1. Obstetric and Gynecological sheet Dr. Ali Abd El-Monsif Thabet

2. Introduction Obstetrics : is science deal with woman from puberty till menopause including the antenatal, intranatal and postnatal periods Obstetrics : is science deal with woman from puberty till menopause including the antenatal, intranatal and postnatal periods Gynecology : is science deal with the disease of woman such as genital prolapse, pelvic inflammatory disease,……….etc Gynecology : is science deal with the disease of woman such as genital prolapse, pelvic inflammatory disease,……….etc

3. Course Content Sheet of Obstetrics and Gynecology Sheet of Obstetrics and Gynecology Anatomy of the normal female genital tract Anatomy of the normal female genital tract Antenatal care Antenatal care Anatomical and physiological changes during pregnancy Anatomical and physiological changes during pregnancy Risk pregnancy Risk pregnancy Normal labour Normal labour Episiotomy Episiotomy Puerperium Puerperium Cesarean section Cesarean section

4. Course Content Stress urinary incontinence Stress urinary incontinence Displacements of the uterus Displacements of the uterus Retroversion and retroflexion of the uterus Retroversion and retroflexion of the uterus Hysterectomy Hysterectomy dysmenorrhoea dysmenorrhoea Menopause Menopause Poly cystic ovarian syndrome Poly cystic ovarian syndrome Pelvic inflammatory disease Pelvic inflammatory disease References:- 1- Woman's health text book for physiotherapists 2- Physiotherapy for Obstetrics and Gynecology 3- Essential of Obstetrics and Gynecology

5. History Personal history Personal history Name Name Age Age Address Address Occupation Occupation Special habits Special habits Marital state Marital state Parity Parity

6. History Diagnosis : NVD C.S., ……… Diagnosis : NVD C.S., ……… Chief complain Chief complain Present history Present history Complain :- onset – course – duration Complain :- onset – course – duration Date of admission Date of admission Date of delivery or operation Date of delivery or operation Date of 1 st PT session taken Date of 1 st PT session taken

7. History Past history Past history Diseases – General - specific Diseases – General - specific Obstetric or Gynecological operations Obstetric or Gynecological operations Trauma related to the abdomen or back Trauma related to the abdomen or back X-Ray therapy or hormonal therapy X-Ray therapy or hormonal therapy

8. History Family history Family history Certain diseases Certain diseases History of twins History of twins

9. History Obstetric history ( 0000 ) Obstetric history ( 0000 ) 1 st 0→N. of previous full term pregnancy (37-41 W) 1 st 0→N. of previous full term pregnancy (37-41 W) 2 nd 0→ N. of previous premature pregnancy (28- end 36 W) 2 nd 0→ N. of previous premature pregnancy (28- end 36 W) 3 rd 0→ N. of previous abortion (↓ 28 W) 3 rd 0→ N. of previous abortion (↓ 28 W) 4th 0→ N. of previous living children 4th 0→ N. of previous living children Gravidity - Parity - abortion Gravidity - Parity - abortion Calculation of date of onset of labour Calculation of date of onset of labour

10. History Menstrual history Menstrual history Menarche Menarche Frequency Frequency Duration Duration Average amount Average amount Regularity Regularity Pain associated Pain associated

11. Examination By Inspection By Inspection Face Face Expression Expression Color Color Edema of eye lids Edema of eye lids Pigmentation ( cloasma ) Pigmentation ( cloasma )Neck Thyroid enlargement Thyroid enlargement Pulsating neck veins Pulsating neck veins

12. Examination Breast Size Size Slight elevation of skin temp. Slight elevation of skin temp. Hyper pigmentation of primary areola Hyper pigmentation of primary areola Appearance of secondary areola Appearance of secondary areola

13. Examination Lower limbs Deformity Deformity Varicose veins Varicose veins Oedema Oedema

14. Examination Abdomen Linea nigra Linea nigra Striae gravidarum Striae gravidarum Scar on abdomen Scar on abdomen Umbilical hernia Umbilical hernia

15. Examination By palpation in NVD By palpation in NVD Funds level test Funds level test Rectus diastasis test Rectus diastasis test Edema test Edema test

16. Thank you