Antenatal care involves regular examinations of pregnant women to monitor health, screen for risks, educate, and ensure healthy pregnancies and deliveries. The document outlines the aims, procedures, examinations, and advice provided during antenatal care visits. Key aspects include taking medical histories; measuring vitals; examining weight, blood pressure, fundus height; assessing fetal position and heart rate; providing diet, hygiene, and lifestyle advice; and identifying high-risk cases for specialized management. The overall goal is delivering healthy babies from healthy mothers.
NURSING MANAGEMENT OF THIRD AND FOURTH STAGE OF LABOUR.docx.pptxAyushi958023
In this ppt you will learn about Nursing management of third stage of labor(expected and active management) and Nursing management fourth stage of labor.
a detail study on normal labour ( definition, stages of labour, management ,p...martinshaji
The World Health Organization (WHO) defines normal birth as follows: The birth is spontaneous in onset and low risk at the start of labor and remains so throughout labor and delivery. The infant is born spontaneously in the vertex position between 37 and 42 weeks of pregnancy. this is study on detailed study on physiology and stages of normal labour .
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NURSING MANAGEMENT OF THIRD AND FOURTH STAGE OF LABOUR.docx.pptxAyushi958023
In this ppt you will learn about Nursing management of third stage of labor(expected and active management) and Nursing management fourth stage of labor.
a detail study on normal labour ( definition, stages of labour, management ,p...martinshaji
The World Health Organization (WHO) defines normal birth as follows: The birth is spontaneous in onset and low risk at the start of labor and remains so throughout labor and delivery. The infant is born spontaneously in the vertex position between 37 and 42 weeks of pregnancy. this is study on detailed study on physiology and stages of normal labour .
please comment
thank u
Intra Partum Cardiotocography - dr vivek patkardrvivekpatkar
Cardiotocography ( CTG )
is a procedure of graphically ( graph) recording fetal heart activity and uterine contractions ( Toco ) – both recorded in the same time scale simultaneously and continuously through uterine quiscience and contractions
nurses/doctor will insert two lubricated, gloved fingers into your vagina with one hand, while the other hand presses gently on the outside of your lower abdomen. During this part of the exam, your doctor will check the size and shape of your uterus and ovaries, noting any tender areas or unusual growths.
Intra Partum Cardiotocography - dr vivek patkardrvivekpatkar
Cardiotocography ( CTG )
is a procedure of graphically ( graph) recording fetal heart activity and uterine contractions ( Toco ) – both recorded in the same time scale simultaneously and continuously through uterine quiscience and contractions
nurses/doctor will insert two lubricated, gloved fingers into your vagina with one hand, while the other hand presses gently on the outside of your lower abdomen. During this part of the exam, your doctor will check the size and shape of your uterus and ovaries, noting any tender areas or unusual growths.
The first stage of labor and birth occurs when you begin to feel regular contractions, which cause the cervix to open (dilate) and soften, shorten and thin (effacement). This allows the baby to move into the birth canal. The first stage is the longest of the three stages.
ADMISSION OF A WOMAN IN LABOUR and It's management 2.pptchikondindalama42
This File Explain more about Admission of woman in Labor and it's Management, this is very useful in Labor Ward and other people who like reading information
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
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Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
2. INTRODUCTION
Antenatal care is the systemic
examination & advices given to the
pregnant women at regular & periodic
intervals based on the individual needs
starting from the beginning of pregnancy
till delivery. Antenatal examination is
carried out whenever visit the clinical the
clinical for antenatal check up.
3. DEFINITION
Antenatal care refers to the care given to the
expectant mother from the time the
conception is confirmed until the beginning
of labor.
4.
5. AIMS AND OBJECTIVE
• To screen the high risk cases
• To prevent or to detect and treat at the earliest any
complications.
• To ensure continued medical surveillance and
prophylaxis.
• To educate the mother about the physiology of
pregnancy and labor by demonstrations, charts and
diagrams , so that fear can be removed and
psychology is improved.
6. • To discuss with the couple about the place,
time, and mode of delivery.
