Asrigdara is an Ayurvedic term for Abnormal Uterine Bleeding. It is one of the most common gynecological problems found in Stri Rog OPD. I have tried to compile all the important points mentioned in various Ayurveda Literatures regarding Asrigdara.
Ayurvedic approach to Bandhyatva (Infertility )Anjna Tak
This presentation explains various classical Ayurvedic references about female Infertility , its types, samprapti and explains the treatment principles and modalities.
Asrigdara is an Ayurvedic term for Abnormal Uterine Bleeding. It is one of the most common gynecological problems found in Stri Rog OPD. I have tried to compile all the important points mentioned in various Ayurveda Literatures regarding Asrigdara.
Ayurvedic approach to Bandhyatva (Infertility )Anjna Tak
This presentation explains various classical Ayurvedic references about female Infertility , its types, samprapti and explains the treatment principles and modalities.
Prasuti Tantra & Stri roga syllabus PPT ( CCIM 2012 ) -- By Prof.Dr.R.R.Deshpande
• This PPT – Based on New Syllabus of CCIM ,implemented from 2012 .This is like ATP – Advanced Teaching programme of that particular subject .Very useful for Teachers & Students of Ayurved college .Student can recite this syllabus ,which can boost up their confidence to get success in that subject .Teachers & students can download this PPT in their smart phone ,to keep eye on their subject goal .
• Visit – www.ayurvedicfriend.com
• Phone – 922 68 10 630
Sharir kriya charts & Models PPT by Prof.Dr.R.R..Deshpande,pune,indiarajendra deshpande
Sharir Kriya Charts & Models By Prof.Dr.R.R.Deshpande –
Sharir Kriya ( Ayurvedic Physiology) is Basic subject of First BAMS ( Ayurvedic Graduation).This PPT is very useful as a Teaching Aid for Ayurvedic Teachers & useful Assets for Learning to Ayurveda students.PPT covers all Important Charts & Moels ,that we have in Ayurved College Nigdi ,Pune .Charts of Vata, Pitta ,Kapha & of 7 Dhatus like Rasa ,Rakta Mansa ,Meda ,Asthi ,Majja & Shukra & also waste products like Mutra are very useful as a Teaching aid with LCD Projector.Students can down load it on their smart Phones & Can circulate freely in What’s App Group..Another interesting part is you will get Introduction to useful Books & web site Links of Prof.Dr.R.R.Deshpande .Visit – www.ayurvedicfriend.com
Ayurvedic Prakruti or biotype By Prof.Dr.R.R.Deshpande,Pune,Indiarajendra deshpande
Biotype or Prakruti is like Key for your Health .Once you know your Biotype ,you can understand about Ideal Life style,Diet ,Exercises ,Occupation etc suitable for your Constitution. Visit also www.ayurvedicfriend.com .
Prasuti Tantra & Stri roga syllabus PPT ( CCIM 2012 ) -- By Prof.Dr.R.R.Deshpande
• This PPT – Based on New Syllabus of CCIM ,implemented from 2012 .This is like ATP – Advanced Teaching programme of that particular subject .Very useful for Teachers & Students of Ayurved college .Student can recite this syllabus ,which can boost up their confidence to get success in that subject .Teachers & students can download this PPT in their smart phone ,to keep eye on their subject goal .
