Counselling in medical abortion odia
•
0 likes•205 views
Counseling and education are correlated with women's satisfaction with all abortion care. They often assume a larger role in medical abortion because the patient is a more active participant in the abortion process. This handout aims to enhance the practitioner's expertise in providing the information and care necessary for women considering early abortion with medical regimens. It offers general counseling guidelines and several likely clinical scenarios following its use.
Report
Share
Report
Share
Recommended
Quality Matters, Safety too
Safety is a fundamental system property
Without safety there can be no quality of care A safe organization is a cost-effective quality organization
Minimum investigation in pregnancy
The document provides contact information for an OBGYN clinic located in Bolangir, Odisha, India. The clinic, OBGYN CLINIC BOLANGIR, is on Straight Lane behind the Civil Court in Bolangir. The email contact for the clinic is drsujnanendra@gmail.com.
Post Surgical Wound care
Surgical wound care is an important component of Surgery. Recent development in the subject is complied.
POST CESAREAN DISCHARGE INSTRUCTION
It usually takes about 6 weeks to recover from your c-section but this will depend on your individual situation. If you had any problems during or after your c-section, or if you’re looking after other children at home, you may feel you need more time to recover.
Post hysterectomy instructions
The female reproductive system is a very complex system. And as with any system, occasionally, things go wrong. When treatments and therapies can't fix an issue, sometimes surgery is required. Surgery to remove a woman's uterus or womb, a major component of this system, is called hysterectomy
Women’s health miscarriage
An abortion is a procedure to end a pregnancy. It's also sometimes known as a termination of pregnancy. The pregnancy is ended either by taking medicines or having a surgical procedure. The decision to have an abortion is yours alone.
Some women may be certain they want to have an abortion, while others may find it more difficult to make a decision.
All women requesting an abortion can discuss their options with, and receive support from their care provider, if they wish.
mRNA vaccine, a new era of vaccination ODIA
Vaccines help prepare the body to fight foreign invaders (pathogens such as bacteria or viruses), to prevent infection. All vaccines introduce into the body a harmless piece of a particular bacteria or virus, triggering an immune response. Most vaccines contain a weakened or killed bacteria or virus. However, scientists have developed a new type of vaccine that uses a molecule called messenger RNA (or mRNA for short) rather than part of an actual bacteria or virus. Messenger RNA is a type of RNA that is necessary for protein production. In cells, mRNA uses the information in genes to create a blueprint for making proteins. Once cells finish making a protein, they quickly break down the mRNA. mRNA from vaccines does not enter the nucleus and does not alter DNA.
Deficiency of thyroid hormone in pregnancy
Pregnancy is a period that places great physiological stress on both the mother and the fetus. When pregnancy is compounded by endocrine disorders such as hypothyroidism, the potential for maternal and fetal adverse outcomes can be immense. While a lot of attention has been focused on the adverse fetal outcomes consequent to hypothyroidism, attention is also being gradually directed towards the adverse maternal outcomes of this disorder. Role of antibody positivity in influencing outcomes in a euthyroid woman, also needs further clarification. Prompt diagnosis and treatment of hypothyroidism in pregnancy is very essential. Subclinical hypothyroidism also needs to be detected and treated to prevent adverse outcomes, especially maternal. Since women with hypothyroidism during pregnancy, especially of the autoimmune variety might have a flare up of the disorder post-partum, or might continue to require thyroxine replacement post-partum, adequate follow-up is mandatory. While targeted case finding is generally practised, recent evidence seems to indicate that universal screening might be a better option. In conclusion, routine screening, early confirmation of diagnosis and prompt treatment. Allied with regular post-partum follow up, is required to ensure favourable maternal and fetal outcomes.
Recommended
Quality Matters, Safety too
Safety is a fundamental system property
Without safety there can be no quality of care A safe organization is a cost-effective quality organization
Minimum investigation in pregnancy
The document provides contact information for an OBGYN clinic located in Bolangir, Odisha, India. The clinic, OBGYN CLINIC BOLANGIR, is on Straight Lane behind the Civil Court in Bolangir. The email contact for the clinic is drsujnanendra@gmail.com.
Post Surgical Wound care
Surgical wound care is an important component of Surgery. Recent development in the subject is complied.
POST CESAREAN DISCHARGE INSTRUCTION
It usually takes about 6 weeks to recover from your c-section but this will depend on your individual situation. If you had any problems during or after your c-section, or if you’re looking after other children at home, you may feel you need more time to recover.
Post hysterectomy instructions
The female reproductive system is a very complex system. And as with any system, occasionally, things go wrong. When treatments and therapies can't fix an issue, sometimes surgery is required. Surgery to remove a woman's uterus or womb, a major component of this system, is called hysterectomy
Women’s health miscarriage
An abortion is a procedure to end a pregnancy. It's also sometimes known as a termination of pregnancy. The pregnancy is ended either by taking medicines or having a surgical procedure. The decision to have an abortion is yours alone.
