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Obstetrics

Obstetrics is the field of study concentrated on pregnancy, childbirth, and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN), which is a surgical field.

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Asked: 6 days agoIn: Case taking, Disease, Homoeopathic philosophy, Homoeopathy, Miasma, Microbiology, Obstetrics, Organon

Mention the relation between bacteria and chronic miasm.

Pratik Pandit
Pratik Pandit

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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 6 days ago
    This answer was edited.

    Relation Between Bacteria and Chronic Miasm Understanding the Concept of Miasm The term "miasm" originates from classical homoeopathy, introduced by Samuel Hahnemann (the founder of homoeopathy) in the late 18th century. In this system, miasms are considered underlying, inherited or acquired predispRead more

    Relation Between Bacteria and Chronic Miasm
    Understanding the Concept of Miasm
    The term “miasm” originates from classical homoeopathy, introduced by Samuel Hahnemann (the founder of homoeopathy) in the late 18th century. In this system, miasms are considered underlying, inherited or acquired predispositions to chronic disease that create a fertile ground for various pathological conditions to develop.

    Historical Context and Development
    When Hahnemann developed the miasm theory in the early 1800s, the germ theory of disease had not yet been fully established. Bacteria and their role in disease were not understood until much later, with Koch and Pasteur’s work in the late 19th century. Therefore, the classical concept of miasm developed independently of modern bacteriology.

    The Classical Miasm Theory
    Hahnemann identified three primary miasms:

    1. Psora – Associated with suppressed itching conditions (historically linked to scabies), representing the “itch” miasm
    2. Sycosis – Associated with gonorrheal suppressions and wart-like growths
    3. Syphilis – Associated with destructive ulcerations

    Modern Interpretations and Attempts at Integration
    Modern homoeopaths and practitioners of related systems often attempt to reconcile the miasm theory with modern medical knowledge, including bacteriology:

    – Chronic Infections as Triggers: Bacterial infections that are improperly treated or suppressed may theoretically trigger or aggravate underlying miasmic conditions
    – Biofilm Theory: Some alternative practitioners draw parallels between the miasm concept and bacterial biofilms, which can cause persistent, low-grade infections resistant to conventional treatment
    – Immunological Memory: The concept may loosely relate to how certain infections can leave lasting effects on the immune system
    – Dysbiosis: In some alternative medicine frameworks, chronic imbalances in gut bacteria (dysbiosis) are viewed as potentially contributing to miasmic states

    Summary

    The relationship between bacteria and chronic miasm represents a theoretical framework from alternative medicine that attempts to integrate classical concepts with modern microbiology.

    Disclaimer: This information is for educational purposes regarding historical and alternative medicine concepts. For any health concerns, please consult qualified healthcare professionals who practice evidence-based medicine.

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Asked: 6 years agoIn: Gynecology, Obstetrics

What are the different types of abortion?

Nasim
Nasim

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abortionclassificationscomplicationsdiseasespregnancyrubricstypes
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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 11 months ago

    There are two broad categories of abortion: 1. Spontaneous abortion (miscarriage), in which the body naturally ends a pregnancy before fetal viability (usually before 20–24 weeks). 2. Induced abortion, the deliberate termination of a pregnancy by medical or surgical means. Induced abortions break doRead more

    There are two broad categories of abortion:
    1. Spontaneous abortion (miscarriage), in which the body naturally ends a pregnancy before fetal viability (usually before 20–24 weeks).
    2. Induced abortion, the deliberate termination of a pregnancy by medical or surgical means.

    Induced abortions break down into two main types:
    • Medical abortion uses prescription pills—most often mifepristone followed by misoprostol—to halt pregnancy development and expel uterine contents. It’s approved up to about 10 weeks’ gestation, and can be clinician-supported in-person or via telehealth, or self-managed at home. Medical abortion accounts for over half of U.S. terminations and carries a low (< 2%) complication rate.

    • Surgical abortion employs instruments to remove pregnancy tissue. The most common first-trimester procedure is vacuum aspiration (manual or electric), generally done up to 14 weeks. In the second trimester (roughly 12–24 weeks), providers typically use dilation and evacuation (D&E), which combines cervical dilation with suction and surgical instruments to clear uterine contents.

    In rare late-term situations (after about 20–21 weeks), a labor-induction abortion may be performed: medications induce contractions to deliver the fetus and placenta. Fewer than 1% of U.S. abortions occur this late, usually for severe fetal anomalies or maternal health risks.

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Asked: 11 months agoIn: Case taking, Disease, Materia Medica, Miasma, Obstetrics, Pathology, Repertory, Surgery

What is Albuminous urine?

