A to Z in Obstetrics

Dr. Kavita Priya M.D (Obst & Gynae) Medical Superintendent Central Hospital

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A to z of Obstetrics
Amnioinfusion : In PROM when the membranes break, Replace with saline for the babys sake. B Lynch Suture : In Post Partum Haemorrhage to save the uterus, And check the bleeding just tie it thus. Cardiotocograph : It records the changes in the foetal heart And uterine contractions its state of the art. Doppler study : The waveforms show the foetal blood flow, And whether the baby is at risk or no. Embryoscopy : The pen cameras tip just pierces the uterus, To take the first photos of the growing foetus.

Folic acid : Wonder drug that prevents congenital anomaly; Ever widening scope in pregnancy Glycosylated Haemoglobin : In diabetes it predicts foetal loss and anomaly, In pregnant diabetics test HbA1c. Heparin : Low molecular weight heparin prevents abnormal coagulation It saves the baby from complication. Induction of labour : To start labour pains without injections , at low cost, The new drug round the block is Tablet Misoprost. Jelly : Whartons Jelly is the miracle tissue From which mesenchymal stem cells issue. K : At birth give every newborn Injection Vitamin K , Prevent VKDB haemorrhage without undue delay.

Labetalol : New drug of choice - hypertension of pregnancy Can control that dread rise in BP. Medical abortion : Mifepristone and misoprostol for safe abortion By drugs alone but use with caution ! NASG : In Non-pneumatic Anti Shock Garment To safety transport the bleeding patient. Omega 3 Fatty Acids : DHA & EPA in fish oils and nuts we find Develop the babys vision and sharpen its mind. Painless Labour : A timely injection into the epidural space Can the dreaded labour pains quite efface.

Quadruple Test : Downs Syndrome / Edwards / Open NTD Can be predicted with accuracy. Robot : The pregnant robot childbirth simulator Teaches medical students how to manage labour. Stem cell collection : Harvested stem cells from cord blood may Be cryopreserved for a rainy day. Three Dimensional Ultrasound : The biggest benefit of the new 3D It helps to diagnose congenital anomaly. Uterine Artey Embolization : In severe PPH embolize the feeding Uterine arteries and stop the bleeding.

Vacuum Assisted Delivery : VAD is a choice when nature fails its course, An episiotomys not a must, uses minimum of force. Water birth : Giving birth in water promotes maternal wellness; The mother is relaxed and the pain is less. X Rays : Exposure less than 5 Rads is as safe as can be, More than 10 Rads may cause congenital anomaly. Yoga : Yoga in pregnancy is the new stress-buster, It improves the bonding between baby and mother. Zavanelli Manoeuvre : If babys head is out but the shoulders are