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Neighorhood Women`s Health Specialists
Neighorhood Women`s Health Specialists

... requisition given with instruction to get this during next couple of weeks. C. Ramsey, CNM Diabetic screen negative; Coombs test negative; Rhogam administered. Ultrasound done – growth patterns consistent with ~ 28 weeks gestation. Reports fetal activity. Decreased smoking to 6 cigarettes a day/ no ...
DIC
DIC

... As the small clots consume coagulation proteins and platelets, normal coagulation is disrupted and abnormal bleeding occurs  The small clots also disrupt normal blood flow to organs such as the kidneys  can occur acutely but also on a slower, chronic basis, depending on the underlying problem  co ...
CAUSES
CAUSES

...  Trichomonas vaginalis:  Offensive yellow vaginal discharge, which is often profuse and frothy, with vulval itch and soreness, dysuria, abdominal pain and superficial dyspareunia  Is associated with preterm delivery ...
pph manual
pph manual

... 1. Clamp the cord close to the perineum and hold the cord and clamp in one hand. 2. Place the other hand just above the pubic bone to stabilize the uterus and apply counter-pressure during controlled cord traction 3. With a strong uterine contraction, gently pull downward on the cord to deliver t ...
Medications for Inducing Ovulation
Medications for Inducing Ovulation

... selected patients. Most authorities suggest that clomiphene be given for no more than six cycles, because the chance of pregnancy is very low after six cycles. After that, alternatives may be considered. Women who have irregular/absent ovulation due to hypothalamic disorders or very low estrogen lev ...
Uterine Fibroids
Uterine Fibroids

... • Birth control pills and other types of hormonal birth control methods—These drugs often are used to control heavy bleeding and painful periods. • Gonadotropin-releasing hormone (GnRH) agonists—These drugs stop the menstrual cycle and can shrink fibroids. They sometimes are used before surgery t ...
Management of first trimester pregnancy complications
Management of first trimester pregnancy complications

... Side Effects of Misoprostol (same as for medication abortion) • Bleeding – typically lasts up to 2 weeks with spotting until next period • Cramping – usually starts within the first few hours, NSAIDs can be used • Fevers and/or chills – common side effect. If lasts >24 hours, evaluate for infection ...
difficult_birth
difficult_birth

... • A variety of medications can be used during the preoperative, operative, and postoperative periods; they include such medications as glycopyrrolate, atropine, propofol, gas anesthetics (such as isoflurane or sevoflurane), diazepam, ketamine, butorphanol, and oxymorphone; your pet's veterinarian wi ...
Difficult Birth (Dystocia)
Difficult Birth (Dystocia)

... • A variety of medications can be used during the preoperative, operative, and postoperative periods; they include such medications as glycopyrrolate, atropine, propofol, gas anesthetics (such as isoflurane or sevoflurane), diazepam, ketamine, butorphanol, and oxymorphone; your pet's veterinarian wi ...
Antenatal care during the first, second, and the third trimester
Antenatal care during the first, second, and the third trimester

... • a medical check up every four weeks up to 28 weeks gestation, • every 2 weeks until 36 weeks of gestation • visit each week until delivery • More frequent visits may be required if there are abnormalities or complications or if danger signs arise during pregnancy ...
FOR VAGINAL USE ONLY DESCRIPTION NuvaRing® (etonogestrel
FOR VAGINAL USE ONLY DESCRIPTION NuvaRing® (etonogestrel

... (thrombotic and hemorrhagic strokes), although, in general, the risk is greatest among older (>35 years), hypertensive women who also smoke. Hypertension was found to be a risk factor for both users and non-users, for both types of strokes, while smoking interacted to increase the risk for hemorrhag ...
Postpartum Hemorrhage Protocol
Postpartum Hemorrhage Protocol

... Postpartum Hemorrhage: An estimated blood loss in excess of 500 mL following a vaginal birth or a loss of greater than 1,000 mL following cesarean birth III. Policy A. Indications- Postpartum with cumulative blood loss >500 mL after vaginal birth or >1000 mL after cesarean birth B. Contraindications ...
08_Presentation2 Lulu2014-09
08_Presentation2 Lulu2014-09

... Other Risk factor  Tubal Surgery  Previous Ectopic Pregnancy  IUD (intrauterine device)??? ...
General postoperative complications
General postoperative complications

... A procedure in which sutures are used to close the cervix during pregnancy to prevent preterm birth or miscarriage.Used for the treatment of cervical incompetence.It usually done after 13 week of pregnancy (between 12 -14 weeks) no earlier ,so that early abortions due to other factors will be comple ...
Chronic Pelvic Pain
Chronic Pelvic Pain