Dr Beauty Akther
Dr Beauty AktherPundit

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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 11 months ago

    Albuminous urine (albuminuria or proteinuria) means that albumin—a plasma protein normally retained by healthy kidneys—appears in the urine. In a healthy individual, the glomerular filter blocks virtually all albumin, so urine albumin excretion is 300 mg albumin/day (uACR >300 mg/g)—indicates morRead more

    Albuminous urine (albuminuria or proteinuria) means that albumin—a plasma protein normally retained by healthy kidneys—appears in the urine. In a healthy individual, the glomerular filter blocks virtually all albumin, so urine albumin excretion is 300 mg albumin/day (uACR >300 mg/g)—indicates more advanced glomerular damage.
    Detection is by a urine dipstick (qualitative) followed by quantitative measurement of albumin-to-creatinine ratio (uACR) or 24-hour urine collection.

    Clinically, albuminuria:
    • Often asymptomatic—foamy urine and peripheral edema may occur as levels rise.
    • Serves as both a marker of kidney disease progression and an independent risk factor for cardiovascular events.
    • Guides therapy—ACE inhibitors or ARBs are first-line to reduce albuminuria and slow kidney damage.

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Asked: 6 years agoIn: Gynecology, Obstetrics

How we can prevent of VVF?

Nasim
Nasim

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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 2 years ago

    Preventing vesico-vaginal fistula (VVF) involves several key strategies: 1. Access to Skilled Birth Attendants: Ensuring that skilled healthcare providers are available during childbirth to manage complications and perform emergency interventions. 2. Prenatal Care: Regular antenatal check-ups to monRead more

    Preventing vesico-vaginal fistula (VVF) involves several key strategies:

    1. Access to Skilled Birth Attendants: Ensuring that skilled healthcare providers are available during childbirth to manage complications and perform emergency interventions.
    2. Prenatal Care: Regular antenatal check-ups to monitor the health of the mother and baby, and identify any potential risks early on.
    3. Education and Awareness: Educating women and communities about the importance of seeking timely medical care during pregnancy and childbirth.
    4. Emergency Obstetric Care: Providing access to emergency obstetric services, including cesarean sections, to address prolonged or obstructed labor.
    5. Improving Healthcare Infrastructure: Strengthening healthcare facilities and ensuring they are equipped to handle obstetric emergencies.
    6. Addressing Socioeconomic Barriers: Reducing barriers to healthcare access, such as transportation and financial constraints, to ensure that all women can receive the care they need.

    By implementing these measures, the incidence of VVF can be significantly reduced.

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Asked: 6 years agoIn: Gynecology, Obstetrics

How we can diagnosis a case of VVF?

Nasim
Nasim

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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 2 years ago

    Diagnosing a vesico-vaginal fistula (VVF) involves several steps: 1. Medical History and Symptoms: The healthcare provider will ask about symptoms such as continuous urinary leakage from the vagina, which is the primary indicator of VVF. 2. Physical Examination: A thorough pelvic examination is perfRead more

    Diagnosing a vesico-vaginal fistula (VVF) involves several steps:

    1. Medical History and Symptoms: The healthcare provider will ask about symptoms such as continuous urinary leakage from the vagina, which is the primary indicator of VVF.
    2. Physical Examination: A thorough pelvic examination is performed to identify any abnormal openings between the bladder and the vagina.
    3. Imaging Tests: Tests like X-rays, CT scans, or MRI may be used to visualize the fistula and determine its location and size.
    4. Dye Test: A test where a dye (such as indigo carmine) is injected into the bladder. If the dye appears in the vagina, it confirms the presence of a fistula.
    5. Laboratory Tests: Tests to check for urea, creatinine, or potassium in any fluid collected from the vagina can help confirm the diagnosis.

    Early diagnosis and treatment are crucial for managing VVF effectively. Consulting a healthcare provider for a comprehensive evaluation is essential.

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Asked: 6 years agoIn: Gynecology, Obstetrics

What are the causes of VVF in Bangladesh?

Nasim
Nasim

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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 2 years ago

    Vesico-vaginal fistula (VVF) in Bangladesh is primarily caused by obstetric complications, particularly prolonged and obstructed labor. Here are some key factors: 1. Prolonged and Obstructed Labor: Many women in rural areas give birth at home without access to skilled birth attendants, leading to prRead more

    Vesico-vaginal fistula (VVF) in Bangladesh is primarily caused by obstetric complications, particularly prolonged and obstructed labor. Here are some key factors:

    1. Prolonged and Obstructed Labor: Many women in rural areas give birth at home without access to skilled birth attendants, leading to prolonged and obstructed labor.
    2. Early Marriage and Childbirth: Early teenage marriages and subsequent early pregnancies contribute to the risk of VVF.
    3. Lack of Access to Healthcare: Limited access to quality maternal healthcare services means many women do not receive timely medical intervention during childbirth.
    4. Untrained Birth Attendants: Reliance on untrained birth attendants (dais) who may lack the skills to manage complicated deliveries.
    5. Socioeconomic Factors: Women from lower socioeconomic backgrounds often face barriers to accessing healthcare, including transportation and financial constraints.

