Obstetrics and Ginecology Notes

CA.FJF

Obstetrics and Gynecology Notes

Contents

Obstetrics and Gynecology Notes 1

Contents 1

Part I. Physiology of Pregnancy, Labor and Delivery 3

Anatomy of the female reproductive system. The female pelvis - Structure, planes, distances 5

Fertilization, implantation. Fetal development 13

The placenta, umbilical cord, the membranes and the amniotic fluid 17

Obstetric history. Gestational age assessment and determination of the estimated day ofdelivery 22

Obstetric physical examination - palpation (Leopold methods), abdominal measurements, pelvimetry, auscultation of the fetal tones. Position of the fetus in utero - habitus, situs, position, presentation of the fetus. 24

Diagnosis of early and advanced pregnancy 27

Maternal physiological adaptations during pregnancy. Hygiene and diet during pregnancy 28

amnioscopy 30

Congenita! feta! anomalies - prenatal screening and diagnosis 33

Theories for the onset of iabor. Stages of labor 35

В iomechanics of labor. Management of normal iabor 37

Pain relief during labor 39

The normal puerperium. Care for the parturient 41

pregnancy and lactation 43

Physiology of the newborn. Immediate care for the newborn 44

Medication during pregnancy 46

Prenatal outpatient care and pregnancy followup 47

Part H. Pathology of pregnancy, labor and delivery 48

High-risk pregnancy - basic concepts and principles of follow up and management 49

Trophoblastic disease 50

Spontaneous abortions (miscerages) - types, etiology and management 51

Artificial abortions - on request, therapeutic (medical). Methods for pregnancy termination in the first and in the second trimester 53

Preterm delivery. The preterm neonate 54

Post term pregnancy. The post term neonate 55

Multiple pregnancy 56

Hyperemesis gravidarum. Sialorrhoea 58

Hypertensive disorders during pregnancy. Preeclampsia, HELLP syndrome, eclampsia 59

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Methods for the assessment of fetal well being during pregnancy and in labor -ultrasound examination, CTG (non-stress test and contraction stress-test), amniocentesis, fetal blood sampling from the presenting part with microanalysis,

Lactation - mechanisms, stimulation, suppression. Care for the breasts during