Profile of suspicious deaths of women died within seven years of marriage life brought for post-mortem examination at district hospital.

Increasing number of unnatural deaths in women during early marriage life in our country during last few decades require urgent attention to prevent this type of occurrence. Objectives : To study the epidemiological , social and medico legal aspects of suspicious deaths in women died within seven years of their marriage life. Method: one year study of suspicious deaths in women died within seven years of marriage life brought for post- mortem examination at mortuary of Sir T. General Hospital & Govt. Medical College, Bhavnagar has been conducted with exclusion of women died in mass causalities, road traffic accidents & natural deaths. Results: In our study we observed that most of the victims were young (18-26 yrs) hindu females living in a joint family with their husband & in-laws & majority of them were illiterate or poorly educated & died in suspicious & unnatural circumstances. Interpretation & Conclusion: Most of the deaths were suicidal & accidental with few homicidal deaths due to burns was the most common cause of death followed by poisoning, hanging and drowning. Demand for the dowry & ill treatment by in-laws and/husband are common motives for suicidal cases followed by extra marital affairs, Mal adjustment of wife, poverty, infertility of female, drunkenness etc. Accidental deaths were due to burns because of wearing of loose synthetic sari in Gujarati women which catch the fire while cooking. Such type of cases must be investigated in deep and searching the reasons for this type of occurrence and preventive measure by social, political and legal way by Government as well as non government organisations must be sought.

Study of changes in air passage histopathologically in burns cases.

Background: Every year a substantial proportion of deaths in India occur due to burn injuries. Prolonged morbidity as well as temporary and permanent disability due to burns results in a heavy economic loss. Method: We studied relation between manner of death and histopathological findings in air passages at Civil Hospital, Ahmedabad. Result: There is no relation between manner of death and histopathological changes because there is no specific pattern in degree and body surface area involved in various cases of burns of different manner of death. Injuries of airways due to burns decreased in trachea and lungs as survival period in days increased. This may be due to clinical interference in way of treatment. Airway injuries increased in trachea and lungs with increasing severity of degree of burns, but irrespective of degree of burns, congestion is found in all cases in larynx. Larynx is affected in all cases due to its easily accessible anatomical position. Conclusion: Larynx is affected in all cases due to its easily accessible anatomical position. Again it is understandable that; more the involvement of body surface area more will be the airway injury. This may be due to inhalation of smoke and more exposure to burns.

Study of ectopic pregnancy at Guru Gobind Singh Hospital, Jamnagar region.

Background: Ectopic pregnancy is assuming greater importance because of its increasing incidence and its impact on woman’s fertility. Method: We have conducted study of 50 cases of ectopic pregnancy during year January 2001 to December 2002 in Guru Gobind Singh Hospital, Jamnagar City. Result: In our study we have found that incidence of ectopic pregnancy is 1:211. Ectopic pregnancy is more common in younger age group patient and patients with 2 or more parity in our study. Previous pelvic surgery, previous abortion, pelvic inflammatory diseases and IUCD are most common risk factors for ectopic pregnancy. Presenting complains of patients on admission are abdominal pain, amenorrhoea and bleeding per vagina which were present in 96% , 88% , 50% cases respectively in our study. Common signs for diagnosis of ectopic pregnancy are abdominal tenderness, bleeding per vagina and tenderness on cervical movement in our study. The most common clinical type of ectopic pregnancy is acute variety which is 70% in our study. Commonest site for ectopic pregnancy is fallopian tube which is found in 90% of cases and ampullary region is the most common portion of tube involved which is found in 75.6% cases in our study. Common mode of termination of Ectopic pregnancy is tubal rupture which is present in 48% cases in our study. Conclusion: Although ectopic pregnancy will never be completely prevented, but incidence can be reduced and much of the morbidity and mortalities can be minimised by prevention and efficacious diagnostic and interventional strategies aimed primarily at those women who are at high risk for the condition and taking precaution that woman who likely to become high risk are handled in such a way that the number of these high risk women are reduced.