 A rare case of multiple fibroid uterus and torsion  of ovarian cyst ISOPARB: 34 HELP Syndrome or Help  syndrome D.K.Tank 2010: 35 Live Secondary abdominal Pregnancy - by chance 36 A rare case of clear cell carcinoma 37 Cystic degeneration of fibroid MOGS 2010: 38 Two extremely rare cases of clear cell carcinoma 39 Successful management in a case of persistent gestational trophoblastic 40 A rare and successfully managed case of pregnancy with ITP with previous LSCS with splenectomy done 41 A rare case of dysgerminoma in middle aged  women 2011 All India  Conference Of  Obstetrics and Gynecology : 42 Medical abortion  Over the counter  preparation 43 A case of chronic  inversion 44 A rare case of  granulose cell tumor 45 A case of dysgerminoma  in middle  aged women 46 Pap smear and  colposcopy 47 A case of clear cell carcinoma 48 Multiple uterine fibroid with benign cystic teratoma 49 Sociodemographic profile of unwed mothers 50 Medical abortion  Over the counter  preparation 51 Pap smear and Colposcopy - analysis and evaluation 52 Role of Methotrexate in chronic ectopic pregnancy All Maharashtra conference of obstetric an Gynecology 2011 poster presentation : 53 A rare and successfully managed case of pregnancy with ITP with previous  LSCS with  splenectomy done 54 Two extremely rare cases of clear cell carcinoma 2012 55 Demographic profile of unwed mothers 56 Changing trends of fever in pregnancy 57  Dengue fever in pregnancy 58 Socio-demographic profile of Unwed Mothers 59 Managed case of Placenta Accreta 60 Rare case of carcino-sarcoma of uterine corpus. 61 Successful pregnancy outcome in case of borderline ovarian tumor 62 Interesting case of Triplet pregnancy in tertiary care center 63 Carcino-Sarcoma of Uterine Corpus. 2013 64 Successful pregnancy outcome in case of borderline ovarian tumor 65 Changing trends of fever in pregnancy. 66 Three interesting cases of clear cell Carcinoma of Ovary. 2014 67 Placenta Previa in AMWI Conference 68 Case presentation on Benign Mucinous Cystadenocarcinoma of Ovary in AMWI conference