• To motivate the couple about to the need of
family planning and also appropriate advice to
couple seeking medical termination of
pregnancy
• The objective is to ensure a normal pregnancy
with delivery of a healthy baby from a healthy
mother.
7. PROCEDURE AT THE FIRST VISIT
• To assess the health status of the mother and
fetus, to screen out the risk pregnancy and to
formulate the plan of subsequent
management
• To obtain a baseline information against which
the subsequent changes are assessed and
which are of importance in the determination
of the gestational age.
8. FREQUENCY OF VISITS TO THE ANTENATAL
CLINIC
• Ideally the mother should visit the antenatal
clinic once a month during the first seven
months (28 weeks) twice a month during the
eighth month (upto 32 weeks) and thereafter
once a week if everything is normal.
9. HISTORY TAKING
VITAL STATISTICS:- It includes measuring the respiration,
pulse, blood pressure,temperature of mother.
OBSTETRIC HISTORY:- It includes-
Past Pregnancy: Number of child, no. of live births, no. of
conception,no. of pregnancies etc.
Present Pregnancy: Duration of amenorrhea, eating and
sleeping habits, bowel and bladder pattern, minor
disorders.
MENSTRUAL HISTORY:- Age of menarche, frequency,
duration and amount of menstrual flow, dysfuntional
uterine bleeding.
10. PAST MEDICAL HISTORY : Medical condition that require
special care
- Urinary tract infection
- Essential hypertension
- Asthma, Epilepsy
- Diabetes
- Cardiac condition
11. Past surgical history: If any surgery occurred or past
LSCS history
Family history: History of conditions that are genetic
in origin, familial or racial.
- Diabetes in first degree relative
- Hypertension
- Multiple pregnancies
- Sickel cell anemia
- Congenital anomalies
12. Personal history:- Patient Name, Age, Religion,
Occupation.
Spouse: Name, Age, Occupation, Family income, and
Address.
13. • Period of gestation:- The duration of pregnany
is to be expressed in terms of completed
weeks. A fraction of week of more than 3 days
is to be considered as completed week. In
calculating the weeks of gestation in early part
of pregnancy, countin is to be done from the
first day of last normal menstrual period
(L.N.M.P) and in later months of pregnancy,
counting is to be done from expected date of
delivery.
14. • Calculation of expected date of delivery
(EDD):- Naegele’s Formula- By adding 9
months and 7 days to the first day of last
normal period. Eg: If patient have 1st day of
last menstrual period on 1st january. By adding
9 months it comes to 1st October and then add
7 days i.e. 8th October, which becomes the
expected date of delivery.
15. EXAMINATION
• Built :- Obese/Average/Thin.
• Nutrition:- Good/Average/ Poor.
• Height:- Short stature is likely to be associated
with a small pelvis.
• Weight:- It shold be checked at every single visit
in the same wieghing machine.
• Pallor : The sites to be noted are lower palpebral
conjuntiva,dorsum of the tounge and nail beds.
• Jaundice:- under surface of tongue,hard palate
and skin.
16. • Neck : Neck veins, thyroid gland or lymph
glands are looked for any abnormality.
• Oedema of legs: Both legs are to be
examined. The sites for oedema are over the
medical malleolus and anterior surface of the
lower 1/3rd of the tibia. The area to be
pressed with the thumb for at least 5 seconds.
17.
18. • Blood pressure: High blood pressure is not good.
Pre- eclampsia 140/90. Eclamsia more than
140/90.
• Breasts:- Examination of breast is mandotory not
only to note the presencs of pregnancy changes
but also to note the nippels (cracked or
depressed) and skin condition of the areola. The
purpose is to correct the abnormality, if any, so
that there will be no difficulty in breast feeding
immediately following delivery.
19. Obstetric examination
• Abdominal:- Tone of abdominal muscles,
presence of any incisional scar.
• Vaginal:- It is done to 1) to diagnose the
pregnancy 2) to corroborate the size of the
uterus with the period of amenorrhea 3) to
exclude any pelvic pathology.
20. • Steps of Vaginal Examination:- The patient
should be empty bladder.
