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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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Obstetrics

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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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Asked: 6 years agoIn: Obstetrics

What are the sign and symptoms of 2nd 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 second trimester of pregnancy, many women experience a variety of signs and symptoms as their bodies adjust to the growing baby. Here are some common ones: 1. Growing Belly and Breasts: - As the uterus expands, the belly grows, and breasts continue to enlarge. 2. Braxton Hicks ContractionRead more

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

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

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

    3. Skin Changes:
    – Hormonal changes can lead to 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. Dental Issues:
    – Hormonal changes can also affect the gums, leading to swelling, tenderness, and bleeding.

    6. Dizziness:
    – Changes in circulation and blood pressure can cause dizziness or lightheadedness.

    7. Leg Cramps:
    – These are common, especially at night, and can be due to changes in circulation and increased pressure on the nerves and blood vessels.

    8. Vaginal Discharge:
    – An increase in vaginal discharge is normal and helps prevent infections.

    9. Increased Appetite:
    – Many women find their appetite increases as the nausea of the first trimester subsides.

    10. Back Pain:
    – As the baby grows, the extra weight can put strain on the back, leading to discomfort.

    These symptoms can vary 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 is full term 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

    A full-term pregnancy refers to a pregnancy that has reached between 37 and 42 weeks of gestation. Here's a breakdown of the different classifications within this range: 1. Early Term: 37 weeks to 38 weeks and 6 days 2. Full Term: 39 weeks to 40 weeks and 6 days 3. Late Term: 41 weeks to 41 weeks anRead more

    A full-term pregnancy refers to a pregnancy that has reached between 37 and 42 weeks of gestation. Here’s a breakdown of the different classifications within this range:

    1. Early Term: 37 weeks to 38 weeks and 6 days
    2. Full Term: 39 weeks to 40 weeks and 6 days
    3. Late Term: 41 weeks to 41 weeks and 6 days
    4. Post Term: 42 weeks and beyond

    Reaching full term is important because it allows the baby to develop fully, reducing the risk of complications after birth. Babies born at full term generally have better health outcomes compared to those born earlier.

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Asked: 6 years agoIn: Obstetrics

What are the different method of calculation of EDD?

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

    There are several methods to calculate the Estimated Due Date (EDD) for a pregnancy. Here are the most common ones: 1. Last Menstrual Period (LMP) Method: - This is the most traditional method. It uses the first day of your last menstrual period to estimate the due date. The formula is: \[ \text{EDDRead more

    There are several methods to calculate the Estimated Due Date (EDD) for a pregnancy. Here are the most common ones:

    1. Last Menstrual Period (LMP) Method:
    – This is the most traditional method. It uses the first day of your last menstrual period to estimate the due date. The formula is:
    \[
    \text{EDD} = \text{LMP} + 1 \text{ year} – 3 \text{ months} + 7 \text{ days}
    \]
    – This method assumes a 28-day menstrual cycle and a 280-day pregnancy.

    2. Ultrasound Method:
    – An ultrasound, especially in the first trimester, is considered the most accurate way to determine the gestational age and EDD. Measurements of the embryo or fetus are used to estimate the due date.

    3. Pregnancy Wheel:
    – This is a tool used by healthcare providers. It involves aligning the date of the last menstrual period with a wheel that shows the estimated due date.

    4. Assisted Reproductive Technology (ART) Method:
    – For pregnancies resulting from ART, such as in vitro fertilization (IVF), the EDD is calculated based on the age of the embryo and the date of transfer.

    5. Conception Date Method:
    – If the exact date of conception is known, the EDD can be calculated by adding 266 days to the conception date.

    Each method has its own advantages and is used based on the available information and the specific circumstances of the pregnancy.

