GYNECOLOGY AND OBSTETRICS CLINICAL PROTOCOLS & TREATMENT GUIDELINES

GYNECOLOGY AND OBSTETRICS CLINICAL PROTOCOLS & TREATMENT GUIDELINES [PDF]

GYNECOLOGY AND OBSTETRICS CLINICAL PROTOCOLS

 

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Contents::

OBSTETRICS
1. BLEEDING IN FIRST TERM OF PREGNANCY………….7
1.1. Abortion……………………………………………………………………7
1.2. Ectopic pregnancy…………………………………………………….12
1.3. Molar pregnancy………………………………………………………14
2. BLEEDING IN LATE PREGNANCY
AND INTRA-PARTUM PERIOD…………………………….17
2.1. Placenta praevia……………………………………………………….17
2.2. Placental abruption………………………………………………….19
2.3. Uterine Rupture……………………………………………………….22
3. POSTPARTUM HEMORRHAGE (PPH)…………………..25
4. COMPLICATIONS DURING PREGNANCY…………….29
4.1. Hyperemesis gravidarum…………………………………………29
4.2. Aneamia in pregnancy……………………………………………..32
4.3. Cervical incompetence…………………………………………….34
4.4. Mal-presentations and mal-positions……………………….37
4.5. Multiple gestation…………………………………………………….42
5. HYPERTENSIVE DISORDERS IN
PREGNANCY………………………………………………………..45
5.1. Pre-eclampsia…………………………………………………………..45
5.2. Eclampsia…………………………………………………………………50
6. INFECTIONS DURING PREGNANCY…………………….53
6.1. Toxoplasmosis in pregnancy…………………………………….53
6.2. HIV in pregnancy…………………………………………………….55
6.3. Hepatitis B during pregnancy…………………………………..60
6.4. Hepatitis c virus during pregnancy…………………………..64
6.5. Genital herpes simplex virus (HSV) infection during
pregnancy…………………………………………………………………67
6.6. Syphillis in pregnancy………………………………………………69
6.7. Urinary tract infections (UTI) in pregnancy…………….71
6.8. Pyelonephritis during pregnancy……………………………..73
6.9. Chorioamnionitis ……………………………………………………75
7. DIABETES IN PREGNANCY…………………………………..77
8. RHESUS ISOIMMUNIZATION………………………………81
9. RESTRICTED FOETAL GROWTH………………………….83
10.PRETERM LABOR AND PRETERM PREMATURE
RUPTURE OF MEMBRANES…………………………………87
11. LABOR DYSTOCIA……………………………………………….91
12.CORD PRESENTATION AND PROLAPSE………………93
13.CESAREAN SECTION…………………………………………..97

14.INSTRUMENTAL VAGINAL DELIVERY………………..101
15.PERINEAL LACERATIONS………………………………….103
16.EPISIOTOMY………………………………………………………105
17.POST TERM PREGNANCY…………………………………..107
18.INDUCTION OF LABOUR…………………………………..109
19.NEONATAL RESUSCITATION……………………………..113
20.POST PARTUM COMPLICATIONS………………………117
20.1. Post partum fever…………………………………………………..117
20.2. Deep vein thrombosis and pulmonary
embolus (DVT&PE)…………………………………………………………….120
20.3. Puerperal psychosis……………………………………………….123

GYNECOLOGY
1. INFERTILITY……………………………………………………..125
2. PELVIC MASSES………………………………………………….129
3. MENSTRUAL DISTURBANCES……………………………133
3.1. Ammenhorea………………………………………………………..133
3.1.1. Primary amenorrhoea……………………………………….133
3.1.2. Secondary amenorrhoea……………………………………135
3.2. Dysmenorrhea……………………………………………………….137
3.2.1. Primary dysmenorrhea……………………………………….137
3.2.2. Secondary dysmenorrhea……………………………………138
3.3. Premenstrual syndrome…………………………………………139
4. ABNORMAL UTERINE BLEEDING (AUB)……………143
5. CANCERS AND TUMORS……………………………………147
5.1. Cervical Cancer……………………………………………………..147
5.2. Breast Cancer…………………………………………………………150
5.3. Endometrium cancer……………………………………………..155
5.4. Ovarian cancer……………………………………………………….158
6. MENOPAUSE………………………………………………………163
7. PELVIC INFLAMMATORY DISEASES (PID)………..165
8. VAGINAL DISCHARGE SYNDROMES………………….169
8.1. Bacterial vaginosis (BV)………………………………………..169
8.2. Mucopurulent cervicitis…………………………………………171
8.3. Trichomonal vaginitis…………………………………………….173
8.4. Vulvo-vaginal candidiasis………………………………………175

 

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