• Visit – www.ayurvedicfriend.com
• Phone – 922 68 10 630
Sharir kriya charts & Models PPT by Prof.Dr.R.R..Deshpande,pune,indiarajendra deshpande
Sharir Kriya Charts & Models By Prof.Dr.R.R.Deshpande –
Sharir Kriya ( Ayurvedic Physiology) is Basic subject of First BAMS ( Ayurvedic Graduation).This PPT is very useful as a Teaching Aid for Ayurvedic Teachers & useful Assets for Learning to Ayurveda students.PPT covers all Important Charts & Moels ,that we have in Ayurved College Nigdi ,Pune .Charts of Vata, Pitta ,Kapha & of 7 Dhatus like Rasa ,Rakta Mansa ,Meda ,Asthi ,Majja & Shukra & also waste products like Mutra are very useful as a Teaching aid with LCD Projector.Students can down load it on their smart Phones & Can circulate freely in What’s App Group..Another interesting part is you will get Introduction to useful Books & web site Links of Prof.Dr.R.R.Deshpande .Visit – www.ayurvedicfriend.com
Ayurvedic Prakruti or biotype By Prof.Dr.R.R.Deshpande,Pune,Indiarajendra deshpande
Biotype or Prakruti is like Key for your Health .Once you know your Biotype ,you can understand about Ideal Life style,Diet ,Exercises ,Occupation etc suitable for your Constitution. Visit also www.ayurvedicfriend.com .
DR AJITH ASRUGDHAR A DEBILIATING CONDITION IN WOMEN HEALTHDR AJITH KUMAR
Dr. Ajith The famous Integrative dermatology practitioner. And all the ppt which i have updated is prepared by myself and if you find out same in anywhere else, inform us and its 100% copied from my profile.
Prof.Dr.R.R.Deshpande is Ayurveda & Yoga Consultant .He has written 51 books till March 2014 & developed Many Audio & Video CDS..This PPT presentation will help you to know Prof.Dr.Deshpande & his Books & Audio Video CDS.,his useful links on Internet.Visit also www.ayurvedicfriend.com
Dravyaguna part 1 By Prof.Dr.R.R.Deshpande & Dr.Ila Bhorrajendra deshpande
This ppt is prepared & uploaded by Prof.dr.R.R.Deshpande & Dr.Ila Bhor .This ppt is very useful for Ayurvedic Students .This includes raw & wet Herbs with nice photos & information of their properties ,Uses & products.This ppt is a part of Pack of 7 PPTS .So viewers must also see Dravyaguna Part 1 to 7 .Please feel free to discuss any thing to us on 922 68 10 630 or 9423211003
Roga Nidan ( Ayurvedic & Modern Pathology) – syllabus PPT ( CCIM 2012 ) -- By Prof.Dr.R.R.Deshpande
• This PPT – Based on New Syllabus of CCIM ,implemented from 2012 .This is like ATP – Advanced Teaching programme of that particular subject .Very useful for Teachers & Students of Ayurved college .Student can recite this syllabus ,which can boost up their confidence to get success in that subject .Teachers & students can download this PPT in their smart phone ,to keep eye on their subject goal .
• Visit – www.ayurvedicfriend.com
• Phone – 922 68 10 630
Dr Ananda's invited presentation at the National Seminar on Prenatal Education: Ancient Indian Perspectives (April 11-12, 2019) at SCSVMV, Kanchipuram, India.
Once you have decide to bear your child, everything you eat and do and, see and hear should be soft, pleasing and wholesome, to reassurae and strength the growing baby, like a pot brimful of oil’, says the Acharya charaka samhita a pregnant women should be handled without being upset in anyway. Garbhadana is described in ayurveda, in the form of certain rituals and regimens to be followed for achivement of conception of desired progeny.In classics, Acharya’s are mentioned the particular time period for achievement of conception, healthy shukra shonita, proper and wholesome dietic regimen and healthy mind psychological status of parents and good deeds of soul in previous incarnation play a prime role in acheving healthy progeny. It is the need of this era to revitalise the ancient methods of health care to incorporate its benefits for the mankind. All the classics have mentioned the keen descriptions about reproducteage, rutukala, Dinacharya, yogabhyasa, panchakarma, pranayama, ahara vihara, achararasayana, counselling, meditation, positive thinking and garbhini paricharya i.e, regimen from first to ningth month of pregnancy. This aims easy delivery at proper time, desired healthy child possesing all the qualities with long life. Dr. Shobha. B. Nadagouda | Dr. Bharati Biradi | Dr. Laxmi Metri | Dr. Aarti Bhimannavaru "Pre-Conception Care in Ayurveda" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-1 , February 2023, URL: https://www.ijtsrd.com/papers/ijtsrd52651.pdf Paper URL: https://www.ijtsrd.com/medicine/ayurvedic/52651/preconception-care-in-ayurveda/dr-shobha-b-nadagouda
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
12. 1.
