Management of Rhesus Negative mothers-OB19

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 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 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 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 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 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,…