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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 management of 1st stage of normal labour?

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

    The first stage of labor, which spans from the onset of regular contractions to full cervical dilation (10 cm), is crucial for ensuring a smooth delivery. Here are the key management steps: Monitoring and Assessment 1. Regular Monitoring: Check the fetal heart rate and the mother's vital signs regulRead more

    The first stage of labor, which spans from the onset of regular contractions to full cervical dilation (10 cm), is crucial for ensuring a smooth delivery. Here are the key management steps:

    Monitoring and Assessment
    1. Regular Monitoring: Check the fetal heart rate and the mother’s vital signs regularly to ensure both are stable.
    2. Cervical Checks: Periodically assess cervical dilation and effacement to track labor progress.

    Pain Management
    1. Non-Pharmacological Methods: Techniques such as breathing exercises, hydrotherapy, and massage can help manage pain.
    2. Pharmacological Methods: Options include epidural analgesia, intravenous pain medications, and nitrous oxide.

    Support and Comfort
    1. Emotional Support: Continuous support from a partner, doula, or healthcare provider can help reduce anxiety and improve the labor experience.
    2. Position Changes: Encourage the mother to change positions frequently to enhance comfort and labor progress.

    Hydration and Nutrition
    1. Hydration: Ensure the mother stays hydrated with clear fluids.
    2. Light Snacks: If allowed, light snacks can help maintain energy levels.

    Interventions
    1. Amniotomy: If labor is not progressing, breaking the water (amniotic sac) may be considered to stimulate contractions.
    2. Oxytocin: Administering oxytocin can help strengthen contractions if labor is slow.

    Monitoring for Complications
    1. Watch for Signs of Distress: Be vigilant for any signs of fetal or maternal distress and be prepared to intervene if necessary.
    2. Prepare for Transition: As the first stage nears completion, prepare for the transition to the second stage of labor.

    These steps help ensure a safe and effective management of the first stage of labor.

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Asked: 6 years agoIn: Obstetrics

How we can manage a case of 2nd stage normal labour?

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 the second stage of normal labor, which spans from full cervical dilation to the delivery of the baby, involves several key steps to ensure the safety and well-being of both the mother and the baby. Here are the main aspects: Monitoring and Support 1. Continuous Monitoring: Regularly checkRead more

    Managing the second stage of normal labor, which spans from full cervical dilation to the delivery of the baby, involves several key steps to ensure the safety and well-being of both the mother and the baby. Here are the main aspects:

    Monitoring and Support
    1. Continuous Monitoring: Regularly check the fetal heart rate and the mother’s vital signs to ensure both are stable.
    2. Emotional and Physical Support: Provide encouragement and support to the mother, helping her with breathing techniques and positioning.

    Positioning
    1. Optimal Positioning: Encourage the mother to adopt positions that facilitate labor, such as squatting, kneeling, or side-lying.

    Pushing Techniques
    1. Guided Pushing: Instruct the mother on effective pushing techniques, typically during contractions.
    2. Spontaneous Pushing: Allow the mother to push when she feels the urge, which can be more effective and less tiring.

    Interventions
    1. Perineal Support: Apply gentle pressure to support the perineum and reduce the risk of tears.
    2. Episiotomy: If necessary, perform an episiotomy to enlarge the vaginal opening and facilitate delivery.

    Delivery
    1. Controlled Delivery of the Head: Guide the baby’s head out slowly to prevent rapid expulsion and reduce the risk of perineal trauma.
    2. Check for Nuchal Cord: Ensure the umbilical cord is not wrapped around the baby’s neck and manage it if it is.

    Immediate Post-Delivery Care
    1. Newborn Assessment: Quickly assess the newborn’s condition using the Apgar score.
    2. Skin-to-Skin Contact: Encourage immediate skin-to-skin contact between the mother and baby to promote bonding and breastfeeding.

    These steps help ensure a smooth and safe delivery during the second stage of labor.

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Asked: 6 years agoIn: Obstetrics

What are the management of 3 rd stage of labour?

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

    The management of the third stage of labor, which is the period from the birth of the baby until the delivery of the placenta, is crucial to prevent complications such as postpartum hemorrhage. There are two main approaches: Active Management 1. Administration of Uterotonic Drugs: Oxytocin is commonRead more

    The management of the third stage of labor, which is the period from the birth of the baby until the delivery of the placenta, is crucial to prevent complications such as postpartum hemorrhage. There are two main approaches:

    Active Management
    1. Administration of Uterotonic Drugs: Oxytocin is commonly used to stimulate uterine contractions and reduce bleeding.
    2. Controlled Cord Traction: Gentle pulling on the umbilical cord while applying counterpressure to the uterus to help deliver the placenta.
    3. Uterine Massage: Massaging the uterus after the placenta is delivered to encourage contraction and reduce bleeding.

