DOCSLIB.ORG

Obstetrics Simplified - D

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text

Load more

Obstetrics Simplified - D. El-Mowafi Obstetrics Simplified Diaa M. EI-Mowafi, MD Associate Professor, Department of Obstetrics & Gynecology, Benha Faculty of Medicine, Egypt Educator & Researcher, Wayne State University, USA Fellow, Geneva University, Switzerland Contents UNIT I : PHYSIOLOGY OF REPRODUCTION ● Physiology of reproduction ● The placenta ● The umbilical cord ● The foetal membranes and amniotic fluid ● Maternal changes due to pregnancy ● Diagnosis of pregnancy ● Antenatal care ● Minor complaints during pregnancy UNIT II : ABNORMAL PREGNANCY ● Bleeding in early pregnancy, abortion ● Ectopic pregnancy ● Hydatidiform (vesicular) mole ● Bleeding in late pregnancy, placenta praevia ● Abruptio placentae ● Marginal haemorrhage ● Hyperemesis gravidarum ● Polyhydramios and oligohydramnios ● Hypertensive disorders in pregnancy ● Heart disease in pregnancy ● Diabetes mellitus in pregnancy ● Anaemia in pregnancy ● Urinary tract infection in pregnancy ● Infectious diseases in pregnancy ● Coagulation defects in pregnancy file:///D|/Webs_On_David/gfmer/Books/El_Mowafi/Index_Obstetrics_simplified.htm (1 sur 4) [18.12.2002 16:04:13] Obstetrics Simplified - D. El-Mowafi ● Jaundice in pregnancy ● Thyrotoxicosis and epilepsy in pregnancy. Iso-immunization in pregnancy ● Abdominal pain with pregnancy ● Retroverted gravid uterus, pendulous abdomen ● Gynaecologic tumours with pregnancy ● High risk pregnancy ● Post-term pregnancy ● Preterm labour ● Premature rupture of membranes ● Tocolytic drugs UNIT III : NORMAL LABOUR ● Anatomy of the female pelvis ● Anatomy of the foetal skull ● Obstetric terms ● Normal labour ● Active management of labour UNIT IV : ABNORMAL LABOUR ● Malposition and malpresentations ● Occipito-posterior position ● Face presentation ● Brow presentation ● Compound presentation ● Breech presentation ● Shoulder presentation (transverse or oblique lie) ● Cord presentation and prolapse ● Multiple pregnancy ● Abnormal uterine action ● Prolonged labour ● Obstructed labour ● Contracted pelvis ● Dystocia due to oversized foetus ● Maternal obstetric injuries ● Complications of the third stage of labour: Postpartum haemorrhage ● Retained placenta ● Acute inversion of the uterus file:///D|/Webs_On_David/gfmer/Books/El_Mowafi/Index_Obstetrics_simplified.htm (2 sur 4) [18.12.2002 16:04:13] Obstetrics Simplified - D. El-Mowafi ● Shock in obstetrics ● Haemorrhagic shock ● Endotoxic shock ● Amniotic fluid embolism ● Cardiac arrest UNIT V : THE PUERPERIUM ● The puerperium ● Puerperal sepsis ● Breast disorders in the puerperium UNIT VI : THE FOETUS ● The foetal physiology ● Assessment of foetal maturity and wellbeing ● Intrauterine growth retardation ● Placental insufficiency ● Perinatal mortality ● Foetal asphyxia ● Congenital anomalies ● Foetal birth trauma UNIT VII : MISCELLANEOUS ● The relief of pain in labour ● Ecbolics (uterine stimulants) ● Maternal mortality ● Induction of labour ● Ultrasonography in obstetrics ● Radiology in obstetrics UNIT VIII : OBSTETRIC DIAGNOSIS ● Obstetric diagnosis UNIT IX : OPERATIVE OBSTETRICS ● Forceps delivery ● Vacuum extraction (ventouse) ● Caesarean section ● Version ● Episiotomy ● Symphysiotomy ● Destructive operations file:///D|/Webs_On_David/gfmer/Books/El_Mowafi/Index_Obstetrics_simplified.htm (3 sur 4) [18.12.2002 16:04:13] Obstetrics Simplified - D. El-Mowafi Bibliography National Library Card No. 1996/8705 I.S.B.N. 977-19-1357-3 First edition 1997 All rights are reserved to the author. No part of this book may be reproduced or transmitted in any form without prior written permission of him. Published by the author: Burg Abu-Samra ,El-Happy Land Square, El-Mansoura ,Egypt. Tel. (050)363308 Tel.(013) 223449. Fax. (050) 332771 28.11.02 Pages trouvées depuis 28.8.2001 file:///D|/Webs_On_David/gfmer/Books/El_Mowafi/Index_Obstetrics_simplified.htm (4 sur 4) [18.12.2002 16:04:13] Department of Obstetrics and Gynecology, Benha Faculty of Medicine, Zagagig University, Egypt DEPARTMENT OF OBSTETRICS AND GYNECOLOGY BENHA FACULTY OF MEDICINE ZAGAZIG UNIVERSITY, EGYPT Coordinator Diaa M. El-Mowafi, MD Associate Professor, Obstetrics and Gynecology Department Benha Faculty of Medicine Lecturer & Researcher, Wayne State University, USA Fellow, Geneva University, Switzerland 4 Ghazza Street, El-Hossania, El-Mansoura 35111, Egypt Tel. +2 050 363308 Fax +2 050 332771 Chairman : Prof. Hazim Ismail Department started in 1978. It has 48 beds. Divided into 4 units, each is supervised by a professor. The department has the following specialized units: ● Endoscopic Surgery. ● Ultrasonography. ● Colposcopy. ● Cytology. ● Fetal monitoring. file:///D|/Webs_On_David/gfmer/Books/El_Mowafi/Department.htm (1 sur 3) [18.12.2002 16:04:27] Department of Obstetrics and Gynecology, Benha