DSS Education

All women who deliver are at risk of complications in third stage of labor.These complications include Post partum Hemorrahege Retention of placenta (Retained placenta) Inversion of uterus Plumonary embolism Obsteric shock Injurier of birth canal     Retained placenta Management 1) Fundal pressure 2) Controll word traction 3) Manual remove of placenta under Genearl Anesthesia 1) Fundal pressure After seperation of placenta Pressure=Dounword and backward pressure on funda part and pull out the umblical word 2) Controll card traction  placenta separate Pressure on symphysis punia upword and backward Pull out with umblical word 3) Manual remove of placenta under general anesthesia Placent not seperat Female=General Anesthesia (Thiopentel sodiyam 4 to 5 mg/kg) Wear the gloves and insert hand in cone shape manner And reach hoti placenta margin Slicing movemen

Management of labor...   Childbirth also known as labour or delivery,is the ending of prgenency where are or more babies leaves the uterus by passing through the vagina or by caesarean section First stage of labour- Phycological and emotional support Fear of danger Fear of pain Maximum supervision and minimum action Bladder and Bowes care Fatal heart rate check in every 30 minute (second stage within 15minute) Position-membrane infact than Ambulate   Membrane ruptured than Left to latter position, and alow to sleep Pain .... Injection Morphine 10mg IM   Second stage of labour   First of all  Position -Lithotomy FHR-In every 15minute Encarage the mother to bearing down effort with each contraction Third stage of labour Examine the placenta One placenta= 15 -29 Cotyledons Count the cotyledons  Retaine placenta =secondary PPH  PPH=Post partum haemorrhage Assement of placenta     Suddenly increase the length of out side umblical c

A healthy married woman who has been mensturating regularly Misses a period. In 98%of cases this is due to pregnancy. In these days the advanced diagnostic tests such as USG, Immunological test for pregnancy has reduced or eliminated the needs to rely on the more inaccurate presumption of probable signs of pregnancy.... 1 )  First trimesters (1 to 12 weeks) 2 ) Second trimesters (13 to 26 weeks) 3 ) Third trimesters (27 to 40 weeks)    First day of last menstrual cycle = 40weeks or 280 day is known as gestational age or Manstural age For ovulation 38weeks or 266day is known as ovulatory age or Fertilization age. Antenatal checkup....     According to WHO 4 Antenatal visit.. 1) First visit- 12weeks 2) Second visit-24 to 26 weeks 3) Third visit- 32 weeks 4) Fourth visit- 36 to 38weeks   Generally... Up to 7th month- 1 visit/month           8th month-2 visit           9th month -4 visit Total 13 visit of antenantal

Leucorrhea .... ... लिकोरिया क्या हैं...    देखा जाता है कि सफ़ेद पानी हमारे योनि से आना एक आम बात है यानी Normal  है।      क्योंकि योनि मैं से सफेद पानी जो होता है वो हमारे शरीर मे केमिकल को बैलेंस बनाये रखता है.…... और साथ ही साथ योनि मैं से जो कीटाणु आदि होता है ये सफेद पानी से बाहर आ जाते है इस लिए थोड़ा बहुत सफेद पानी आना जरूरी है। लेकिन कई बार कुछ महिलाओं मैं पीरियड में पहले तथा पीरियड्स के बाद मैं भी सफेद पानी आता है ये भी Normal  हैं। क्योंकि जो Menstrual cycle होता है इसमें हॉर्मोस Oestrogen का काफी बदलाव होता रहता है और इस कारण सफेद पानी कभी कम कभी ज्यादा आता हैं। कई बार Ovulation के समय भी होता हैं। कई बार गर्भावस्था मैं भी। जब लड़कियां 12 से 14 साल की होती है उस समय भी सफेद पानी आता है। क्योंकि इनकी Menstural cycle.  आने का time हो गया रहता है जन्म के बाद भी लड़कियों मैं 1 माह या 2 माह तक सफेद पानी निकल सकता है जो normal है। क्योंकि  माँ का Estrogen level काफी हद तक बढ़ जाता है। Norml पानी मे किसी प्रकार के कोई गंध नही आता हैं और न ही चिपचिपा रहता हैं ध्य