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The second covid wave caused unprecedented havoc, morbidity and mortality all over India. This retrospective study delves into the disastrous impact of Covid 19 second wave in the pregnant population at our tertiary care center. This retrospective study was done to bring insight into demographical factors, associated comorbidities, mode of delivery, role of inflammatory markers, treatment administered, complications in pregnant women who were severely affected by COVID -19. Material and Methods: This retrospective observational study collected data from 1 April 2021 to 30 June 2021. A total of 40 pregnant COVID-19 patients admitted during the second wave of COVID-19 infections were included in the study. All demographic characteristics like age, parity, type of conception, BMI, associated comorbidities, symptoms and their duration, type of oxygen support, the inflammatory markers (IL6, serum ferritin, N/L ratio, LDH), mode of recovery and outcomes were analyzed. Statistics: Data was collected, summarized, tabulated using Microsoft Excel and expressed as percentage. Results: Of the 40 COVID-19 cases, 10 pregnant women succumbed to COVID-19. Age above 30 years and higher BMI was associated with all mortalities. Fever and Breathlessness was a common symptom in all. All women who succumbed had falling SPO2 levels and all were on higher oxygen support. CRP, D-dimers and IL-6 levels are markedly increased in all the fatalities who were infected by COVID-19. Conclusion: The second COVID-19 wave affected the pregnant population the most. The outcomes of women who were on higher oxygen support was worser. Serum Ferritin and IL-6 was raised in all patients with worse prognosis. [ABSTRACT FROM AUTHOR]

Placenta accreta syndrome does not have any specific signs and symptoms except for the associated bleeding per vagina.1 The diagnosis is generally made on ultrasound. Placenta percreta presenting with acute abdomen and haemorrhagic shock due to associated uterine rupture and haemoperitoneum has been reported.2 The uniqueness of this case is placenta accrete presenting as haemoperitoneum with haemorrhagic shock and live viable foetus. [ABSTRACT FROM AUTHOR]

The fibroepithelial polyps (FEPs) of vulva are uncommon tumours. They are benign in nature and mainly found in reproductive years. They are mostly solitary, pedunculated, and small in size. Histopathologically underneath the hyperplastic, surface epithelium stellate and multinucleated stromal cells are present, the central core is fibrovascular. Presenting symptoms usually include cosmetic concerns, sensation of a mass, bleeding, and discharge. For confirmation and to exclude malignancy biopsy is required. In literature, there is no mention of time taken for progression of polyp. We present a case of rapidly growing large fibroepithelial polyp of vulva. [ABSTRACT FROM AUTHOR]