Group 2 Case 1
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GR is a 31-year-old woman who wants to start a family. She has been on birth control pills for 10 years and wants information about ovulation, ovulation kits, and tips for conceiving. The doctor will discuss this information with her and her husband at a follow-up appointment. Ovulation occurs when an egg is released and travels through the fallopian tubes, ready to be fertilized. Hormone levels regulate the process of follicle development and egg release. The doctor recommends GR complete her current pack of birth control and wait 3 months after stopping before trying to conceive to regulate her cycle. Lifestyle changes like reducing caffeine, weight loss, and avoiding toxins are also advised.
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IUI / IVF failure causes lot of distress to both patient and the doctor
They feel they are useless
Lots of questions
No clear answers
CTG: Antepartum
This document discusses various methods for assessing fetal wellbeing, including fetal movement counting, fetal heart rate monitoring, biophysical profile testing, and Doppler ultrasound. It provides details on different fetal heart rate patterns seen on cardiotocography and how to interpret them. Additionally, it explains the procedures and interpretations for non-stress tests, contraction stress tests, vibroacoustic stimulation, and biophysical profiles. The ideal goals for fetal testing are described as quick, easy to perform, reproducible results that can reliably identify compromised fetuses when intervention could improve outcomes, without false alarms for healthy fetuses.
CTG introduction
This document provides an overview of cardiotocography (CTG) monitoring during labor. It discusses the fetal response to hypoxia, indications for CTG monitoring such as high-risk pregnancies or when oxytocin is used, and the types of CTG monitoring including external and internal methods. Important considerations for CTG monitoring are highlighted, such as it being a screening rather than diagnostic tool with both high negative but low positive predictive value. The steps of external and internal CTG monitoring are outlined, as are the components of a CTG paper tracing. The document concludes with notes on CTG monitoring for litigation and education/training purposes.
How to approch a case of amenorrhea
1) The document discusses how to approach cases of amenorrhea by evaluating the hypothalamic-pituitary-ovarian axis and ruling out common causes such as pregnancy, thyroid disorders, prolactin disorders, anovulation, outflow tract obstructions, CNS/hypothalamic dysfunction, and drugs/stress/nutrition.
2) It presents several case examples of patients with primary or secondary amenorrhea and suggests diagnoses and next steps such as evaluating for eating disorders, PCOS, Asherman's syndrome, or Sheehan's syndrome.
3) Key factors in evaluating amenorrhea include measuring beta-HCG, TSH, prolactin, doing a progestin challenge
OVARIAN RESERVE AND INFERTILITY
Women's ovarian reserve decreases with age, resulting in infertility around age 40-50. Ovarian reserve reflects the number and quality of eggs and can be assessed through markers like FSH, estradiol, AMH, antral follicle count, and ovarian volume. AMH levels provide the best predictor of ovarian reserve as they fluctuate less than FSH and correlate with antral follicle counts. Both low (<0.5 ng/mL) and high (>2.5 ng/mL) AMH levels impact fertility and IVF outcomes. AMH testing is recommended for women over 30, those with risk factors for low reserve, or who are undergoing fertility treatments.
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Principles and Practices of Individualized OI and IUI
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Thin Endometrium & Infertility (Part – I) , Dr. Sharda Jain , Life Care Centre
Thin Endometrium & Infertility (Part – I) , Dr. Sharda Jain , Life Care Centre
Thin Endometrium & Infertility (Part – II) , Dr. Sharda Jain, Life Care Centre
Thin Endometrium & Infertility (Part – II) , Dr. Sharda Jain, Life Care Centre
Role Of AMH In Infertility , Dr. Sharda Jain , Life Care Centre
Role Of AMH In Infertility , Dr. Sharda Jain , Life Care Centre
Similar to Group 2 Case 1
Week 1 Powerpoint
KR has been unsuccessfully trying to get pregnant for 1.5 years with irregular periods and no positive ovulation readings. She is feeling depressed and has questions about seeing a fertility specialist. A fertility specialist can run tests on both partners to determine the cause of infertility and has extensive training in this area. The first visits would involve hormone level tests and the second would include additional tests like ultrasounds, hormone tests, and procedures like hysteroscopy and laparoscopy to examine the reproductive organs. If clomiphene treatment fails to induce ovulation, injectable fertility drugs may be considered. Metformin is sometimes used alongside clomiphene to treat infertility in women with PCOS.
