OBSTETRICS AND GYNAECOLOGY PRESENETED BY Dr.Maimoon sulthan
A branch of medical science that deals with pregnancy, childbirth, and the postpartum period OBSTETRICS
GYNAECOLOGY A branch of medicine that deals with the diseases and routine physical care of the reproductive system of women
Colposcopy A magnified look at the cervix with a speculum in place. Common GYN Terms
Cryotherapy Application of extreme cold to destroy abnormal tissue.
Dilation and Curettage (D&C): This procedure involves opening the cervix (dilation) and then scraping along the internal surface of the uterus (curettage).
Implanon A birth control device that is placed in the upper arm and this treatment lasts for three years.
IUD A type of birth control that is a small plastic device that is inserted and left inside the uterus to prevent pregnancy.
Pap Smear A screening test for cancer or precancerous change of the cervix.
Gynaecological Conditions Menstrual Disorders: Heavy menstrual bleeding Menstrual pain and irregularity Pre-menstrual syndrome (PMS) Family Planning: Contraception – temporary and permanent Mirena insertion Implanon insertion Essure sterilisation
General Gynaecological issues: Ovarian cysts Pelvic pain Endometriosis Uterine fibroids Polycystic ovarian syndrome (PCOS) Acne and abnormal female hair distribution Genital tract infections Vulva and vagina skin disorders
Menopause OTHER: Infertility Gynaecological cancers is the absence of menstrual periods for 12 consecutive months. The age of onset varies for each woman.
LMP: last menstrual period. Estimated Date of Confinement - EDC Estimated Date of Delivery - EDD Estimated Date of Birth Gravida refers to the number of times a woman has been pregnant Gestation is the carrying of an embryo or fetus inside female
Trimester A period of three months, especially as a division of the duration of pregnancy Eclampsia- seizures due to high BP Preterm & post term birth Presentation & malpresentation Position and malposition Cesarean section
Stillbirth- after 20 weeks Ectopic pregnancy Antepartum & postpartum TOL: Trail of labor VAD: Vacuum assisted delivery Miscarriage- before 20 weeks
HOSPITAL PERSONNEL Doctors MD/MS in OBG DGO Nurses M.Sc in OBG Others Midwife, Nutritionist, pediatrician
SUBSPECIALTIES Maternal-fetal medicine Reproductive endocrinology and infertility Gynecological oncology Female pelvic medicine and reconstructive surgery Advanced laparoscopic surgery Family planning Pediatric and adolescent gynecology Menopausal and geriatric gynecology
EQUIPMENTS Pap smear kit Endometrial biopsy Intracurette
Amniocentesis
Amniotic Perforator
Omni Cup
Name band Umbilical Cord Clamp vagistop
Forceps
Pregnancy Kit
ULTRASOUND A prenatal ultrasound (also called a sonogram) is a noninvasive diagnostic test that uses sound waves to create a visual image of your baby, placenta, and uterus, as well as other pelvic organs one to two ultrasounds per pregnancy : An early ultrasound at 10 to 12 weeks to establish due date and whether the pregnancy is viable
The Indian abortion laws falls under the Medical Termination of Pregnancy ( MTP ) Act , which was enacted by the Indian Parliament in the year 1971 with the intention of reducing the incidence of illegal abortion and consequent maternal mortality and morbidity. MTP
CONDITIONS: Medical- endanger life Eugenic- handicap Humanitarian- rape Failure of contraceptive devices PERSONS: Registered obstetrician & gynecologist PLACE: Hospitals Licensed non governmental institutions
CONSENT written consent of guardian in case of women under 18 years of age or mentally disturbed above 18 years. If gestation <12 weeks- single medical practitioner. Gestation 12-20 weeks- two medical practitioner.
COMMON MLC’S: Management of ruptured ectopic pregnancy Donor insemination, IVF, egg sharing, freezing, surrogacy, embryo research Ultrasonography- gender disclosure Genetic research Contraception and teenagers Embryonic stem cell research Multiple pregnancy
IUFD-intra uterine fetal death Injudicious administration of oxytocins Cesarean section Instrumental delivery- high forceps Emergency obstetric care Perineal tear Brain damage Breech Analgesia and anesthesia FDA approved drugs HIV FORENSIC GYNECOLOGY