Labor and Delivery room
Maternity ward
Important Skills:
- Antenatal
examination
- CardioTacoGraphy
" CTG" how to attach and read strip deepened on
DR C BRAVADO
·
Define Risk
·
Contractions per
10 mins
·
Baseline
heart Rate 110 – 160 beat \ min
·
Variability
·
Accelerations
·
Decelerations
·
Overall
assessment
- Breast
feeding
" as patient education specially for primigravida "
1. Care
and importance
2. Breast
feeding positions : "cross cradle , cradle, football and side
lying "
- Importance
of skin to skin contact after birth
- Identification
of newborn and mother
- CODE PINK " infant abduction in
hospital "
- Skin
care and hygiene for newborn
- Circumcision
- Emergency
birth " Caesarean Section "
- Post
partum assessment
- Perineal
care
- Newborn care and measurement
- Apgar score
- Collection of specimens
- Blood transfusion
- Newborn care and measurement
- Apgar score
- Collection of specimens
- Blood transfusion
Common medication in L
& D :
1. Syntocinon
5 units \ ml , methergin 0.2 \ ml , prostin gel * 2 or 1 mg* pabal
100 mcg\ml
2. Narcotic
" pethidine 50 - 100 mg and valium 10 mg "
3. Antibiotics
" Augmaentin 1.2 mg , epicocillin 1 g , zinoxime 1.5 g "
4. Primperan
10 mg\2ml
5. Scopinal
20 mg\ml
6. Voltaren
100 mg suppository
7. Lidocaine
8. Dexomethazone 8mg/2ml
8. Dexomethazone 8mg/2ml
9. Other
epidural , antonox gas , Vitamin K
Common test preformed in L & D and meternity
there are another laboratory request depened on the case demands
epidural , antonox gas , Vitamin K
Common test preformed in L & D and meternity
(
value , aim causes of increase or decrease )
- CBC (complete blood count) for " Hemoglobin and hematocrit ,
platelet count "
- Blood Type and Rh Status and Antibody Screen
- GBS Group B streptococcus
- Hepatitis B
- Gestational Diabetesthere are another laboratory request depened on the case demands
Common Cases
1.
Preeclampsia
2. Eclampsia
3. placenta previa
4. Abruptio placenta
5. umbilical cord prolapse
6. Gestational diabetes mellitus GDM
7. Abortion
8. Distocia
9. Intrauterine Fetal Death IUFD
10.Ante \ post partum heamorrhage
Equipments :
6. Gestational diabetes mellitus GDM
7. Abortion
8. Distocia
9. Intrauterine Fetal Death IUFD
10.Ante \ post partum heamorrhage
Equipments :
Labor and Delivery set
Labor and Delivery prep set
Aminohook
Amincator
Textbooks
and References :
- Materal neonatal fact
incredibly quick