Obstetrics Senior Notes
|
Stage |
General & MGT |
Clinical problems |
|
Antepartum |
||
| Basics | 1. Conception, implantation
& embryology.
2. Physiological changes in pregnancy. 3. Normal fetal development and growth. |
1. History-taking.
2. Examination. |
| Antenatal care | 1. Maternal & Perinatal
mortality.
2. Antenatal screening. 3. Cardiotocograph. 4. Perinatal infections and vaccinations. 5. Medications. |
1. Anaemia.
3. Cardiac disease. 4. Diabetes. 5. Hyperemesis gravidarum. 7. SLE. 8. Thyrotoxicosis |
| Pre-delivery | 1. Intrauterine growth
retardation.
2. Leaking liquor. 3. Multiple gestation. 4. Pre-term labor. 5. Prolonged pregnancy. 6. Unsure of dates. |
|
|
Labor |
||
| Basics | 1. Anatomy of Pelvis and Fetal skull. | |
|
Admission |
1. Management. |
1. Meconium-stained liquor.
2. Transverse or abnormal lie |
| 1st stage | 1. Confirmation
of labor.
2. Management. 3. Cardiotocograph. 4. Pain relief. 5. Cervical priming. 6. Induction of labor. |
1. Abnormal progress of labor. |
| 2nd stage | 1. Management.
2. Episiostomy 4. Vacuum extraction. |
1. Cord
prolapse.
2. Cephalo-pelvic disproportion. 3. Fetal distress. |
| 3rd stage | 1. Management. | 1. Postpartum haemorrhage.
2. Amniotic fluid embolism. |
| Post-partum | ||
| Post-delivery | 1. Management. | |
| Puerperium | 1. Management. | 1. Puerperal fever.
2. Postpartum psychosis. |
Updated as of 02/12/2002
Copyright © Joseph Ong 2002