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Asked: 6 years agoIn: Obstetrics

What are the role of USG in 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

    Ultrasound (USG) plays a crucial role in monitoring and managing pregnancy. Here are some key roles and benefits: Confirmation and Dating 1. Confirming Pregnancy: Ultrasound can confirm the presence of a pregnancy and detect the fetal heartbeat. 2. Estimating Gestational Age: It helps determine theRead more

    Ultrasound (USG) plays a crucial role in monitoring and managing pregnancy. Here are some key roles and benefits:

    Confirmation and Dating
    1. Confirming Pregnancy: Ultrasound can confirm the presence of a pregnancy and detect the fetal heartbeat.
    2. Estimating Gestational Age: It helps determine the gestational age and estimate the due date.

    Monitoring Fetal Development
    1. Assessing Growth: Regular ultrasounds monitor the baby’s growth and development, ensuring it is progressing normally.
    2. Detecting Anomalies: It can identify structural abnormalities and congenital conditions early on.

    Evaluating Placenta and Amniotic Fluid
    1. Placental Health: Ultrasound checks the position and health of the placenta, which is vital for the baby’s nourishment.
    2. Amniotic Fluid Levels: It measures the amount of amniotic fluid, which is important for the baby’s protection and development.

    Guiding Procedures
    1. Amniocentesis and CVS: Ultrasound guides procedures like amniocentesis and chorionic villus sampling to ensure safety and accuracy.
    2. Fetal Surgery: In rare cases, it assists in performing fetal surgeries.

    Monitoring High-Risk Pregnancies
    1. Multiple Pregnancies: Ultrasound is essential for monitoring twins or higher-order multiples.
    2. Complications: It helps manage conditions like preeclampsia, gestational diabetes, and other high-risk factors.

    Preparing for Delivery
    1. Fetal Position: Ultrasound determines the baby’s position in the womb, which is crucial for planning the delivery method.
    2. Estimating Fetal Weight: It helps estimate the baby’s weight, aiding in delivery planning.

    These roles make ultrasound an indispensable tool in prenatal care, ensuring the health and safety of both the mother and the baby.

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Asked: 6 years agoIn: Obstetrics

What we can diagnosis a pregnant women?

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

    Diagnosing pregnancy involves a combination of clinical assessments, laboratory tests, and imaging techniques. Here are the primary methods used: Clinical Assessment 1. History and Physical Examination: Initial signs such as missed periods, nausea, breast tenderness, and fatigue are noted. A physicaRead more

    Diagnosing pregnancy involves a combination of clinical assessments, laboratory tests, and imaging techniques. Here are the primary methods used:

    Clinical Assessment
    1. History and Physical Examination: Initial signs such as missed periods, nausea, breast tenderness, and fatigue are noted. A physical exam may reveal changes in the uterus and cervix.

    Laboratory Tests
    1. Urine Test: Detects the presence of human chorionic gonadotropin (hCG), a hormone produced during pregnancy.
    2. Blood Test: Measures the exact levels of hCG in the blood, which can help determine the age of the pregnancy and detect any potential issues.

    Imaging
    1. Ultrasound: Confirms the pregnancy, determines the gestational age, checks for multiple pregnancies, and monitors the baby’s development.

    Additional Tests
    1. Genetic Screening: Tests such as the nuchal translucency scan, quad screen, or non-invasive prenatal testing (NIPT) can assess the risk of chromosomal abnormalities.
    2. Amniocentesis and Chorionic Villus Sampling (CVS): These are more invasive tests used to diagnose genetic conditions and other abnormalities.

    These methods help ensure a comprehensive diagnosis and monitoring of pregnancy.

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Asked: 6 years agoIn: Obstetrics

What are investigations done during 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 pregnancy, various investigations are conducted to monitor the health of both the mother and the baby. Here are some common tests and screenings: First Trimester 1. Blood Tests: These include checking blood type, Rh factor, hemoglobin levels, and screening for infections like HIV, hepatitis BRead more

    During pregnancy, various investigations are conducted to monitor the health of both the mother and the baby. Here are some common tests and screenings:

    First Trimester
    1. Blood Tests: These include checking blood type, Rh factor, hemoglobin levels, and screening for infections like HIV, hepatitis B, syphilis, and rubella immunity.
    2. Urine Tests: To check for protein, glucose, and signs of infection.
    3. Ultrasound: Typically done around 11-14 weeks to confirm the due date, check for multiple pregnancies, and assess the risk of chromosomal abnormalities.
    4. Nuchal Translucency Screening: Measures the thickness of the back of the baby’s neck to assess the risk of Down syndrome.