Faculty of Medicine, Zagagig University, Egypt ● Assisted reproductive techniques ( in development). There are 4 operative lists every week. Emergency cases are around 15-30 cases / day. The department has its annual international congress. It organizes bi-annual training courses in: ● diagnostic and operative laparoscopy and hysterescopy, ● basic and advanced ultrasonography, ● colposcopy, ● cytology, ● fetal monitoring. The degrees that are given by the department are : ● Diploma in Obstetrics and Gynecology. ● Master degree (M.Sc.) in Obstetrics and Gynecology. ● Medical doctorate (M.D.) in Obstetrics and Gynecology. Book ● Obstetrics Simplified - D. El-Mowafi Scientific papers ● Chlamydia trachomatis in women with intermenstrual bleeding using different methods of contraception - D. El-Mowafi, U. El-Hendy ● Dilapan versus Prostaglandin E1 in Induction of Midtrimester Abortion - D. El-Mowafi, N. El-Orabi, I. El-Arousi ● Fallopian Tube - D. El-Mowafi, M.P. Diamond ● Gynecologic surgery and subsequent bowel obstruction - D. El-Mowafi, M.P. Diamond ● Laparoscopically Assisted Vaginal Hysterectomy: A Gimmick or An Advance? - D. El-Mowafi, Ch. Lall ● Maternal and Umbilical Cord Plasma Renin Activity in Pregnancy Induced Hypertension - S. Saad, M. Abd El-Hadi, D. El-Mowafi, F. El-Shenawy, A. El-Metwally ● Pelvic Adhesions - D. El-Mowafi, M.P. Diamond ● Peritoneal fluid embryotoxicity and cytokine (TNF-alpha ) level in endometriosis associated infertility - D. El-Mowafi, W. El-Mosallamy, E. Basiony, S. Ghany, R. Arafa, U. El-Hendy ● Peritoneal fluid mediated embryotoxicity in unexplained infertility - D. El-Mowafi, U. El-Hendy, R. Arafa, W. El-Mosallamy, E. Basiony, E. Ghany ● Placental Localization by Transperineal Sonography in Antepartum Hemorrhage - D. El-Mowafi, A.-F. Hegazi ● Transvaginal Sonography and Hysteroscopy Versus Histopathology in Postmenopausal file:///D|/Webs_On_David/gfmer/Books/El_Mowafi/Department.htm (2 sur 3) [18.12.2002 16:04:27] Department of Obstetrics and Gynecology, Benha Faculty of Medicine, Zagagig University, Egypt Bleeding - D. El-Mowafi, A. Farid, A. El-Badawi ● Ultrasonographic Versus Laparoscopic Control of Hysteroscopic Surgery - D. El-Mowafi ● Vaginal Dopamine Agonists: Biochemical and Clinical Responses - A New Trial - D. El-Mowafi, M. Youssef, M.A. Hassan 03.12.02 file:///D|/Webs_On_David/gfmer/Books/El_Mowafi/Department.htm (3 sur 3) [18.12.2002 16:04:27] Physiology of Reproduction - D. El-Mowafi Obstetrics Simplified Diaa M. EI-Mowafi, MD Associate Professor, Department of Obstetrics & Gynecology, Benha Faculty of Medicine, Egypt Physiology of Reproduction Pregnancy occurs when a mature liberated ovum is fertilized by a mature capacitated spermatozoon. The Sperm: ● The spermatozoa leave the testis carrying 23 chromosomes but not yet capable of fertilization. ● Their maturation is completed through their journey in the 6 meters of the epididymis and when mixed with the seminal plasma from the epididymis, seminal vesicle and prostate gland. ● After semen is ejaculated, the sperms reach the cervix by their own motility within seconds leaving behind the seminal plasma in the vagina. ● At time of ovulation, the cervical mucous is in the most favourable condition for sperm penetration and capacitation as: - It becomes more copious, less viscous and its macromolecules arrange in parallel chains providing channels for sperms passage. - Its contents from glucose and chloride are increased. ● The sperms ascent through the uterine cavity and Fallopian tubes to reach the site of fertilization in the ampulla by: 1. its own motility, 2. uterine and tubal peristalsis which is aggravated by the prostaglandins in the seminal plasma. ● The sperms reach the tube within 30-40 minutes but they are capable of fertilization after 2-6 hours. This period is needed for sperm capacitation. ● Capacitation of sperms is the process after which the sperm becomes able to penetrate the zona pellucida,that surrounding the ovum and fertilize it. The cervical and tubal secretions are mainly responsible for this capacitation. Capacitation is believed to be due to : a. increase in the DNA concentration in the nucleus, b. increase permeability of the coat of sperm head to allow more release of hyaluronidase. The ovum: file:///D|/Webs_On_David/gfmer/Books/El_Mowafi/Physiology_of_reproduction.htm (1 sur 4) [18.12.2002 16:04:28] Physiology of Reproduction - D. El-Mowafi ● The ovum leaves the the ovary after rupture of the Graafian follicle, carrying 23 chromosomes and surrounded by the zona pellucida and corona radiata. ● The ovum is picked up by the fimbriated end of the Fallopian tubes and moved towards the ampulla by the ciliary movement of the cells and rhythmic peristalsis of the tube. Fertilization: ● Millions of sperms ejaculated in
Recommended publications
  • Heterotopic Cervical Pregnancy

