This document discusses invasive prenatal diagnostic tests including cordocentesis, amniocentesis, and chorionic villus sampling. It provides details on the prerequisites, techniques, risks, and post-procedure care for each test. Cordocentesis involves puncturing the umbilical vein under ultrasound guidance to obtain a fetal blood sample and has a risk of fetal loss between 1-2%. Amniocentesis involves inserting a needle through the abdomen into the amniotic sac to extract amniotic fluid and has a risk of fetal loss up to 1%. Chorionic villus sampling collects placental tissue and has a fetal loss risk of 1-2%. The document emphasizes aseptic technique and ultrasound guidance for
FETAL GROWTH ASSESSMENT CONCEPT OF F.G.R. & PLOTTING GROWTH CHARTSNARENDRA C MALHOTRA
This document lists the extensive qualifications and achievements of Dr. Narendra Malhotra. He has received over 50 awards and honors for his work in obstetrics and gynecology. He currently holds leadership roles in multiple hospitals and organizations related to women's health. Dr. Malhotra has published over 125 papers and book chapters on obstetrics and gynecology topics. He is also an advisor and professor at several medical institutions.
This document discusses the ultrasound evaluation of adnexal masses in reproductive age women. It provides clinical background information on adnexal masses and covers ultrasound techniques like 2D, Doppler, 3D and power Doppler imaging. Pattern recognition is emphasized as the best method for distinguishing benign from malignant tumors. The IOTA simple rules classification system is presented as well as newer markers for characterizing adnexal masses with ultrasound like impedance values and vascular patterns.
This document summarizes the journey and accomplishments of Dr. Jaideep Malhotra and Dr. Narendra Malhotra, an OBGYN couple from India. It details how they met and graduated together from JNMC AMU Aligarh in the 1980s. After their post-graduation, they learned from renowned teachers around the world and established themselves as experts in ultrasound and infertility. Over decades, they authored numerous books and papers, held leadership roles in professional organizations, trained other doctors, and received many prestigious awards for their contributions to the field of OBGYN.
This document reviews the use of Diosmin in treating hemorrhoids during pregnancy. It discusses the increased prevalence of hemorrhoids during pregnancy, which is attributed to factors like constipation, hormonal changes, and labor/delivery. The pathophysiology involves increased intra-abdominal pressure causing venous engorgement. Diosmin is a bioflavonoid that has been used to treat hemorrhoids by improving venous tone and drainage, reducing inflammation and capillary permeability. Studies show Diosmin effectively treats hemorrhoid symptoms during pregnancy without adverse effects on the fetus.
This document provides information about FOGSI's Uniform Consents project including:
1. An introduction from Dr. Alpesh Gandhi, President of FOGSI, thanking the experts involved and explaining the purpose of developing standard consent forms for common OBGYN procedures.
2. A foreword from Dr. Sanjay Gupte emphasizing the importance of informed consent and how the forms were developed in accordance with Supreme Court guidelines.
3. An introduction from the consent form experts, Dr. M.C. Patel, Prof. Dr. Nikhil Datar, and Dr. Dilip Walke, thanking FOGSI for the opportunity and outlining their process for developing the forms.
The document discusses the benefits of exercise for mental health. It states that regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against developing mental illness and improve symptoms for those who already suffer from conditions like anxiety and depression.
This document discusses invasive prenatal diagnostic tests including cordocentesis, amniocentesis, and chorionic villus sampling. It provides details on the prerequisites, techniques, risks, and post-procedure care for each test. Cordocentesis involves puncturing the umbilical vein under ultrasound guidance to obtain a fetal blood sample and has a risk of fetal loss between 1-2%. Amniocentesis involves inserting a needle through the abdomen into the amniotic sac to extract amniotic fluid and has a risk of fetal loss up to 1%. Chorionic villus sampling collects placental tissue and has a fetal loss risk of 1-2%. The document emphasizes aseptic technique and ultrasound guidance for
FETAL GROWTH ASSESSMENT CONCEPT OF F.G.R. & PLOTTING GROWTH CHARTSNARENDRA C MALHOTRA
This document lists the extensive qualifications and achievements of Dr. Narendra Malhotra. He has received over 50 awards and honors for his work in obstetrics and gynecology. He currently holds leadership roles in multiple hospitals and organizations related to women's health. Dr. Malhotra has published over 125 papers and book chapters on obstetrics and gynecology topics. He is also an advisor and professor at several medical institutions.
