SlideShare a Scribd company logo
1 of 30
Myaesthenia Gravis in Pregnancy. Dr. Mridula A. Benjamin Dept of Obs and Gyn,  RIPAS Hospital, Brunei
M.J.  IC:31-001064 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Myasthenia gravis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pathology ,[object Object],[object Object],[object Object]
In pregnancy ,[object Object],[object Object],[object Object],[object Object]
Maternal complications ,[object Object],[object Object],[object Object],[object Object]
Contd. ,[object Object],[object Object]
Fetal complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Plauche et al ,[object Object],[object Object]
Batocchi et al ,[object Object],[object Object],[object Object],[object Object],[object Object]
History ,[object Object],[object Object],[object Object],[object Object]
Physical examination ,[object Object],[object Object],[object Object]
Differential diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tests ,[object Object],[object Object],[object Object],[object Object],[object Object]
Drugs to avoid  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medications ,[object Object],[object Object],[object Object],[object Object],[object Object]
Medications contd. ,[object Object],[object Object],[object Object],[object Object]
Plasmapheresis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Labour mx. ,[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THANK YOU

More Related Content

What's hot

autoimmune diseases in pregnancy
autoimmune diseases in pregnancy autoimmune diseases in pregnancy
autoimmune diseases in pregnancy Abdullah Abdurrhman
 
Rhesus Isoimmunisation
Rhesus IsoimmunisationRhesus Isoimmunisation
Rhesus Isoimmunisationlimgengyan
 
Endometriosis: ESHRE2014& NICE2017 Guidelines
Endometriosis: ESHRE2014& NICE2017 GuidelinesEndometriosis: ESHRE2014& NICE2017 Guidelines
Endometriosis: ESHRE2014& NICE2017 GuidelinesAboubakr Elnashar
 
intra uterine fetal growth restriction
intra uterine fetal growth restrictionintra uterine fetal growth restriction
intra uterine fetal growth restrictionAmreenKhan93
 
Red cell alloimmunization (JUNE 2021)
Red cell alloimmunization (JUNE 2021)Red cell alloimmunization (JUNE 2021)
Red cell alloimmunization (JUNE 2021)OBGYN Notes
 
Maternal collapse in pregnancy & puerperium
Maternal collapse in pregnancy & puerperiumMaternal collapse in pregnancy & puerperium
Maternal collapse in pregnancy & puerperiumdr shabnam naz shaikh
 
Early onset pre- eclampsia
Early onset pre- eclampsiaEarly onset pre- eclampsia
Early onset pre- eclampsiaannith123
 
MCQS_FOR_Obstetrics_and_Gynaecology.pdf
MCQS_FOR_Obstetrics_and_Gynaecology.pdfMCQS_FOR_Obstetrics_and_Gynaecology.pdf
MCQS_FOR_Obstetrics_and_Gynaecology.pdfAnkur Shah
 
100 picture osce in obstetrics and gynaecology
100 picture osce in obstetrics and gynaecology100 picture osce in obstetrics and gynaecology
100 picture osce in obstetrics and gynaecologyAloy Okechukwu Ugwu
 
Management of Sickle Cell Disease in Pregnancy
Management of Sickle Cell Disease in PregnancyManagement of Sickle Cell Disease in Pregnancy
Management of Sickle Cell Disease in PregnancyApollo Hospitals
 
DENGUE IN PREGNANCY BY DR SHASHWAT JANI
DENGUE IN PREGNANCY BY DR SHASHWAT JANIDENGUE IN PREGNANCY BY DR SHASHWAT JANI
DENGUE IN PREGNANCY BY DR SHASHWAT JANIDR SHASHWAT JANI
 
Placenta praevia, placenta praevia accreta and vasa praevia
Placenta praevia, placenta praevia accreta and vasa praeviaPlacenta praevia, placenta praevia accreta and vasa praevia
Placenta praevia, placenta praevia accreta and vasa praeviaAboubakr Elnashar
 