    Heterotopic Cervical Pregnancy

    Elmer ress Case Report J Clin Gynecol Obstet. 2015;4(4):307-311 Heterotopic Cervical Pregnancy Mathangi Thangavelua, b, Ravinder Kalkata Abstract tenderness or cervical excitation. Initial hormonal investiga- tions showed BHCG levels were raised to 17,276 IU and ini- We report a rare case of heterotopic cervical pregnancy, which posed tial ultrasound was suggestive of minimal retained products diagnostic challenge. With increasing IVF treatment and raising ce- of conception (Fig. 1). However, a repeat BHCG showed an sarean section rate, there is increasing incidence for non-tubal hetero- increasing trend reaching up to 29,971 IU in 96 h. A repeat topic pregnancy. We have discussed the clinical course of our case, transvaginal scan showed the endometrial cavity had mixed diagnosis and management of cervical pregnancy and some good echoes and multiple cystic spaces, largest measuring 6 × 7 × medical practices to avoid missing atypical presentations of ectopic 8 mm with color flow suggesting a possible molar pregnancy pregnancy. (Fig. 2). Bilateral ovarian cysts were present in both adnexa. Laparoscopy and dilatation and curettage were arranged Keywords: Cervical pregnancy; Heterotopic; Ectopic in view of high BHCG levels and no clear evidence of intrau- terine pregnancy. Laparoscopy was negative for tubal ectopic pregnancy and dilatation and curettage was performed. Post- operatively BHCG levels were monitored to ensure its levels were declining. The levels initially dropped to 2,611 IU from Introduction 29,971 IU in a week after D&C. However, the subsequent BHCG levels doubled to 4,207 IU 2 weeks after D&C. With We report an extremely rare case of spontaneous heterotopic the knowledge of earlier scan findings, raising BHCG levels cervical pregnancy who needed multiple investigations before raised the concern of persistent trophoblastic disease.
  • Couvelaire Uterus Manju Rathi,1 Sunil Kumar Rathi,2 Manju Purohit,3,4 Ashish Pathak2,5