Some women may be certain they want to have an abortion, while others may find it more difficult to make a decision.
All women requesting an abortion can discuss their options with, and receive support from their care provider, if they wish.
mRNA vaccine, a new era of vaccination ODIA
Vaccines help prepare the body to fight foreign invaders (pathogens such as bacteria or viruses), to prevent infection. All vaccines introduce into the body a harmless piece of a particular bacteria or virus, triggering an immune response. Most vaccines contain a weakened or killed bacteria or virus. However, scientists have developed a new type of vaccine that uses a molecule called messenger RNA (or mRNA for short) rather than part of an actual bacteria or virus. Messenger RNA is a type of RNA that is necessary for protein production. In cells, mRNA uses the information in genes to create a blueprint for making proteins. Once cells finish making a protein, they quickly break down the mRNA. mRNA from vaccines does not enter the nucleus and does not alter DNA.
Deficiency of thyroid hormone in pregnancy
Pregnancy is a period that places great physiological stress on both the mother and the fetus. When pregnancy is compounded by endocrine disorders such as hypothyroidism, the potential for maternal and fetal adverse outcomes can be immense. While a lot of attention has been focused on the adverse fetal outcomes consequent to hypothyroidism, attention is also being gradually directed towards the adverse maternal outcomes of this disorder. Role of antibody positivity in influencing outcomes in a euthyroid woman, also needs further clarification. Prompt diagnosis and treatment of hypothyroidism in pregnancy is very essential. Subclinical hypothyroidism also needs to be detected and treated to prevent adverse outcomes, especially maternal. Since women with hypothyroidism during pregnancy, especially of the autoimmune variety might have a flare up of the disorder post-partum, or might continue to require thyroxine replacement post-partum, adequate follow-up is mandatory. While targeted case finding is generally practised, recent evidence seems to indicate that universal screening might be a better option. In conclusion, routine screening, early confirmation of diagnosis and prompt treatment. Allied with regular post-partum follow up, is required to ensure favourable maternal and fetal outcomes.
ସିକିଲ୍ ସେଲ୍ ରୋଗୀଙ୍କ ପାଇଁ ସୂଚନା
Sickle cell disease is an inherited blood disorder affecting red blood cells. Normal red blood cells contain hemoglobin A. People with sickle cell disease have red blood cells containing mostly hemoglobin S, an abnormal type of hemoglobin. These red blood cells become sickle-shaped (crescent-shaped), and have difficulty passing through small blood vessels. There are several different types of sickle cell disease; the most common types are homozygous sickle cell disease (SS disease), and sickle-cell beta thalassemia (Sß+ or Sß0 disease).
Gestational tropoblastic disease odia edited
Gestational trophoblastic disease (GTD) forms a group of disorders spanning the conditions of complete andpartial molar pregnancies through to the malignant conditions of invasive mole, choriocarcinoma and the veryrare placental site trophoblastic tumour (PSTT). There are reports of neoplastic transformation of atypicalplacental site nodules to placental site trophoblastic tumour.If there is any evidence of persistence of GTD, most commonly defined as a persistent elevation of beta humanchorionic gonadotrophin (βhCG), the condition is referred to as gestational trophoblastic neoplasia (GTN).
Unicef guidance-menstrual-health-hygiene-2019
This section introduces menstrual health and hygiene as a global opportunity to advance gender equality and human rights. Menstruation affects 1.8 billion girls, women and transgender persons globally each month, yet many lack dignified and healthy ways to manage their periods due to gender inequality, poverty and lack of basic services. This negatively impacts lives and restricts opportunities. Investing in menstrual health and hygiene yields benefits for individuals, future generations and society. UNICEF is committed to supporting countries to address menstrual health and hygiene through development and humanitarian programming.
My safe motherhood_booklet_english
This document provides guidance for expecting mothers on prenatal care, nutrition during pregnancy, self-care during pregnancy, postnatal care for mothers and newborns, and breastfeeding. It emphasizes the importance of regular antenatal checkups, a balanced diet, personal hygiene, adequate rest, family support, and seeking medical help for any danger signs. It also outlines vaccination and care needs for newborns. The overall goal is to ensure the health of both mother and child during pregnancy, childbirth, and postpartum.
Precipitate labour
Labour and childbirth are the most challenging and painful phases of pregnancy. Most mothers-to-be dread facing it and hope it gets over quickly. When labour starts, there is usually a gap between each stage of labour, but when it comes to women going through precipitate labour, everything happens very quickly. Though in some cases it comes as a blessed relief, in others it can be a bit more complicated than that.
