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Inroduction to obstetrics and gynaecology
1.
2. From the Latin word Obstare,”to stand by”,is
the medical speciality dealing with the care of
all women’s reproductive tracts and their
children during pregnancy,childbirth and the
postnatal period
3. Is a medical practice dealing with the health
of the female reproductive system.
4. Gynaecology is the branch of medicine that dates
back to Greco-Roman civilization if not
earlier.The earliest birth attendants were women.
In ancient mythology,godesses(but not gods)were
present at deliveries.
In “primitive “ tribes studied by anthropologists
in the last century,the labouring women would be
accompanied by her mother or another female
relative.
Prehistoric figures and ancient Egyptian drawings
show women giving birth in the sitting or
squatting position.
Birthing stools and midwives are also mentioned
in the old testament.
5. The history of obstetrics is inextricably linked
with the history of midwifery.
Obstetrics was the latin word for midwife;it’s
thought to derive from obstare(“to stand
before”)because the attendant stood infront of
the woman to receive the baby.
Only in the 20th century,did the subject taught in
medical schools change it name from
“midwifery” to “obstetrics”-Perhaps because a
latin name seemed more academic than the
Anglo-saxon derived from “mid”(with),and
“wyf”(woman).
6. Antibiotics.
The ability to safely transfuse blood products.
The increasing safety of caeserian delivery
and improved anaesthesia techniques.
The widespread use of uterotonics and safer
methods of induction of labour.
The introduction of corticosteroids to
enhance fetal lung maturity.
7. The practice of surveillance for and early
intervention(i.e delivery)in cases like pre-
eclampsia and hypertension.
Advances in adult and neonatal intensive
care.
Introduction of ultrasonography and other
advanced antenatal monitoring techniques.
The widespread use of anti-D
immunoglobulin to prevent Rh-
alloimmunization.