Rupture of the Uterus

Jan 31, 2017 by in OBSTETRICS Comments Off on Rupture of the Uterus

Figure 24.1 Types of scar rupture: (a) complete rupture; (b) scar dehiscence. The most important risk factor for uterine rupture is the presence of a previous scar. Other causes are…

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Postpartum Haemorrhage

Jan 31, 2017 by in OBSTETRICS Comments Off on Postpartum Haemorrhage

Ethnicity (Black African, Asian)BMIPrevious PPHAssisted conception (multiple pregnancy or abnormal placentation)During pregnancyMultiparityMultiple pregnancyPolyhydramnios uterine fibroidsPre-eclampsiaIntrapartumOperative vaginal deliveryChorioamnionitisProlonged labourAugmented labourPrecipitate labourEpisiotomy Table 15.2 The 4 ‘T’s: the mechanisms by which bleeding…

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Management of Severe Pre-Eclampsia/Eclampsia

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Figure 25.1 Maternal mortality from eclampsia and pre-eclampsia: England and Wales 1952–84; United Kingdom 1985–2005. Figure 25.2 Maternal mortality from eclampsia (grey) and pre-eclampsia (black) in the United Kingdom. Presentation…

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Induction of Labour

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≥656 87827 06561 68535 619Multiparous women≤5≥627 63315 63235 15514 488 Position of Vertex Persistent occipito-posterior position has been associated with increased chance of failure of IOL [8]. Body Mass Index…

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Antepartum Haemorrhage

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Placental abruptionVasa praevia31220.5UnclassifiedMarginal34Genital tractCervicitisTraumaVulvovaginal varicositiesGenital infectionsGenital tumoursOthers8.05.02.00.50.50.5 Diagnosis and Management Antepartum haemorrhage by nature is unpredictable, and the bleeding at presentation can be significant or non-substantial. The management of any…

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Management of Morbidly Adherent Placenta

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Figure 16.1 Placenta percreta with presence of placental lacunae on ultrasound scan. Note the ‘moth-eaten’ appearance. MRI has been shown to be equivalent to ultrasound in the diagnosis of invasive…

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Triage and Prioritization in a Busy Labour Ward

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Fetal (3F)Postpartum ‘trickling’Prolonged second stage of labour with a normal CTG4. Can wait until other emergencies are under controlMaternal (4M)Fetal (4F)Rupture of membranes with no contractions and normal CTGMeconium staining…

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The Immediate Puerperium

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html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> Chapter 27 The Immediate Puerperium Shankari Arulkumaran Best Practice in Labour and Delivery, Second Edition, ed. Sir Sabaratnam Arulkumaran. Published by Cambridge University Press. © Cambridge…

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The Management of Preterm Labour

Jan 31, 2017 by in OBSTETRICS Comments Off on The Management of Preterm Labour

Figure 21.1 Non-reassuring preterm cardiotocographic trace. A nulliparous woman presented with contractions and spontaneous rupture of the membranes with maladorous amniotic fluid at 34 + 2/7 weeks’ gestation. The cervical…

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