    Addressing these issues through improved healthcare infrastructure, education, and access to skilled birth attendants can help reduce the incidence of VVF in Bangladesh.

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Asked: 6 years agoIn: Gynecology, Obstetrics, Surgery

How we can manage a case of incomplete abortion?

Nasim
Nasim

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abortioncomplicationsdiseasesincomplete abortionmanagement
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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 2 years ago
    This answer was edited.

    Managing an incomplete abortion involves several approaches, depending on the individual's condition and preferences. Here are the main options: 1.Expectant Management: This involves waiting for the body to naturally expel the remaining tissue. It's often successful but can take longer and may not bRead more

    Managing an incomplete abortion involves several approaches, depending on the individual’s condition and preferences. Here are the main options:

    1.Expectant Management: This involves waiting for the body to naturally expel the remaining tissue. It’s often successful but can take longer and may not be suitable for everyone.
    2. Medical Management: Medications like misoprostol are used to help expel the remaining tissue. This can be done orally, vaginally, or buccally.
    3. Surgical Management: Procedures like vacuum aspiration or dilation and curettage (D&C) are used to remove the remaining tissue from the uterus. or
    4. Homoeopathic: Symptomatic Homoeopathic Treatment. Female; retained placenta: AGN(3) alch-v(2) all-s ARIST-CL(3) ARN(3) ARS(3) ART-V(3) BELL(4) CACT(3) CANTH(4) CARB-V(3) CAUL(3) CHAM(3) CHIN(3) CIMIC(3) COCC(3) COFF(3) CON(3) CROC(3) CUPR(3) dict(2) ergot erig ferr(2) GELS(3) GOSS(3) HYDR(3) hyos IGN(3) IP(4) KALI-C(3) LEUC-C(3) lil-t(2) mag-p mit nux-m NUX-V(3) phos plat PULS(4) pyrog rhus-t SABIN(4) SEC(4) SEP(4) sol stram(2) sulph(2) tril ust VERAT-V(3) VISC(3).

    The choice of management depends on factors like the amount of tissue remaining, the patient’s overall health, and their personal preferences. It’s important to consult with a healthcare provider to determine the best course of action.

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Asked: 6 years agoIn: Obstetrics

How we can nanage a case of retained placenta?

Nasim
Nasim

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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Teacher dr.basuriwala
    Added an answer about 2 years ago

    Managing a retained placenta is crucial to prevent complications such as severe bleeding and infection. Here are the general steps and methods used: Immediate Management 1. Active Management: - Uterotonic Agents: Administering medications like oxytocin or Syntometrine to stimulate uterine contractioRead more

    Managing a retained placenta is crucial to prevent complications such as severe bleeding and infection. Here are the general steps and methods used:

    Immediate Management
    1. Active Management:
    – Uterotonic Agents: Administering medications like oxytocin or Syntometrine to stimulate uterine contractions.
    – Controlled Cord Traction: Gently pulling on the umbilical cord while applying counterpressure to the uterus.

    2. Manual Removal:
    – If the placenta does not deliver with medication and controlled traction, a healthcare provider may manually remove it. This procedure is usually done under adequate analgesia or anesthesia.

    3. Emptying the Bladder:
    – Catheterizing the bladder if the woman is unable to pass urine herself, as a full bladder can impede placental delivery.

    Further Interventions
    1. Surgical Intervention:
    – If manual removal is unsuccessful or not possible, surgical options like a dilation and curettage (D&C) may be necessary.

    2. Antibiotics:
    – Administering antibiotics to prevent or treat infection, especially if manual or surgical removal is performed.

    3. Homoeopathic: Female; retained placenta: AGN(3) alch-v(2) all-s ARIST-CL(3) ARN(3) ARS(3) ART-V(3) BELL(4) CACT(3) CANTH(4) CARB-V(3) CAUL(3) CHAM(3) CHIN(3) CIMIC(3) COCC(3) COFF(3) CON(3) CROC(3) CUPR(3) dict(2) ergot erig ferr(2) GELS(3) GOSS(3) HYDR(3) hyos IGN(3) IP(4) KALI-C(3) LEUC-C(3) lil-t(2) mag-p mit nux-m NUX-V(3) phos plat PULS(4) pyrog rhus-t SABIN(4) SEC(4) SEP(4) sol stram(2) sulph(2) tril ust VERAT-V(3) VISC(3).