PALM-COEIN Classification of AUB (Abnormal Uterine Bleeding)
There is general inconsistency in the nomenclature used to describe abnormal uterine bleeding (AUB) classification system for AUB, which has been approved by the International Federation of Gynecology and Obstetrics (FIGO) Executive Board as a FIGO PALM-COEIN classification system.
Placenta previa (odia)
Placenta previa is a condition that may happen during the second or third trimester of pregnancy. It's one of the most common causes of vaginal bleeding during these trimesters. It happens when the placenta implants in the lower part of the uterus. This causes the placenta to block part or all of the opening of the cervix to the vagina (birth canal). It can lead to problems for both the mother and baby. This can include blood loss and premature labor. EVERY PREGNANT WOMEN MUST KNOW ABOUT IT.
Molar pregnancy in ODIA
Molar pregnancy is one of a group of uncommonly occurring conditions called gestational trophoblastic disease (GTD) that occurs when a pregnancy does not develop properly. There are two types of gestational trophoblastic disease:
NVP ଗର୍ଭାବସ୍ଥାରେ ବାନ୍ତିର ଉପଚାର
Nausea and vomiting of pregnancy commonly occurs between 5 and 18 weeks of pregnancy. Between 50 and 90 percent of women with normal pregnancies have some degree of nausea, with or without vomiting. The severity of these symptoms can vary and can last for various periods of time.
"Morning sickness" is the term often used to describe mild nausea and vomiting that occur due to pregnancy (and not due to other illness), even though symptoms may occur at any time of day. "Hyperemesis gravidarum" is the term used to describe a more severe condition. Hyperemesis may cause you to vomit multiple times throughout the day, lose weight, be unable to consume food and liquids, and typically requires evaluation in the hospital and treatment with medication(s).
PREGNANCY FETAL BIOMETRY CHART (India growth standards)
Ultrasonographic determination of fetal size to assess intra-uterine growth restriction is very important in the present day. reports have shown that ethnicity plays a role in fetal growth. This chart will provide The normal and SGA fetal biometry as a ready Reckon-er. Source:- Indchemie Health Specialties Pvt. Ltd
MISCARRIAGE News letter Feb. 2020
A miscarriage, or spontaneous abortion, is an event that results in the loss of a fetus before 20 weeks of pregnancy. It typically happens during the first trimester, or first three months, of the pregnancy.
Zero Trimester
Every woman should be thinking about her health whether or not she is planning pregnancy. One reason is that about half of all pregnancies are not planned. Unplanned pregnancies are at greater risk of preterm birth and low birth weight babies. Another reason is that, despite important advances in medicine and prenatal care, about 1 in 8 babies is born too early. Researchers are trying to find out why and how to prevent preterm birth. But experts agree that women need to be healthier before becoming pregnant. By taking action on health issues and risks before pregnancy, you can prevent problems that might affect you or your baby later.
Why to vaccinate Pre-teens for HPV, Odia
Two doses of the HPV vaccine are recommended for all boys and girls at ages 9-12; If you wait until they’re older, they may need three doses instead of two.
Children who start the vaccine series on or after their 15th birthday need three shots given over 6 months. If your teen hasn’t gotten the vaccine yet, talk to his/her doctor about getting it as soon as possible. HPV vaccination is also recommended for everyone through age 26 years, if not vaccinated already.
Vaccination is not recommended for everyone older than age 26 years. However, some adults age 27 through 45 years who are not already vaccinated may decide to get HPV vaccine after speaking with their doctor about their risk for new HPV infections and the possible benefits of vaccination. HPV vaccination in this age range provides less benefit, as more people have already been exposed to HPV.
Medical Abortion
A medical abortion, also known as medication abortion, is a type of non-surgical abortion in which medication is used to bring about abortion. This inflammation is shared with the client in our Clinic.
Fetal movements
Knowledge of the expected pattern of fetal movements is important to both health care providers and childbearing women since altered patterns can signal fetal compromise. The daily fetal movement count (DFMC) chart, a tool that is inexpensive, uncomplicated and non-invasive, is a clinically effective means of screening for fetal well-being after 20 weeks' gestation. The DFMC requires pregnant women to begin a fetal movement count at a selected time each day, count 10 movements and record the elapsed time from the first to the tenth movement. Findings which would indicate possible danger to the fetus, and which should be reported immediately, include less than 10 movements in 12 hours; no perception of movement in an eight-hour period; a change in the usual pattern of fetal movement; or a sudden increase in violent fetal movements followed by complete cessation of movement. Development of fetal movement assessment, fetal movement recording methods, teaching patients the DFMC method and nursing implications are described in this article. Use of the DFMC by nurse practitioners can enhance the physical and emotional well-being of pregnant clients
Midwives 4 mothers
The term midwife reflects a philosophy of care that is directed toward women and their individual reproductive needs. A midwife usually offers a variety of options and seeks to eliminate or minimize unnecessary interventions. This philosophy is represented by the Midwives Model of Care.The Midwives Model of Care is based on the belief that pregnancy and birth are normal life processes. (American Pregnancy Association)
Mercury spillage in health care settings
Mercury is a metal found naturally in the environment. It comes is a few forms. Elemental (metallic) mercury is the shiny, silver-gray metal found in thermometers, barometers, thermostats, and other electrical switches.