020 normal and abnormal puerperium 2
The document discusses postpartum care and complications. It covers the anatomical changes that occur after delivery, routine postpartum care including monitoring for bleeding and infection, complications like postpartum hemorrhage, and patient education on caring for themselves and their newborn. Discharge instructions advise women on resuming normal activities and making follow-up appointments.
Menstrural Cycle
Menstruation occurs monthly in females and involves shedding the uterine lining. It typically lasts 3-5 days and is part of the menstrual cycle, which begins at puberty and ends at menopause. The cycle involves the menstrual, follicular, and luteal phases. During the follicular phase, hormones stimulate follicle and egg development. Ovulation occurs mid-cycle when an egg is released. If fertilization does not occur, the corpus luteum breaks down, causing menstruation. Various drugs can be used to induce ovulation in cases of infertility.
Surrogacy medications
Surrogate mothers receive hormone medications before and during pregnancy to supplement the hormones needed to carry a child. These include antibiotics to prevent infection, birth control pills or progesterone pills to synchronize the surrogate's cycle with the egg donor's, and injections of Lupron to medically shut down the surrogate's natural cycle. Once the lining of the uterus is thickened using estrogen, progesterone is given to make the uterus receptive for embryo implantation and to maintain the pregnancy. Ultrasounds and blood tests are used to monitor hormone levels and uterine thickness. If implantation is successful, estrogen and progesterone are generally continued through the first trimester until the placenta takes over hormone production. Side effects of the hormone treatments may include bloating, irrit
Updated Slides
This document provides information about infertility, its causes, diagnostic testing, and treatment options. It discusses common female causes of infertility like damaged fallopian tubes or hormonal issues. It also describes fertility drugs that can be used to treat ovulation disorders, including clomiphene, gonadotropins, and aromatase inhibitors. The risks of multiple pregnancies from fertility drugs is addressed. Metformin is discussed as a treatment for infertility associated with polycystic ovary syndrome.
Antagonist protocol sample schedule ashadeep chandrareddy
This document outlines the antagonist IVF protocol. It uses antagonist drugs like Cetrotide and Antagon to prevent premature ovulation, unlike Lupron which has short-term stimulatory effects. The protocol is generally used for egg donors and some women at risk of poor stimulation. While it has lower pregnancy rates than the down-regulation protocol, it may be a good option for certain patients. The summary then outlines the typical process and timeline of an antagonist IVF cycle.
Responsible Parenthood
This document discusses responsible parenthood and family planning. It defines responsible parenthood as parents meeting the needs of their family and children. Family planning allows couples to choose the timing and spacing of pregnancies. The document outlines natural family planning methods like fertility awareness and artificial methods like birth control pills, IUDs, implants, and permanent sterilization. It notes benefits and effectiveness of different natural and artificial family planning techniques.
Healthy Women Happy Motherhood :: International Mother's day
This document provides information about planning a healthy pregnancy from an expert in obstetrics and gynecology. It covers:
1) Tips for planning a pregnancy such as maintaining a healthy diet, taking folic acid, keeping a healthy weight, discussing medications with your doctor, and stopping smoking.
2) A description of fetal development from conception through birth in 3-4 week increments.
3) Additional tips for a healthy pregnancy including a healthy diet, adequate rest, exercise as recommended by your doctor, maintaining a healthy weight, reducing stress, and not smoking, drinking alcohol or taking unnecessary medications.
4) The roles partners can play in supporting a healthy pregnancy such as allowing more rest, helping with household ch
Pregnancy guide
If you suspect, or know, that you are pregnant, we hope you have already visited your
doctor!
Presuming that you have confirmed your suspicions and that this is your first child, or
that you wish to take better care of yourself during pregnancy than you did during your
other pregnancies; you have come to the right place!
Our goal is to give you all the information you will need to care for your health and the
health of your unborn child during your pregnancy.
To do that, we believe it is important for you to understand pregnancy, and what is
happening to your body as your baby develops and nears term.
Therefore, all the information we give you about taking care of yourself will be clarified
with information about what is happening to your body and why it is important to follow
the recommendations we give you and the recommendations and advice of your doctor.
First, and foremost, it is important to consult a doctor and to get on a schedule of visits
and testing to accommodate every stage of your pregnancy.
Family Planning by Bishop Essien Ekong
In this presentation, Bishop Essien Ekong (MD), an experienced medical practitioner, taught the brethren the need for family planning and child spacing. Family planning is needed for the recovery of the woman and man (physically and economically) after child birth, when the woman is having medical conditions which makes pregnancy risky to her health, and when the couple has decided to stop having children.