This document discusses the ultrasound evaluation of adnexal masses in reproductive age women. It provides clinical background information on adnexal masses and covers ultrasound techniques like 2D, Doppler, 3D and power Doppler imaging. Pattern recognition is emphasized as the best method for distinguishing benign from malignant tumors. The IOTA simple rules classification system is presented as well as newer markers for characterizing adnexal masses with ultrasound like impedance values and vascular patterns.
This document summarizes the journey and accomplishments of Dr. Jaideep Malhotra and Dr. Narendra Malhotra, an OBGYN couple from India. It details how they met and graduated together from JNMC AMU Aligarh in the 1980s. After their post-graduation, they learned from renowned teachers around the world and established themselves as experts in ultrasound and infertility. Over decades, they authored numerous books and papers, held leadership roles in professional organizations, trained other doctors, and received many prestigious awards for their contributions to the field of OBGYN.
This document reviews the use of Diosmin in treating hemorrhoids during pregnancy. It discusses the increased prevalence of hemorrhoids during pregnancy, which is attributed to factors like constipation, hormonal changes, and labor/delivery. The pathophysiology involves increased intra-abdominal pressure causing venous engorgement. Diosmin is a bioflavonoid that has been used to treat hemorrhoids by improving venous tone and drainage, reducing inflammation and capillary permeability. Studies show Diosmin effectively treats hemorrhoid symptoms during pregnancy without adverse effects on the fetus.
This document provides information about FOGSI's Uniform Consents project including:
1. An introduction from Dr. Alpesh Gandhi, President of FOGSI, thanking the experts involved and explaining the purpose of developing standard consent forms for common OBGYN procedures.
2. A foreword from Dr. Sanjay Gupte emphasizing the importance of informed consent and how the forms were developed in accordance with Supreme Court guidelines.
3. An introduction from the consent form experts, Dr. M.C. Patel, Prof. Dr. Nikhil Datar, and Dr. Dilip Walke, thanking FOGSI for the opportunity and outlining their process for developing the forms.
The document discusses the benefits of exercise for mental health. It states that regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against developing mental illness and improve symptoms for those who already suffer from conditions like anxiety and depression.
This document provides guidelines and recommendations for staying safe during an avalanche. It begins by advising people to check weather conditions before going to snow-capped mountains. It provides tips for what to do if caught in an avalanche, such as trying to stay on the surface and creating an air pocket. After the avalanche, it recommends digging oneself out and marking the locations of others. First aid procedures are outlined, such as removing snow from the mouth and administering CPR. The document concludes by describing avalanche-prone areas to watch out for.
Ferrous ascorbate current clinical place in management of idaNARENDRA C MALHOTRA
Ferrous ascorbate is an effective oral iron supplement for treating iron deficiency anemia. It has a higher bioavailability than other iron preparations, with absorption rates as high as 67%. Ferrous ascorbate is stable in the gastrointestinal tract and does not dissociate. It prevents iron from oxidizing to the ferric state, allowing for greater absorption. Clinical studies show ferrous ascorbate effectively raises hemoglobin levels and is well tolerated with minimal side effects. Therefore, ferrous ascorbate plays an important role in managing iron deficiency anemia.
1) The study examined the effects of a digital prenatal program called the Baby Care Program (BCP) on 512 first-time mothers. The BCP included mindfulness activities like meditation, yoga, music, and baby bonding exercises.