    Expectant (Physiological) Management
    1. Natural Delivery of the Placenta: Allowing the placenta to deliver spontaneously without medical intervention.
    2. Monitoring: Close observation of the mother for signs of excessive bleeding and ensuring the uterus is contracting properly.

    Active management is generally preferred as it significantly reduces the risk of severe postpartum hemorrhage. However, the choice of management may depend on the specific circumstances and the healthcare provider’s judgment.

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Asked: 6 years agoIn: Obstetrics

What are the different types of Induction of labour?

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

    Induction of labor involves various methods to stimulate contractions and initiate childbirth. Here are some common types: 1. Prostaglandins: These are medications applied to the cervix to help it soften and dilate. 2. Balloon Catheter: A small balloon is inserted into the cervix and inflated to helRead more

    Induction of labor involves various methods to stimulate contractions and initiate childbirth. Here are some common types:

    1. Prostaglandins: These are medications applied to the cervix to help it soften and dilate.
    2. Balloon Catheter: A small balloon is inserted into the cervix and inflated to help it open.
    3. Artificial Rupture of Membranes (Amniotomy): This involves breaking the water (amniotic sac) to stimulate labor.
    4. Oxytocin: This hormone is administered through an IV to induce contractions.

    Each method may be used alone or in combination, depending on the specific circumstances and the healthcare provider’s recommendation.

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Asked: 6 years agoIn: Case taking, Disease, Gynecology, Miasma, Obstetrics, Pathology, Repertory, Surgery

What are the sign and symptoms of mastitis?

Nasim
NasimBegginer

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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 3 years ago

    Mastitis is an inflammation of the breast tissue that can lead to infection and flu-like symptoms. The symptoms of mastitis may include: - Breast tenderness or warmth to the touch - Breast swelling - Thickening of breast tissue, or a breast lump - Pain or a burning sensation continuously or while brRead more

    Mastitis is an inflammation of the breast tissue that can lead to infection and flu-like symptoms. The symptoms of mastitis may include:

    – Breast tenderness or warmth to the touch
    – Breast swelling
    – Thickening of breast tissue, or a breast lump
    – Pain or a burning sensation continuously or while breastfeeding
    – Skin redness, often in a wedge-shaped pattern
    – Generally feeling ill
    – Fever of 101 F (38.3 C) or greater

    Mastitis is most commonly seen among breastfeeding women, but it can also occur in women who aren’t breastfeeding and in men. It is caused by bacteria entering the breast, milk that is trapped in the breast, or a blocked milk duct. If left untreated, mastitis can lead to a collection of pus (abscess) in the breast.

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Asked: 6 years agoIn: Case taking, Disease, Gynecology, Miasma, Obstetrics, Pathology, Repertory, Surgery

What are the common sign and symptoms of fibroadenosis?

Nasim
NasimBegginer

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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 3 years ago

    Fibroadenosis, also known as fibrocystic breast disease, is a benign growth abnormality of the breast that can cause lumpiness and tenderness. The symptoms of fibroadenosis may include: - Pain, tenderness, and swelling - Increased symptoms at pre-menstrual stage - Lumps or thickened areas in the breRead more

    Fibroadenosis, also known as fibrocystic breast disease, is a benign growth abnormality of the breast that can cause lumpiness and tenderness. The symptoms of fibroadenosis may include:

    – Pain, tenderness, and swelling
    – Increased symptoms at pre-menstrual stage
    – Lumps or thickened areas in the breast
    – Nipple discharge

    A clinical breast examination, mammogram, ultrasound, fine needle aspiration, or core needle biopsy may be used to diagnose fibroadenosis.

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Asked: 6 years agoIn: Case taking, Disease, Gynecology, Miasma, Obstetrics, Pathology, Repertory, Surgery

What are the sign and symptoms breast cancer?

