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This topic contains definition, incidence, varieties, causes, risk factors, dangers, diagnosis, prognosis, prevention and management of inversion of uterus.
Inversion of the uterus
Inversion of the uterus
Priyanka Gohil
Malpresentations are all presentations of fetus other than vertex. Face presentation, brow presentation, shoulder presentation and breech presentation are common malpresentations.
Malpresentations
Malpresentations
Shrooti Shah
Prolonged labor and obstructed labor
Prolonged and obstructed labor
Prolonged and obstructed labor
Binod Chaudhary
Uterine Rupture Deepa Mishra Assistant Professor (OBG) Introduction Uterine rupture is when the muscular wall of the uterus tears during pregnancy or childbirth Symptoms while classically including increased pain, vaginal bleeding, or a change in contractions are not always present. Disability or death of the mother or baby may result. Definition Uterine rupture is giving way of gravid uterus or dissolution in the continuity of uterine wall anytime after 28 weeks of gestation with or without expulsion of the fetus. Incidence Rates of uterine rupture during vaginal birth following one previous C-section, done by the typical technique, are estimated at 0.9% Rates are greater among those who have had multiple prior C-sections or an atypical type of C-section. In those who do have uterine scarring, the risk during a vaginal birth is about 1 per 12,000 Risk of death of the baby is about 6% Etiology Risk Factors Previous cesarean section Myomectomy Dysfunctional labor Labor augmentation by oxytocin or prostaglandins High parity First pregnancy- very rare Types of uterine rupture Complete Rupture All the layers including peritoneum are torn and the uterine contents escape into the peritoneal cavity. Usually results in death Incomplete Rupture Visceral peritoneum is intact and usually the fetus remains in the uterine cavity Sign & Symptoms Uterine dehiscence and abdominal pain and vaginal bleeding Deterioration of fetal heart rate Loss of fetal station on manual vaginal exam Hypovolemic shock due to intrabdominal bleeding Chest pain between the scapulae, pain during inspiration due to irritation of blood below the perineum Cessation of uterine contractions Palpation of fetus outside the uterus Signs of abdominal pregnancy Post term pregnancy Diagnosis Signs of obstructed labor with dehydration, exhaustion, tachycardia raised temperature tonic contraction , pathological retraction ring Absent fetal heart sound On PV hot, dry vagina with a large caput over the presenting part Prevention Early diagnosis and management of CPD mal presentation and obstructed labor Proper selection of cases for vaginal delivery Carefull monitoring of oxytocin infusion specially in multipara Avoid intra uterine manipulation no version in single fetus Instrumental delivery after cervical dilatation Immediate CS in obstructed labor Hospital delivery for high risk cases ECV should be avoided during general anaesthesia Careful manual removal of placenta Treatment Resuscitation with adequate hydration and blood transfusion Laprotomy Hysterectomy Repair Complication Rupture uterus with haemorrhage, shock and sepsis Fetal loss is high in spontaneous and traumatic rupture Mortality is low in LSCS scar rupture
Uterine rupture
Uterine rupture
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Malposition
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Preterm labour
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Rupture of the uterus
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obstetrics- malpositions and malpresentations
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This topic contains definition, incidence, varieties, causes, risk factors, dangers, diagnosis, prognosis, prevention and management of inversion of uterus.
Inversion of the uterus
Inversion of the uterus
Priyanka Gohil
Malpresentations are all presentations of fetus other than vertex. Face presentation, brow presentation, shoulder presentation and breech presentation are common malpresentations.