1) Inspection:- By separating the labia using
the left two fingers (thumb and index) the
character of vaginal discharge.
2) Bimanual examination:- Two fingers index
and middle of the right hand are introduced
deep into the vagina while separating the
labia by left hand.
21. • Gentle examination is done to note:-
• Cervix- Consistency, direction and any
pathology.
• Uterus- Size shape position
Routine examination:- Examination of blood-
Hb, blood glucose, ABO RH grouping.
Urine is examined for urine sugar, protine, pus
cells. For this midstream urine is collected.
22. Methods of Obstetrical Examination
• Inspection :- To note:
• Whether the uterine ovoid is longitudinal or
transverse or oblique
• Contour of the uterus- fundal notching,
convex or flattened anterior wall, cylindrical or
spherical shape
23. Palpation:-
• Height of the uterus: The uterus is to be
centralized if it is deviated. The ulnar border
of the left hand is placed on the upper most
level of the fundus and an approximate
duration of pregnancy is ascertained in terms
of weeks of gestation.
24.
25. Obstetric Grips:
• Palpation should be conducted with utmost
gentleness. During Braxton –hicks contraction
or uterine contraction in labour, palpation
should be suspended.
26. • Fundal Grip:- The palpation is done facing the
patient”s face. The whole of the fundal area is
palpated using both hands laid flat on it to find out
which pole of the fetus is lying in the fundus: (a)
broad , soft and irregular mass suggestive of
breech ,(b) smooth , hard and globular mass
suggestive of head. In transeverse lie, neither of
the fetal poles are palpated in the fundal area.
27. • Lateral or umbilical Grip:- The palpation is done
facing the patient’s face. The hands are to be
placed flat on either side of the umbilicus to
palpate one after the other, the sides and front of
the uterus to find out the position of the back ,
limbs and the anterior shoulder. The back is
suggested by smooth curved and resistant feel. The
limb side is comparatively empty and there are
small knob like irregular parts.
28. • First pelvic Grip :- The examination is done facing
the patient’s feet. Four fingers of both the hands
are placed on either side of the midline in the
lower pole of the uterus and parallel to the inguinal
ligament. Fingers are pressed downwards and
backwards in a manner of approximation of finger
tips to palpate the part occupying the lower pole of
the uterus (presentation). If the head, the
characteristics to note are:
– Precise presenting area
– Attitude
– Engagement.
29. Pawlik’s Grip (Second pelvic grip) :- The examination
is done facing towards the patient’s face. The over
stretched thumb and four fingers of the right hand
are placed over the lower pole of the uterus keeping
the ulnar border of the palm on the upper border of
the symphysis pubis. When the fingers and the
thumb are approximated, the presenting part is
grasped distinctly, if not engaged, and also the
mobility from side to side is tested. In transverse lie,
Pawlik”s grip is empty. The grip is also known as third
maneuver of Leopold.
30. Auscultation-
• Locate the fetal heart by identifying the fetal
position and presentation. Use of a hand held
Doppler allows the woman to hear the fetal
heart beat. It is often difficult to hear the fetal
heart before twenty eight weeks with a
Pinards.
31. Documentation-
• Document the palpation, fetal activity and
fetal heart rate in the woman’s notes. Note if
the amniotic fluid volume appears normal for
the gestation.
32. ANTENATAL ADVICE
• DIET
• ANTENAL HYGIENE
• REST AND SLEEP
• Bowel
• Clothing, shoes and belt
• Dental care
• Care of the breasts
• Coitus
33.
34. • Travel
• Smoking and alcohol
• Immunization
• Contraceptive advice
• Well- baby care
35. BIBLIOGRAPHY
• Dutta,D.C.(2004). Text book of Obstetrics.(ed-
6th). Culcutta: New Central Book Agency.
• Fraser, Diane M., Cooper, Margret A. (1999).
Myle’s Textbook For Midwives. (ed- 14th).
London: Churchill Livingstone.
• Kumara Neelam, Sharma Shivani, Gupta
Preeti.(2009) A textbook of midwifery and
gynaecological nursing. Delhi. PV publications
.