    Couvelaire Uterus Manju Rathi,1 Sunil Kumar Rathi,2 Manju Purohit,3,4 Ashish Pathak2,5

    BMJ Case Reports: first published as 10.1136/bcr-2014-204211 on 31 March 2014. Downloaded from Images in… Couvelaire uterus Manju Rathi,1 Sunil Kumar Rathi,2 Manju Purohit,3,4 Ashish Pathak2,5 1Department of Obstetrics and DESCRIPTION packed cells during the surgery and two more Gynecology, RD Gardi Medical A 23-year-old primiparous woman with 37 weeks transfusions of 200 mL of packed cells were given College, Ujjain, Madhya Pradesh, India of amenorrhoea was admitted to the Obstetric in the postoperative period. She was given cefazolin 2Department of Peadiatrics, RD ward with symptoms of severe abdominal pain and 1 gm every 8 hours for 5 days in view of leucocyt- Gardi Medical College, Ujjain, non-progression of labour past 20 h. The patient osis. The rest of her postoperative stay was normal. Madhya Pradesh, India 1 fi 3 was registered for antenatal care at a peripheral Couvelaire rst described the entity in 1911. It Department of Pathology, RD health centre (PHC). She had two previous ante- is a rare non-fatal complication of severe abrup- Gardi Medical College, Ujjain, 23 Madhya Pradesh, India natal visits at the PHC. Her last visit was 15 days tion. It is estimated to complicate 5% of all cases 2 4Department of Public Health prior to admission, during which her blood pres- of abruption. The entity is infrequently reported Sciences, Global Health sure was found to be normal. In her second trimes- and the incidence is difficult to estimate because (IHCAR), Stockholm, Sweden 5 ter visit, her blood group was B positive, the diagnosis is made by direct visualisation or Department of Women and 23 Children’s Health, International haemoglobin was found to be 8.5 g/100 mL, urine biopsy.
  • Cervical Insufficiency

    Cervical Insufficiency

    Cervical Insufficiency Sonia S. Hassan, MD 1,4 , Roberto Romero, MD 1,2,3 , Francesca Gotsch, MD 5, Lorraine Nikita, RN 1, and Tinnakorn Chaiworapongsa, MD 1,4 1Perinatology Research Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development/National Institutes of Health/Department of Health and Human Services, Bethesda, MD and Detroit, MI, USA; 2Center for Molecular Medicine and Genetics, Wayne State University, Detroit, Michigan, USA; 3Department of Epidemiology, Michigan State University, East Lansing, Michigan, USA., 4Department of Obstetrics and Gynecology, Wayne State University, Detroit, Michigan, USA, 5Department of Obstetrics and Gynecology Azienda Ospedaliera Universitaria Integrata Verona, Italy 1 Introduction The uterine cervix has a central role in the maintenance of pregnancy and in normal parturition. Preterm cervical ripening may lead to cervical insufficiency or preterm delivery. Moreover, delayed cervical ripening has been implicated in a prolonged latent phase of labor at term. This chapter will review the anatomy and physiology of the uterine cervix during pregnancy and focus on the diagnostic and therapeutic challenges of cervical insufficiency and the role of cerclage in obstetrics. Anatomy The uterus is composed of three parts: corpus, isthmus and cervix. The corpus is the upper segment of the organ and predominantly contains smooth muscle (myometrium). The isthmus lies between the anatomical internal os of the cervix and the histological internal os, and during labor, gives rise to the lower uterine segment. The anatomical internal os refers to the junction between the uterine cavity and the cervical canal, while the histologic internal os is the region where the epithelium changes from endometrial to endocervical.1 The term “fibromuscular junction” was introduced by Danforth, who identified the boundary between the connective tissue of the cervix and the myometrium.
  • Successful Treatment of Cervical Ectopic Pregnancy with Multi Dose

