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…
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…
This document is a guideline on the management of twin pregnancies, provided by the Department of Obstetrics & Gynaecology at the University of Ruhuna. It covers various aspects of twin pregnancies, including definitions of different types of twins, antenatal advice, antenatal follow-up, surveillance for selective growth restriction, monitoring for complications such as feto-fetal transfusion syndrome…
This document is a guideline on the management of preterm labor provided by the University of Ruhuna’s Faculty of Medicine, Department of Obstetrics & Gynaecology. It covers definitions, care for women at risk of preterm labor, diagnosing preterm labor for women with intact membranes, tocolytics, maternal corticosteroids, magnesium sulfate for neuroprotection, intrapartum antibiotics, fetal monitoring,…
This document is a guideline for the management of preterm pre-labour rupture of membranes (PPROM). It provides information on the diagnosis, risk factors, and management options for PPROM at different gestational ages. The document also discusses the potential risks and complications associated with PPROM and provides references for further reading.
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…
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 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 guide on the management of thrombocytopenia (low platelet count) in pregnancy. It provides information on the definition, causes, diagnosis, and treatment options for various types of thrombocytopenia that can occur during pregnancy. The document also includes recommendations for monitoring platelet counts, potential complications, and the involvement of different healthcare professionals in…
