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amniocentesis chromosomal abnormalities Uses : Diagnostic
Therapeutic polyhydramnios Complication: -placenta abruption -Preterm labor -abortion Advantage Easy to do , can be done at any age of gestation result: 1 week
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cordocentesis Uses -Prenatal screening -inherited disorder -Blood transfusion Complication -placenta abruption -Preterm labor -abortion Advantages Simple , less invasive more accurate Result : 1-3 days
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chorionic villus sampling
2 types Uses Screening of inherited disorders Chromosomal abnormalities Complication: -Abortion -Infection 1 2
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breech presentation (frank)
Treatment -External cephalic version -Elective C-S -Vaginal delivery Complication -Risk of C-S -Cord prolapse
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- Treat it with dilation an curettage and methotrexate.
-pelvic ultrasound. -molar pregnancy. - Treat it with dilation an curettage and methotrexate.
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-Laparoscopy. -diagnosis: Ectopic pregnancy. -treated by: Salpingectomy.
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-observation (no treatment).
-normal ovarian follicle. -observation (no treatment).
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-polycystic ovarian syndrome (PCO)
-polycystic ovarian syndrome (PCO). -comes with infertility, amenorrhea, hairsutism Treated by: oral contraceptive.
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-Pelvic ultrasound. -Multiple cyst – polycystic ovarian syndrome
-Pelvic ultrasound. -Multiple cyst – polycystic ovarian syndrome. -comes with infertility, amenorrhea, hairsutism and obesity -Treated by: oral contraceptive
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-D&C (dilation and curettage
-D&C (dilation and curettage. -used in case of abortion (Missed abortion). Side effect: infection. Contraindication : in pregnancy.
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INDECATION: 1- COAGULATIE BLEEDING 2- CUT TISSUE RISK: BURNS
MONOPOLAR CAUTERY INDECATION: 1- COAGULATIE BLEEDING 2- CUT TISSUE RISK: BURNS
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BIPOLAR CAUTERY INDECATION: 1- COAGULATIE BLEEDING 2- CUT TISSUE RISK: BURNS
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COMBINED oral contraceptive pills(COCP) ADVANTAGE: 1-REVERSIBLE 2-CONTINUOUS PROTECTION IF TAKEN PROPERLY DISADVANTAGE: 1-HEADACHES 2-WEIGHT GAIN CONTRAINDICATION: 1- PREGNANCY 2-UNDIAGNOSED VAGINAL BLEEDING INDICATION: FOR CONTRACEPTION
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male condoms ADVANTAGE: 1- easily used 2- When used correctly and consistently, condoms are a reliable method of preventing pregnancy. 3-IF USE IT CORRECTLY They help to protect both partners from STIs DISADVANTAGE: 1- Condoms are very strong, but may split or tear if not used properly Some people may be allergic to latex CONTRAINDICATION: 1- people are allergic to latex condoms INDICATION: FOR CONTRACEPTION
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cesarean section delivery procedure CONTRAINDICATION: When maternal status may be compromised (eg, mother has severe pulmonary disease) INDICATION: If mother have more than 2 C/S ( a previous C-section) pregnancy complications (FACE PRESENTATION OF BABY) Pelvic abnormalities Abnormal placentation (eg, placenta previa) RISK AND COMPLECATION: Infection. Heavy blood loss.(BLEEDING) Injury to another organ (such as the bladder).
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VAGINAL CONTRACEPTIVE RING (NUVARING) ADVANTAGE: it doesn’t interrupt sex it’s easy to put in and remove DISADVANTAGE: vaginal irritation discharge headache nausea CONTRAINDICATION: · women with a history of thrombosis (clots) · women with a bad family history of strokes or heart attacks · smokers over the age of 35 · obese women INDICATION: FOR CONTRACEPTION RISK AND COMPLECATION: deep vein thrombosis (clotting) pulmonary embolism (a clot on the lung) heart attacks strokes.
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TRANSDERMAL patch contraceptive ADVANTAGE: ONLY HAS TO BE REPLACED ONCE PER WEEK DISADVANTAGE: MAY SLIP OFF LESS SFFECTIVE IN WOMEN WHO ARE ABOVE 90KG NO PROTECTION AGAINST STD CONTRAINDICATION: · women with a history of thrombosis (clots) · women with a bad family history of strokes or heart attacks RISK AND COMPLECATION: deep vein thrombosis (clotting) pulmonary embolism (a clot on the lung) heart attacks strokes.