    Successful Treatment of Cervical Ectopic Pregnancy with Multi Dose

    Case Report iMedPub Journals Gynaecology & Obstetrics Case report 2020 www.imedpub.com ISSN 2471-8165 Vol.6 No.2:14 DOI: 10.36648/2471-8165.6.2.94 Successful Treatment of Cervical Ectopic Iqbal S1*, Iqbal J2, Nowshad N1 and Pregnancy with Multi Dose Methotrexate Mohammad K1 Therapy 1 Department of Obstetrics and Gynecology, Latifa Hospital, Dubai Health Authority Jaddaf, Dubai, UAE 2 Department of Medical Education, Dubai Abstract Medical University, Dubai, UAE Cervical ectopic pregnancies account for less than 1% of all pregnancies. Earlier, it was associated with significant hemorrhage and was treated presumptively with hysterectomy. With the advent of enhanced ultrasound techniques, early *Corresponding author: Iqbal S detection of these pregnancies has led to the development of more effective conservative management. We present a case of a cervical ectopic pregnancy successfully treated with multi-dose Methotrexate therapy. [email protected] A 37-year-old lady, G3P0+2, pregnant for 9 weeks and 4 days, presented with bleeding per vagina, mild lower abdomen and back pain. Serum Beta-hCG done Department of Obstetrics and Gynecology, 5 days ago was 950 mIU/mL. She was diagnosed as ectopic cervical pregnancy Latifa Hospital, Dubai Health Authority by clinical examination which was confirmed by transvaginal ultrasonography Jaddaf, Dubai, UAE. and subsequently managed by Methotrexate (MTX) Hybrid double dose protocol. Due to rising Beta-hCG and continuous bleeding, it was modified to Multi dose Tel: 971569400124 Methotrexate Therapy. Thereafter, the patient was asymptomatic with falling beta-hCG and she was put on a weekly follow up in the clinic. Keywords: Ectopic pregnancy; Cervical pregnancy; Methrotrexate; Gynaecology Citation: Iqbal S, Iqbal J, Nowshad N, Mohammad K (2020) Successful Treatment of Cervical Ectopic Pregnancy with Multi Received: March 31, 2020; Accepted: May 02, 2020; Published: May 06, 2020 Dose Methotrexate Therapy.
  • Nitric Oxide in Human Uterine Cervix: Role in Cervical Ripening

    Nitric Oxide in Human Uterine Cervix: Role in Cervical Ripening

    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Helsingin yliopiston digitaalinen arkisto Department of Obstetrics and Gynecology Helsinki University Central Hospital University of Helsinki, Finland NITRIC OXIDE IN HUMAN UTERINE CERVIX: ROLE IN CERVICAL RIPENING Mervi Väisänen-Tommiska Academic Dissertation To be presented by permission of the Medical Faculty of the University of Helsinki for public criticism in the Auditorium of the Department of Obstetrics and Gynecology, Helsinki University Central Hospital, Haartmanninkatu 2, Helsinki, on January 27, 2006, at noon. Helsinki 2006 Supervised by Professor Olavi Ylikorkala, M.D., Ph.D. Department of Obstetrics and Gynecology Helsinki University Central Hospital Tomi Mikkola, M.D., Ph.D. Department of Obstetrics and Gynecology Helsinki University Central Hospital Reviewed by Eeva Ekholm, M.D., Ph.D. Department of Obstetrics and Gynecology Turku University Hospital Hannu Kankaanranta, M.D., Ph.D. The Immunopharmacology Research Group Medical School University of Tampere Official Opponent Professor Seppo Heinonen, M.D., Ph.D. Department of Obstetrics and Gynecology Kuopio University Hospital ISBN 952-91-9853-1 (paperback) ISBN 952-10-2922-6 (PDF) http://ethesis.helsinki.fi Yliopistopaino Helsinki 2006 2 TABLE OF CONTENTS LIST OF ORIGINAL PUBLICATIONS 6 ABBREVIATIONS 7 ABSTRACT 8 INTRODUCTION 9 REVIEW OF THE LITERATURE 10 1. NITRIC OXIDE...................................................................................................................... 10 1.1 SYNTHESIS 10 1.2 AS A MEDIATOR 12 1.3 ASSESSMENT 12 1.4 GENERAL EFFECTS 13 1.5 IN REPRODUCTION 13 2. CERVICAL RIPENING......................................................................................................... 16 2.1 CONTROL 17 2.2 ASSESSMENT 19 2.3 INDUCTION 19 Misoprostol 19 Mifepristone 20 2.4 NITRIC OXIDE 21 Nitric oxide donors 21 AIMS OF THE STUDY 24 SUBJECTS AND METHODS 25 1.
  • Clinical, Pathologic and Pharmacologic Correlations 2004

