Background: Objective of the study was to assess the awareness of emergency contraception (EC) amongst women attending the routine antenatal outpatient services. Methods: It was a hospital based cross sectional study for one year. 550 women were enrolled in the study after written informed consent. Socio demographic characteristics, knowledge, attitude and practice towards EC were analyzed. Results: Majority of the women were between 20 to 29 years, and had a basic level of education. 60.4% women were housewives, and 70.5% of them had an urban place of residence. 94% women knew about some method of contraception. Only 34.5% women knew EC; amongst them 54.2% knew about EC pills and 12.5% had used it at least once. 40.5% women knew that there are methods of EC but did not know how what these methods were. 67.9%of women did not know how long after unprotected intercourse EC should be taken. Conclusions: Majority of the women were between 20 to 29 years, and had a basic level of education. 60.4% women were housewives, and 70.5% of them had an urban place of residence. 94% women knew about some method of contraception. Only 34.5% women knew EC; amongst them 54.2% knew about EC pills and 12.5% had used it at least once. 40.5% women knew that there are methods of EC but did not know how what these methods were. 67.9% of women did not know how long after unprotected intercourse EC should be taken.

Endometrial stromal sarcoma (ESS) is a rare malignant tumor of the endometrium, occurring in the age group of 40-50 years. We report a case of low-grade ESS in a 39-year-old woman, presenting as rapid enlargement of a uterine fibroid polyp associated with irregular and excessive vaginal bleeding. Polypectomy followed by pan hysterectomy was performed. Histopathological examination and immunohistochemistry confirmed LGESS. As the tumor is rarely encountered, management protocols are still questionable. In our case, we tried a different post-surgical protocol and the patient is being closely followed up. Although rare, ESS should be considered in the differential diagnosis of all women who present with a rapid enlargement of a uterine leiomyoma.

The revival of polymyxin antibiotics with the advent of multidrug resistant gram–negative bacteria in the recent decade has led to renewed interest in toxicity of this indispensable drug. We report a postoperative case of burst abdomen where colistin was started in view of Pseudomonas organism sensitive to colistin. Subsequently, the patient went into respiratory depression and encephalopathy after starting the treatment. She recovered promptly after stopping the drug.