2) Results showed statistically significant benefits for mothers who used the BCP, including lower stress, better sleep, fewer preterm births and higher birth weights, compared to mothers who did not participate.
3) The BCP was found to help mothers develop a stronger bond with their babies, better manage nutrition and pregnancy symptoms, and have an overall healthier pregnancy experience.
- Women with bacterial vaginosis (BV) and abnormal vaginal flora are at higher risk of preterm delivery and late miscarriage. Probiotics containing Lactobacillus species have been shown to reduce the risk of recurrent BV and preterm birth by restoring the normal vaginal microbiome.
- Children born preterm face increased risks of mortality and health and developmental problems. Supplementation of probiotics to pregnant mothers has been associated with reduced risks of preterm birth, preeclampsia, and atopic diseases in infants.
- Studies indicate probiotic intake during pregnancy, especially late pregnancy, can help reduce the incidence of preterm birth and pregnancy complications like preeclampsia.
This document discusses adnexal masses in reproductive age women. It provides clinical background and epidemiology of adnexal masses. It discusses ultrasound techniques for evaluating adnexal masses such as 2D ultrasound, Doppler ultrasound, 3D and power Doppler ultrasound. Pattern recognition of benign disease using ultrasound is covered. The document also discusses predicting malignancy using systems like IOTA simple rules and pattern recognition. Characterization of adnexal masses and predicting histopathology and management are key focuses.
This document provides biographical and professional details about Prof. Narendra Malhotra. It lists his current and past positions including Professor at University of Sarajevo School of Science & Technology and various roles in medical associations. It also outlines his areas of specialization in obstetrics and gynecology as well as lists his publications, awards, and presentations. He is currently based in Agra, India and is director of several fertility clinics.
Dr. Jaideep Malhotra is an IVF specialist based in Agra, India. He has over 50 published papers and 100 conference presentations. He is a fellow of many Indian and international obstetrics and gynecology organizations. He has received several awards for his work, including producing India's first IVF birth and test tube baby of Nepal. He practices at his nursing home in Agra and is a consulting IVF specialist at multiple other locations in Northern India and Nepal.
This document provides information about Prof. Narendra Malhotra's qualifications and experience. It lists that he holds positions such as Professor at Dubrovnick International University, Vice President of WAPM, past president of ISAR, president of other organizations. It notes that he has published over 50 papers and given over 100 guest lectures. He is the editor of 18 books and on the editorial board of several journals. The document also provides information about Malhotra Nursing & Maternity Home Pvt. Ltd. and Global Rainbow Health Care in Agra where he practices as an obstetrician gynecologist with interests in areas like high risk obstetrics, ultrasound, and infertility.
The document discusses recommendations from a joint collaborative group regarding vaccinating pregnant and lactating women against COVID-19. It provides background on the impact of the pandemic on women's health and reviews evidence from studies on vaccine safety and efficacy. The group recommends that: 1) the option of vaccination should be discussed with women in the second and third trimester; 2) COVAXIN be approved for emergency use in pregnant and lactating women; and 3) vaccination in lactating women be advocated immediately while collecting safety data. The aim is to save lives by reducing COVID-19 severity in pregnant women through vaccination.
FOGSI POSITION STATEMENT COVID VACCINATION FOR PREGNANT & BREASTFEEDING WOMENNARENDRA C MALHOTRA
This document discusses recommendations and guidelines regarding COVID-19 vaccination for pregnant and breastfeeding women. It provides information on the current COVID-19 situation globally and in India, the different types of COVID vaccines available in India, benefits of vaccination for the general population and pregnant women, safety of the vaccines for pregnant women, and international recommendations that vaccination should be offered to pregnant women similar to non-pregnant individuals based on risk-benefit analysis. The document concludes by stating current recommendations in India do not support vaccination of pregnant or breastfeeding women due to lack of safety data, but international organizations support vaccination for pregnant women.