100 picture osce in obstetrics and gynaecology
100 picture osce in obstetrics and gynaecology100 picture osce in obstetrics and gynaecology
100 picture osce in obstetrics and gynaecologyAloy Okechukwu Ugwu
 
Effects of Maternal Analgesia and Anesthesia on the Fetus and Newborn
Effects of Maternal Analgesia and Anesthesia on the Fetus and NewbornEffects of Maternal Analgesia and Anesthesia on the Fetus and Newborn
Effects of Maternal Analgesia and Anesthesia on the Fetus and NewbornKing_maged
 
Thrombocytopenia during pregnancy
Thrombocytopenia during pregnancyThrombocytopenia during pregnancy
Thrombocytopenia during pregnancyAboubakr Elnashar
 
Management of Pelvic Inflammatory Disease (PID)
Management of Pelvic Inflammatory Disease (PID)Management of Pelvic Inflammatory Disease (PID)
Management of Pelvic Inflammatory Disease (PID)Sujoy Dasgupta
 
Tolac trial of labour after section
Tolac trial of labour after sectionTolac trial of labour after section
Tolac trial of labour after sectionKawita Bapat
 

What's hot (20)

autoimmune diseases in pregnancy
autoimmune diseases in pregnancy autoimmune diseases in pregnancy
autoimmune diseases in pregnancy
 
Iso immunization
Iso immunizationIso immunization
Iso immunization
 
Rhesus Isoimmunisation
Rhesus IsoimmunisationRhesus Isoimmunisation
Rhesus Isoimmunisation
 
Rh alloimmunization
Rh alloimmunizationRh alloimmunization
Rh alloimmunization
 
Endometriosis: ESHRE2014& NICE2017 Guidelines
Endometriosis: ESHRE2014& NICE2017 GuidelinesEndometriosis: ESHRE2014& NICE2017 Guidelines
Endometriosis: ESHRE2014& NICE2017 Guidelines
 
intra uterine fetal growth restriction
intra uterine fetal growth restrictionintra uterine fetal growth restriction
intra uterine fetal growth restriction
 
Red cell alloimmunization (JUNE 2021)
Red cell alloimmunization (JUNE 2021)Red cell alloimmunization (JUNE 2021)
Red cell alloimmunization (JUNE 2021)
 
Maternal collapse in pregnancy & puerperium
Maternal collapse in pregnancy & puerperiumMaternal collapse in pregnancy & puerperium
Maternal collapse in pregnancy & puerperium
 
Early onset pre- eclampsia
Early onset pre- eclampsiaEarly onset pre- eclampsia
Early onset pre- eclampsia
 
MCQS_FOR_Obstetrics_and_Gynaecology.pdf
MCQS_FOR_Obstetrics_and_Gynaecology.pdfMCQS_FOR_Obstetrics_and_Gynaecology.pdf
MCQS_FOR_Obstetrics_and_Gynaecology.pdf
 
Endometriosis
EndometriosisEndometriosis
Endometriosis
 
100 picture osce in obstetrics and gynaecology
100 picture osce in obstetrics and gynaecology100 picture osce in obstetrics and gynaecology
100 picture osce in obstetrics and gynaecology
 
Management of Sickle Cell Disease in Pregnancy
Management of Sickle Cell Disease in PregnancyManagement of Sickle Cell Disease in Pregnancy
Management of Sickle Cell Disease in Pregnancy
 
DENGUE IN PREGNANCY BY DR SHASHWAT JANI
DENGUE IN PREGNANCY BY DR SHASHWAT JANIDENGUE IN PREGNANCY BY DR SHASHWAT JANI
DENGUE IN PREGNANCY BY DR SHASHWAT JANI
 
Placenta praevia, placenta praevia accreta and vasa praevia
Placenta praevia, placenta praevia accreta and vasa praeviaPlacenta praevia, placenta praevia accreta and vasa praevia
Placenta praevia, placenta praevia accreta and vasa praevia
 
100 picture osce in obstetrics and gynaecology
100 picture osce in obstetrics and gynaecology100 picture osce in obstetrics and gynaecology
100 picture osce in obstetrics and gynaecology
 
