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Breech at term-OB17
This document is a guideline on the management of breech presentation at term, provided by the Department of Obstetrics & Gynaecology at the University of Ruhuna. It discusses the use of External Cephalic Version (ECV) to turn the fetus to a cephalic presentation, as well as the contraindications and considerations for performing ECV. The document…

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…

Gestational Hypertension Guideline-OB6
This document is a guideline on the management of gestational hypertension, which is a type of high blood pressure that occurs during pregnancy. It provides definitions of hypertension and severe hypertension, as well as risk factors for gestational hypertension. The document outlines the management approach for different levels of blood pressure, including pharmacological treatment and…

IOL+augmentation-OB23
This document is a guideline for the management of induction of labor (IOL) and augmentation of labor in obstetrics and gynecology. It provides information on the essential requirements for IOL, indications and contraindications for IOL, assessment prior to induction, methods of IOL, amniotomy, oxytocin infusion protocol, hyperstimulation, and the guideline for augmentation of labor. The…

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…

Severe pre eclampsia- OB7
This document is a guideline for the management of severe pre-eclampsia and eclampsia in pregnant women. It provides definitions, clinical features, monitoring protocols, and treatment options for these conditions. The document also includes recommendations for the timing of delivery and postpartum care. It is based on the guidelines provided by the University of Ruhuna’s Faculty…