This document is a guideline for postnatal care during a hospital stay. It emphasizes the importance of comprehensive care to prevent complications and promote the well-being of both the mother and newborn. The document covers various aspects of care, including monitoring vital parameters, pain management, perineal and wound care, bladder care, newborn care, postpartum contraception,…
This document is a guideline from the University of Ruhuna’s Faculty of Medicine, specifically from the Department of Obstetrics & Gynaecology. It focuses on the management of Obstetric Anal Sphincter Injuries (OASIS), which are third- and fourth-degree perineal tears that can occur during vaginal birth. The document provides information on the classification of perineal tears,…
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 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 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 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…
This document is a guideline for the management of small for gestational age (SGA) fetuses in the field of obstetrics and gynecology. It provides information on the definition and classification of SGA fetuses, as well as the risks associated with SGA, such as stillbirth, birth asphyxia, and long-term health complications. The document also discusses the…
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 guide on the management of Ante Partum Haemorrhage (APH) in obstetrics and gynecology. It provides information on the definition, main causes, differential diagnosis, investigations, complications, nursing management, and specific treatment for APH. It also includes detailed information on the management of two specific causes of APH: placental abruption and placenta praevia….
This document is a guideline on the management of Rhesus negative mothers in pregnancy. It provides information on the process of sensitization, potential events that can lead to sensitization, and the recommended management strategies for Rhesus negative mothers. The document includes recommendations for checking antibody levels, conducting tests on partners’ blood, obtaining cord blood samples,…
