Intrapartum Care in VBAC
Intrapartum care in VBAC-
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Summaries
Emergency Contraception
Excerpt from the FSRH Guideline on Emergency Contraception
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Management of Pre-eclampsia
Pre-Eclampsia- excerpt from the NICE Guidance- Hypertension in pregnancy: diagnosis and management (NG133)
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Cervical Cancer Screening/ HPV testing
The new Cervical Cancer Screening Protocol
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Obstetric Cholestasis
Obstetric Cholestasis – Summary of GTG 43 + Excerpts from the related TOG article Diagnosis of Obstetric Cholestasis /Intrahepatic Cholestasis of Pregnancy ( OC/ICP) – According to the RCOG Guideline- OC is diagnosed when there is Otherwise unexplained pruritus in pregnancy and abnormal liver function tests (LFTs) and/or raised bile acids occur in the pregnant
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Postpartum Mood Disorders
Postpartum Mood Disorders can be divided into 3 categories- 1. Baby blues 2. Postnatal depression 3. Postpartum (or puerperal) psychosis Baby blues– affects 30 to 80% of women . Time period – usually day 3 to 10 after delivery. Usually peaks at day 5 . Signs and symptoms- variable- tearfulness, anxiety, irritability. Symptoms usually last
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Antenatal and Postnatal Mental Health
Antenatal and Postnatal Mental Health Between 2010 and 2012, 16 women (0.67 per 100 000) were reported as dying from a psychiatric cause. In UK, suicide affects about 1 pregnancy in 100 000- It is a leading cause of maternal death. Risk Assessment- At the booking visit- Women should be asked about- previous or current
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