Read the presentation for all details about family planning methods. May the Lord bless you all in Jesus' name. Amen.
What is infertility
In you have any question about infertility treatment so you should read these notes. I tried my best to mention all possible Q and A about infertility treatment.
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#ovulationinduction #FertilityTreamtent #a4fertilitycentre #a4hopsitals #chennai Progesterone Presentation
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ORAL CONTRACEPTIVE PILL.pptx
The document provides information on the history, types, mechanism of action, dosing, monitoring, and side effects of oral contraceptive pills. It discusses:
- The history of oral contraceptives from their development in the 1950s-60s to become a widely used form of birth control.
- The two main types are combined estrogen-progestin pills and progestin-only pills.
- Their primary mechanism is preventing ovulation by inhibiting the hormones that cause ovulation, but they also thicken cervical mucus and thin the uterine lining.
- Pills are taken in various dosing patterns depending on the specific formulation. Monitoring is important for certain groups like older women, smokers, and
med term project
Pregnancy involves carrying a fetus inside the womb for around 9 months. Common early symptoms include missed periods, fatigue, nausea, tender breasts, and frequent urination. Pregnancy is divided into three trimesters, with physical and developmental changes occurring throughout. Delivery involves three stages - early labor, active labor with cervical dilation, and final delivery of the placenta. After birth, both mother and baby require care and adjustment.
med term project
Pregnancy involves carrying an embryo or fetus inside the womb. Common early symptoms include missed periods, nausea, tender breasts, fatigue, and frequent urination. Pregnancy is divided into three trimesters, with physical and developmental changes occurring throughout. Potential problems include miscarriage, ectopic pregnancy, preeclampsia, and stillbirth. True labor contractions become stronger and closer together over time, while false contractions are irregular. As labor progresses, the cervix dilates and a woman's water may break, signaling delivery.
gyne
A normal pregnancy lasts approximately 9 months or 265-280 days and is divided into three stages or trimesters. The first sign is usually missing a menstrual period. Diagnosis is usually confirmed through urine or blood tests measuring human chorionic gonadotropin levels. Labor consists of three stages - cervical dilation, delivery of the baby, and delivery of the placenta. It is managed through monitoring, support, and pain relief options. Admission to the hospital occurs when regular contractions begin or waters break.
Pregnancy - How to bring on labour
With 1 in 4 women having their labors induced medically, the document separates facts from fiction on natural alternative methods that may induce labor at home. It discusses methods like sex, nipple stimulation, dates, exercise and spicy foods. While some studies show benefits for certain methods like dates shortening labor, results are mixed and there is no scientific evidence that eating spicy foods induces labor. The safest approach is to let labor start spontaneously and enjoy the last days of pregnancy.
Pregnancy
The document discusses various topics related to pregnancy including physical and emotional changes experienced, options for where to give birth, common symptoms in each trimester, important nutritional needs, and creating a birth plan. It emphasizes that breast milk is best for babies and highlights the importance of rest during pregnancy.
Healthy Mom, Healthy Dad
Preparing for a healthy pregnancy. What you should know about planning for a healthy pregnancy before you start trying to conceive. Advice for both men and women on preconception health.
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Group 2 Case 1
- 19. Health Care Problem Priority Therapeutic Goals Recommendations for Therapy Monitoring Parameters and Endpoint Preconception Primary Proper discontinuation of oral contraceptive. Overall good health. Discontinue Ortho Novum 7/7/7 at least three months before conceiving, but discontinue after completing the current pack. Begin taking 400mcg folic acid once daily, again, three months prior to conceiving. Limit caffeine intake. (<300mg daily) Avoid smoke, alcohol, and illicit substances. Follow up with patient in one month to ensure she has followed the recommendations listed and to ask if she has any further questions. Obesity Secondary to health conception Maintain BMI of less than or equal to 26 kg/m2. Maintain a healthy diet with the required nutrients needed for conception such as 400 mcg of folic acid daily. Exercise at least 30 minutes daily 5 days a week. See a nutritionist for optimal diet for preconception. Join a program such a Weight Watchers for support. Keep a food journal to assess food choices made. Weekly weight checks to assess progress. Weight loss should be about one pound per week. Endpoint should be a BMI of equal to or less than 26 kg/m2 before conception.