Mercury can break into droplets when spilled. The droplets spread easily and can build up in tiny cracks and spaces wherever it is spilled.
Mercury can vaporize (evaporate) into the air. The vapor cannot be seen or smelled.
Breathing in mercury vapors is the most common way to get mercury poisoning – and also the most dangerous.
Mercury can be toxic to the nervous system, lungs, and kidneys.
Hiv 2018
India has the third largest HIV epidemic in the world, with 2.1 million people living with HIV. The epidemic is concentrated among key populations like sex workers and men who have sex with men. While India has made progress in reducing new HIV infections, uptake of free antiretroviral treatment remains low due to difficulties accessing clinics. Key challenges to India's HIV response include stigma, gender inequality, data issues, and lack of universal screening and health card programs.
POSITIVE LIVING (ସକାରାତ୍ମକ ଜୀବନଶୈଳୀ)
Positive living is a lifestyle adopted by an HIV-infected person in order to live life as fully as possible while slowing progression to AIDS. Adopting positive living practises improves the quality of life of PLHIV remarkably.
Impact Of Genetic Testing For RPL Couples
Human reproduction is remarkably inefficient; Only 420 are born alive out of 1000 fertilizations, nearly 70% of human conceptions do not survive to live birth. The stillbirth in india is highest in the world 7% to 14% in different states Odisha 8% Karnataka 14% (of course reported only) Recurrent pregnancy loss is a psychologically stressful diagnosis for couples, in approximately 50% of cases, no cause will be found. The number of evidence-based practices available for guidance is limited. This confluence of factors presents a challenge for clinicians. However, in studies of interventions aimed at reducing rates of miscarriage in women with otherwise unexplained RPL, control groups experience a live birth rate of up to 87% with no intervention. Thus, one of the most significant things we can do when caring for these complex patients is to offer them emotional support and accurate information. As more work is done in this emerging area of reproductive science, we will be able to shed more light on this complex problem.
More Related Content
More from CONSULTANT IN OBGYN, ODISHA ,INDIA
ସିକିଲ୍ ସେଲ୍ ରୋଗୀଙ୍କ ପାଇଁ ସୂଚନା
Sickle cell disease is an inherited blood disorder affecting red blood cells. Normal red blood cells contain hemoglobin A. People with sickle cell disease have red blood cells containing mostly hemoglobin S, an abnormal type of hemoglobin. These red blood cells become sickle-shaped (crescent-shaped), and have difficulty passing through small blood vessels. There are several different types of sickle cell disease; the most common types are homozygous sickle cell disease (SS disease), and sickle-cell beta thalassemia (Sß+ or Sß0 disease).
Gestational tropoblastic disease odia edited
Gestational trophoblastic disease (GTD) forms a group of disorders spanning the conditions of complete andpartial molar pregnancies through to the malignant conditions of invasive mole, choriocarcinoma and the veryrare placental site trophoblastic tumour (PSTT). There are reports of neoplastic transformation of atypicalplacental site nodules to placental site trophoblastic tumour.If there is any evidence of persistence of GTD, most commonly defined as a persistent elevation of beta humanchorionic gonadotrophin (βhCG), the condition is referred to as gestational trophoblastic neoplasia (GTN).
Unicef guidance-menstrual-health-hygiene-2019
This section introduces menstrual health and hygiene as a global opportunity to advance gender equality and human rights. Menstruation affects 1.8 billion girls, women and transgender persons globally each month, yet many lack dignified and healthy ways to manage their periods due to gender inequality, poverty and lack of basic services. This negatively impacts lives and restricts opportunities. Investing in menstrual health and hygiene yields benefits for individuals, future generations and society. UNICEF is committed to supporting countries to address menstrual health and hygiene through development and humanitarian programming.
My safe motherhood_booklet_english
This document provides guidance for expecting mothers on prenatal care, nutrition during pregnancy, self-care during pregnancy, postnatal care for mothers and newborns, and breastfeeding. It emphasizes the importance of regular antenatal checkups, a balanced diet, personal hygiene, adequate rest, family support, and seeking medical help for any danger signs. It also outlines vaccination and care needs for newborns. The overall goal is to ensure the health of both mother and child during pregnancy, childbirth, and postpartum.