    Second Trimester
    1. Quad Screen: A blood test that measures four substances to assess the risk of certain birth defects.
    2. Glucose Screening: To check for gestational diabetes, usually done between 24-28 weeks.
    3. Anatomy Scan: A detailed ultrasound around 18-22 weeks to examine the baby’s organs and structures.

    Third Trimester
    1. Group B Streptococcus (GBS) Test: A swab test to check for GBS bacteria, which can be harmful to the baby during delivery.
    2. Non-Stress Test (NST): Monitors the baby’s heart rate and movements, typically done if there are concerns about the baby’s health.
    3. Biophysical Profile (BPP): Combines an ultrasound with an NST to assess the baby’s well-being.

    Throughout Pregnancy
    1. Blood Pressure Checks: Regularly monitored to detect preeclampsia.
    2. Weight Monitoring: To ensure healthy weight gain.
    3. Fetal Heart Rate Monitoring: To check the baby’s heart rate at each visit.

    These tests help ensure a healthy pregnancy and timely detection of any potential issues.

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Asked: 6 years agoIn: Obstetrics

Who are considered as high risk mother?

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

    A high-risk pregnancy involves increased health risks for the mother, the baby, or both. Here are some factors that can classify a mother as high-risk: Preexisting Health Conditions 1. Diabetes: Both type 1 and type 2 diabetes can complicate pregnancy. 2. High Blood Pressure: Chronic hypertension inRead more

    A high-risk pregnancy involves increased health risks for the mother, the baby, or both. Here are some factors that can classify a mother as high-risk:

    Preexisting Health Conditions
    1. Diabetes: Both type 1 and type 2 diabetes can complicate pregnancy.
    2. High Blood Pressure: Chronic hypertension increases the risk of preeclampsia and other complications.
    3. Autoimmune Diseases: Conditions like lupus or multiple sclerosis can pose risks.
    4. Kidney Disease: Chronic kidney disease can affect pregnancy outcomes.
    5. Thyroid Disorders: Both hyperthyroidism and hypothyroidism need careful management.

    Pregnancy-Related Conditions
    1. Gestational Diabetes: Diabetes that develops during pregnancy.
    2. Preeclampsia: A condition characterized by high blood pressure and signs of damage to another organ system.
    3. Multiple Pregnancies: Carrying twins, triplets, or more increases the risk of complications.

    Lifestyle Factors
    1. Smoking: Increases the risk of preterm birth, low birth weight, and other complications.
    2. Alcohol and Drug Use: Can lead to fetal alcohol syndrome and other developmental issues.

    Age-Related Factors
    1. Teenage Pregnancy: Pregnancies in teenagers are often considered high-risk due to higher rates of complications.
    2. Advanced Maternal Age: Women over 35 have a higher risk of complications such as chromosomal abnormalities.

    Obesity
    1. Overweight and Obesity: Increases the risk of gestational diabetes, preeclampsia, and cesarean delivery.

    Other Factors
    1. Previous Pregnancy Complications: History of complications in previous pregnancies can increase risk.
    2. Infections: Certain infections like HIV or untreated sexually transmitted infections can complicate pregnancy.

    If you have any specific concerns or need personalized advice, it’s always best to consult with your healthcare provider.

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Asked: 6 years agoIn: Obstetrics

What advice should given during antenatal care?

