1. Sulaimany Maternity Teaching Hospital
29/6/2014

2. Senior on call : Dr. sunds Thursday 29-6-2014
Permanent 2nd cal dr.Nahida ,dr.Chiman
Permanent 1st call dr.wala, dr.Banaz,dr.Shano
Operator:dr.Omar,dr.Brwa saman

3. TN. Of delivery () TN.of delivery (71) TN .of NVD (58) primi (23)
multi (35)
Emergency C/S (5) Elective C/S(8)

4. Medical disease with pregnancy:
PET 1case VD
Antipartum Haemorrhage: 3 cases
1- complete PP 3 previous CS
by CS
2- G3P2 Placental abruption by
NVD
3- Primi 26 wks NVD
VBAG:- 4 cases

5. Operative vaginal delivery :
Ventouse (2) forceps(0)
abnormal presentation (3)cases of breach by NVD
No .of inductions (13) No .of success(12)
No. of failed ( 1)
Abortions:13 wks under GA
9 wks under GA
9 wks complete abortion
13 wks twin placenta by sponging
22 wks 3Pr CS complete abortion
7 wks RPOC under GA

6. Premature: 8 cases 33 wks 2 of them 26 wks 2 of them 28 wks 31 wks 35 wks 29 wks IUD:3 cases one of them primi 28 wks Primi 38 wks Primi 26 wks

7. Emergency C/S 29/6 name Age GPA Indication Gender Gulstan Ali 42 yrs
G4P3 by US 35wks
3Previous CS + complete PP
BTL + UA + IIA ligation+Dermoid Cyst 4*4 Rt overy
Male
Srwa Abdulla
35 yrs
G3P2 by US 37wks
2 Previous CS+contraction
Nasreen Abdulla
44 yrs
G1oP9 by US39wks
Secondary arest 7cm>3hour
Gona Omer
18 yrs
G1P0 by US 39wks
Primi EROM >19 hour 1cm +high PP

8. Age
GPA
Indication
Gender
Shadan Rzgar
22 yrs
G1P0 by US39wks+Mod oligohydramnious
Primi + PDL 4-5cm>4hour
Female

9. COMPLICATED CASE: Gullan Gerdu 34 yrs. Old G11P9-1A1all NVD LMP?
US=IU pregnancy 7wks missed abortion +Moderate Pelvic free fluid
Clinically distended abdomen + tachycardia +pale
IO –Sever haemoperitomium+Ruptured Rt tubal ectopic pregnancy Rt sulpengectomy also Left tube ligated +D&C done for her

10. THANK YOU

11. Elective C/S 29-6-2014DR. chnur
name
Age
GPA
Indication
Gender
Vian mahmood salh
31y
Primi
41wk
Post date ,head not engaged , unfavorable Cx.
male
Nasreen fadel newaf
27y
G2P1
Post date,1 previous C/S , IOP : Thick meconium
female
Banaz ahmad abdulla
35y
G3P0+2
39wk
2nd infertility,Breech presentation, APS on clexan,concived by IUI,
Shapol fatah mahood
23y
38wk
Retinal disease , previous C/S(fresh scar)
Marwa mohammad khalaf
24y
G3P2
37wk+
2 previous C/S
Laila sabr ahmad
38y
G4P2+1
2 previous C/S,PIH,DM
Male
Fahima abdulla hassan
39y
38wk+
2 previous C/S,PIH,GDM
Suham abdulla karim
42y
G5P4
2 Previous C/S,PIH,BTL done

12. Gynecological cases name Age Type of operation Indication
Lezan dara hama khurshid
20y
Laparoscopy
Drilling done , both tube patent
Primary infertility 2yr.
Runak mustafa saeed
G7P1+5
14WK
35y
Cervical cerculage
Cervical incompetence
Nyan majid
44y
Labial mass removal
Labial mass
Shamsa abdulkareem khalifa
G11P8+1_2
50y
D & C
Postmenapousal bleeding,U/S:thick endometrium 28 mm,with mild free fluid

13. Postmenapousal bleeding
D & C
52 yr
Khurshida ahmad
G8P8-2

14. THANK YOU

15. Emergency Departement
29 June 2014
Senior on Call Dr .Banaz
Permanent on Call : dr.sazan+dr.shoxan dr sara
Total no. of admissions : 26
Referred to other wards :11
Remaining cases :14
Discharge on responsibility:1

16. Obstetric Cases Abortions =4 Ectopic pregnancy=1 PIH =2 PET =1 DM =2
PUC =4
Labor pain =12
Gynecology Cases
Abortions =4
Ectopic pregnancy=1

17. Complicated cases Snur mhamad abdullah 29yrs G2P1 LMP=14_6_2014
BHCG=>1500
UlS=ET=6mm
RT.ovarian heamorrhagic cyst35*38mm
trace pelvic free fluid
left adnexial mass 26*16*18mm
OlE= Stable
soft abd.lower abd.tenderness

18. Complicated case
Banaz ibrahim omer 35 yrs G7P5-1 A3 US 35 wks LMP unknown Trace albumin in urin On treatment Bp 140/95

19. THANKYOU