PPH – OB26

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 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 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 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 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 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…