Precipitate labour
Labour and childbirth are the most challenging and painful phases of pregnancy. Most mothers-to-be dread facing it and hope it gets over quickly. When labour starts, there is usually a gap between each stage of labour, but when it comes to women going through precipitate labour, everything happens very quickly. Though in some cases it comes as a blessed relief, in others it can be a bit more complicated than that.
PALM-COEIN Classification of AUB (Abnormal Uterine Bleeding)
There is general inconsistency in the nomenclature used to describe abnormal uterine bleeding (AUB) classification system for AUB, which has been approved by the International Federation of Gynecology and Obstetrics (FIGO) Executive Board as a FIGO PALM-COEIN classification system.
Placenta previa (odia)
Placenta previa is a condition that may happen during the second or third trimester of pregnancy. It's one of the most common causes of vaginal bleeding during these trimesters. It happens when the placenta implants in the lower part of the uterus. This causes the placenta to block part or all of the opening of the cervix to the vagina (birth canal). It can lead to problems for both the mother and baby. This can include blood loss and premature labor. EVERY PREGNANT WOMEN MUST KNOW ABOUT IT.
Molar pregnancy in ODIA
Molar pregnancy is one of a group of uncommonly occurring conditions called gestational trophoblastic disease (GTD) that occurs when a pregnancy does not develop properly. There are two types of gestational trophoblastic disease:
NVP ଗର୍ଭାବସ୍ଥାରେ ବାନ୍ତିର ଉପଚାର
Nausea and vomiting of pregnancy commonly occurs between 5 and 18 weeks of pregnancy. Between 50 and 90 percent of women with normal pregnancies have some degree of nausea, with or without vomiting. The severity of these symptoms can vary and can last for various periods of time.
"Morning sickness" is the term often used to describe mild nausea and vomiting that occur due to pregnancy (and not due to other illness), even though symptoms may occur at any time of day. "Hyperemesis gravidarum" is the term used to describe a more severe condition. Hyperemesis may cause you to vomit multiple times throughout the day, lose weight, be unable to consume food and liquids, and typically requires evaluation in the hospital and treatment with medication(s).
PREGNANCY FETAL BIOMETRY CHART (India growth standards)
Ultrasonographic determination of fetal size to assess intra-uterine growth restriction is very important in the present day. reports have shown that ethnicity plays a role in fetal growth. This chart will provide The normal and SGA fetal biometry as a ready Reckon-er. Source:- Indchemie Health Specialties Pvt. Ltd
MISCARRIAGE News letter Feb. 2020
A miscarriage, or spontaneous abortion, is an event that results in the loss of a fetus before 20 weeks of pregnancy. It typically happens during the first trimester, or first three months, of the pregnancy.
Zero Trimester
Every woman should be thinking about her health whether or not she is planning pregnancy. One reason is that about half of all pregnancies are not planned. Unplanned pregnancies are at greater risk of preterm birth and low birth weight babies. Another reason is that, despite important advances in medicine and prenatal care, about 1 in 8 babies is born too early. Researchers are trying to find out why and how to prevent preterm birth. But experts agree that women need to be healthier before becoming pregnant. By taking action on health issues and risks before pregnancy, you can prevent problems that might affect you or your baby later.
Why to vaccinate Pre-teens for HPV, Odia
Two doses of the HPV vaccine are recommended for all boys and girls at ages 9-12; If you wait until they’re older, they may need three doses instead of two.
Children who start the vaccine series on or after their 15th birthday need three shots given over 6 months. If your teen hasn’t gotten the vaccine yet, talk to his/her doctor about getting it as soon as possible. HPV vaccination is also recommended for everyone through age 26 years, if not vaccinated already.
Vaccination is not recommended for everyone older than age 26 years. However, some adults age 27 through 45 years who are not already vaccinated may decide to get HPV vaccine after speaking with their doctor about their risk for new HPV infections and the possible benefits of vaccination. HPV vaccination in this age range provides less benefit, as more people have already been exposed to HPV.
Medical Abortion
A medical abortion, also known as medication abortion, is a type of non-surgical abortion in which medication is used to bring about abortion. This inflammation is shared with the client in our Clinic.
