Inversion of the uterus is a rare clinical problem. It is encountered as an obstetric emergency and a diagnostic challenge in gynecology. Association of uterine inversion with malignancies such as endometrial carcinoma or sarcoma is even rarer. Accurate diagnosis is essential before treatment, so that appropriate management is offered. A history of uterine inversion and a review of literature is presented especially of its association with corpus malignancies. Obstetrics & Gynecologists, Family Physicians After completion of this article, the reader will be able to describe the conditions that are associated with uterine inversion, list the presenting signs and symptoms of a patient with this condition, and outline the differential diagnosis of nonpuerperal uterine inversion.

This study aims to explore the risk factors, profiles and neonatal outcomes of Cesarean sections among selected women in Oman. In this hospital-based case-control study, a total of 500 participants (250 cases who had cesarean section and 250 controls who had spontaneous vaginal delivery), were randomly selected from four hospitals. Cases and controls were matched according to timing and place of delivery. THE FOLLOWING PREDICTORS WERE FOUND TO BE SIGNIFICANTLY ASSOCIATED WITH INCREASED RISK OF CESAREAN SECTION: a) advancing age (above the age of 25 years, OR=1.42; p=0.03), b) prior cesarean section (previous cesarean section=1, OR=22.71; p=0.001), c) increased body mass index (obesity, OR=2.11; p=0.07), d) extremes of neonatal birth weight (neonates birth weight 4.0 kg, OR=7.3; p<0.001), and e) pre-pregnancy diabetes (OR=9.3; p=0.04). On the contrary, increased parity and history of the use of birth spacing methods (OR=0.38; p=0.03) were associated with decreased risk of cesarean section. The study calls for increasing awareness about clinical and public health majors that would lead to prevention of risk factors associated with increased risk of cesarean section such as maintaining normal BMI and prevention of gestational and type 2 diabetes mellitus.

Aim: To investigate the antenatal prevalence of fear of childbirth and its association with depressed mood in low-risk primigravidae in a referral teaching hospital. Settings and Design: The study was conducted in a tertiary referral center catering to three districts in the state of Kerala. This was a cross-sectional study with internal comparison of associated factors. Materials and Methods: Malayalam translation (translation back translation) of Edinburgh Postnatal Depression Scale (EPDS) was self-administered by the participants. It was followed by a structured interview based on the International Classification of Diseases 10 (ICD 10) after which the EPDS scale was scored. Statistical Analysis: Chi-square test was used to compare the presence of fear in women with a EPDS of ≥ 12 and the association of fear and depression. Results: Fear associated with childbirth was expressed by 17.7% women. The prevalence of depressed mood based on the EPDS (score > 12) was 9.8% but based on the ICD 10 criteria, the prevalence of depression was 8.7%. A significant number of women with depressed mood and clinical depression had fear of childbirth of some sort. Conclusions: A significant number of primigravid women with depressed mood and clinical depression had fear of childbirth of some sort.

Background: Polycystic ovarian syndrome (PCOS) is considered to be one of the most common endocrine disorders among women of reproductive age. It is known to be one of the main causes of infertility. The worldwide prevalence is estimated to be 6–7%; however, the country-specific prevalence estimates vary extensively. In Oman, the prevalence of PCOS is still unknown. Objective: This study aimed to determine the hospital based prevalence of PCOS among Omani women of reproductive age group of 12–45 years who attended the gynecology clinic in a tertiary hospital in Oman. Materials and methods: This is a retrospective cross-sectional study that included all cases of PCOS that presented at Sultan Qaboos University Hospital (SQUH) from July 2006 to December 2010. Data were collected from patients’ electronic health records available in SQUH. Diagnoses of PCOS were made according to the Rotterdam criteria. Prevalence estimates were standardized to the mid-year population of Omani women in year 2009. Results: A total of 255 PCOS cases were enumerated among 3644 women who attended Gynecology outpatient department, indicating a hospital based frequency of 7.0%. The overall prevalence of PCOS per 1000 patients in 2010 was 2.8% [95% confidence intervals (95%CI) 0.7, 9.6]. Our study revealed a high prevalence of PCOS among women in the age group of 25–34 years. The highest prevalence was in the Muscat region (42%) followed by Dhakliya and Al Batinah regions. Conclusions: This study shows the prevalence of diagnosed PCOS cases among women in Oman is similar to that of other countries. It highlights the need for future research to carry out a population-based assessment of PCOS prevalence