... How is chronic pelvic pain diagnosed? Your health care provider will ask about your medical history. You will have a physical exam, including a pelvic exam. Tests also may be done to find the cause. It also may be necessary to see other specialists to find out the cause of your pain, such as a gastr ...
Chronic Pelvic Pain
Chronic Pelvic Pain

... How is chronic pelvic pain diagnosed? Your health care provider will ask about your medical history. You will have a physical exam, including a pelvic exam. Tests also may be done to find the cause. It also may be necessary to see other specialists to find out the cause of your pain, such as a gastr ...
ectopic pregnancy
ectopic pregnancy

... pregnancy may be missed in 40% to 50% of patients on an initial visit.  Most women with ectopic pregnancy have no risk factors and the classic triad of a history of amenorrhea, abdominal pain, and irregular vaginal bleeding is absent in more than half of cases.  Early diagnosis not only decreases ...
Birth Glossary
Birth Glossary

... The chorion develops chorionic villi, which are finger-like projections on its surface. The chorionic villi extend downward through the uterine lining into the maternal blood supply to help supply the developing embryo with oxygen and nutrients. A CVS test, or chorionic villi sampling, can detect ab ...
difficult birth (dystocia)
difficult birth (dystocia)

... A variety of medications can be used during the preoperative, operative, and postoperative periods; they include such medications as glycopyrrolate, atropine, propofol, gas anesthetics (such as isoflurane or sevoflurane), diazepam, ketamine, butorphanol, and oxymorphone; your pet’s veterinarian wil ...
Gastrointestinal Bleeding in HHT
Gastrointestinal Bleeding in HHT

... Gastrointestinal (GI) bleeding can be one of the most difficult manifestations of Hereditary Hemorrhagic Telangiectasia (HHT) to treat. There is currently no treatment available that completely and permanently stops all GI bleeding in HHT patients. Direct local therapy is sometimes effective in trea ...
Abortion Complications
Abortion Complications

... • Black women are almost four times as likely as white women to have an abortion, and Hispanic women are 2.5 times as likely. Missing ectopic pregnancy • The abortion• rate among women living below the federal poverty level ($9,570 for a single woman with no children) is more than four times of wome ...
A Case Study on:
A Case Study on:

... but not through its full thickness  Percreta – when the villi penetrate the full thickness of the myometrium and may invade neighboring organs such as the bladder or the rectum ...
Diagnosis and treatment of PCOS
Diagnosis and treatment of PCOS

... If fertility is not the primary aim, then menstruation can usually be regulated with a contraceptive pill.14 The purpose of regulating menstruation is essentially for the woman's convenience and perhaps her sense of well-being. There is no medical requirement for regular periods, so long as they occ ...
Treatment of Uterine Fibroids - Society for Reproductive
Treatment of Uterine Fibroids - Society for Reproductive

... Fibroids usually do not require treatment because most patients with fibroids do not have symptoms. Women with fibroids should have regular checkups to determine if the fibroids are changing in size, to track worsening symptoms, and if planning to get pregnant. If treatment is required, does that me ...
AMNIOTIC FLUID EMBOLISM (AFE)
AMNIOTIC FLUID EMBOLISM (AFE)

... disruption of the placenta; absent fetal heart activity by ultrasound examination ...
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Menstruation



Menstruation, also known as a period or monthly, is the regular discharge of blood and mucosal tissue from the inner lining of the uterus through the vagina. Up to 80% of women report having some symptoms prior to menstruation. Common symptoms include acne, tender breasts, bloating, feeling tired, irritability, and mood changes. These symptoms interfere with normal life and therefore qualify as premenstrual syndrome in 20 to 30% of women. In 3 to 8%, they are severe.The first period usually begins between twelve and fifteen years of age, a point in time known as menarche. However, periods may occasionally start as young as eight years old and still be considered ""normal"". The average age of the first period is generally later in the developing world and earlier in developed world. The typical length of time between the first day of one period and the first day of the next is 21 to 45 days in young women and 21 to 31 days in adults (an average of 28 days). Menstruation stops occurring after menopause which usually occurs between 45 and 55 years of age. Bleeding usually lasts around 2 to 7 days.The menstrual cycle occurs due to the rise and fall of hormones. This cycle results in the thickening of the lining of the uterus and production of an egg which is required for pregnancy. The egg is released around day fourteen in the cycle and the thickened lining of the uterus is to provide nutrients for a potential developing baby. If pregnancy does not occur, the lining is released in what is known as menstruation.A number of problems with menstruation may occur. A lack of periods, known as amenorrhea, is when periods do not occur by age 15 or have not occurred in 90 days. Periods also stop during pregnancy and typically do not resume during the initial months of breastfeeding. Other problems include painful periods and abnormal bleeding such as bleeding between periods or heavy bleeding. Menstruation also occurs in some other animals including shrews, bats, and other primates such as apes and monkeys.
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