1) Antenatal care involves educating, supervising, and treating pregnant women in order to ensure healthy pregnancies and deliveries for both mother and baby.
2) The WHO recommends a minimum of four antenatal care visits: the first upon confirmation of pregnancy, the second at 20-28 weeks, the third at 34-36 weeks, and the fourth before the expected delivery date.
3) Each antenatal care visit includes assessing the health of the mother and fetus, providing health education, monitoring weight and blood pressure, checking for signs of complications, and discussing delivery plans. Regular antenatal care aims to promote healthy pregnancies and identify risks early.
Immediate care involves: Drying the baby with warm towels or cloths, while being placed on the mother's abdomen or in her arms. This mother-child skin-to-skin contact is important to maintain the baby's temperature, encourage bonding and expose the baby to the mother's skin bacteria
Presentation on this topic is available on link 👇
https://youtu.be/d_JgNiYv7eU
This topic contains detail about genital prolapse in pregnancy, It's definition, incidence, types, stages, causes, risk factors, clinical features, effect of prolapse, effect on pregnancy, effect during labour and puerperium, prevention, treatment and nursing management during pregnancy, labour and puerperium.
Physiological changes in second stage of laborDR MUKESH SAH
There is an interplay of physiological processes occurring during the second stage of labour. Second stage is said to have two phases, latent and active. It is during the latent phase that the presenting part passes through the fully dilated cervix to the birth canal.
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.
Immediate care involves: Drying the baby with warm towels or cloths, while being placed on the mother's abdomen or in her arms. This mother-child skin-to-skin contact is important to maintain the baby's temperature, encourage bonding and expose the baby to the mother's skin bacteria
Presentation on this topic is available on link 👇
https://youtu.be/d_JgNiYv7eU
This topic contains detail about genital prolapse in pregnancy, It's definition, incidence, types, stages, causes, risk factors, clinical features, effect of prolapse, effect on pregnancy, effect during labour and puerperium, prevention, treatment and nursing management during pregnancy, labour and puerperium.
Physiological changes in second stage of laborDR MUKESH SAH
There is an interplay of physiological processes occurring during the second stage of labour. Second stage is said to have two phases, latent and active. It is during the latent phase that the presenting part passes through the fully dilated cervix to the birth canal.
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.
Obsterics and Gynaecology-
introduction-Preventive obstetrics is the concept of prevention or early detection of particular health deviations through routine periodic examinations and screening .
The concept of preventive obstetrics concerns with the concepts of the health & wellbeing of the mother her baby during the antenatal,intranatal & postnatal period.
The goal of the preventive obstetrics is the delivery of a healthy infant by a healthy mother at the end of a healthy pregnancy.
Pregnancy & child birth normal physiological
process that change from conception to
delivery.
Objectives
To promote , protect and maintain the health of the mother during pregnancy.
To detect “high risk” cases and give them special attention
To foresee complications and prevent them.
To remove anxiety and dread associated with delivery
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.
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
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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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.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
2. Introduction
Every year there are an estimated 200 million
pregnancies in the world, each of these pregnancies is
at risk for an adverse out come for the woman and her
infant.
While risk can not be totally eliminated, they can be
reduced through effective and acceptable maternity
care.
To be most effective, health care should begin early in
pregnancy and continue at regular intervals.
3. Antenatal care
It is the education, supervision and treatment to a pregnant
woman so that her pregnancy and labour will terminate with
delivery of a mature healthy living baby, without injury to
the mind or body of the mother.
4. Goals
1. Assessment and
management of maternal
risk and symptoms.
2. Assessment and management of fetal risk
3. Prenatal diagnoses and management of fetal
abnormality
4. Diagnoses and management of perinatal complications
5. Decision regarding timing and mode of delivery
6. Parental education regarding pregnancy and childbirth
7. Parental education regarding child-rearing
5. WHO recommends a minimum of four ANC visits
• First visit: On confirmation of pregnancy
• Second visit: 20-28 weeks
• Third visit: 34-36 weeks
• Fourth visit: before expected date of delivery
or when the pregnant woman feels she
needs to consult health worker
6. Every women should have a record file and every event
should be written in it.
If pregnancy is passing uneventfully these visits are
enough but if complications arise we need more visits
7. First Trimester Visit
•confirm intrauterine pregnancy and assess
the gestational age.
•We have to deal with complications that
present with vaginal bleeding and abdominal
pain.
•Women
can
be
investigated
using
history,examination,biochemical testing &
transvaginal U/S to exclude non-viable
pregnanacy.ectopic pregnanacy or hydatiform
mole,
8. Second Trimester Visit
Assessment of maternal health & fetal growth
& wellbeing.
