obstetrics examination .pptx
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This document outlines the components of an obstetrics examination conducted by Dr. Bhaskar Jyoti Paul, an associate professor of obstetrics and gynecology. It describes examining the patient's general health, abdominal inspection and palpation techniques like Leopold maneuvers, auscultating the fetus, and determining fetal presentation. The examination establishes fetal growth and well-being while monitoring the health of the pregnant woman.
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Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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obstetrics examination .pptx
- 1. Obstetrics Examination • Dr Bhaskar Jyoti Paul • Associate Professor • Obstetrics and Gynecology • University of Shaqra
- 3. General examination • pallor, • cyanosis, • jaundice, • Odema • Clubbing
- 4. General examination • oral hygiene. • Teeth and gums • Tongue • Thyroid and any neck swellings
- 5. General examination • Breast examination: • Neck vein • Neck glands • varicose veins in legs
- 6. General examination • Vital signs: • Pulse • BP – in semi-recumbent position at 45 degrees • RR, • Temperature: • Weight in Kg: • Height in Cm: • BMI = Wt[kg]/Ht[mt square]
- 7. Systemic Examination • CNS • CVS • Respiratory System • GIT • Genitalia • Urinary system • Locomotory system
- 8. Abdominal inspection • INSPECTION: • Size of abdominal distension Symmetrical or Asymmetrical • Shape • Umbilicus – Inverted, flat or Everted Fetal movements • Scars • Engorged veins • Fetal movements • Hernia sites: Umbilical, Para-umbilical, Inguinal
- 9. Abdominal inspection • LINEA NIGRA: a dark pigmented line from • xiphi-sternum to symphysis pubis • STRIAE GRAVIDARUM: recent stretch marks • are purplish in color • STRIAE ALBICANS: old stretch marks look • silvery white
- 10. Palpation of the abdomen • PALPATION: • Symphysio-fundal height: measured in centimeters • Measured from 20 weeks onwards • Estimation of no. of fetuses • If it is a single fetus –perform Leopold maneuvers: 1. Fundal height and Grip 2. Lateral or Umbilical grip 3. Superficial or Pawlic’s grip 4. Deep pelvic grip
- 13. Leopold manuevre • Leopold manuevre • Fundal grip • Lateral grip • Ist Pelvic grip • Second pelvic grip
- 15. Presentation
- 16. Auscultation
- 17. Auscultation
- 19. Summary Mrs.-------------- is a 21 year old Saudi house wife married for 2 years Primi or G4, P3, A0 and living 3 at 33 weeks admitted with high blood pressure for admission and further management
- 20. Reference and source Beckman and ling obstetrics and gynecology First aid obstetrics and gynecology Kaplan 2017