Dwaram nirudhya shirsa
OVER ENLARGEMENT OF FETAL
HEAD
2.
Jatharen kaschit
ABDOMEN PRESENTATION Or
TRANSVERSE LIE OR CORD
PRESENTATION
3.
Shareera parivartit kubja deha
Body rotated and presenting with hump
back.
4.
Eka bhuja
Hand prolapse in transverse lie or in
vertex presentation
5.
Bhuja dwayena
Presenting with both hands
6.
Tiryaka gata
Transverse lie without flexion of fetal
body
7.
Kaschit aangmukho anyah
Face presentation
8.
Parshavapvrit gati
12
Presentation with flanks or lateral delivery
18. 1.vata prakopaka ahara vihara ati sevana by
garbhini stri
2.ati maithuna
3.ati jagarana
prakopa of
yoni marga
gata and
garbhashy
astha vayu
death of
garbhini
02-02-2014
closes
yoni
marga
dwara
sva avrodha
of vayu-
YONISAM
VARANA
Excessive pressure of
vata in garbhashya and
yoni patha(birth canal)
as well as association
garbha
between garbha’s nabhi
mrityu
nadi and garbhini’sSharma, PG 2nd Year
Dr.Priya
hridaya nadi
avrodha of
garbhashya
dwara
ati
peeda
na of
garbh
a by
this
vayu
nirudha shwasa of
garbha
18
19. •
Yoni Samvaranam
•
Closure of GARBHASHYA MUKHA
•
गर्ा् कऺौ सक्तो र्वनत
ु
02-02-2014
गर्ा संग
Dr.Priya Sharma, PG 2nd Year
19
20. • वभयु् प्रकवऩत् कयभात ् संरुध्य रुधधरं स्रुतम ्
ु
ु
• सतभयभ हृस्त्त्िरोबस्त्रतमऱम ् मक्कऱसंगयकम ् ll
ू
ू
• मक्कऱो रक्तमभरुतज् िऱ वविेष् Madhukosha tika
ू
Although sushruta has considered shoola in prasoota
stri as makkala, but here, prasava poorva shoola or
pain before labour pain is also taken as MAKKALA
02-02-2014
Dr.Priya Sharma, PG 2nd Year
20
22. Garbhakosha Parasanga
Rupture Uterus
Yoni Samvaranam
Cervical Dystocia
Makkala
Intrapartum haemorrhage with severe pain
OR tetanic or spasmodic or irregular
uterine contractions(tetany of uterus)
Yoni Bhramsha
Uterine prolapse
Yoni Sanga/sankocha
Obstruction of fetus in maternal passage
due to contraction of pelvis.
Sheetangta
Improper functioning of circulatory system
Neelodhita sira
Indicative of loss of physical power
Nirpatrapa or lajjaheenata
Indicative of loss of psychological power
22
23. Akshepaka
Due to toxemia
Kasa , shwasa, bhrama
Due to weakness or HTN
Pooti udgara
Due to ketone bodies formation
Mukashto -harita
Slow progress –prolonged labour
02-02-2014
Dr.Priya Sharma, PG 2nd Year
23
24. • Last two Gatis of Mudhagarbha are Asadhya i.e. –
• Hasta-pada-shirodaya (obstructed labour due to
faulty presentation)
• One foot in yoni & other in anus(remote effects of
undiagnosed obstructed labour)
02-02-2014
Dr.Priya Sharma, PG 2nd Year
24
25. Modern comparision of Asadhya
Mudha Garbha lakshanasOBSTRUCTED LABOUR
02-02-2014
Dr.Priya Sharma, PG 2nd Year
25
26. • Defined as the one in which inspite of good uterine
contractions, the progressive descent of presenting part
is arrested due to mechanical obstruction.