    Clinical, Pathologic and Pharmacologic Correlations 2004

    HUMAN REPRODUCTION: CLINICAL, PATHOLOGIC AND PHARMACOLOGIC CORRELATIONS 2004 Course Co-Director Kirtly Parker Jones, M.D. Professor Vice Chair for Educational Affairs Department of Obstetrics and Gynecology Course Co-Director C. Matthew Peterson, M.D. Professor and Chief Division of Reproductive Endocrinology and Infertility Department of Obstetrics and Gynecology 1 Welcome to the course on Human Reproduction. This syllabus has been recently revised to incorporate the most recent information available and to insure success on national qualifying examinations. This course is designed to be used in conjunction with our website which has interactive materials, visual displays and practice tests to assist your endeavors to master the material. Group discussions are provided to allow in-depth coverage. We encourage you to attend these sessions. For those of you who are web learners, please visit our web site that has case studies, clinical/pathological correlations, and test questions. http://medstat.med.utah.edu/kw/human_reprod 2 TABLE OF CONTENTS Page Lectures/Examination................................................................................................................................... 4 Schedule........................................................................................................................................................ 5 Faculty .......................................................................................................................................................... 8 Groups .........................................................................................................................................................
  • Painful Contractions No Dilation

    Painful Contractions No Dilation

    Painful Contractions No Dilation Ahungered and drooping Melvin often decamp some embroiderer orientally or panels representatively. Sexy Pablo always gated his preordinance if Bernardo is interim or cocainizing vacantly. Golden and formalistic Percy balkanizes some agraffe so homiletically! Primrose or no contractions dilation and the baby is A muster to Obstetrical Coding CIHI. Cervix Dilation 9 Signs You're Dilating BellyBelly. Dilation Contractions and When down Go big the Hospital. At rock point empty the third trimester Braxton-Hicks gives way to the commission deal contractions of this Mine came in the strait of stay night. Prodromal labor can pour slowly dilate or efface the cervix while BH. The latent phase of labour Tommy's. There remain no way to deny coverage the contractions will be painful but five are. Preterm labor occurs when the contractions begin conversation the 37th week of pregnancy. And from we even know contractions can appear while you happen. These risks with pain away at frequent uterine contractions subside resulting neonatal doctor. The contractions were of sufficient to cause either of the cervix ie no concern is. 5 Things Your Contractions are sincere You rate Family. During labor contractions in your uterus open dilate your cervix They ensure help depict the baby might position to be born Effacement As if baby's head drops. Prodromal Labor American Pregnancy Association. Can operate have labor contractions and not dilate? On return rate of dilation labour contractions generally start item and progress in intensity with time. Arms needing non-disruptive support from getting birth companions. Braxton Hicks contractions can educate your cervix to dilate before active labor begins.
  • A Guide to Obstetrical Coding Production of This Document Is Made Possible by Financial Contributions from Health Canada and Provincial and Territorial Governments

    A Guide to Obstetrical Coding Production of This Document Is Made Possible by Financial Contributions from Health Canada and Provincial and Territorial Governments

    ICD-10-CA | CCI A Guide to Obstetrical Coding Production of this document is made possible by financial contributions from Health Canada and provincial and territorial governments. The views expressed herein do not necessarily represent the views of Health Canada or any provincial or territorial government. Unless otherwise indicated, this product uses data provided by Canada’s provinces and territories. All rights reserved. The contents of this publication may be reproduced unaltered, in whole or in part and by any means, solely for non-commercial purposes, provided that the Canadian Institute for Health Information is properly and fully acknowledged as the copyright owner. Any reproduction or use of this publication or its contents for any commercial purpose requires the prior written authorization of the Canadian Institute for Health Information. Reproduction or use that suggests endorsement by, or affiliation with, the Canadian Institute for Health Information is prohibited. For permission or information, please contact CIHI: Canadian Institute for Health Information 495 Richmond Road, Suite 600 Ottawa, Ontario K2A 4H6 Phone: 613-241-7860 Fax: 613-241-8120 www.cihi.ca [email protected] © 2018 Canadian Institute for Health Information Cette publication est aussi disponible en français sous le titre Guide de codification des données en obstétrique. Table of contents About CIHI ................................................................................................................................. 6 Chapter 1: Introduction ..............................................................................................................
  • Viable Ovarian Pregnancy: Case Report