Nasim
NasimBegginer

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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 3 years ago

    The signs and symptoms of breast cancer may include: - A lump or swelling in the breast, upper chest or armpit - A change to the skin, such as puckering or dimpling - A change in the color of the breast – the breast may look red or inflamed - A nipple change, for example it has become pulled in (invRead more

    The signs and symptoms of breast cancer may include:

    – A lump or swelling in the breast, upper chest or armpit
    – A change to the skin, such as puckering or dimpling
    – A change in the color of the breast – the breast may look red or inflamed
    – A nipple change, for example it has become pulled in (inverted)

    It is important to note that these symptoms may not necessarily indicate breast cancer, but it is always better to consult a doctor if you experience any of these symptoms. Early detection and treatment can significantly improve the chances of successful recovery.

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Asked: 3 years agoIn: Case taking, Gynecology, Health, Hypothetical Personal Situations, Miasma, Obstetrics

Which allopathic medicine can causes painful coital symptoms in women?

Afifa Akther Rumana
Afifa Akther Rumana

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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 3 years ago

    Painful intercourse, or dyspareunia, is a condition that affects many women and can have various causes. Some possible causes of painful intercourse related to allopathic medicine are: 1. Antidepressants, such as fluoxetine (Prozac) and other selective serotonin reuptake inhibitors (SSRIs), are ofteRead more

    Painful intercourse, or dyspareunia, is a condition that affects many women and can have various causes. Some possible causes of painful intercourse related to allopathic medicine are:

    1. Antidepressants, such as fluoxetine (Prozac) and other selective serotonin reuptake inhibitors (SSRIs), are often prescribed for depression, anxiety, and other mental health conditions. These medicines can affect the sexual function of women by reducing libido, causing vaginal dryness, and delaying or preventing orgasm.
    2. Hormonal contraceptives, such as birth control pills, patches, injections, and implants, can alter the levels of estrogen and progesterone in the body. These hormones are important for maintaining the health and elasticity of the vaginal tissues. Low levels of these hormones can cause vaginal atrophy, which is thinning and inflammation of the vaginal walls. This can lead to pain, bleeding, and infection during intercourse.
    3. Chemotherapy and radiation therapy for cancer can damage the cells of the vagina and vulva, causing inflammation, scarring, and narrowing of the vaginal canal. This can make intercourse painful and difficult. Some chemotherapy drugs can also cause early menopause, which can result in vaginal dryness and atrophy.
    4. Allergy medications, such as antihistamines and decongestants, can have a drying effect on the mucous membranes of the nose, mouth, and genitals. This can reduce the sensitivity and lubrication of the vagina and make it more prone to irritation and infection during intercourse.

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Asked: 3 years agoIn: Disease, Gynecology, Obstetrics, Pathology, Repertory, Surgery

What are the causes of Disseminated Intravascular Coagulation (DIC)

AKM IMDADUL KABIR
AKM IMDADUL KABIR

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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 3 years ago

    Disseminated Intravascular Coagulation (DIC) is a rare but serious condition that causes abnormal blood clotting and bleeding throughout the body's blood vessels. DIC can be triggered by various factors, such as: 1. Infection or sepsis, which is a body-wide response to infection that causes inflammaRead more

    Disseminated Intravascular Coagulation (DIC) is a rare but serious condition that causes abnormal blood clotting and bleeding throughout the body’s blood vessels. DIC can be triggered by various factors, such as:

    1. Infection or sepsis, which is a body-wide response to infection that causes inflammation. Sepsis is the most common cause of DIC.
    2. Major damage to organs or tissues, such as cirrhosis of the liver, pancreatitis, severe trauma, burns, or major surgery.
    3. Severe immune reactions, such as a failed blood transfusion, rejection of an organ transplant, or a toxin such as snake venom.
    4. Serious pregnancy-related problems, such as the placenta separating from the uterus before delivery, amniotic fluid entering the bloodstream, or serious bleeding during or after delivery.

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Asked: 3 years agoIn: Disease, Gynecology, Miasma, Obstetrics, Pathology, Repertory, Surgery

Waht is polyp?

AKM IMDADUL KABIR
AKM IMDADUL KABIR

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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 3 years ago

    A polyp is an abnormal growth of tissue that can occur in various parts of the body, including the gastrointestinal tract, nose, throat, and uterus. In the context of health, most commonly, people refer to colon polyps. These are growths on the lining of the colon or rectum and can vary in size andRead more

    A polyp is an abnormal growth of tissue that can occur in various parts of the body, including the gastrointestinal tract, nose, throat, and uterus. In the context of health, most commonly, people refer to colon polyps. These are growths on the lining of the colon or rectum and can vary in size and shape. While most polyps are benign, meaning they are not cancerous, some types of colon polyps can develop into colorectal cancer over time if not removed. Regular screenings can help detect and remove polyps to reduce the risk of cancer.

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