Practical Obstetrics and Gynaecology Handbook: For the by Thiam Chye Tan

By Thiam Chye Tan

This useful consultant presents an up to date and concise account of many obstetric and gynaecological stipulations in accordance with evidence-based drugs. The 50 themes coated contain menstrual issues, irregular PAP smears, ovarian cysts, subfertility, vaginal discharge, birth control and hormonal substitute treatment, being pregnant and its issues in addition to universal obstetrics and gynaecology (O&G) investigations. The ebook contains using move charts to simplify the outline of investigations and coverings of some of the universal stipulations in obstetrics and gynaecology. this can be rather precious for medical professionals within the fundamental healthcare surroundings of their daily scientific perform. It additionally includes standards for referral to OBGYN medical professionals. it's going to additionally function a vital advisor for scientific scholars and nursing employees and a convenient precis for OBGYN experts.

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5 mg/tab 1/2 tab bd × 2 days If lactation initiated ch10 FA September 20, 2006 2:6 WSPC/SPI-B385 (Practical Obstetrics & Gynaecology Handbook) Medications in Pregnancy and Lactation ch10 37 Antibiotics Medication Dose Comments Amoxycillin 500 mg tds PO For urinary tract infection, respiratory tract infection and Group B streptococcus infection Erythromycin 500 mg tds PO For those with penicillin allergy 500 mg tds PO For urinary tract infection Cephalexin Amoxycillin-clavulanate (Augmentin) 625 mg bd PO For urinary tract infection and respiratory tract infection Vulvovaginal Candidiasis Medication Dose Comments Nystatin pessary 1/1 ON × 7 days Each pessary contains 100,000 units nystatin Gynotravogen pessary 1/1 ON × 1 day Each pessary contains 600 mg isoconazole nitrate Gynotrosyd pessary 1/1 ON × 3 days Each pessary contains 100 mg tioconazole Flagystatin pessary 1/1 ON × 7 days Each pessary contains 500 mg metronidazole and 100,000 units nystatin Useful in treating bacterial vaginosis as well FA September 20, 2006 2:6 WSPC/SPI-B385 (Practical Obstetrics & Gynaecology Handbook) Practical Obstetrics and Gynaecology Handbook 38 Rash/Itch Medication Dose Comments Chlorpheniramine 4 mg tds PO Can cause drowsiness Calamine lotion PRN Topical use Hydrocortisone cream 1% Betnovate cream (Betamethasone valerate) Topical use Topical use Travocort cream Contains isoconazole and diflucortolone valerate Broad-spectrum antifungal with a steroid additive Daktarin cream Contains miconazole Antifungal cream Daktacort cream Contains miconazole and hydrocortisone Broad-spectrum antifungal with a steroid additive Neoderm cream Contains neomycin and hydrocortisone Corticosteroid cream with anti-infective agent ch10 FA June 2, 2006 11:6 WSPC/SPI-B385 (Practical Obstetrics & Gynaecology Handbook) ch11 CHAPTER 11 Frequently Asked Questions on Pregnancy A) Food, Smoking and Alcohol during Pregnancy Dos: i.

However, most chemicals are cleared from the bloodstream fairly quickly. Unfortunately, there have been only very few studies on the use of such products during pregnancy to quantify the risk of hair dye to a developing foetus • While no one can provide data about timing and safety, avoid dyeing or rebonding the hair once a woman has conceived June 2, 2006 11:6 WSPC/SPI-B385 (Practical Obstetrics & Gynaecology Handbook) 42 ch11 Practical Obstetrics and Gynaecology Handbook • Perming hair during the second and third trimesters of pregnancy is a safe procedure and can make caring for hair less time consuming and easier.

The mother should hold her breast during the attachment initially and draw the baby to the breast for a good latch • Different feeding positions such as the football hold or modified cradle hold can be used by those encountering difficulties to facilitate latching onto the breast • Mother with truly inverted nipples often encounter difficulties latching their babies to the breast. The use of niplette as a nonsurgical correction of inverted nipples may be recommended from the second trimester June 2, 2006 12:9 WSPC/SPI-B385 (Practical Obstetrics & Gynaecology Handbook) ch09 Practical Obstetrics and Gynaecology Handbook 28 Sore nipples • Sore nipples are usually the result of poor positioning or poor latch-on • Correct positioning and attachment is the key to prevent sore nipples • Hind milk treatment or purified lanolin cream may be applied to promote healing • Breast shell may be worn in between feeding to protect the sore nipples from rubbing against the clothing so as to facilitate healing Engorgement • Engorgement occurs when there is a decrease in the frequency of feeding causing excessive accumulation of milk in the breast • Engorgement often occurs during the first week after delivery with the onset of copious milk and if there is a delay in starting breastfeeding or infrequent feeding • Engorgement usually affects both breasts, involving the areola and the peripheral area of the breast, which becomes full, hard and tender • Early initiation of breastfeeding, unrestricted feeding day and night and ensuring proper latching for effective emptying will help to prevent or reduce the severity of engorgement • If engorgement is not relieved, it may impact on milk production • Treatment of engorgement includes: 1.

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