2962014 Permanent 2nd cal drNahida drChiman Permanent 1 st call drwala drBanazdrShano OperatordrOmardrBrwa saman Senior on call Dr sunds Thursday 2962014 ID: 798464
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Slide1
Sulaimany Maternity Teaching Hospital
29/6/2014
Slide2Permanent 2nd cal
dr.Nahida
,dr.Chiman Permanent 1st call dr.wala, dr.Banaz,dr.ShanoOperator:dr.Omar,dr.Brwa saman
Senior on call : Dr.
sunds
Thursday 29-6-2014
Slide3TN.of delivery (71)
TN .of NVD (58)
primi (23) multi (35) Emergency C/S (5) Elective C/S(8) TN. Of delivery ()
Slide4Medical disease with pregnancy:PET 1
case VD
Antipartum Haemorrhage: 3 cases 1- complete PP 3 previous CS by CS 2- G3P2 Placental abruption by
NVD
3-
Primi
26
wks
NVD
VBAG:- 4 cases
Slide5Operative vaginal delivery :Ventouse
(2) forceps(0)
abnormal presentation (3)cases of breach by NVDNo .of inductions (13) No .of success(12) No. of failed ( 1)Abortions:13 wks under GA 9 wks under GA
9
wks
complete abortion
13
wks
twin placenta by sponging
22
wks
3Pr CS complete abortion
7
wks
RPOC under GA
Premature: 8 cases
33
wks 2 of them 26 wks 2 of them 28 wks 31 wks
35
wks
29
wksIUD:3 cases one of them primi 28 wks Primi 38 wks Primi 26 wks
Slide7name
Age
GPAIndication
Gender
Gulstan
Ali
42
yrs
G4P3 by US 35wks3Previous CS + complete PPBTL + UA + IIA ligation+Dermoid Cyst 4*4 Rt overyMale
Srwa
Abdulla35 yrsG3P2 by US 37wks2 Previous CS+contractionMaleNasreen Abdulla44 yrsG1oP9 by US39wksSecondary arest 7cm>3hourMaleGona Omer18 yrsG1P0 by US 39wksPrimi EROM >19 hour 1cm +high PPMale
Emergency
C/S 29/6
Slide8Age
GPA
IndicationGender
Shadan
Rzgar
22
yrs
G1P0 by US39wks+Mod oligohydramniousPrimi + PDL 4-5cm>4hourFemale
Slide9Gullan Gerdu
34 yrs. Old
G11P9-1A1all NVDLMP?US=IU pregnancy 7wks missed abortion +Moderate Pelvic free fluid Clinically distended abdomen + tachycardia +paleIO –Sever haemoperitomium+Ruptured Rt tubal ectopic pregnancy Rt sulpengectomy also Left tube ligated +D&C done for her
COMPLICATED CASE:
Slide10THANK YOU
Slide11name
Age
GPAIndication
Gender
Vian mahmood salh
31y
Primi
41wk
Post date ,head not engaged , unfavorable Cx.maleNasreen fadel newaf
27y
G2P141wkPost date,1 previous C/S , IOP : Thick meconiumfemaleBanaz ahmad abdulla35yG3P0+239wk2nd infertility,Breech presentation, APS on clexan,concived by IUI,femaleShapol fatah mahood 23yG2P138wkRetinal disease , previous C/S(fresh scar)female
Marwa mohammad khalaf
24y
G3P2
37wk+
2
previous C/SmaleLaila sabr ahmad38yG4P2+138wk2 previous C/S,PIH,DMMaleFahima abdulla hassan39yG4P2+138wk+2 previous C/S,PIH,GDMfemaleSuham abdulla karim42yG5P438wk2 Previous C/S,PIH,BTL donemale
Elective C/S 29-6-2014DR.
chnur
Slide12name
Age
Type of operationIndication
Lezan
dara
hama
khurshid20yLaparoscopy Drilling done , both tube patentPrimary infertility 2yr.Runak mustafa saeedG7P1+5
14WK
35yCervical cerculageCervical incompetenceNyan majid 44yLabial mass removal Labial massShamsa abdulkareem khalifaG11P8+1_250yD & CPostmenapousal bleeding,U/S:thick endometrium 28 mm,with mild free fluid
Gynecological cases
Slide13Postmenapousal
bleeding
D & C
52
yr
Khurshida
ahmad
G8P8-2
Slide14THANK YOU
Slide1529 June 2014Senior on Call
Dr
.BanazPermanent on Call : dr.sazan+dr.shoxan dr sara Total no. of admissions : 26Referred to other wards :11
Remaining cases :14
Discharge on responsibility:1
Emergency
Departement
Slide16PIH =2
PET =
1DM =2 PUC =4Labor pain =12Obstetric Cases
Gynecology Cases
Abortions
=4
Ectopic pregnancy=1
Slide17Snur mhamad
abdullah
29yrs G2P1LMP=14_6_2014BHCG=>1500UlS=ET=6mm RT.ovarian heamorrhagic cyst35*38mm trace pelvic free fluid left adnexial
mass 26*16*18mm
OlE
= Stable
soft
abd.lower abd.tendernessComplicated cases
Slide18Banaz ibrahim
omer 35 yrs G7P5-1 A3US 35 wksLMP unknown Trace albumin in urin
On treatment
Bp
140/95
Complicated case
Slide19THANKYOU