Effects of Maternal Analgesia and Anesthesia on the Fetus and Newborn
Effects of Maternal Analgesia and Anesthesia on the Fetus and NewbornEffects of Maternal Analgesia and Anesthesia on the Fetus and Newborn
Effects of Maternal Analgesia and Anesthesia on the Fetus and Newborn
 
Thrombocytopenia during pregnancy
Thrombocytopenia during pregnancyThrombocytopenia during pregnancy
Thrombocytopenia during pregnancy
 
Management of Pelvic Inflammatory Disease (PID)
Management of Pelvic Inflammatory Disease (PID)Management of Pelvic Inflammatory Disease (PID)
Management of Pelvic Inflammatory Disease (PID)
 
Tolac trial of labour after section
Tolac trial of labour after sectionTolac trial of labour after section
Tolac trial of labour after section
 

Viewers also liked

Pregnancy in a young girl with Myasthenia Gravis.
Pregnancy in a young girl with Myasthenia Gravis.Pregnancy in a young girl with Myasthenia Gravis.
Pregnancy in a young girl with Myasthenia Gravis.Anita Aggarwal
 
Pharmaceutical Marketing Presentation
Pharmaceutical Marketing PresentationPharmaceutical Marketing Presentation
Pharmaceutical Marketing Presentationnilbert
 
Mysthenia Gravis.ppt
Mysthenia Gravis.pptMysthenia Gravis.ppt
Mysthenia Gravis.pptShama
 
Marketing Plan Final
Marketing Plan FinalMarketing Plan Final
Marketing Plan FinalTeeka
 
Pharmaceutical marketing course
Pharmaceutical marketing coursePharmaceutical marketing course
Pharmaceutical marketing courseMadhukar Tanna
 
Marketing Plan of Esomeprazole
Marketing Plan of EsomeprazoleMarketing Plan of Esomeprazole
Marketing Plan of EsomeprazoleAnimesh Gupta
 
Pharma Plan Presentation Powerpoint
Pharma Plan Presentation PowerpointPharma Plan Presentation Powerpoint
Pharma Plan Presentation Powerpointwaschmaschine
 
Pharmaceutical Marketing Management
Pharmaceutical Marketing ManagementPharmaceutical Marketing Management
Pharmaceutical Marketing ManagementSheraz Pervaiz
 

Viewers also liked (10)

Pregnancy in a young girl with Myasthenia Gravis.
Pregnancy in a young girl with Myasthenia Gravis.Pregnancy in a young girl with Myasthenia Gravis.
Pregnancy in a young girl with Myasthenia Gravis.
 
Pharmaceutical Marketing Presentation
Pharmaceutical Marketing PresentationPharmaceutical Marketing Presentation
Pharmaceutical Marketing Presentation
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravis
 
Mysthenia Gravis.ppt
Mysthenia Gravis.pptMysthenia Gravis.ppt
Mysthenia Gravis.ppt
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravis
 
Marketing Plan Final
Marketing Plan FinalMarketing Plan Final
Marketing Plan Final
 
Pharmaceutical marketing course
Pharmaceutical marketing coursePharmaceutical marketing course
Pharmaceutical marketing course
 
Marketing Plan of Esomeprazole
Marketing Plan of EsomeprazoleMarketing Plan of Esomeprazole
Marketing Plan of Esomeprazole
 
Pharma Plan Presentation Powerpoint
Pharma Plan Presentation PowerpointPharma Plan Presentation Powerpoint
Pharma Plan Presentation Powerpoint
 
Pharmaceutical Marketing Management
Pharmaceutical Marketing ManagementPharmaceutical Marketing Management
Pharmaceutical Marketing Management
 

Similar to Myasthenia gravis in pregnancy

1 narrated myasthenia pp
1 narrated myasthenia pp1 narrated myasthenia pp
1 narrated myasthenia ppLexiGray
 
Advances in myasthenia gravis
Advances in myasthenia gravisAdvances in myasthenia gravis
Advances in myasthenia gravisNeurologyKota
 