• Incidence – 1-2% in developing countries
• Causes• Fault in Passage
• Fault in Passenger
02-02-2014
Dr.Priya Sharma, PG 2nd Year
26
27. • 1.BONY OBSTRUCTIONS
• 2.SOFT TISSUE OBSTRUCTIONS
• BONY-1.CONTRACTED PELVIS AND CPD are main
causes
• 2.SOFT TISSUE OBSTRUCTIONS- includes cervical
dystocia, cervical or broad ligament fibroid, impacted
ovarian tumour or non graavid horn of bicornuate uterus
below the presenting part.
02-02-2014
Dr.Priya Sharma, PG 2nd Year
27
28. • Transverse lie
• Brow presentation
• Congenital malformation of foetus- hydrocephalus, fetal
ascitis
• Big Baby- occipito posterior position
• Compound presentation
• Locked twins
02-02-2014
Dr.Priya Sharma, PG 2nd Year
28
30. •
•
•
•
•
•
•
Caused by a tear in the wall of the uterus, when
the uterus can’t stand the pressure exerted on it.
Predisposing FactorsVertical scar
Multiple Gestation
Prolonged labor
Obstructed labor
Faulty presentation
Traumatic Maneuvers
Faulty use of oxytocin
02-02-2014
Dr.Priya Sharma, PG 2nd Year
30
31. • 1. Complete — direct communication
between the uterine and peritoneal cavities.
• 2. Incomplete — rupture into the peritoneum,
covering the uterus or into broad ligament
but not in the peritoneal cavity
• 3. Dehiscence — a partial separation of an old
Scar.
02-02-2014
Dr.Priya Sharma, PG 2nd Year
31
32. – Abdominal pain and tenderness
– Chest pain between the scapula or on inspiration
– Hypovolemic shock caused by hemorrhage
– Signs associated with impaired fetal oxygenation
– Absent fetal heart tones , cessation of uterine
contractions
– Palpation of fetus outside the uterus
02-02-2014
Dr.Priya Sharma, PG 2nd Year
32
35. • Cervical dystocia: Difficult labor and delivery caused by
mechanical obstruction at the cervix.
• Dystocia comes from the Greek "dys" meaning "difficult,
painful, disordered, abnormal" + "tokos" meaning "birth."
02-02-2014
Dr.Priya Sharma, PG 2nd Year
35
36. • Cervical dystocia is nothing but a complication arising
during labor that causes difficulty in delivery because the
cervix is obstructed.
• This abnormal condition of labor is a result of the
ineffectual dilation of the cervix ,though quite a rare
condition, it can lead to serious difficulties to the
mother and the baby.
• A cervical dystocia basically happens at the external os.
The complete cervical canal is consumed, and then often
thinned out. The external os however, remains
incompletely dilated or even closed at times.
02-02-2014
Dr.Priya Sharma, PG 2nd Year
36
37. • 1.Inefficient Uterine Contractions
• 2.Malpresentation, malposition
• 3.Spasm of cervix
02-02-2014
Dr.Priya Sharma, PG 2nd Year
37
38. • Primary
• Secondary
• PRIMARY- commonly observed during the first birth
where the external os fails to dilate.
• Uterine contractions are often ineffective
• Edema of cervix also might occur and delivery may be
accomplished with version of anterior lip.
• SECONDARY Cervical Dystocia- results usually due to
excess scarring or rigidity of cervix from effect of previous
operation or disease.
• Treatment- delivery by cessarian section preferred
02-02-2014
Dr.Priya Sharma, PG 2nd Year
38
39. • Pronounced retraction occurs involving whole of uterus
upto level of internal os.
• So, the physiological differentiation between active upper
segment and passive lower uterine segment of uterus is
lost.
• No thinnig of lower segment of uterus occurs.
• The uterine contraction ceases and the whole uterus
undergoes a sort of tonic muscular spasm holding the
foetus inside.
• Treatment- cs section preferred
02-02-2014
Dr.Priya Sharma, PG 2nd Year
39
40. • Failure to overcome obstruction by powerful contractions
of uterus
• Injudicious use of oxytocics
• CLINICAL FEATURES• Severe continuous pain
• Uterus appears smaller in size , tense and tender on
examination.