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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

    Antenatal care is crucial for ensuring the health and well-being of both the mother and the baby throughout pregnancy. Here are some key pieces of advice typically given during antenatal care: Nutrition and Lifestyle 1. Healthy Diet: Eat a balanced diet rich in fruits, vegetables, whole grains, andRead more

    Antenatal care is crucial for ensuring the health and well-being of both the mother and the baby throughout pregnancy. Here are some key pieces of advice typically given during antenatal care:

    Nutrition and Lifestyle
    1. Healthy Diet: Eat a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Ensure adequate intake of folic acid, iron, calcium, and other essential nutrients.
    2. Hydration: Drink plenty of water to stay hydrated.
    3. Avoid Harmful Substances: Refrain from smoking, alcohol, and illicit drugs.

    Physical Activity
    1. Regular Exercise: Engage in moderate physical activity, such as walking or prenatal yoga, to maintain fitness and reduce stress.
    2. Rest and Sleep: Ensure adequate rest and sleep to support overall health.

    Medical Care
    1. Regular Check-Ups: Attend all scheduled prenatal visits for monitoring the baby’s development and the mother’s health.
    2. Vaccinations: Stay up-to-date with recommended vaccinations, such as the flu shot and tetanus.
    3. Screenings and Tests: Undergo necessary screenings and tests to detect any potential issues early.

    Managing Common Symptoms
    1. Nausea and Vomiting: Eat small, frequent meals and avoid triggers that worsen nausea.
    2. Back Pain: Practice good posture and use supportive pillows while sleeping.
    3. Constipation: Increase fiber intake and stay hydrated.

    Mental Health
    1. Emotional Support: Seek support from family, friends, or a counselor if feeling anxious or stressed.
    2. Education: Attend prenatal classes to learn about childbirth, breastfeeding, and newborn care.

    Preventive Measures
    1. Malaria and HIV Prevention: In areas where these are prevalent, take preventive measures as advised by your healthcare provider.
    2. Intimate Partner Violence: Seek help if experiencing any form of violence or abuse.

    Preparing for Birth
    1. Birth Plan: Discuss and prepare a birth plan with your healthcare provider.
    2. Hospital Bag: Pack a hospital bag with essentials well in advance of the due date.

    These guidelines help ensure a healthy and positive pregnancy experience.

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Asked: 6 years agoIn: Obstetrics

How we can differentiate the true labour pain and false labour pain?

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

    Differentiating between true labor pain and false labor pain (also known as Braxton Hicks contractions) can be challenging, especially for first-time mothers. Here are some key differences: True Labor Pain 1. Regular Contractions: Contractions occur at regular intervals and gradually get closer togeRead more

    Differentiating between true labor pain and false labor pain (also known as Braxton Hicks contractions) can be challenging, especially for first-time mothers. Here are some key differences:

    True Labor Pain
    1. Regular Contractions: Contractions occur at regular intervals and gradually get closer together over time.
    2. Increasing Intensity: The pain and intensity of contractions increase steadily.
    3. Duration: Each contraction lasts about 30 to 70 seconds.
    4. Location of Pain: Pain typically starts in the lower back and moves to the front of the abdomen.
    5. Persistence: Contractions continue regardless of movement or changes in position.
    6. Other Signs: You may experience other signs such as a “bloody show” (mucus plug) or your water breaking.

    False Labor Pain (Braxton Hicks)
    1. Irregular Contractions: Contractions are irregular and do not get closer together.
    2. Stable Intensity: The intensity of contractions does not increase; they may even decrease over time.
    3. Shorter Duration: Contractions are usually shorter and less intense.
    4. Location of Pain: Pain is often felt only in the front of the abdomen.
    5. Relief with Movement: Contractions may stop with walking, resting, or changing positions.
    6. No Other Signs: Typically, there are no other signs of labor such as a bloody show or water breaking.

    Tips for Differentiation
    – Timing: Track the timing of contractions. True labor contractions will become more regular and closer together.
    – Movement: Change positions or walk around. If the contractions stop, it’s likely false labor.
    – Hydration: Sometimes, dehydration can cause Braxton Hicks contractions. Drinking water might help reduce them.

    If you’re ever unsure, it’s always best to contact your healthcare provider for guidance. They can help determine whether you’re experiencing true labor or false labor.

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