Myasthenia gravis guest_lecture[1]
Myasthenia gravis guest_lecture[1]Myasthenia gravis guest_lecture[1]
Myasthenia gravis guest_lecture[1]Gainuta
 
SLE and infertility: Aboubakr Elnashar
SLE and infertility: Aboubakr ElnasharSLE and infertility: Aboubakr Elnashar
SLE and infertility: Aboubakr ElnasharAboubakr Elnashar
 
Edward Fohrman | Neurologic and Neuromuscular Disease in Pregnancy
Edward Fohrman | Neurologic and Neuromuscular Disease in PregnancyEdward Fohrman | Neurologic and Neuromuscular Disease in Pregnancy
Edward Fohrman | Neurologic and Neuromuscular Disease in PregnancyEdward Fohrman
 
Recurrent pregnancy loss
Recurrent pregnancy loss Recurrent pregnancy loss
Recurrent pregnancy loss drmcbansal
 
1 s2.0-s0034709413702332-main
1 s2.0-s0034709413702332-main1 s2.0-s0034709413702332-main
1 s2.0-s0034709413702332-mainJosilda Sena
 
Cns Mg Davidson 07.
Cns Mg Davidson 07.Cns Mg Davidson 07.
Cns Mg Davidson 07.Shaikhani.
 
Myasthenia gravis.
Myasthenia gravis.Myasthenia gravis.
Myasthenia gravis.MohamadAlhes
 
CASE SENERIO Dr Ayman RefaieMD
 CASE SENERIO  Dr Ayman RefaieMD CASE SENERIO  Dr Ayman RefaieMD
CASE SENERIO Dr Ayman RefaieMDFAARRAG
 
Rehabilitation Issues in Breast Cancer Survivorship
Rehabilitation Issues in Breast Cancer SurvivorshipRehabilitation Issues in Breast Cancer Survivorship
Rehabilitation Issues in Breast Cancer SurvivorshipOSUCCC - James
 
Resistant urticaria tutorial ppt.
Resistant urticaria tutorial ppt.Resistant urticaria tutorial ppt.
Resistant urticaria tutorial ppt.Dr Daulatram Dhaked
 
Sipuleucel T Presentation Anna Begelfer Ostrovski
Sipuleucel T Presentation Anna Begelfer OstrovskiSipuleucel T Presentation Anna Begelfer Ostrovski
Sipuleucel T Presentation Anna Begelfer Ostrovskibegelfer
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravisashabdou
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravisVivek Dev
 
status_epilepticus_-_clinical_featurespathopysiologyand_treatmentcraig_watson...
status_epilepticus_-_clinical_featurespathopysiologyand_treatmentcraig_watson...status_epilepticus_-_clinical_featurespathopysiologyand_treatmentcraig_watson...
status_epilepticus_-_clinical_featurespathopysiologyand_treatmentcraig_watson...SriRam071
 
R2 management of menstrual disordersll
R2 management of menstrual disordersllR2 management of menstrual disordersll
R2 management of menstrual disordersllAmir Mahmoud
 

Similar to Myasthenia gravis in pregnancy (20)

1 narrated myasthenia pp
1 narrated myasthenia pp1 narrated myasthenia pp
1 narrated myasthenia pp
 
Myasthenia Gravis - Management
Myasthenia Gravis - ManagementMyasthenia Gravis - Management
Myasthenia Gravis - Management
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravis
 
Advances in myasthenia gravis
Advances in myasthenia gravisAdvances in myasthenia gravis
Advances in myasthenia gravis
 
Myasthenia gravis guest_lecture[1]
Myasthenia gravis guest_lecture[1]Myasthenia gravis guest_lecture[1]
Myasthenia gravis guest_lecture[1]
 
SLE and infertility: Aboubakr Elnashar
SLE and infertility: Aboubakr ElnasharSLE and infertility: Aboubakr Elnashar
SLE and infertility: Aboubakr Elnashar
 