    Viable Ovarian Pregnancy: Case Report

    MOJ Women’s Health Case Report Open Access Viable ovarian pregnancy: case report Abstract Volume 4 Issue 1 - 2017 Ovarian pregnancy is a rare variable of ectopic pregnancy with an incidence is 1-3% 1,2 1 of all ectopic pregnancies. It still remains a diagnostic challenge. As the ovarian Ahmed Altraigey, Wael Naeem, Omar 1 2 3 pregnancy clinical presentation is similar to that of tubal one, and an accurate Khaled, Mufareh Asiri, Abdullah Asiri, ultrasound diagnosis is someway controversial, the surgical diagnosis is frequently Mohammed Hussein2 made and confirmed by histo-pathological examination. We are presenting the data of 1Department of Obstetrics and Gynecology, Benha University, two cases of viable ovarian pregnancies presented with hemodynamic instability that Egypt required immediate laparotomies. Both cases needed unilateral salpingo-oophrectomy. 2Department of Obstetrics and Gynecology, Armed Forces These clinical scenarios stresses on the necessity of starting early antenatal care and Hospitals Southern Region, Saudi Arabia having a routine transvaginal first trimester ultrasound. Also clear evidence based 3Department of Obstetrics and Gynecology, King Khalid guideline for ovarian pregnancy management should be initiated using the best University, Saudi Arabia available data on the literature. Correspondence: Ahmed Altraigey, Department of Obstetrics Keywords: ectopic pregnancy; ovarian pregnancy; laparotomy and Gynecology, King Faisal Military City, base villa 9, Khamis Mushayt, 61961, Kingdom of Saudi Arabia - 43 Benha-Zagazig Street, Mansheyet Elnoor, Benha, 13511, Arab Republic of Egypt, Egypt, Tel +966544854232, +201060885050, Email [email protected]; ahmed.abdelfattah@fmed. bu.edu.eg Received: December 18, 2016 | Published: January 03, 2017 Introduction hemoglobin (Hb) of 10.5gm/dl.
  • AUC Instructions / ૂચના

    AUC Instructions / ૂચના

    AUC PROVISIONAL ANSWER KEY (CBRT) Name of the post Assistant Professor, Obstetrics and Gynaecology, GSS, Class-1 Advertisement No. 83/2020-21 Preliminary Test held on 08-07-2021 Question No. 001 – 200 (Concern Subject) Publish Date 09-07-2021 Last Date to Send Suggestion(s) 16-07-2021 THE LINK FOR ONLINE OBJECTION SYSTEM WILL START FROM 10-07-2021; 04:00 PM ONWARDS Instructions / ૂચના Candidate must ensure compliance to the instructions mentioned below, else objections shall not be considered: - (1) All the suggestion should be submitted through ONLINE OBJECTION SUBMISSION SYSTEM only. Physical submission of suggestions will not be considered. (2) Question wise suggestion to be submitted in the prescribed format (proforma) published on the website / online objection submission system. (3) All suggestions are to be submitted with reference to the Master Question Paper with provisional answer key (Master Question Paper), published herewith on the website / online objection submission system. Objections should be sent referring to the Question, Question No. & options of the Master Question Paper. (4) Suggestions regarding question nos. and options other than provisional answer key (Master Question Paper) shall not be considered. (5) Objections and answers suggested by the candidate should be in compliance with the responses given by him in his answer sheet. Objections shall not be considered, in case, if responses given in the answer sheet /response sheet and submitted suggestions are differed. (6) Objection for each question should be made on separate sheet. Objection for more than one question in single sheet shall not be considered. ઉમેદવાર નીચેની ૂચનાઓું પાલન કરવાની તકદાર રાખવી, અયથા વાંધા- ૂચન ગે કરલ રૂઆતો યાને લેવાશે નહ (1) ઉમેદવાર વાંધાં- ૂચનો ફત ઓનલાઈન ઓશન સબમીશન સીટમ ારા જ સબમીટ કરવાના રહશે.
  • Couvelaire Uterus ISSN: 2394-0026 (P) ISSN: 2394-0034 (O) Case Report

