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amniocentesis chromosomal abnormalities Uses : Diagnostic

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Presentation on theme: "amniocentesis chromosomal abnormalities Uses : Diagnostic"— Presentation transcript:

1 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

2 cordocentesis Uses -Prenatal screening -inherited disorder -Blood transfusion Complication -placenta abruption -Preterm labor -abortion Advantages Simple , less invasive more accurate Result : 1-3 days

3 chorionic villus sampling
2 types Uses Screening of inherited disorders Chromosomal abnormalities Complication: -Abortion -Infection 1 2

4 breech presentation (frank)
Treatment -External cephalic version -Elective C-S -Vaginal delivery Complication -Risk of C-S -Cord prolapse

5 - Treat it with dilation an curettage and methotrexate.
-pelvic ultrasound. -molar pregnancy. - Treat it with dilation an curettage and methotrexate.

6 -Laparoscopy. -diagnosis: Ectopic pregnancy. -treated by: Salpingectomy.

7 -observation (no treatment).
-normal ovarian follicle. -observation (no treatment).

8 -polycystic ovarian syndrome (PCO)
-polycystic ovarian syndrome (PCO). -comes with infertility, amenorrhea, hairsutism Treated by: oral contraceptive.

9 -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

10 -D&C (dilation and curettage
-D&C (dilation and curettage. -used in case of abortion (Missed abortion). Side effect: infection. Contraindication : in pregnancy.

11 INDECATION: 1- COAGULATIE BLEEDING 2- CUT TISSUE RISK: BURNS
MONOPOLAR CAUTERY INDECATION: 1- COAGULATIE BLEEDING 2- CUT TISSUE RISK: BURNS

12 BIPOLAR CAUTERY INDECATION: 1- COAGULATIE BLEEDING 2- CUT TISSUE RISK: BURNS

13 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

14 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

15 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).

16 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.

17 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.

18 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.

19 مااعرف اذا هي DIAPHRAGM OR CERVICAL CAP
الدكتورة قالت بالنسبه للادفانتج والدس ادفاتنج احفضو حقات الاستروجين والبروجيسترون وحطوهم اذا ماعرفتو أي وحدة من الموانع

20 Hysterosalpingograp hy
Diagnosis: bilateral tubal blockage. Symptoms: infertility. (can have children by IVF)

21 Doppler ultrasound Indications: Auscultation of fetal heart sound. no complication or contraindication.

22 Intrauterine twins pregnancy (monochorionic, monoamniotic).
Complications: Fetal: Twin to twin transfusion syndrome, preterm labor, prematurity. Maternal: anemia, preeclampsia. Mood of delivery: caesareans section.

23 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.

24 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.

25 Pelvic ultrasound showed intrauterine multiple gestation ( twin) dichorionic diamagnetic

26 Pelvic x-ray show uterine fibroid
Symptoms : Prolong and heavy bleeding Dysmenorrhea Infertility Pelvic pressure ( urinary frequency , retention ) Treatment : Myomectomy ( laparoscopic – hysteroscopy ) Hysterectomy

27 Obstetric forceps Indication : Aid in delivery Complication : Facial palsy

28 Ventouse silicon Indication : To avoid C/S Prevent fetal distress Complication : Hematoma Superficial scalp marking

29 Ventouse kiwi indication : To avoid C/S Prevent fetal distress complication : Hematoma Superficial scalp marking

30 ventouse metallic Indication : To avoid C/S Prevent fetal distress Complcation : Hematoma Superficial scalp marking

31 Indications: - Uterine cancer - Uterine prolapse - Uterine fibroids
Complications: - Infection - anesthetic complications - infertility

32 Indication: Removal of symptomatic cyst - exclusion of ovarian cancer
Complications: - Infection - anesthetic complications - bleeding - infertility

33 Indications: - submucousal Fibroid that may cause infertility, bleeding
Contraindication: - pregnancy - Active cervical or urinary infection Complications: - Infection - bleeding - uterine perforation

34 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

35 laparoscopic ovarian drilling (ovarian diathermy).
Indications:- -PCOs. Complications:- -periovarian adhesions. -premature ovarian failure. -internal bleeding.

36 forceps delivery Indication: -prolonged second stage of labor
Complications:- -facial palsy. -post partum hemorrhage. -

37 Hegar dilators Indication:- -D&C (to dilate the cervix) Complication:
-uterine perforation -laceration of the cervix.

38 umbilical cord prolapse
Risk factors:- -prematurity. -long umbilical cord . Complications:- -fetal hypoxia. -cerebral palsy -fetal death. Management:- -CS


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