    4. Monitoring and Support:
    – Continuous monitoring of vital signs, blood loss, and overall condition. Intravenous fluids and blood transfusions may be required in cases of significant hemorrhage.

    Post-Procedure Care
    1. Observation:
    – Close monitoring for signs of infection or continued bleeding.
    – Ensuring the uterus contracts properly to prevent further complications.

    2. Follow-Up:
    – Regular follow-up appointments to monitor recovery and address any complications that may arise.

    Managing a retained placenta requires prompt and effective intervention to ensure the safety and health of the mother.

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Asked: 6 years agoIn: Obstetrics

What are the sign and symptoms of pregnancy?

Nasim
Nasim

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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Teacher dr.basuriwala
    Added an answer about 2 years ago

    Pregnancy can bring about a variety of signs and symptoms, which can vary from person to person. Here are some common ones experienced throughout the different stages of pregnancy: Early Signs and Symptoms (First Trimester) 1. Missed Period: - Often the first and most obvious sign of pregnancy. 2. MRead more

    Pregnancy can bring about a variety of signs and symptoms, which can vary from person to person. Here are some common ones experienced throughout the different stages of pregnancy:

    Early Signs and Symptoms (First Trimester)
    1. Missed Period:
    – Often the first and most obvious sign of pregnancy.

    2. Morning Sickness:
    – Nausea and vomiting, which can occur at any time of the day.

    3. Fatigue:
    – Feeling unusually tired due to hormonal changes.

    4. Tender, Swollen Breasts:
    – Hormonal changes can make breasts sensitive or sore.

    5. Frequent Urination:
    – Increased blood flow to the kidneys causes more frequent trips to the bathroom.

    6. Food Cravings and Aversions:
    – Changes in taste and smell can lead to strong cravings or aversions to certain foods.

    7. Mood Swings:
    – Hormonal fluctuations can cause emotional ups and downs.

    Second Trimester Symptoms
    1. Growing Belly and Breasts:
    – As the uterus expands, the belly grows, and breasts continue to enlarge.

    2. Braxton Hicks Contractions:
    – Mild, irregular contractions that can feel like a slight tightening in the abdomen.

    3. Skin Changes:
    – Increased pigmentation, resulting in dark patches on the skin, known as melasma.

    4. Nasal Problems:
    – Increased blood flow to the mucous membranes can cause nasal congestion and even nosebleeds.

    5. Leg Cramps:
    – Common, especially at night, due to changes in circulation and increased pressure on the nerves and blood vessels.

    Third Trimester Symptoms
    1. Shortness of Breath:
    – As the baby grows, it can press against the diaphragm, making it harder to breathe.

    2. Swelling:
    – Swelling in the ankles, feet, and hands due to increased fluid retention.

    3. Back Pain:
    – The extra weight and changes in posture can cause back discomfort.

    4. Frequent Urination:
    – The growing baby puts pressure on the bladder, leading to more frequent trips to the bathroom.

    5. Heartburn:
    – The relaxation of the valve between the stomach and esophagus can cause acid reflux.

    These symptoms can vary widely from person to person. If you have any concerns or experience severe symptoms, it’s always best to consult with your healthcare provider.

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Asked: 6 years agoIn: Obstetrics

What are the sign and symptoms of 1st trimester of pregnancy?

Nasim
Nasim

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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Teacher dr.basuriwala
    Added an answer about 2 years ago

    During the first trimester of pregnancy, many women experience a variety of signs and symptoms as their bodies adjust to the new changes. Here are some common ones: 1. Missed Period: - Often the first sign of pregnancy. 2. Morning Sickness: - Nausea and vomiting, which can occur at any time of the dRead more

    During the first trimester of pregnancy, many women experience a variety of signs and symptoms as their bodies adjust to the new changes. Here are some common ones:

    1. Missed Period:
    – Often the first sign of pregnancy.

    2. Morning Sickness:
    – Nausea and vomiting, which can occur at any time of the day.

    3. Fatigue:
    – Feeling unusually tired due to hormonal changes.

    4. Tender, Swollen Breasts:
    – Hormonal changes can make breasts sensitive or sore.

    5. Frequent Urination:
    – Increased blood flow to the kidneys causes more frequent trips to the bathroom.

    6. Food Cravings and Aversions:
    – Changes in taste and smell can lead to strong cravings or aversions to certain foods.

    7. Mood Swings:
    – Hormonal fluctuations can cause emotional ups and downs.

    8. Constipation:
    – Hormonal changes can slow down the digestive system.

    9. Heartburn:
    – Relaxation of the valve between the stomach and esophagus can cause acid reflux.

    10. Bloating:
    – Hormonal changes can lead to a feeling of fullness or bloating.

    These symptoms can vary widely from person to person. If you have any concerns or experience severe symptoms, it’s always best to consult with your healthcare provider.

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