Abnormal uterine bleeding is evaluated using various ultrasound techniques and parameters according to the IETA model. Transvaginal ultrasound is used to measure endometrial thickness and assess echogenicity, vascularity, and the endo-myometrial junction. Additional techniques like saline infusion sonography can outline intracavitary lesions in more detail. Precise ultrasound evaluation and scoring systems can detect endometrial abnormalities and help determine the risk of endometrial cancer. Following guidelines and algorithms helps manage patients and determine if further testing or procedures are needed.
The document discusses the benefits of exercise for mental health. It states that regular exercise can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help alleviate symptoms of mental illnesses.
Corona is here to stay and it is predicted that over 70% of population will get the infection (fortunately not all will fall sick or very sick). (Recovery rate of over 74% & Death rate around 2%).
A lot of confusion exists regarding testing for covid and what test to do, when and how to interpret these tests.
Compiled by Dr. Narendra Malhotra
The document discusses a video created by 60 doctors to spread happiness during the COVID-19 lockdown. They danced to "Happy" by Pharrell Williams in scrubs to show that doctors can still be happy on the frontlines. The video went viral and was shared by celebrities and media outlets. The doctors explain that their goal was to let people know they are not alone and to find moments of joy even during difficult times. They felt making the video and its success lifted peoples' spirits.
Pruritus, or itching, affects up to 20% of pregnant women and can be caused by various dermatological conditions that are unique to pregnancy. Some of the main causes discussed in the document include pruritic urticarial papules and plaques of pregnancy (PUPPP), pemphigoid gestationis, atopic eruption of pregnancy, and intrahepatic cholestasis of pregnancy. PUPPP presents as papules and plaques on the abdomen and thighs that resolve after delivery, while pemphigoid gestationis involves blistering and can recur in future pregnancies. Treatment for the conditions typically involves topical corticosteroids and antihistamines, with systemic cort
This document summarizes different causes of jaundice that can occur during pregnancy. It outlines various tests and evaluations that should be done to determine the underlying cause, which could be pregnancy-related conditions like intrahepatic cholestasis of pregnancy (IHCP), pre-eclampsia, acute fatty liver of pregnancy, or non-pregnancy related issues like viral hepatitis or drug intake. Based on the results of the history, examination, and lab tests, appropriate diagnosis and management strategies are described for each condition. Pregnancy-related jaundice may require treatments like ursodeoxycholic acid and vitamin K supplementation, while conditions like IHCP or pre-eclampsia with severe features may necessitate
1) Recurrent pregnancy loss (RPL) and repeated implantation failure (RIF) can be caused by thrombophilia including antiphospholipid syndrome (APS).
2) Low molecular weight heparin (LMWH) like enoxaparin improves pregnancy outcomes in RPL/APS through both antithrombotic and non-thrombotic mechanisms such as inhibiting antibodies and modulating trophoblast invasion.
3) LMWH is recommended for treatment and prevention of complications in RPL/APS, inherited thrombophilia with pregnancy loss, and during ART for patients with RIF or thrombophilia.
Tubal factors are responsible for 11-30% of infertility cases. Damage to the fallopian tubes can be caused by infections, endometriosis, or previous pelvic surgeries. Tubal abnormalities include proximal or distal occlusions, or non-occlusive issues like fimbrial agglutination. Causes are often acquired infections like chlamydia or pelvic inflammatory disease. Evaluation methods include hysterosalpingography, chlamydia antibody testing, or laparoscopy. Treatment options depend on the location and severity of damage, and may include reconstructive or destructive surgeries followed by IVF, or proceeding directly to IVF. While reconstructive surgery could restore natural fertility
This document discusses obesity and its impact on female fertility and ovulation. Some key points:
1. Obesity is a global health epidemic that has increased significantly since 1980 and affects reproductive health.
2. Obesity can cause menstrual irregularities, oligo/amenorrhea, ovulatory dysfunction and altered ovarian function leading to reduced fertility and pregnancy rates.
3. Lifestyle changes like diet modification and increased physical activity are the first line of management for obesity related fertility issues, along with weight loss goals of 1-2 pounds per week.
