Air travel is generally safe in uncomplicated pregnancies. There is no clear evidence that flying increases the risk of preterm labour, PROM, or abruption. Key physiological changes occur in-flight due to cabin altitudes of 4,000–8,000 feet. This results in a barometric pressure drop leading to a ~10% fall in maternal SpO2, which is typically well
Clinical Scenario A 32-year-old woman (G2P1) with a history of a previous caesarean birth presents to the clinic at 32 weeks of gestation for a follow-up ultrasound. Her mid-trimester scan had indicated an abnormally positioned placenta. She is currently asymptomatic but requires a definitive care map and delivery plan. The 2026 Paradigm Shift: Simplified Classification
In May 2026, a devastating medical crisis unfolded in the state-run hospitals of Kota, Rajasthan, including the New Medical College Hospital (NMCH) and JK Lon Hospital. Five postpartum women tragically lost their lives over a two-week window following routine Caesarean sections and uterine procedures. A seven-member expert panel from AIIMS Delhi and AIIMS Jodhpur was
The Challenge of Isolated Amniotic Fluid Volume Deviations Amniotic fluid volume (AFV) is a primary marker used to assess fetal well-being during antenatal ultrasound surveillance. While an abnormal fluid volume frequently signals underlying maternal, fetal, or placental pathologies, encountering an isolated abnormality—where fetal anatomy, growth, and maternal health markers appear completely normal—is remarkably common yet
For most expectant mothers, the third trimester is a time of nesting and final preparations. However, for some, it is marked by a relentless, exhausting itch that signals a deeper underlying condition: Intrahepatic Cholestasis of Pregnancy (ICP). Formerly known as obstetric cholestasis, ICP is a multifactorial liver disorder unique to pregnancy. It demands careful, evidence-based
A patient Mrs. X, 20 years old,Primigravida came at North East Medical College Hospital with 38 weeks of pregnancy with obstruted labour with moderate anaemia on 15th December, 2024. On admission she was dehydrated, tacypnic, pulse 120/ bpm, blood pressure 120/70 mm of hg.haemoglobin 7 g/dL. She was supposed to underwent Caessarian Section in a