Fetal movements
Knowledge of the expected pattern of fetal movements is important to both health care providers and childbearing women since altered patterns can signal fetal compromise. The daily fetal movement count (DFMC) chart, a tool that is inexpensive, uncomplicated and non-invasive, is a clinically effective means of screening for fetal well-being after 20 weeks' gestation. The DFMC requires pregnant women to begin a fetal movement count at a selected time each day, count 10 movements and record the elapsed time from the first to the tenth movement. Findings which would indicate possible danger to the fetus, and which should be reported immediately, include less than 10 movements in 12 hours; no perception of movement in an eight-hour period; a change in the usual pattern of fetal movement; or a sudden increase in violent fetal movements followed by complete cessation of movement. Development of fetal movement assessment, fetal movement recording methods, teaching patients the DFMC method and nursing implications are described in this article. Use of the DFMC by nurse practitioners can enhance the physical and emotional well-being of pregnant clients
Midwives 4 mothers
The term midwife reflects a philosophy of care that is directed toward women and their individual reproductive needs. A midwife usually offers a variety of options and seeks to eliminate or minimize unnecessary interventions. This philosophy is represented by the Midwives Model of Care.The Midwives Model of Care is based on the belief that pregnancy and birth are normal life processes. (American Pregnancy Association)
Mercury spillage in health care settings
Mercury is a metal found naturally in the environment. It comes is a few forms. Elemental (metallic) mercury is the shiny, silver-gray metal found in thermometers, barometers, thermostats, and other electrical switches.
Mercury can break into droplets when spilled. The droplets spread easily and can build up in tiny cracks and spaces wherever it is spilled.
Mercury can vaporize (evaporate) into the air. The vapor cannot be seen or smelled.
Breathing in mercury vapors is the most common way to get mercury poisoning – and also the most dangerous.
Mercury can be toxic to the nervous system, lungs, and kidneys.
Hiv 2018