1. Cervical insufficiency can be treated with a cerclage suture around the cervix to prevent recurrent second-trimester loss and preterm delivery. A transabdominal cerclage places the suture at a higher level through the abdomen for more severe cases.
2. Evidence supports laparoscopic transabdominal cerclage as a safe and effective procedure that results in improved obstetric outcomes for women with refractory cervical insufficiency or a prior failed vaginal cerclage. It is associated with higher rates of delivery beyond 34 weeks of gestation.
3. Studies have shown laparoscopic transabdominal cerclage has similar or better neonatal survival
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - ...rightmanforbloodline
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
This document provides guidelines and recommendations for staying safe during an avalanche. It begins by advising people to check weather conditions before going to snow-capped mountains. It provides tips for what to do if caught in an avalanche, such as trying to stay on the surface and creating an air pocket. After the avalanche, it recommends digging oneself out and marking the locations of others. First aid procedures are outlined, such as removing snow from the mouth and administering CPR. The document concludes by describing avalanche-prone areas to watch out for.
Ferrous ascorbate current clinical place in management of idaNARENDRA C MALHOTRA
Ferrous ascorbate is an effective oral iron supplement for treating iron deficiency anemia. It has a higher bioavailability than other iron preparations, with absorption rates as high as 67%. Ferrous ascorbate is stable in the gastrointestinal tract and does not dissociate. It prevents iron from oxidizing to the ferric state, allowing for greater absorption. Clinical studies show ferrous ascorbate effectively raises hemoglobin levels and is well tolerated with minimal side effects. Therefore, ferrous ascorbate plays an important role in managing iron deficiency anemia.
1) The study examined the effects of a digital prenatal program called the Baby Care Program (BCP) on 512 first-time mothers. The BCP included mindfulness activities like meditation, yoga, music, and baby bonding exercises.
2) Results showed statistically significant benefits for mothers who used the BCP, including lower stress, better sleep, fewer preterm births and higher birth weights, compared to mothers who did not participate.
3) The BCP was found to help mothers develop a stronger bond with their babies, better manage nutrition and pregnancy symptoms, and have an overall healthier pregnancy experience.
- Women with bacterial vaginosis (BV) and abnormal vaginal flora are at higher risk of preterm delivery and late miscarriage. Probiotics containing Lactobacillus species have been shown to reduce the risk of recurrent BV and preterm birth by restoring the normal vaginal microbiome.
- Children born preterm face increased risks of mortality and health and developmental problems. Supplementation of probiotics to pregnant mothers has been associated with reduced risks of preterm birth, preeclampsia, and atopic diseases in infants.
- Studies indicate probiotic intake during pregnancy, especially late pregnancy, can help reduce the incidence of preterm birth and pregnancy complications like preeclampsia.
This document discusses adnexal masses in reproductive age women. It provides clinical background and epidemiology of adnexal masses. It discusses ultrasound techniques for evaluating adnexal masses such as 2D ultrasound, Doppler ultrasound, 3D and power Doppler ultrasound. Pattern recognition of benign disease using ultrasound is covered. The document also discusses predicting malignancy using systems like IOTA simple rules and pattern recognition. Characterization of adnexal masses and predicting histopathology and management are key focuses.
This document provides biographical and professional details about Prof. Narendra Malhotra. It lists his current and past positions including Professor at University of Sarajevo School of Science & Technology and various roles in medical associations. It also outlines his areas of specialization in obstetrics and gynecology as well as lists his publications, awards, and presentations. He is currently based in Agra, India and is director of several fertility clinics.
Dr. Jaideep Malhotra is an IVF specialist based in Agra, India. He has over 50 published papers and 100 conference presentations. He is a fellow of many Indian and international obstetrics and gynecology organizations. He has received several awards for his work, including producing India's first IVF birth and test tube baby of Nepal. He practices at his nursing home in Agra and is a consulting IVF specialist at multiple other locations in Northern India and Nepal.
