APH-OB20

This document is a guideline for the management of Primary Post Partum Haemorrhage (PPH) provided by the University of Ruhuna, Faculty of Medicine, Department of Obstetrics & Gynaecology. It includes information on the definition and classification of PPH, identification of risk factors, prevention strategies, clinical management, surgical options, and post-operative care. The document emphasizes the…

This document is a guideline for the management of venous thromboembolism (VTE) and pulmonary embolism (PE) in pregnancy. It provides information on the risk factors, signs and symptoms, initial assessment and treatment, anticoagulant therapy, management of massive life-threatening PE, maintenance treatment of VTE, therapy during labor and delivery, postnatal anticoagulation, prevention of post-thrombotic syndrome, and…

This document provides guidelines for the management of epilepsy in pregnancy. It discusses the risks associated with antiepileptic drugs (AEDs) during pregnancy, including fetal risks and adverse effects on the mother. The document also covers management during the preconception period, antepartum care, intrapartum care, and postpartum care. It emphasizes the importance of regular monitoring, planning,…

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…

This document is about prenatal diagnosis, which is the early identification of fetuses with chromosomal abnormalities. It discusses the procedures of amniocentesis and chorionic villus sampling, as well as non-invasive prenatal testing using maternal plasma DNA. It also mentions the indications for considering maternal plasma DNA testing and the various screening tests available for chromosomal…

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…