Edward Fohrman | Neurologic and Neuromuscular Disease in Pregnancy
Edward Fohrman | Neurologic and Neuromuscular Disease in PregnancyEdward Fohrman | Neurologic and Neuromuscular Disease in Pregnancy
Edward Fohrman | Neurologic and Neuromuscular Disease in Pregnancy
 
Recurrent pregnancy loss
Recurrent pregnancy loss Recurrent pregnancy loss
Recurrent pregnancy loss
 
1 s2.0-s0034709413702332-main
1 s2.0-s0034709413702332-main1 s2.0-s0034709413702332-main
1 s2.0-s0034709413702332-main
 
Cns Mg Davidson 07.
Cns Mg Davidson 07.Cns Mg Davidson 07.
Cns Mg Davidson 07.
 
Myasthenia gravis.
Myasthenia gravis.Myasthenia gravis.
Myasthenia gravis.
 
CASE SENERIO Dr Ayman RefaieMD
 CASE SENERIO  Dr Ayman RefaieMD CASE SENERIO  Dr Ayman RefaieMD
CASE SENERIO Dr Ayman RefaieMD
 
Rehabilitation Issues in Breast Cancer Survivorship
Rehabilitation Issues in Breast Cancer SurvivorshipRehabilitation Issues in Breast Cancer Survivorship
Rehabilitation Issues in Breast Cancer Survivorship
 
Resistant urticaria tutorial ppt.
Resistant urticaria tutorial ppt.Resistant urticaria tutorial ppt.
Resistant urticaria tutorial ppt.
 
Sipuleucel T Presentation Anna Begelfer Ostrovski
Sipuleucel T Presentation Anna Begelfer OstrovskiSipuleucel T Presentation Anna Begelfer Ostrovski
Sipuleucel T Presentation Anna Begelfer Ostrovski
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravis
 
Bulbar mg ppt
Bulbar mg pptBulbar mg ppt
Bulbar mg ppt
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravis
 
status_epilepticus_-_clinical_featurespathopysiologyand_treatmentcraig_watson...
status_epilepticus_-_clinical_featurespathopysiologyand_treatmentcraig_watson...status_epilepticus_-_clinical_featurespathopysiologyand_treatmentcraig_watson...
status_epilepticus_-_clinical_featurespathopysiologyand_treatmentcraig_watson...
 
R2 management of menstrual disordersll
R2 management of menstrual disordersllR2 management of menstrual disordersll
R2 management of menstrual disordersll
 

More from Carlos Rene Espino de la Cueva

Intervención en crisis a cargo de los profesionales de salud
Intervención en crisis a cargo de los profesionales de saludIntervención en crisis a cargo de los profesionales de salud
Intervención en crisis a cargo de los profesionales de saludCarlos Rene Espino de la Cueva
 
Factores socioculturales y emocionales que influyen en el aprendizaje 1
Factores socioculturales y emocionales que influyen en el aprendizaje 1Factores socioculturales y emocionales que influyen en el aprendizaje 1
Factores socioculturales y emocionales que influyen en el aprendizaje 1Carlos Rene Espino de la Cueva
 
FACTORES DETERMINANTES DEL BAJO RENDIMIENTO ACADÉMICO
FACTORES DETERMINANTES DEL BAJO RENDIMIENTO ACADÉMICOFACTORES DETERMINANTES DEL BAJO RENDIMIENTO ACADÉMICO
FACTORES DETERMINANTES DEL BAJO RENDIMIENTO ACADÉMICOCarlos Rene Espino de la Cueva
 
Manual para la presentación de trabajos extra aulicos
Manual para la presentación de trabajos extra aulicosManual para la presentación de trabajos extra aulicos
Manual para la presentación de trabajos extra aulicosCarlos Rene Espino de la Cueva
 

More from Carlos Rene Espino de la Cueva (20)

Intervención en crisis en las escuelas
Intervención en crisis en las escuelasIntervención en crisis en las escuelas
Intervención en crisis en las escuelas
 