This document provides information about Prof. Narendra Malhotra's qualifications and experience. It lists that he holds positions such as Professor at Dubrovnick International University, Vice President of WAPM, past president of ISAR, president of other organizations. It notes that he has published over 50 papers and given over 100 guest lectures. He is the editor of 18 books and on the editorial board of several journals. The document also provides information about Malhotra Nursing & Maternity Home Pvt. Ltd. and Global Rainbow Health Care in Agra where he practices as an obstetrician gynecologist with interests in areas like high risk obstetrics, ultrasound, and infertility.
The document discusses recommendations from a joint collaborative group regarding vaccinating pregnant and lactating women against COVID-19. It provides background on the impact of the pandemic on women's health and reviews evidence from studies on vaccine safety and efficacy. The group recommends that: 1) the option of vaccination should be discussed with women in the second and third trimester; 2) COVAXIN be approved for emergency use in pregnant and lactating women; and 3) vaccination in lactating women be advocated immediately while collecting safety data. The aim is to save lives by reducing COVID-19 severity in pregnant women through vaccination.
FOGSI POSITION STATEMENT COVID VACCINATION FOR PREGNANT & BREASTFEEDING WOMENNARENDRA C MALHOTRA
This document discusses recommendations and guidelines regarding COVID-19 vaccination for pregnant and breastfeeding women. It provides information on the current COVID-19 situation globally and in India, the different types of COVID vaccines available in India, benefits of vaccination for the general population and pregnant women, safety of the vaccines for pregnant women, and international recommendations that vaccination should be offered to pregnant women similar to non-pregnant individuals based on risk-benefit analysis. The document concludes by stating current recommendations in India do not support vaccination of pregnant or breastfeeding women due to lack of safety data, but international organizations support vaccination for pregnant women.
Abnormal uterine bleeding is evaluated using various ultrasound techniques and parameters according to the IETA model. Transvaginal ultrasound is used to measure endometrial thickness and assess echogenicity, vascularity, and the endo-myometrial junction. Additional techniques like saline infusion sonography can outline intracavitary lesions in more detail. Precise ultrasound evaluation and scoring systems can detect endometrial abnormalities and help determine the risk of endometrial cancer. Following guidelines and algorithms helps manage patients and determine if further testing or procedures are needed.
The document discusses the benefits of exercise for mental health. It states that regular exercise can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help alleviate symptoms of mental illnesses.
Corona is here to stay and it is predicted that over 70% of population will get the infection (fortunately not all will fall sick or very sick). (Recovery rate of over 74% & Death rate around 2%).
A lot of confusion exists regarding testing for covid and what test to do, when and how to interpret these tests.
Compiled by Dr. Narendra Malhotra
The document discusses a video created by 60 doctors to spread happiness during the COVID-19 lockdown. They danced to "Happy" by Pharrell Williams in scrubs to show that doctors can still be happy on the frontlines. The video went viral and was shared by celebrities and media outlets. The doctors explain that their goal was to let people know they are not alone and to find moments of joy even during difficult times. They felt making the video and its success lifted peoples' spirits.
Pruritus, or itching, affects up to 20% of pregnant women and can be caused by various dermatological conditions that are unique to pregnancy. Some of the main causes discussed in the document include pruritic urticarial papules and plaques of pregnancy (PUPPP), pemphigoid gestationis, atopic eruption of pregnancy, and intrahepatic cholestasis of pregnancy. PUPPP presents as papules and plaques on the abdomen and thighs that resolve after delivery, while pemphigoid gestationis involves blistering and can recur in future pregnancies. Treatment for the conditions typically involves topical corticosteroids and antihistamines, with systemic cort
This document summarizes different causes of jaundice that can occur during pregnancy. It outlines various tests and evaluations that should be done to determine the underlying cause, which could be pregnancy-related conditions like intrahepatic cholestasis of pregnancy (IHCP), pre-eclampsia, acute fatty liver of pregnancy, or non-pregnancy related issues like viral hepatitis or drug intake. Based on the results of the history, examination, and lab tests, appropriate diagnosis and management strategies are described for each condition. Pregnancy-related jaundice may require treatments like ursodeoxycholic acid and vitamin K supplementation, while conditions like IHCP or pre-eclampsia with severe features may necessitate
1) Recurrent pregnancy loss (RPL) and repeated implantation failure (RIF) can be caused by thrombophilia including antiphospholipid syndrome (APS).
