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.

2.Antepartum haemorrhage.

3. Cardiac disease.

4. Diabetes.

5. Hyperemesis gravidarum.

6. Hypertension.

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.

2. Mechanism of Labor.

 

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

3. Forceps delivery.

4. Vacuum extraction.

5. Caesarean Section.

1. Cord prolapse.

2. Cephalo-pelvic disproportion.

3. Fetal distress.

4. Malpresentation.

5. Prolonged second stage.

6. Shoulder dystocia. 

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

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