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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…

This document is a guideline on the management of anemia in pregnancy. It provides information on the diagnosis, causes, evaluation, and treatment of anemia in pregnant women. The document emphasizes the importance of early detection and appropriate management of anemia to prevent adverse effects on both the mother and the fetus. It also discusses the…

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…

This document is a guideline for the management of bacterial sepsis in pregnancy. It provides information on the definition, risk factors, presentation, investigations, common organisms, and management of bacterial sepsis in pregnant women. It also includes recommendations for the time and mode of delivery, prevention, and management of puerperal sepsis. The document references various guidelines…

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…

This document is a guideline for the management of abnormal labor in the field of obstetrics and gynecology. It provides definitions and terminologies related to labor, as well as information on the diagnosis and management of various abnormalities that can occur during the first and second stages of labor. The document emphasizes the importance of…