Intervencion en crisis en el trabajo en la oficina
Intervencion en crisis en el trabajo en la oficinaIntervencion en crisis en el trabajo en la oficina
Intervencion en crisis en el trabajo en la oficina
 
Orientación educativa
Orientación educativa Orientación educativa
Orientación educativa
 
Plan de estudios
Plan de estudiosPlan de estudios
Plan de estudios
 
Intervención en crisis a cargo de los profesionales de salud
Intervención en crisis a cargo de los profesionales de saludIntervención en crisis a cargo de los profesionales de salud
Intervención en crisis a cargo de los profesionales de salud
 
Factores socioculturales y emocionales que influyen en el aprendizaje 1
Factores socioculturales y emocionales que influyen en el aprendizaje 1Factores socioculturales y emocionales que influyen en el aprendizaje 1
Factores socioculturales y emocionales que influyen en el aprendizaje 1
 
FACTORES DETERMINANTES DEL BAJO RENDIMIENTO ACADÉMICO
FACTORES DETERMINANTES DEL BAJO RENDIMIENTO ACADÉMICOFACTORES DETERMINANTES DEL BAJO RENDIMIENTO ACADÉMICO
FACTORES DETERMINANTES DEL BAJO RENDIMIENTO ACADÉMICO
 
Ciclo vital de la familia
Ciclo vital de la familiaCiclo vital de la familia
Ciclo vital de la familia
 
El alumno con problemas emocionales
El alumno con problemas emocionalesEl alumno con problemas emocionales
El alumno con problemas emocionales
 
Resumen de cierre de ventas para entregar.
Resumen  de cierre  de ventas para entregar.Resumen  de cierre  de ventas para entregar.
Resumen de cierre de ventas para entregar.
 
Cronograma del programa de presentación del tema
Cronograma del programa de presentación del  temaCronograma del programa de presentación del  tema
Cronograma del programa de presentación del tema
 
Manual para la presentación de trabajos extra aulicos
Manual para la presentación de trabajos extra aulicosManual para la presentación de trabajos extra aulicos
Manual para la presentación de trabajos extra aulicos
 
ESCALAS BAYLEY DE DESARROLLO INFANTIL
ESCALAS BAYLEY DE DESARROLLO INFANTILESCALAS BAYLEY DE DESARROLLO INFANTIL
ESCALAS BAYLEY DE DESARROLLO INFANTIL
 
Intervención en crisis a cargo del clero
Intervención en  crisis a cargo del  clero Intervención en  crisis a cargo del  clero
Intervención en crisis a cargo del clero
 
Aptitudes Sobresalientes.
Aptitudes Sobresalientes.Aptitudes Sobresalientes.
Aptitudes Sobresalientes.
 
Planificación familiar
Planificación familiarPlanificación familiar
Planificación familiar
 
El autoestima
El autoestimaEl autoestima
El autoestima
 
Trastornos psicológicos-psquiatricos
Trastornos psicológicos-psquiatricosTrastornos psicológicos-psquiatricos
Trastornos psicológicos-psquiatricos
 
Becas
BecasBecas
Becas
 
TEST GESTÁLTICO VISOMOTOR DE BENDER SEGÚN KOPPITZ
TEST GESTÁLTICO VISOMOTOR DE BENDER SEGÚN KOPPITZTEST GESTÁLTICO VISOMOTOR DE BENDER SEGÚN KOPPITZ
TEST GESTÁLTICO VISOMOTOR DE BENDER SEGÚN KOPPITZ
 

Recently uploaded

Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...narwatsonia7
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableDipal Arora
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...narwatsonia7
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiLow Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiSuhani Kapoor
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...indiancallgirl4rent
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...Neha Kaur
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...Garima Khatri
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on DeliveryCall Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Deliverynehamumbai
 

Recently uploaded (20)

Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD available
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
 
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiLow Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
 
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
 
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCREscort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
 
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on DeliveryCall Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
 

Myasthenia gravis in pregnancy

  • 1. Myaesthenia Gravis in Pregnancy. Dr. Mridula A. Benjamin Dept of Obs and Gyn, RIPAS Hospital, Brunei
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.