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intrauterine contraceptive device (IUCD) ADVANTAGE: ESTROGEN FREE NO RISK OF DVT OR HEART DISEASE USED IN PATIONT HAS C/I TO ESTROGEN DISADVANTAGE: WIEGHT GAIN BREAST TENDERNESS IRREGULAR BLEEDING IN THE BEGINNING CONTRAINDICATION: PREGNANCY UNDIAGNOSED VAGINAL BLEEDING COMPLECATION: UTERIN PERFORATION UNEXPECTED PREGNANCY FOLLOING POOR PLACEMENT.
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مااعرف اذا هي DIAPHRAGM OR CERVICAL CAP
الدكتورة قالت بالنسبه للادفانتج والدس ادفاتنج احفضو حقات الاستروجين والبروجيسترون وحطوهم اذا ماعرفتو أي وحدة من الموانع
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Hysterosalpingograp hy
Diagnosis: bilateral tubal blockage. Symptoms: infertility. (can have children by IVF)
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Doppler ultrasound Indications: Auscultation of fetal heart sound. no complication or contraindication.
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Intrauterine twins pregnancy (monochorionic, monoamniotic).
Complications: Fetal: Twin to twin transfusion syndrome, preterm labor, prematurity. Maternal: anemia, preeclampsia. Mood of delivery: caesareans section.
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Pelvic ultrasound shows: intrauterine twins pregnancy dichorionic, diamniotic.
Complications: Fetal: Twin to twin transfusion syndrome, preterm labor, prematurity. Maternal: anemia, preeclampsia. Mood of delivery: PV or C/S.
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Symphysiotomy Indications: - Shoulder dystorcia. - Trapped head of breech baby. Obstructed labor at full cervical dilation when there is no option of C/S. Complications: - Poor healing. - Chronic pain.
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Pelvic ultrasound showed intrauterine multiple gestation ( twin) dichorionic diamagnetic
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Pelvic x-ray show uterine fibroid
Symptoms : Prolong and heavy bleeding Dysmenorrhea Infertility Pelvic pressure ( urinary frequency , retention ) Treatment : Myomectomy ( laparoscopic – hysteroscopy ) Hysterectomy
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Obstetric forceps Indication : Aid in delivery Complication : Facial palsy
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Ventouse silicon Indication : To avoid C/S Prevent fetal distress Complication : Hematoma Superficial scalp marking
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Ventouse kiwi indication : To avoid C/S Prevent fetal distress complication : Hematoma Superficial scalp marking
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ventouse metallic Indication : To avoid C/S Prevent fetal distress Complcation : Hematoma Superficial scalp marking
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Indications: - Uterine cancer - Uterine prolapse - Uterine fibroids
Complications: - Infection - anesthetic complications - infertility
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Indication: Removal of symptomatic cyst - exclusion of ovarian cancer
Complications: - Infection - anesthetic complications - bleeding - infertility
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Indications: - submucousal Fibroid that may cause infertility, bleeding
Contraindication: - pregnancy - Active cervical or urinary infection Complications: - Infection - bleeding - uterine perforation
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Upper picture: On the right: Rectocele Treatment: Posterior colporrhaphy On the left: Second degree prolapse (cervical): Colpocleisis (Lefort) Vaginal hysterectomy Or conservative as vaginal pessary (ring) Lower picture: Third degree prolapse (Uterine) Complication: Urinary retention *musr rulle-out cancer before any procedure Treatment: - Pessary (ring) - High uterosacral ligament fixation
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laparoscopic ovarian drilling (ovarian diathermy).
Indications:- -PCOs. Complications:- -periovarian adhesions. -premature ovarian failure. -internal bleeding.
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forceps delivery Indication: -prolonged second stage of labor
Complications:- -facial palsy. -post partum hemorrhage. -
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Hegar dilators Indication:- -D&C (to dilate the cervix) Complication:
-uterine perforation -laceration of the cervix.
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umbilical cord prolapse
Risk factors:- -prematurity. -long umbilical cord . Complications:- -fetal hypoxia. -cerebral palsy -fetal death. Management:- -CS
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