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DIU-OB18
This document is a guideline from the University of Ruhuna’s Faculty of Medicine, specifically from the Department of Obstetrics & Gynaecology. It provides information on the management of an intrauterine fetal death (IUFD), including the causes, diagnosis, breaking bad news, planning delivery, investigations, and postpartum care. The document emphasizes the importance of timely diagnosis, sensitive…

Heart disease in pregnancy -OB3
This document is a guideline for the management of heart disease in pregnancy. It provides recommendations for various aspects of care, including labor and delivery, antibiotic prophylaxis, anesthesia, monitoring, management of heart failure, and postpartum care. The document emphasizes the importance of pre-pregnancy optimization, frequent antenatal follow-up, and meticulous monitoring to ensure optimal outcomes for…

TOLACS-OB21
This document provides guidelines and recommendations for the management of Trial of Labour After Caesarean Delivery (TOLACS) in the Department of Obstetrics & Gynaecology at the University of Ruhuna. It discusses the increasing rates of Caesarean deliveries worldwide and the risks associated with repeat Caesarean deliveries. The document emphasizes the benefits of TOLACS, including decreased…

Spontaneous rupture of membranes-OB13
This document is a guideline on the management of spontaneous rupture of membranes (SROM) in pregnant women. It provides information on the initial assessment of women with SROM, including the confirmation of gestational age, fetal heart rate, and signs of infection. The document also discusses the management of high-risk and low-risk women, the use of…

Instrumental Vaginal delivery-OB25
This document is a set of guidelines and information regarding instrumental vaginal delivery, which is a method of assisted childbirth. It includes indications for when instrumental vaginal delivery may be necessary, safety criteria for the procedure, patient consent requirements, details about vacuum extraction/ventouse delivery and forceps delivery, contraindications for ventouse delivery, procedural instructions, choice of…

Intrapartum fetal monitoring-OB24
This document is a guideline for the management of intrapartum fetal monitoring in the Department of Obstetrics & Gynaecology at the University of Ruhuna. It discusses the importance of fetal monitoring during labor and provides recommendations for measuring fetal heart rate using intermittent auscultation or continuous cardiotocography (CTG). The document also covers the use of…