By Thiam Chye Tan
This instruction manual offers an evidence-based method of universal obstetrics & gynaecological difficulties confronted by means of O & G clinicians and common practitioners of their day-by-day perform. it's the merely e-book to be had with present evidence-based innovations and protocols in O & G.
Compiled via skilled specialists, this re-creation includes 24 new chapters. the prevailing chapters were up to date utilizing the newest proof. The authors have integrated a number of stream charts and specified functional methods to varied gynaecology and obstetric concerns. The ebook could be a worthy and quickly functional consultant to all people — not just to common practitioners and O & G clinicians, but in addition to scientific scholars and resident medical professionals. issues like "Approach to Ectopic being pregnant" and "Pelvic Inflammatory affliction" will offer useful information to even emergency medication medical professionals.
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Extra info for Practical Obstetrics and Gynaecology Handbook for O&G Clinicians and General Practitioners: 2nd Edition
75% Specificity — 93% No interference from blood, other vaginal secretions or body fluid. How to Instruct Your Patient on Cardiff “Countto-Ten” Foetal Movement Chart? This method uses an 8-to 12-hour period to record 10 of your baby’s movements. The time period you choose is preferably your baby’s most active period, for example in the evenings. indd 20 5/7/2014 6:18:50 AM b1594 Practical Obstetrics and Gynaecology Handbook for O&G Clinicians and GPs, 2nd ed. Routine Antenatal Follow-Up 21 (Continued ) When charting, start your timing at around the same time each day.
Ectopic pregnancy* 3. Local causes — polyps (common), cervical cancer (rare) 4. Molar pregnancy (rare) 5. Implantation bleeding ∗ Note: Important not to miss an ectopic pregnancy as it is potentially life-threatening. indd 29 5/7/2014 6:19:41 AM 30 First trimester bleeding Ultrasound scan to assess location and viability of foetus Polyp Carcinoma No intrauterine pregnancy Intrauterine pregnancy Need to exclude ectopic pregnancy Refer OBGYN Foetal heart absent (missed abortion) Foetal heart present (viable pregnancy) 5/7/2014 6:19:42 AM • Oral Duphaston (dydrogesterone) 10 mg bd or Utrogestan 200 mg om till 12 weeks gestation or when bleeding ceases • Repeat scan in 2 to 4 weeks Practical Obstetrics and Gynaecology Handbook for O&G Clinicians and GPs, 2nd ed.
Indd 37 Incomplete Complete Missed Septic • PV staining • Occasional abdominal pain • PV bleeding • PV bleeding • Abdominal pain • Abdominal • POC passed pain • POC passed • PV staining • No abdominal pain • PV bleeding/ discharge • Abdominal pain • Fever Physical Exam • Cervical os closed • Minimal PV bleeding • Cervical os open • PV bleeding • POC seen • Cervical os closed • +/− PV bleeding • Cervical os closed • Cervical os open • PV bleeding • Cervical excitation • Fever US Pelvis • FHb present • FH absent • Irregular sac • RPOCc • Empty uterus • FH absent • FH absent • RPOC (Continued) 37 5/7/2014 6:20:04 AM Approach to Spontaneous Miscarriage History a Practical Obstetrics and Gynaecology Handbook for O&G Clinicians and GPs, 2nd ed.