India has the third largest HIV epidemic in the world, with 2.1 million people living with HIV. The epidemic is concentrated among key populations like sex workers and men who have sex with men. While India has made progress in reducing new HIV infections, uptake of free antiretroviral treatment remains low due to difficulties accessing clinics. Key challenges to India's HIV response include stigma, gender inequality, data issues, and lack of universal screening and health card programs.
POSITIVE LIVING (ସକାରାତ୍ମକ ଜୀବନଶୈଳୀ)
Positive living is a lifestyle adopted by an HIV-infected person in order to live life as fully as possible while slowing progression to AIDS. Adopting positive living practises improves the quality of life of PLHIV remarkably.
Impact Of Genetic Testing For RPL Couples
Human reproduction is remarkably inefficient; Only 420 are born alive out of 1000 fertilizations, nearly 70% of human conceptions do not survive to live birth. The stillbirth in india is highest in the world 7% to 14% in different states Odisha 8% Karnataka 14% (of course reported only) Recurrent pregnancy loss is a psychologically stressful diagnosis for couples, in approximately 50% of cases, no cause will be found. The number of evidence-based practices available for guidance is limited. This confluence of factors presents a challenge for clinicians. However, in studies of interventions aimed at reducing rates of miscarriage in women with otherwise unexplained RPL, control groups experience a live birth rate of up to 87% with no intervention. Thus, one of the most significant things we can do when caring for these complex patients is to offer them emotional support and accurate information. As more work is done in this emerging area of reproductive science, we will be able to shed more light on this complex problem.
More from CONSULTANT IN OBGYN, ODISHA ,INDIA (20)
PALM-COEIN Classification of AUB (Abnormal Uterine Bleeding)
PALM-COEIN Classification of AUB (Abnormal Uterine Bleeding)
PREGNANCY FETAL BIOMETRY CHART (India growth standards)
PREGNANCY FETAL BIOMETRY CHART (India growth standards)
Counselling in medical abortion odia