    Couvelaire Uterus ISSN: 2394-0026 (P) ISSN: 2394-0034 (O) Case Report

    Couvelaire uterus ISSN: 2394-0026 (P) ISSN: 2394-0034 (O) Case Report Couvelaire uterus - A case report Mahendra G 1*, Ravindra S. Pukale 2, Vijayalakshmi S 3, Priya 4 1Assistant Professor, 2Associate professor, 3Professor and Head, 4Junior Resident Department of Obstetrics and Gynecology , Adichunchanagiri Institute of Medical S ciences, B.G. Nagara, India *Corresponding author email: [email protected] How to cite this article: Mahendra G , Ravindra S. Pukale, Vijayalakshmi S , Priya . Couvelaire uterus - A case report. IAIM, 2015; 2(3): 142 -145. Available online at www.iaimjournal.com Received on: 03-01-2015 Accepted on: 16-01-2015 Abstract “Couvelaire uterus” or “Utero-placental apoplexy” is a rare complication of severe forms of placental abruption. It occurs when vascular damage within the placenta causes hemorrhage that progresses to and infiltrates the wall of the uterus . We presented here rare case of 23 years old f emale with Couvelaire uterus. Key words Couvelaire uterus, Utero-placental apoplexy, Placental abruption. Introduction pregnancy induced hypertension ( PIH) in “Couvelaire uterus” or “Utero -placental previous pregnancy. Her personal and family apoplexy” is a rare complication of severe forms history was not significant. of placen tal abruption. It occurs when vascular damage within the placenta causes hemorrhage General examination • that progresses to and infiltrates the wall of the Pallor +++ uterus [1]. It is a syndrome that can only be • BP - 116/80 mm Hg in t he supine left diagnosed by direct visualization or biopsy (or lateral position both). For this reason, its occurrence is perhaps • Pulse rate - 108/min underreported and underestimated in the literature [2].
  • Cambridge University Press 978-1-108-42170-6 — Eponyms and Names in Obstetrics and Gynaecology, 3Rd Ed

    Cambridge University Press 978-1-108-42170-6 — Eponyms and Names in Obstetrics and Gynaecology, 3Rd Ed

    Cambridge University Press 978-1-108-42170-6 — Eponyms and Names in Obstetrics and Gynaecology, 3rd ed. Thomas F. Baskett Index More Information Index abdominal palpation in pregnancy, American Birth Control League, 365 The Anatomy of the Human Gravid 322–3 American College of Obstetricians and Uterus (William Hunter), 198 Leopold’s manoeuvres, 238–9 Gynecologists, 191, 332 Anatomy of the Nervous System abdominal surgery American College of Surgeons, 61 (Klumpke), 222 Cherney incision, 81 American Gynecological Society, 33, Andrews, Charles James, 56 Maylard incision, 267–8 73, 109, 114, 121, 177, 195, 218, Andrews, Mason, 57 Penrose drain, 315–16 263, 297–8, 314, 357, 363, 391–2, Andrews, William, 57 Pfannenstiel incision, 318 397, 426, 450 androblastoma, 380 Smead–Jones suture, 393 American Journal of Obstetrics,22 antenatal care, 20–1 Aberdeen Maternity and Neonatal American Journal of Obstetrics and antenatal corticosteroids and neonatal Databank, 17 Gynecology, 120, 297 respiratory distress, 241–3 abortion, 17 American Medical Association, 121, Antenatal Pathology and Hygiene: The backstreet abortion, 365 210, 391 Embryo and Foetus (Ballantyne), habitual abortion in the second American registries of 20 trimester, 385–6 chorionepithelioma and rare antepartum haemorrhage, 252–3 therapeutic abortion, 50–1, 202 ovarian tumors, 298 causes, 342–4 Abrégé de L’art des accouchemens American Roentgenological anterior asynclitism, 248 (Le Boursier du Coudray), 98 Association, 67 anterior pituitary necrosis, 383–4 abruptio placentae, 100, 114,