Malpresentations
Malpresentations
Shrooti Shah
Prolonged labor and obstructed labor
Prolonged and obstructed labor
Prolonged and obstructed labor
Binod Chaudhary
Uterine Rupture Deepa Mishra Assistant Professor (OBG) Introduction Uterine rupture is when the muscular wall of the uterus tears during pregnancy or childbirth Symptoms while classically including increased pain, vaginal bleeding, or a change in contractions are not always present. Disability or death of the mother or baby may result. Definition Uterine rupture is giving way of gravid uterus or dissolution in the continuity of uterine wall anytime after 28 weeks of gestation with or without expulsion of the fetus. Incidence Rates of uterine rupture during vaginal birth following one previous C-section, done by the typical technique, are estimated at 0.9% Rates are greater among those who have had multiple prior C-sections or an atypical type of C-section. In those who do have uterine scarring, the risk during a vaginal birth is about 1 per 12,000 Risk of death of the baby is about 6% Etiology Risk Factors Previous cesarean section Myomectomy Dysfunctional labor Labor augmentation by oxytocin or prostaglandins High parity First pregnancy- very rare Types of uterine rupture Complete Rupture All the layers including peritoneum are torn and the uterine contents escape into the peritoneal cavity. Usually results in death Incomplete Rupture Visceral peritoneum is intact and usually the fetus remains in the uterine cavity Sign & Symptoms Uterine dehiscence and abdominal pain and vaginal bleeding Deterioration of fetal heart rate Loss of fetal station on manual vaginal exam Hypovolemic shock due to intrabdominal bleeding Chest pain between the scapulae, pain during inspiration due to irritation of blood below the perineum Cessation of uterine contractions Palpation of fetus outside the uterus Signs of abdominal pregnancy Post term pregnancy Diagnosis Signs of obstructed labor with dehydration, exhaustion, tachycardia raised temperature tonic contraction , pathological retraction ring Absent fetal heart sound On PV hot, dry vagina with a large caput over the presenting part Prevention Early diagnosis and management of CPD mal presentation and obstructed labor Proper selection of cases for vaginal delivery Carefull monitoring of oxytocin infusion specially in multipara Avoid intra uterine manipulation no version in single fetus Instrumental delivery after cervical dilatation Immediate CS in obstructed labor Hospital delivery for high risk cases ECV should be avoided during general anaesthesia Careful manual removal of placenta Treatment Resuscitation with adequate hydration and blood transfusion Laprotomy Hysterectomy Repair Complication Rupture uterus with haemorrhage, shock and sepsis Fetal loss is high in spontaneous and traumatic rupture Mortality is low in LSCS scar rupture
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Uterine rupture
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This topic contains definition, incidence, causes, effect on mother and fetus, clinical features, prevention, management of Obstructed labour.
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Meconium-stained amniotic fluid is common complication, seen in 1 out of every 5 pregnancies.Golden rule for management of MSAF is Foetal Heart Monitoring
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Series of events that takes place in the genital organ in an effort to expel the viable products of conception out of the womb through the vagina into the outer world is called labour. there are four stages of labour.
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Childbirth, labour, delivery, birth, partus, or parturition is the culmination of a pregnancy period with the expulsion of one or more newborn infants from a woman's uterus. The process of normal childbirth is categorized in three stages of labour: the shortening and dilation of the cervix, descent and birth of the infant, and birth of the placenta.
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Overview While it takes nine months to grow a full-term baby, labor and delivery occurs in a matter of days or even hours. However, it’s the process of labor and delivery that tends to occupy the minds of expectant parents the most. Read on if you have questions and concerns around the signs and length of labor, and how to manage pain. Signs of labor Labor has started or is coming soon if you experience symptoms such as: increased pressure in the uterus a change of energy levels a bloody mucus discharge Real labor has most likely arrived when contractions become regular and are painful. Braxton Hicks contractions Many women experience irregular contractions sometime after 20 weeks of pregnancy. Known as Braxton Hicks contractions, they’re typically painless. At most, they’re uncomfortable and are irregular. Braxton Hicks contractions can sometimes be triggered by an increase in either mother or baby’s activity, or a full bladder. No one fully understands the role Braxton Hicks contractions play in pregnancy. They may promote blood flow, help maintain uterine health during the pregnancy, or prepare the uterus for childbirth. Braxton Hicks contractions don’t cause the cervix to dilate. Painful or regular contractions aren’t likely to be Braxton Hicks. Instead, they’re the type of contractions that should lead you to call your doctor.
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