- 1. ଓବି ଗାଇନ କ୍ିିନିକ, ବଲାଙ୍ଗୀର ଡାକ୍ତର ସୁଜ୍ଞାନନନ୍ଦ୍ର ମିଶ୍ର ଆପଣ, ଆପଣଙ୍କ ଗର୍ଭାବସ୍ଥାକୁ ଔଷଧୀୟ ପଦ୍ଧତିନର ସମାପ୍ତ କରିବାପାଇ ଁନିଷ୍ପତ୍ତି କରିଛନ୍ତି | ଏହା ୨ଟି ଔଷଧ ଦ୍ୱାରା ତିନନାଟି ପର୍ଯଭୟାୟନର ସମ୍ପର୍ଣ୍ଭହୂଏ | ମିନେପ୍ରିଷ୍ଟନ, ଗର୍ଭାବସ୍ଥାକୁ ବଜାୟ ରଖିବାପାଇ ଁ ପାଇ ଁଆବଶ୍ୟକ ହନମଭାନର କାର୍ଯଭୟକୁ ପ୍ରତିହତ କରି ଗର୍ଭାବସ୍ଥାକୁ ବାଧିତ କରିଥାଏ | ନପ୍ରାସ୍ଟାଗ୍ଳାଣ୍ଡିନ ଗର୍ଭାଶ୍ୟର ସଂନକାଚନ ପୂବଭକ ର୍ୃ ଣର ନିଷ୍କାସନ କରିଥାଏ | ଉର୍ୟ ଔଷଧ ଗର୍ଭାପାତ ପାଇ ଁ ଏକତ୍ର ପରିପୁରକାତ୍ମକ କାମ କରିଥାନ୍ତି | ପ୍ରକ୍ରିୟା: ପ୍ରଥମ ପର୍ଯଭୟାୟ: - କ୍ିିନିକ ନର ମିନେପ୍ରିଷ୍ଟନ ୨୦୦ ମିଲିଗ୍ରାମ ଗ୍ରହଣ କରିବାକୁ ନହବ | ପରବତ୍ତଭୀ ସମୟନର କଣ ଘଟି ପାନର ✓ ଦ୍ୱିତୀୟ ଔଷଧ ପ୍ରନୟାଗ ପର୍ଯଭୟନ୍ତ ନବାଧହୁଏ ଆପଣଙ୍କୁ ନକୌଣସି ପାଥଭକୟ ନବାଧ ନହବନାହି ଁ| ଅନନକ ନେତ୍ରନର ଆପଣ ଆପଣଙ୍କ ସାମାନୟ କାର୍ଯଭୟ ସବୁ କରିପାରିନବ | ✓ ଔଷଧ ନସବନର ଏକ ରୁ ପାଞ୍ଚ ଘଣ୍ଟା ମଧ୍ୟନର ବାନ୍ତି ହୁଏ, କ୍ିିନିକ୍ ର ସମ୍ପକଭନର ରୁ ହନ୍ତୁ | ପ୍ରଥମ ଔଷଧ ର ପୁନଃ ନସବନର ଆବଶ୍ୟକତା ପଡିପାନର | ✓ ପରବତ୍ତଭୀ ଦିନ ସନ୍ଧ୍ୟା ସମୟନର କିଛି ମହିଳା ସାମାନୟ ନପଟ ଦରଜ ସହିତ ରକ୍ତସ୍ରାବ ଏବଂ ଥକାପଣ ଅନୁର୍ବ କରିପାରନ୍ତି | ଅଳ୍ପ କିଛି ନେତ୍ରନର ମାତ୍ରାଧିକ ନପଟବୟଥା ଏବଂ ରକ୍ତସ୍ରାବ ନହଇଥାଏ | (ଏହିସମୟନର ୩ ପ୍ରତିଶ୍ତ ନେତ୍ରନର ର୍ୃ ଣ ନିଷ୍କାସିତ ନହବାର ସମ୍ଭାବନା ଥାଏ ମାତ୍ର ରକ୍ତସ୍ରାବ କିମ୍ବା ନପଟବୟଥା ର୍ୃ ଣ ର ସମ୍ପୂର୍ଣ୍ଭ ନିସ୍କାସନର ସୂଚକ ନୁନହ ଁ| ନତଣୁ ଏହି ପଦ୍ଧତି ଗ୍ରହଣ କରିଥିବା ମହିଳା ଦ୍ୱିତୀୟ ଔଷଧ ଅବଶ୍ୟ ବୟବହାର କରିନବ) ଦ୍ୱିତୀୟ ପର୍ଯଭୟାୟ: - ଦ୍ୱିତୀୟ ଔଷଧ ନପ୍ରାସ୍ଟାଗ୍ଳାଣ୍ଡିନ ଉପନଦଶ୍ାନୁସାନର ୩୬ ରୁ ୪୮ ଘଣ୍ଟା ମଧ୍ୟନର ପ୍ରନୟାଗ କରିବାକୁ ନହବ, ନପ୍ରାସ୍ଟାଗ୍ିାଣ୍ଡନ ପ୍ରନୟାଗ ପୂବଭରୁ ଆପଣ ନିଶ୍ଚିତ ହୁଅନ୍ତୁନର୍ଯ ଆପଣଙ୍କ ପାଖନର ଜନଣ ସହାୟକ ଅଛନ୍ତି | ପରବତ୍ତଭୀ ସମୟନର କଣ ଘଟି ପାନର ✓ - ଅଳ୍ପ କିଛି ନେତ୍ରନର ମାତ୍ରାଧିକ ନପଟବୟଥା ଏବଂ ରକ୍ତସ୍ରାବ ନହଇଥାଏ | ✓ - ଦ୍ୱିତୀୟ ଔଷଧ ନପ୍ରାସ୍ଟାଗ୍ଳାଣ୍ଡିନ ଉପନଦଶ୍ାନୁସାନର ରୁ ୩୬ ଘଣ୍ଟା ମଧ୍ୟନର ପ୍ରନୟାଗ କରିବାକୁପଡିବ | ✓ କିଛି ସମୟ ପନର ଏହାର ଔଷଧୀୟ ତତ୍ୱ ସକ୍ରିୟ ନହବା ସହିତ ଗର୍ଭାଶ୍ୟର ସଂନକାଚନ ଆରମ୍ଭ ନହାଇଥାଏ | ଏହାର ପ୍ରର୍ାବନର ତଳ ନପଟନର କ୍ରମବଦ୍ଧିଷ୍ଣ ଦରଜ ନହାଇଥାଏ | ଆବଶ୍ୟକ ସ୍ଥନଳ ଡାକ୍ତରଙ୍କ ଦ୍ୱାରା ପରାମଶ୍ଭନର ଦରଜ ନିବାରକ ଗ୍ରହଣ କରିବାପାଇ ଁ ସଂନକାଚ କରନ୍ତୁନାହି ଁ | ଆପଣଙ୍କୁ ଏହିସମୟନର ବାନ୍ତି, ଝାଡା ତଥା ଶ୍ୀତ ସହିତ ସାମାନୟ ଜ୍ଵର ନହାଇପାନର | ୬୦ ପ୍ରତିଶ୍ତ ନେତ୍ରନର ୪ ଘଣ୍ଟା, ଆଉ ଅନୟ ନେତ୍ରନର ୨୪ ରୁ ୪୮ ଘଣ୍ଟା ମଧ୍ୟନର ନିଷ୍କାସନ ପ୍ରକ୍ରିୟା ସମ୍ପୂର୍ଣ୍ଭ ନହାଇଥାଏ | ଅଳ୍ପ ନକନତକଙ୍କ ନେତ୍ରନର (୫% ରୁ କମ) ଏହା ସମ୍ପୂର୍ଣ୍ଭ ନିଷ୍କାସନ ବିେଳ ନହାଇଥାଏ | ✓ - ନକୌଣସି ସମୟନର ୨୪ ଘଣ୍ଟାରୁ ଅଧିକ ଜ୍ଵର, ଅତୟଧିକ ରକ୍ତସ୍ରାବ କିମ୍ବା ନପଟ ଦରଜ ନହନଲ, ଦୁବଭଳ ଅନୁର୍ବ କନଲ, ତଥା ମୂର୍ଚ୍ଭାଗତ ନହନଲ ଡାକ୍ତରଖାନା ପଡିଥାଏ | ତୃ ତୀୟ ପର୍ଯଭୟାୟ:- ଡାକ୍ତର ପରାମଶ୍ଭନର ୨ ସପ୍ତାହ ପନର କ୍ିିନିକ ର୍ଯିବାକୁ ପଡିଥାଏ | ଏହିସମୟନର ଚିକିତ୍ସକ ପରିଶ୍ରା ଏବଂ ଆବଶ୍ୟକ ସ୍ଥନଳ ରକ୍ତ ପରୀୋ ତଥା ଅଲଟ୍ରାସାଉଣ୍ଡ ଦ୍ୱାରା ଉପନର୍ଯାଗ କରିଥିବା ପଦ୍ଧତିର ସେଳତାର ମୂଲୟାଙ୍କନ କରିଥାନ୍ତି, ବିେଳ ନେତ୍ରନର ଅନୟ ପଦ୍ଧତି ପାଇ ଁ ଉପନଦଶ୍ ନଦଇଥାନ୍ତି | ତା ସହିତ ପରବତ୍ତଭୀ ସମୟନର ବୟବହାର ପାଇ ଁ ଗର୍ଭନିନରାଧକର ପରାମଶ୍ଭ ନଦଇଥାନ୍ତି | ବିନଶ୍ଷ ଦ୍ରଷ୍ଟବୟ: - ୧) ଔଷଧୀୟ ପଦ୍ଧତି ବିେଳ ନେତ୍ରନର ଗର୍ଭାବସ୍ଥାକୁ ଆନଗଇନନବା ବିପଦ ସଂକୁଳ ନହାଇପାନର, ବିକଳାଙ୍ଗ ତଥା ମୃତ ଶ୍ିଶ୍ୁ ଜନ୍ମର ଆଶ୍ଙ୍କା ଥାଏ ୨) ଗର୍ଭପାତ ପରବତ୍ତଭୀ ପ୍ରଥମ ଅଣପ୍ରତିନରାଧିନର୍ଯୌନକ୍ରିୟା ରୁ ଗର୍ଭଧାରଣର ସମ୍ଭାବନା ରହିଛି, ଗର୍ଭପାତ ପନର ନଜନତ ଶ୍ୀଘ୍ର ସମ୍ଭବ ଗର୍ଭନିନରାଧକ ବୟବହାର କରିବାହି ଁ ବୁଦ୍ଧିମତ୍ତାର ପରିଚାୟକ |