The
results of tests performed at 1st
trimester visit are reviewed with the mother
The results of the U/S scan for fetal
abnormality are also reviewed.
Any incidental maternal symptoms are dealt
with ,this period is also important in insuring
the education of the woman regarding the rest
of pregnancy & her delivery,
9. Third Trimester Visit
The primary objective of this visit is to
anticipate
any
problems
regarding
the
prospective delivery.
Uterine fundal height ,fetal lie, presentation &
position are mandatory.
Vaginal examination will help us to check for
any abnormaity in the pelvis, cervical status
,fetal presenting part,station & position.
Mode of delivery & planned contraception after
delivery shoud be discussed at this time.
10. Post Dates Visit [ 41 – 42 weeks ]
With accurate pregnancy dating, true post
dates pregnancy are identified,
At this visit , a joint decision is taken as to
whether an induction of labour is
appropriate, this is current practice
because of the
reported assossiation
between post dates pregnancy &
pregnancy outcome.
Induction of labour usually performed by
the 42nd week.
11. In summery at each visit the following
procedure and examination should be
performed :
1- History:
Alarmin signs
present complain,
personal hx,
past medical and surgical hx,
Family hx,
Obestetrical hx…
12. 2- Examination:
•Height: patients measuring 5 feet or less
are more likely to have a small pelvis that
may cause difficulty during delivery.
•Weight gain (11-16 kg)
• Normal weight women should
gain 11.5-15 kg
• Underweight women should gain
12.5-18 kg
• Obese women should gain no
more than 7 kg.
Blood Pressure, Pallor, Jaudice,
Mouth, Legs, Breasts, and
Abdominal
and
Vaginal
examination.
13. 3- Investigations:, PAP Smear,
CBC, GUE, RBS, U/S.. And
further investigations if required.
4- Health Education.
14. Diet:
Calories (2500 cal/day)
Protein (60gm/day)
Calcium (1.2 gm /day)
Folic acid (400 µg/day)
Supplementary iron therapy is needed
for all pregnant mothers from 20 weeks
onwards.
(30 mg of ferrous / day)
(60-100 mg/day) is given for large women, twin, and those
women who book for ANC late in pregnancy
•Anemic woman should take (200 mg/day).
15. Hygiene:
Daily bath is recommended, as it stimulation refreshing
and relaxing.
Avoid hot water bath.
Vaginal Douches not favorable.
Bowel care:
As there is increase chance of constipation,
regular bowel movement may be facilitated
by regulation of diet taking plenty of fluids,
vegetables and milk.
16. Breast Care
Wash the breast with clean tap water.
Exercise
Walk in moderation.
Avoid lifting heavy things.
Avoid long time standing.
Avoid sitting with crossed
legs as this may impede circulation.
17. Sleep
Regular sleep is advised, 8 hrs sleep per day
and increasing
toward term is recommended.
Sleeping on the left side is preferable.
Travel:
Travel is allowed when comfortable
Car safety belts have to be adjusted to be comfortable for
woman
Those traveling more than four hours must take a break
every 4 hours and walk for about of minutes to decrease the
risk of DVT
18. Sexual Activity
Sexual intercourse is allowed with moderation, it’s
completely safe and normal unless the woman has vaginal
bleeding or rupture memb.
Sexual activity is avoided in early pregnancies in woman
with previous history of Preterm labor
Immunization
One to two doses of tetanus toxoid is given to immunize
against tetanus infection.
19. Dressing:
Tight clothes and belts are avoided
The patient should wear
loose but comfortable dresses.
High heel shoes are better avoided.
Alcohol, smoking and drugs should be avoided as the
may affect the fetal wellbeing
20. Alarming Symptoms and signs
Vaginal Bleeding
Severe edema
Escape of fluid from the vagina
Abnormal gain or loss of weight
Decrease or cessation of fetal movement
Sever headache
Epigastric pain
Blurred vision
Fever
Abdominal pain
21. Conclusion
Antenatal care is an essential aspect of health care delivery for
improving pregnancy out come.
By this service we can detect high risk pregnancies and we can
direct them for proper management
22.
23. References
1. Obstetrics by ten teachers, 19th edition, by Philip N
Baker and Louise C Kenny.
2. Prevention and Recognition of Obstetric Fistula
Training Package: FACILITATOR’S MANUAL.
3. National Institute for Health and Clinical Excellence,
Issue date: March 2008.
4. http://www.ahunterobstetrics.com/antenatalcare.ht
ml