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5. parturient disorders with photos
5. parturient disorders with photos
5. parturient disorders with photos
5. parturient disorders with photos
5. parturient disorders with photos
5. parturient disorders with photos
5. parturient disorders with photos
5. parturient disorders with photos
5. parturient disorders with photos
5. parturient disorders with photos
5. parturient disorders with photos
5. parturient disorders with photos
5. parturient disorders with photos
5. parturient disorders with photos
5. parturient disorders with photos
5. parturient disorders with photos
5. parturient disorders with photos
5. parturient disorders with photos
5. parturient disorders with photos
5. parturient disorders with photos
5. parturient disorders with photos
5. parturient disorders with photos
5. parturient disorders with photos
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5. parturient disorders with photos

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  • 1. C;kgus ls laca/khr tVhyrk
  • 2. ;ksuh rFkk xHkkZ’k; dk ckgj vkuk% vuqoa'khdrk] izkstsLVhjksu gkjeksu dh deh] lohZlk;Vhl rFkk Ogtk;uk;Vhl] fMLVksfd;k] XkHkkZ’k; dks t[Ek rFkk PkksV] IyslsaVk dk u xhjuk] pkjs es bLVªkstu dh v/khd ekRkzkA Yk{k.k% ;ksuh rFkk xHkkZ’k; ckgj vkrk gSA izlo dh ihMk ¼LVªsuhax½] csPksuh] cq[kkjA
  • 3. ;ksuh rFkk xHkkZ’k; dk ckgj vkuk% mipkj% ckgj vk;s gq, fgLls dks iksVsf’k;e ijesaxusV ds nzko.k ls lkQ djsa vkSj CkjQ ;k fQVdjh dk yxk;sa ftlls jDrLrzko can gksrk gS vkSj ckgj vk;k gqvk fgLlk fldqMrk gSA bZlds ckn jksxk.kqjks/kd ejge yxkdj ckgj vk;s gq;s fgLls dks vanj <dsysA t:jr gksus ij Vkdka yxk;sa ;k jLLkh dk iz;ksXk djsaA
  • 4. ;ksuh rFkk xHkkZ’k; dk ckgj vkuk% tgkW rd gks lds ;s lqfu’phr djsa dh ,sls tkuoj dks bl rjg ls cka/ks dh ml dk eqWg <yku dh rjg gks rkdh ;ksuh rFkk xHkkZ’k; ckgj uk vk ik;saA izfrtSohd nokb;ksa dk iz;ksx djsaA izfrca/k% C;kgus okys tkuojksadks mij funsZ’khr rjhds ls cka/ksA ;ksX; larqfyr vkgkj
  • 5. ;ksuh rFkk xHkkZ’k; dk ckgj vkuk%
  • 6. IyslsaVk dk fudkl u gksUkk% C;kgus ds Ik‘pkr 8 ls 12 ?kaVs ds Hkhrj IyslsaVk fxjuk pkfg;sA bu ifjfLFkrh ;ks es ;g ugh gksrk% xHkZikr ¼vcksj’ku½ fMLVksfd;k vkDlhVkslhu vkSj bLVkªstu gkjeksu dh deh cqzlsyk rFkk vU; lalxZtU; fcekfj;kW vlarqyhr vkgkj
  • 7. IyslsaVk dk fudkl u gksUkk% Yk{k.k% izlqrh ihMk] ;ksuh ekxZ ls xank fMlpktZ fudyrk gSA cq[kkj] [kkuk can djukA mipkj% IyslsaVk dks f[kap dj fudkyus dh dksf’k’k uk djsaA ,aVhck;ksVhd dh islfjt xHkkZ;; ds vanj j[ksaA   izfrca/k% C;kgus ds le; f[kprku uk djsaA larqfyr vkgkj vkSj fu;fer ekrzk es feujy feDpj dk mi;ksx djsA
  • 8. IyslsaVk dk fudkl u gksUkk%
  • 9. fMLVksfd;k% ;g nks dkj.kksa ls gksrk gSA 1- ekW ds dkj.k 2- cPps ds dkj.k ekW ds dkj.k% ladjk ;ksuh ekxZ] CkPpsnkuh dk eq[k iqjh rjg ls u [kqyuk] Vkj’ku] izlqrh ihMk dk vHkko] cPps ds dkj.k% cMk vkdkj] vUkSlxhZd vkdkj] pqMok cPps] vUkSlXkhZd izs>saVs’kuA
  • 10. fMLVksfd;k% Yk{k.k% cspSuh] izlqrh ihMk ds ckotqn cPpk ckgj u vkukA mipkj% cPps dh vlk/kkj.k fLFkrh dks dq’kyrk iqoZd lk/kkj.k fLFkrh esa yk;k tk;saA cPpk lk/kkj.k fLFkrh es vkus ds ckn gYds ls tksj yxkdj ckgj dh vksj f[kpsaA
  • 11. fMLVksfd;k% vxj cPpknkuh dk eq[k can gks rks i'kqoS| ds lykg ys dj mphr nok dk bLrseky djsaA t:jr gksus ij fl>sfju dk iz;ksx i'kqoS| }kjk fd;k tkrk gSA izfrca/k% larqfyr vkgkj] xHkZdky varhe nkSj esa tkuojksa dks ,d txg ls nqljh txg uk ys tk;k tk;saA
  • 12. fMLVksfd;k% Normal delivery position
  • 13. fMLVksfd;k% This position looks correct at first but notice the way the forelegs are flexed. Before this kid can be delivered the head must be pushed back and the legs pulled to an extended position. Use the OB snare to keep the hooves from going back into the birth canal when you push on the head.
  • 14. fMLVksfd;k% This is what we call the "jack knife". The forelegs are presented normally but the hind legs are in the pelvic canal. The hind legs must be pushed back out of the canal while holding the forelegs with the OB snare.
  • 15. fMLVksfd;k% Now, this little fella really doesn't know if he wants to be born or not. He wants to "test the water" with just one toe before he jumps out. With one foreleg retained both the head and the extended foreleg must be pushed back and the flexed leg straightened and brought into position alongside the extended leg.
  • 16. fMLVksfd;k% If the head is turned to the side or flipped back along the spine then push the forelegs back to make room for your hand and move the head into the correct position. Hook the OB snare around the kid's head before you remove your hand because they will almost always put their head back where it was if it isn't held straight.
  • 17. fMLVksfd;k% The head tilted down toward the belly can sometimes be straightened out without pushing the forelegs all the way back in. Capture the forelegs with the OB snare before sticking your hand in there to re-align the head.
  • 18. fMLVksfd;k% With the head and neck turned all the way to the side like this you are in a difficult situation. Push the forelegs back in, straighten the head and neck and hold them in place with the OB snare while you move the forelegs back into the birth canal. It is not unusual for this position to result in a bad ending. Fetotomy or Caesarian section are often required
  • 19. fMLVksfd;k% This is the normal posterior position. Gently pull the hind legs outward and down (toward the mamma's feet).
  • 20. fMLVksfd;k% This is the classic breech position. It requires that you press forward on the rump and bring the hind legs into the birth canal. This creates the normal posterior position.
  • 21. fMLVksfd;k% The posterior position with one leg retained requires that the exposed leg be pushed forward and then both it and the retained leg re-aligned together in the birth canal into the normal posterior position (as in the previous figure).
  • 22. fMLVksfd;k% With the kid upside down you need to rotate it to it's normal position. Easier said than done but once accomplished he'll probably be delivered on the first few heaves after you remove your hand
  • 23. fMLVksfd;k% This position requires that you first rotate the kid to the normal feet down position then extend the forelegs and head for normal delivery.

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