pregnancy‚ delivery or postpartum period. An indirect obstetric death which is due to existing medical conditions that are made worse by pregnancy or delivery. In Ghana‚ most cases of maternal mortality are recorded in the rural areas. There are five major medical causes of direct obstetric death; hemorrhage (28%)‚ complication of unsafe abortion (19%)‚ pregnancy induced hypertension (17%)‚ infection (11%) and obstructed labor (11%). Direct obstetric deaths accounts for about 25% of all deaths in developing
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Admission cardiotocography This essay will demonstrate evidence for the midwifery management of admission cardiotocography (CTG) and how this affects women’s choice. Fetal heart monitoring has been practised for centuries. The first person to document the fetal beat was Phillipe LeGaust in 1650 placing the ear directly to the abdomen of the pregnant woman. In the UK‚ Ferguson was the first person to describe it in 1827. In 1976‚ the French physician Dr. A. Pinard designed the fetal stethoscope
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research Throughout the studies‚ a number of investigators implemented thorough and practical approaches to determine reproductive outcomes following an abortion. Since a majority of the studies are longitudinal and based on factual‚ reproductive and obstetric data and history‚ the information obtained regarding the women participants is straightforward and clear. This allows it to be easily measured‚ coded‚ and compared with other variables to identify potential correlations. In addition‚ this also decreases
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The obstetrical causes of maternal mortality are well documented‚ and these are largely preventable. There also social/cultural factors that significantly contribute to maternal mortality‚ including lack of health facilities that provide emergency obstetrics care services2. All over the world‚ including Nigeria‚ efforts are being made to reduce maternal mortality. One of the most beneficial strategies is increasing the awareness of the population on the issues of maternal mortality‚ the most notable
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Case Report Marie Talty HISTORY N.C. a 26 year old woman para 4+3‚ gravida 8‚ at 26 weeks gestation with dichorionic dimniotic (DCDA) twins‚ presented to the Admissions department of Obstetrics and Gynaecology on 4th Septmember (Thursday) with a 24 hour history of crampy ‘tightening’ abdominal pain and decreased fetal movements. She had last noticed fetal movements on Wednesday morning. She said that the pain which was in the suprapubic region was more like a tightening and rated the severity
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number of skilled midwives‚ and speed progress towards MDG health goals 4 and 5. Cluster model for obstetric services The scheme is organised on a cluster model. A group of four primary health care centres and a general hospital form a cluster. The primary health care centres provide basic obstetric care and‚ if necessary‚ refer patients to the general hospital for comprehensive emergency obstetric care. To date‚ the midwives scheme operates in 163 clusters covering 652 primary health care centres
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Politi1 Laura D’Emidio2 Pietro Cignini2 Maurizio Giorlandino2 Claudio Giorlandino2 Introduction Most often an unpredictable and unpreventable obstetric emergency‚ Shoulder Dystocia (SD) continues to evoke terror and fear among physicians‚ nurse midwives and other healthcare providers (1‚2). SD is defined as a delivery that requires additional obstetric manoeuvres to release the shoulders after gentle downward traction has failed. SD occurs when either the anterior or‚ less commonly‚ the posterior
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component of the human pregnancy and studied each one extensively; this inspired me greatly to go into the Obstetrics and Gynecology field. I learned the functions and the purposes the complex body withholds; without it the world would be nothing. The research and study of the human body will always be a significant interest that captures my attention; the medical field is my final destination. Obstetrics and Gynecology play a crucial role in determining what the next generation will hold‚ and‚ because
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PREECLAMPSIA PREECLAMPSIA / PREGNANCY INDUCED HYPERTENSION Incidence • Preeclampsia complicates at lease 10% of first pregnancies Etiology • The etiology of preeclampsia is unknown but may be related to abnormal placentation. Obstetric Medicine Curriculum Learner Handout Preeclampsia (Page 1) PREECLAMPSIA Pathophysiology • • Preeclampsia most commonly presents in the second half of pregnancy. It is a multisystem disease associated with diffuse vasospasm and endothelial
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childbirth‚ treating and counseling women throughout their pregnancy‚ from giving prenatal diagnoses to delivery and postpartum care. Ob/GYN track the health of‚ and treat‚ both mother and fetus. The median expected salary for a typical Physician - Obstetrics/Gynecology in the United
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