• FHS is not audible
• Vaginal examination reveals jammed head with big caput
as well as dry and oedematous vagina.
02-02-2014
Dr.Priya Sharma, PG 2nd Year
40
41. • There is marked hypertrophy and oedema of cervix and
first degree becomes second degree, cystocele and
rectocele become pronounced and there is aggravation
of stress incontinence.
• Vaginal discharge may be copious and decubitus ulcer
may develop when the cervix remains outside the
interoitus.
• Incarceration might occur if uterus fails to rise above the
pelvis by 16th weak of pregnancy.
02-02-2014
Dr.Priya Sharma, PG 2nd Year
41
42. •
•
•
•
•
•
•
•
There are increased chances of1. abortion
2.PROM
3.Intrauterine infection
EFFECTS ON LABOUREarly Rupture of membranes
Cervical dystocia
Prolonged labour due to non dilatation of cervix and
obstruction due to sagging cystocele aand rectocele
02-02-2014
Dr.Priya Sharma, PG 2nd Year
42
43. • Bed rest complete
• Intravaginal plugging soaked with glycerine and
acriflavine
• Prophylactic antibiotics
• Manual stretching of cervix or pushing up of cystocele or
rectocele
• Duhrssen’s incision at 2 and 10 O’ clock positions
followed by ventouse or forceps extraction
• Cessarian section – if cx.is undilated, thick or edematous
and/ or head is high up.
02-02-2014
Dr.Priya Sharma, PG 2nd Year
43
44. • Alteration in size and /or shape of pelvis of sufficient
degree so as to alter the normal mechanism of labour in
an average size baby.
• Causes• Nutritional and environmental defects
• Diseases or injuries affecting bones of pelvis like
fractures, tumours, kyphosis of spine, scoliosis,
coccygeal deformities etc.
• Developmenatl defects- robert’s pelvis, Naegele’s pelvis
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Dr.Priya Sharma, PG 2nd Year
44
45. •
•
•
•
Increased incidence of EROM
Increased chances of cord prolapse
Cervical dilatation slowed
Increased tendency of prolonged labour and obstructed
labour with features like exhausation, dehydration, keto
acidosis and sepsis
• Increased incidence of operative interfarence, shock ,
PPH and sepsis.
• Increased maternal morbidity and mortality
• Increased fetal mortality and morbidity
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Dr.Priya Sharma, PG 2nd Year
45
47. • Maternal• Immediate- exhaustion
•
•
•
•
•
Neelodhita sira
Dehydration- (Sheetangata)
Metabolic acidosis- (pooti udgara)
Genital sepsis
Injury to genital tract
PPH and shock
• Death occurs due to rupture uterus and sepsis with
metabloic changes
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Dr.Priya Sharma, PG 2nd Year
47
48. If patient survives-genito urinary fistula or recto vaginal
fistula
• Variable degree of vaginal atresia
• Secondary amenorrhoea following hysterectomy due to
rupture or Sheehan’s syndrome.
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Dr.Priya Sharma, PG 2nd Year
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54. • Indications :
• Maternal death in Mudhagarbha Avastha to save the fetus.
• Pre-requisites :
• Fetus has attained full maturity --eÉlqÉMüÉsÉã lÉuÉqÉqÉÉxÉÉÌSMüÉsÉã | (Qû)}
• Maximum Time of Udarapatana :
• Upto 2 ghatis i.e.; 48 mins.
• Site of Incision : Bastidwara
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Dr.Priya Sharma, PG 2nd Year
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55. •
•
•
•
•
•
•
Apara Patana
Abhyanga
Yoni Sneha, pichu
Vataghna Yogas for 10 days
Sneha pana for 3, 5 or 7 days (depending on Prakruti)
Asava or Arishta pana at night
Pathya-for 4 months
02-02-2014
Dr.Priya Sharma, PG 2nd Year
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