2) Low molecular weight heparin (LMWH) like enoxaparin improves pregnancy outcomes in RPL/APS through both antithrombotic and non-thrombotic mechanisms such as inhibiting antibodies and modulating trophoblast invasion.
3) LMWH is recommended for treatment and prevention of complications in RPL/APS, inherited thrombophilia with pregnancy loss, and during ART for patients with RIF or thrombophilia.
Tubal factors are responsible for 11-30% of infertility cases. Damage to the fallopian tubes can be caused by infections, endometriosis, or previous pelvic surgeries. Tubal abnormalities include proximal or distal occlusions, or non-occlusive issues like fimbrial agglutination. Causes are often acquired infections like chlamydia or pelvic inflammatory disease. Evaluation methods include hysterosalpingography, chlamydia antibody testing, or laparoscopy. Treatment options depend on the location and severity of damage, and may include reconstructive or destructive surgeries followed by IVF, or proceeding directly to IVF. While reconstructive surgery could restore natural fertility
This document discusses obesity and its impact on female fertility and ovulation. Some key points:
1. Obesity is a global health epidemic that has increased significantly since 1980 and affects reproductive health.
2. Obesity can cause menstrual irregularities, oligo/amenorrhea, ovulatory dysfunction and altered ovarian function leading to reduced fertility and pregnancy rates.
3. Lifestyle changes like diet modification and increased physical activity are the first line of management for obesity related fertility issues, along with weight loss goals of 1-2 pounds per week.
1. Cervical insufficiency can be treated with a cerclage suture around the cervix to prevent recurrent second-trimester loss and preterm delivery. A transabdominal cerclage places the suture at a higher level through the abdomen for more severe cases.
2. Evidence supports laparoscopic transabdominal cerclage as a safe and effective procedure that results in improved obstetric outcomes for women with refractory cervical insufficiency or a prior failed vaginal cerclage. It is associated with higher rates of delivery beyond 34 weeks of gestation.
3. Studies have shown laparoscopic transabdominal cerclage has similar or better neonatal survival
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - ...rightmanforbloodline
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
Unlocking the Secrets to Safe Patient Handling.pdfLift Ability
Furthermore, the time constraints and workload in healthcare settings can make it challenging for caregivers to prioritise safe patient handling Australia practices, leading to shortcuts and increased risks.
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
English Drug and Alcohol Commissioners June 2024.pptxMatSouthwell1
Presentation made by Mat Southwell to the Harm Reduction Working Group of the English Drug and Alcohol Commissioners. Discuss stimulants, OAMT, NSP coverage and community-led approach to DCRs. Focussing on active drug user perspectives and interests
At Malayali Kerala Spa Ajman, Full Service includes individualized care for every client. We specifically design each massage session for the individual needs of the client. Our therapists are always willing to adjust the treatments based on the client's instruction and feedback. This guarantees that every client receives the treatment they expect.
By offering a variety of massage services, our Ajman Spa Massage Center can tackle physical, mental, and emotional illnesses. In addition, efficient identification of specific health conditions and designing treatment plans accordingly can significantly enhance the quality of massaging.
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The facial nerve, also known as cranial nerve VII, is one of the 12 cranial nerves originating from the brain. It's a mixed nerve, meaning it contains both sensory and motor fibres, and it plays a crucial role in controlling various facial muscles, as well as conveying sensory information from the taste buds on the anterior two-thirds of the tongue.
