Posts

Showing posts with the label Obstetrics

Puerperum and Postnatal Care

Puerperum and Postnatal Care  Topics of discussion in Puerperum and postnatal Care may include: - 1) - The postnatal period and what to expect 2) - S ymptoms and signs of potential postnatal mental health problems and how to seek help 3) - S ymptoms and signs of potential postnatal physical problems and how to seek help 4) - T he importance of pelvic floor exercises, how to do them and when to seek help.  5) - F atigue ------------------------------------------------------------------------------ Factors such as nutrition and diet, physical activity, smoking, alcohol consumption and recreational drug use (also see the NICE guidelines on maternal and child nutrition, weight management before, during and after pregnancy, smoking: stopping in pregnancy and after childbirth and the UK Chief Medical Officer's physical activity guidelines for women after birth)  contraception (see the Faculty of Sexual & Reproductive Healthcare (FSRH) guideline on contraception after pregna...

Placental Abnormalities (Topic Discussion)

Placental Abnormalities (Topic Discussion) Antenatal diagnosis and care of women with placenta praevia or a low-lying placenta What are the risk factors for women with placenta praevia or a low-lying placenta? 1)-Caesarean delivery is associated with an increased risk of placenta praevia in subsequent pregnancies. This risk rises as the number of prior caesarean sections increases.  2)- Assisted reproductive technology and 3)- Maternal smoking increase the risk of placenta praevia. Should we screen women for placenta praevia or a low-lying placenta, if so, at what gestation and with what follow-up? The midpregnancy routine fetal anomaly scan should include placental localisation thereby identifying women at risk of persisting placenta praevia or a low-lying placenta.  Define Placenta Previa  The term placenta praevia should be used when the placenta lies directly over the internal os. For pregnancies at more than 16 weeks of gestation the term low-lying placenta should be...