CHAPTER 1 SEMESTER V COMMUNICATION TECHNIQUES FOR CHILDREN.pdfSachin Sharma
Here are some key objectives of communication with children:
Build Trust and Security:
Establish a safe and supportive environment where children feel comfortable expressing themselves.
Encourage Expression:
Enable children to articulate their thoughts, feelings, and experiences.
Promote Emotional Understanding:
Help children identify and understand their own emotions and the emotions of others.
Enhance Listening Skills:
Develop children’s ability to listen attentively and respond appropriately.
Foster Positive Relationships:
Strengthen the bond between children and caregivers, peers, and other adults.
Support Learning and Development:
Aid cognitive and language development through engaging and meaningful conversations.
Teach Social Skills:
Encourage polite, respectful, and empathetic interactions with others.
Resolve Conflicts:
Provide tools and guidance for children to handle disagreements constructively.
Encourage Independence:
Support children in making decisions and solving problems on their own.
Provide Reassurance and Comfort:
Offer comfort and understanding during times of distress or uncertainty.
Reinforce Positive Behavior:
Acknowledge and encourage positive actions and behaviors.
Guide and Educate:
Offer clear instructions and explanations to help children understand expectations and learn new concepts.
By focusing on these objectives, communication with children can be both effective and nurturing, supporting their overall growth and well-being.
At Apollo Hospital, Lucknow, U.P., we provide specialized care for children experiencing dehydration and other symptoms. We also offer NICU & PICU Ambulance Facility Services. Consult our expert today for the best pediatric emergency care.
For More Details:
Map: https://cutt.ly/BwCeflYo
Name: Apollo Hospital
Address: Singar Nagar, LDA Colony, Lucknow, Uttar Pradesh 226012
Phone: 08429021957
Opening Hours: 24X7
Joker Wigs has been a one-stop-shop for hair products for over 26 years. We provide high-quality hair wigs, hair extensions, hair toppers, hair patch, and more for both men and women.
We are one of the top Massage Spa Ajman Our highly skilled, experienced, and certified massage therapists from different corners of the world are committed to serving you with a soothing and relaxing experience. Luxuriate yourself at our spas in Sharjah and Ajman, which are indeed enriched with an ambiance of relaxation and tranquility. We could confidently claim that we are one of the most affordable Spa Ajman and Sharjah as well, where you can book the massage session of your choice for just 99 AED at any time as we are open 24 hours a day, 7 days a week.
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Exploring the Benefits of Binaural Hearing: Why Two Hearing Aids Are Better T...Ear Solutions (ESPL)
Binaural hearing using two hearing aids instead of one offers numerous advantages, including improved sound localization, enhanced sound quality, better speech understanding in noise, reduced listening effort, and greater overall satisfaction. By leveraging the brain’s natural ability to process sound from both ears, binaural hearing aids provide a more balanced, clear, and comfortable hearing experience. If you or a loved one is considering hearing aids, consult with a hearing care professional at Ear Solutions hearing aid clinic in Mumbai to explore the benefits of binaural hearing and determine the best solution for your hearing needs. Embracing binaural hearing can lead to a richer, more engaging auditory experience and significantly improve your quality of life.
Mental Health and well-being Presentation. Exploring innovative approaches and strategies for enhancing mental well-being. Discover cutting-edge research, effective strategies, and practical methods for fostering mental well-being.
End-tidal carbon dioxide (ETCO2) is the level of carbon dioxide that is released at the end of an exhaled breath. ETCO2 levels reflect the adequacy with which carbon dioxide (CO2) is carried in the blood back to the lungs and exhaled.
Non-invasive methods for ETCO2 measurement include capnometry and capnography. Capnometry provides a numerical value for ETCO2. In contrast, capnography delivers a more comprehensive measurement that is displayed in both graphical (waveform) and numerical form.
Sidestream devices can monitor both intubated and non-intubated patients, while mainstream devices are most often limited to intubated patients.